The State Laws Governing APRNs Essay Paper

The State Laws Governing APRNs Essay Paper

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I appreciate you comparing Texas’ APRN Board of Nursing rules to those in other states. It is important for APRNs to adhere to the rules in each state where they practice because APRN laws might differ dramatically from one state to the next.

One of the variations you pointed out is the scope of practice, where Texas mandates physician participation for quality assurance and evaluation (Dyess-Nugent et al., 2020)The State Laws Governing APRNs Essay Paper. New Mexico, on the other hand, permits APRNs to work independently. Similar to this, APRNs in Florida who satisfy the requirements for independent practice may carry out their duties without a doctor’s direction. It’s noteworthy to note that while some jurisdictions permit APRNs to work alone, others demand that they work in tandem with doctors.

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Prescriptive authority is another issue you brought up. While Minnesota does not require physician involvement for NP prescriptive authority (O’Reilly-Jacob et al., 2023 )The State Laws Governing APRNs Essay Paper, Texas requires NPs to maintain a prescriptive authority agreement or procedure with a physician. Similar to this, APRNs in New York are expected to create a working relationship with a hospital or licensed physician that enables consultation, cooperation, and referral. To protect patient safety and prevent legal issues, it is crucial to adhere to prescriptive authority norms and regulations.

Last but not least, considering certification and licensure, mentioning that APRNs are required to receive the proper certification and licensure from a reputable national certifying body in addition to a license from the Board of Nursing. This criterion, which is the same in every state, is essential to ensuring that APRNs possess the knowledge and skills required to deliver safe and efficient patient care.

In conclusion, the regulatory environment and laws chosen are different from those in Florida in terms of the practice scope and working with doctors. To maintain patient safety and avert legal issues, APRNs must abide by the laws in each state where they practice (Carnes et al., 2022)The State Laws Governing APRNs Essay Paper.

References

Dyess-Nugent, P., Bouzid, J., Roberson, A., Quint-Bouzid, M., & Nelson, D. B. (2020). Development of a quality indicator to measure urgent requests to the bedside. Nursing for women’s health, 24(6), 404-412.

https://www.sciencedirect.com/science/article/pii/S1751485120301719

O’Reilly-Jacob, M., Zwilling, J., Perloff, J., Freeman, P., Brown, E., & Donelan, K. (2023). Early implementation of full-practice authority: A survey of Massachusetts nurse practitioners. Journal of the American Association of Nurse Practitioners, 10-1097.

https://journals.lww.com/jaanp/Fulltext/9900/Early_implementation_of_full_practice_authority__A.97.aspx

Carnes, N., Zhang, J., Gelaude, D., Huang, Y. L. A., Mizuno, Y., & Hoover, K. W. (2022). Restricting access: a secondary analysis of scope of practice laws and pre-exposure prophylaxis prescribing in the United States, 2017. Journal of the Association of Nurses in AIDS Care, 33(1), 89-97.

https://www.ingentaconnect.com/content/wk/jnc/2022/00000033/00000001/art00013

By offering patients specialized and superior treatment, advanced practice registered nurses (APRNs) play a crucial role in the healthcare sector. The laws governing their use, however, differ from state to state (Garber & Chike-Harris, 2019). In this article, the rules of the nursing boards in Texas and Maryland were contrasted with an emphasis on scope of practice and collaboration agreements.

The APRN Consensus Model, which includes the power to diagnose, treat, and manage both acute and chronic medical illnesses as well as prescribe drugs and order diagnostic tests, is used by both states to define the scope of practice for APRNs. Nurse practitioner, clinical nurse specialist, certified registered nurse anaesthetist, and certified nurse-midwife are the four APRN jobs that are recognized in both states.

Yet, the standards for collaborative agreements vary greatly across the two jurisdictions. In order to prescribe medication in Texas, APRNs need to have a signed prescriptive authority agreement with a collaborating physician (Haney, 2023)The State Laws Governing APRNs Essay Paper. The agreement specifies the APRN’s practice area for writing prescriptions for medications as well as the physician’s oversight of both. Maryland, on the other hand, now permits APRNs to practice freely by doing away with the requirement for collaborative agreements.

For APRNs to operate legally and deliver top-notch healthcare services, compliance with these rules is essential. By establishing and upholding a formal prescriptive authority agreement with a collaborating physician, APRNs in Texas must adhere to the collaborative agreement requirement. In contrast, APRNs in Maryland are not required to enter into a collaboration agreement in order to practice independently within the bounds of their scope of practice.

Overall, the APRN consensus model is supported by the Texas and Maryland Board of Nursing requirements for APRNs. To deliver high-quality treatment and operate lawfully, APRNs must be aware of how their requirements for collaborative agreements differ. These rules are always changing, so it is crucial for APRNs to stay up-to-date on any modifications to their state’s laws (Buck, 2021).

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References

Buck, M. (2021). An update on the consensus model for APRN regulation: More than a decade of progress. Journal of Nursing Regulation, 12(2), 23-33.

https://www.sciencedirect.com/science/article/pii/S2155825621000533

Garber, K. M., & Chike-Harris, K. E. (2019). Nurse practitioners and virtual care: A 50-state review of APRN telehealth law and policy. Telehealth and Medicine Today.

https://telehealthandmedicinetoday.com/index.php/journal/article/view/136

Haney, B. (2023). 35th Annual APRN Legislative Update: Updates to APRN practice authority in the United States. The Nurse Practitioner, 48(1), 20-47.

https://journals.lww.com/tnpj/Fulltext/2023/01000/35th_Annual_APRN_Legislative_Update__Updates_to.6.aspx?context=FeaturedArticles&collectionId=1 The State Laws Governing APRNs Essay Paper

 My Post

APRNs (Advanced Practice Registered Nurses) are essential in the delivery of healthcare to patients. State laws governing APRNs, however, differ from one another. APRNs are subject to regulation in Florida and New York by the Board of Nursing and the Office of the Professions, respectively. The regulations are similar in some ways but differ significantly in others.

The degree of medical monitoring necessary is one of the main distinctions between Florida and New York legislation. After completing a predetermined number of hours of supervised practice in Florida, APRNs may work independently or under a doctor’s supervision. In contrast, New York mandates that APRNs establish a working arrangement with a doctor who is duly licensed or with a hospital that allows for consultation, referral, and cooperation. This means that in order to offer patients care, APRNs in New York must collaborate with doctors.

The amount of physician oversight necessary can have a big impact on how APRNs work every day. In Florida, APRNs who satisfy the qualifications for independent practice set forth by the Board of Nursing may perform diagnostic tests and make drug recommendations without the involvement of a doctor. This enables APRNs to work autonomously, which is especially advantageous in regions where there may be a physician shortage. In contrast, APRNs in New York are required to work collaboratively with a doctor (Andrews et al., 2021), which may limit their capacity to independently request tests and write prescriptions for drugs. The ability to better coordinate care and guarantee that patients get the finest care possible are two additional advantages of this collaborative connection.

In order to comply with these rules, APRNs must ensure that they satisfy the educational and licensing standards established by the board of nursing or office of the professions in their state or region. For instance, APRNs must possess both a valid RN license and a national certification for their advanced practice role in both Florida and New York. Also, APRNs must follow the restrictions established by their state or region about the particular tasks they follow the restrictions established by their state or region about the particular tasks they are permitted to carry out within their scope of practice.

In general, APRN rules are crucial in ensuring that patients receive safe and efficient care (Stucky et al., 2021). Healthcare practitioners can learn important lessons by contrasting the laws in various states and areas that may help guide future changes to these laws. Also, to make sure they are practicing in line with the laws and regulations of each state or territory, APRNs who have licenses in various states or regions must be aware of the variations in requirements.

References

Andrews, C. S., Steller, J. V., & Friedman, A. K. (2021). Development of collaborative family nurse practitioner education using physician preceptors: A focused critical ethnographic study. Nurse Education Today, 107, 105110.

https://doi.org/10.1016/j.nedt.2021.105110Links to an external site.

Stucky, C. H., Brown, W. J., & Stucky, M. G. (2021, January). COVID-19: An unprecedented opportunity for nurse practitioners to reform healthcare and advocate for permanent full practice authority. In Nursing Forum (Vol. 56, No. 1, pp. 222-227).

https://doi.org/10.1111/nuf.12515Links to an external site.

INSTRUCTIONS

Please the above post is mine, read it and respond to the two discussion post below separately. Each respond should have at least two references each. Writer #2851

Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.

Discussion Post 1

APRNs are licensed healthcare professionals with advanced training and education beyond registered nursing. They can perform various clinical duties, such as diagnosing and treating patients, prescribing medications, and providing primary and specialty care.

Comparison of APRN Board of Nursing Regulations  between Texas and other states

In the United States, APRNs are regulated by individual state boards of nursing, and the regulations can vary significantly between states. Working as a registered nurse in Texas, some general differences can exist between states in terms of APRN regulations:

• Scope of Practice:The ability of APRNs to practice to the full extent of their education and training is inextricably linked to the state-level scope of practice laws and regulations (National Coalition of State Boards of Nursing, 2008). In Texas, to adhere to the regulations for the scope of practice, the physician who delegates to a nurse practitioner must follow specific statutory protocols for quality review and assurance. It will ensure that the APRN is practicing within the scope of their training and education and not performing tasks outside their expertise to provide patient care. For example, suppose the APRN is a Family Nurse Practitioner (FNP). In that case, their standardized procedure may outline the types of conditions they are qualified to diagnose and treat and the specific medications and dosages they can prescribe. The FNP must ensure that they follow this standardized procedure and practice within the parameters outlined in it. However, in New Mexico, no physician involvement is required for diagnosis & treatment, and APRNs can practice independently.
•   Prescriptive Authority: Nurse Practitioners prescribe medication, diagnose and treat minor illnesses and injuries, and provide comprehensive health care across the lifespan, emphasizing prevention (ANA. n.d.). To adhere to the regulations for prescriptive authority, the APRN must be aware of the limitations on what medications and dosages they can prescribe. In Texas, NPs must maintain a prescriptive authority agreement or protocol with a physician. To prescribe controlled substances, NPs must file a separate application with the state Department of Public Safety for controlled substances registration. However, in Minnesota, physician involvement is not required for NP prescriptive authority as it is a part of certification. The Board does not track the number of NPs prescribed under collaborative agreements nor the number of NPs with DEA numbers.
• Certification and Licensure:To adhere to the certification and licensure regulations, APRNs must ensure that they have obtained the appropriate certification and licensure from a recognized national certification organization such as the American Nurses Credentialing Center (ANCC) (ANA. n.d.). They may also need to obtain a license to practice in the state where they will be providing care, such as a license from the Board of Nursing. In Texas, APRNs must be certified by a national certification organization and have a current license from the Texas Board of Nursing to practice as an APRN, similar to New Mexico and Minnesota.

Overall, APRNs with legal authority to practice within the full scope of their education and experience must adhere to state regulations to ensure that they are providing safe and effective patient care. They must be familiar with the regulations for the scope of practice, prescriptive authority, and certification and licensure and take steps to comply with them in their daily routine.

References 

American Nurses Association. (n.d.). ANA enterprise. http://www.nursingworld.orgLinks to an external site.

APRN Scope of Practice, Texas Board of Nursing https://www.bon.texas.gov/practice_scope_of_practice_aprn.asp.htmlLinks to an external site.

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.. Nursing Outlook, 65(6), 761–765. 

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning (pp. 57-66)

State Law Chart: Nurse Practitioner Prescriptive Authority, American Medical Association,https://www.ama-assn.org

Discussion Post 2

Comparison of APRN Board of Nursing Regulations in Texas and Maryland

Advanced Practice Registered Nurses (APRNs) are highly trained nursing professionals who provide vital healthcare services throughout the United States. Each state’s board of nursing regulations govern APRN practice. The regulations of the Texas and Maryland Boards of Nursing will be compared in this post, with a focus on two key aspects: scope of practice and collaborative agreements. Furthermore, we will discuss how these regulations apply to APRNs and provide examples of compliance with each regulation.

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Scope of Practice

The Texas Board of Nursing defines the scope of practice for APRNs, which is consistent with the national standards outlined by the APRN Consensus Model (Texas Board of Nursing, 2021). In Texas, APRNs are licensed to diagnose, treat, and manage acute and chronic health conditions, as well as to prescribe medications and order diagnostic tests (Texas Board of Nursing, 2021). The following APRN roles are recognized in Texas: nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, and certified nurse-midwife (Texas Board of Nursing, 2021).

Similarly, the APRN Consensus Model is used by the Maryland Board of Nursing to define the scope of practice for APRNs (Maryland Board of Nursing, 2021). Maryland, like Texas, recognizes the same four APRN roles and empowers them to diagnose, treat, and manage health conditions, prescribe medications, and order diagnostic tests (Maryland Board of Nursing, 2021).

Collaborative Agreements

The requirements for collaborative agreements differ significantly between the two states. To prescribe medication in Texas, APRNs must have a written prescriptive authority agreement with a collaborating physician (Texas Board of Nursing, 2021). This agreement specifies the physician’s supervision and the APRN’s scope of practice when it comes to medication prescriptions (Texas Board of Nursing, 2021).

In contrast, Maryland has removed the requirement for APRNs and physicians to enter into collaborative agreements, allowing APRNs to practice independently (Maryland Board of Nursing, 2021). This change allows APRNs in Maryland to provide comprehensive care without physician supervision, improving access to healthcare services, especially in underserved areas (Maryland Board of Nursing, 2021).

Application of Regulations to APRNs

The above-mentioned regulations apply to APRNs who have legal authority to practice within the scope of their education and experience. A Texas APRN, for example, must comply with the collaborative agreement requirement by creating and maintaining a written prescriptive authority agreement with a collaborating physician. This agreement ensures that the APRN works within their authority and receives appropriate oversight when prescribing medications.

In Maryland, an APRN can practice independently and comply with state regulations without the need for a collaborative agreement. Within their scope of practice, this allows the APRN to provide comprehensive care, including prescribing medications and ordering diagnostic tests.

Finally, both Texas and Maryland have APRN regulations that are consistent with the APRN Consensus Model, but their requirements for collaborative agreements differ. Understanding these distinctions is critical for APRNs to practice legally and provide high-quality healthcare services.

References

American Nurses Association. (2008). Consensus model for APRN regulation: Licensure, accreditation, certification & education. Retrieved from https://www.nursingworld.org/~4af4f2/globalassets/practiceandpolicy/innovation–evidence/aprn-consensus-model-report.pdfLinks to an external site.

Maryland Board of Nursing. (2021). Advanced practice registered nursing. Retrieved from https://mbon.maryland.gov/Pages/aprn.aspxLinks to an external site.

Texas Board of Nursing. (2021). Advanced practice registered nurse (APRN) practice. Retrieved from https://www.bon.texas.gov/practice_aprn.aspLinks to an external site.