APRN Legal Case Study

Scope of Practice NP’s scope of practice can vary depending on which state they are licensed in. It is extremely important that the NP is aware of the laws and regulations that their state has implemented. Understanding the scope of practice allows you to understand what you can and cannot do as an NP. In Arizona, NP’s are board certified and are now required to take a national certifying exam (Buppert, 2015). NP’s in Arizona have an expanded scope of practice, they can assess, manage, diagnose, and prescribe medications to patients.

We use the Nurse Practice Act to protect the patient and their families. Information about the Nurse Practice Act can be found on the National

Practice Policy Appropriate health care continues to be one of the major challenges throughout the nation. Financial and educational hindrances can produce negative health effects on individuals and communities. Advanced practice nurses can implement their evidence based knowledge and skills within any environment to increase the knowledge and health of the surrounding populations. However, nurse practitioners must comply with the protocols and laws mandated by the board of nursing. This paper will discuss the setting in which nurse practitioners practice in, along with the laws and limitations that they must adhere to at all times.

Advanced practice nursing (APN) can be defined in many ways and differs from basic nursing practice. ANA (2010) defines APN as incorporation and application of evidenced based practice that is accomplished during graduate school. The AACN distinguishes the role of the APN by stating that they have a direct clinical focus. AACN states that interventions taken by APNs have an impact on patient care outcomes. APNs must put patient care and health care policy first.

there are scopes and standards of practices that the practitioner must not act outside of (ANA, 2016). There are also state regulation scopes of practices that allow for Nurse Practitioners to practice independently, with reduced practice, and with restricted practice. Along with these practice environments, Nurse Practitioners must abide by facility and institutional policy and procedures that outline their scope of practice (ANA, 2016). There are very few states that still allow Nurse Practitioners to practice without a national certification. These states in the future may require the nurses however to in fact take national certification as more employers and third party insurers for malpractice are looking

A Nurse anesthetist, or a CRNA, is a registered nurse who specializes in anesthesia care. They work alongside Anesthesiologists, Surgeons, and other medical professionals to administer anesthesia to patients during medical or surgical procedures. Nurse anesthetists stay with their patients through the entire process of surgery to ensure the safe delivery of anesthesia. They constantly monitor and modify

They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age

In Ontario, registered nurses (RNs) are regulated by the College of Nurses of Ontario (CNO). In 1993 two key pieces of legislation were written to determine how the nursing profession is regulated in Ontario, these are the The Nursing Act, 1991, and the Regulated Health Professions

Public Health In community health setting, Advanced Practice Nurses serve as clinicians, nurse educators or administrators. They provide services in schools, day care centers, community health clinics, group homes as well as in skilled nursing facilities. They are involved in the health of new mothers and babies through pre-and post-natal care, preventing domestic violence and child abuse through education and awareness

Advanced practice nurses (APN) have a vital role in the future of health care, especially since the enactment of the Affordable Health Care Act. With more citizens having health insurance coverage they will be seeking health care providers, and there are not enough physicians to care for them all. According to Letiziam (2014), advance practice nurses are licensed autonomous health care providers that have been trained to evaluate, diagnose, and treat patients and their conditions. Advanced practice nursing is an umbrella that covers four separate roles of nurses, this includes: the certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), certified nurse practitioner (CNP), and certified nurse specialist (CNS).

Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,

Introduction Advance practice Nursing origins date back more than a century. Advance practice nursing roles do not stand apart from nursing rather it builds on foundation and core values of nursing discipline (Hamric, Hanson, Tracy & O’Grady, 2014). Advance practice nurses (APN’s) are distinctive of other healthcare professionals such as doctors and physician assistants because of their holistic approach and its nursing framework at its core. Barbara J Safriet’s article ‘Health care dollars and regulatory sense: The role of advanced practice nursing’ highlights the effectives of APN’s in terms of both quality and cost effectiveness and challenges barriers to practice. This paper is the reaction to the article and will identify the two issues

The ANA standards of practice are rules and regulations. They are not actual laws. State laws are much harder to change and require legislative action to do so. The ANA has 15 standards of practice (1-6) and professional performance (7-15) which are: Standard 1 – Assessment, Standard 2 – Diagnosis, Standard 3 - Outcomes Identification, Standard 4 – Planning, Standard 5 – Implementation, Standard 6 – Evaluation, Standard 7 - Quality of Practice, Standard 8 – Education, Standard 9 - Professional Practice Evaluation Standard 10 – Collegiality, Standard 11 – Collaboration, Standard 12 – Ethics, Standard 13 – Research, Standard 14 - Resource Utilization, &Standard 15 – Leadership How often do RN’s renew their license and what is the consequence of not

While the main focus of APNs is clinical practice and direct patient care,

I liked going online and looking at the nurse practitioner scope of practice laws by state. Barton Associates did an excellent job of creating a display