NURS 6050 PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS

NURS 6050 PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS

Sample Answer for NURS 6050 PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS Included After Question

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region. 

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions. 

To Prepare: 

  • Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice. 
  • Consider how key regulations may impact nursing practice. 
  • Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion. 

By Day 3 of Week 5 

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected. 

By Day 6 of Week 5 

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. 

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. 

*Note: Throughout this program, your fellow students are referred to as colleagues. rxcvvd5  cte1z

A Sample Answer For the Assignment: NURS 6050 PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS

Title: NURS 6050 PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS

As I researched more about this week’s topic of APRN regulations, I

discovered that each state has distinct restrictions regarding how Nurse

Practitioners can do their duties. It is both surprising and frustrating that there

are still many restrictions on NP practice in several jurisdictions, including my

own, Pennsylvania. The AANP has broad definitions for practice authority

statuses (Carthon, et al., 2018). Full Practice, Reduced Practice, and Restricted

Practice are the three options. Each state’s State Board of Nursing (BON) has

its own set of regulations. Each state has a website devoted to their specific

BON outlining the laws and regulations that are necessary in that state. I reside

in Pennsylvania (PA), where the State Board of Nursing is responsible for

ensuring the health and safety of all residents of the state by regulating the

practice of professional and practical nursing, dietetics, and nutrition and

granting licenses to clinical nurse specialists, dietitians, graduate nurses,

registered nurses, practical nurses, and certified registered nurse practitioners

(Carthon, et al., 2018).

 

A Certified Registered Nurse Practitioner (CNP) in Pennsylvania 14

required to fulfill needs for ongoing education on a biennial cycle of renewal.

These requirements include completing a minimum of 30 continuing education

credits, of which 16 hours must be in pharmacology (Kandrack, et al., 2021).

Additionally, PA mandates that at least two hours of ongoing education in pain

management, identifying addiction, or the practices of prescribing or

distributing opioids be completed by all certified registered nurse practitioners

(CRNP) and dispensers (Carthon, et al., 2018),

 

Because I lived  so close to the PA and West Virginia (WV) line while   I

was in nursing school, and I completed my clinical rotations there. Several of my

classmates had licenses from both West Virginia and Pennsylvania, allowing

them to work in either state. The main distinction I discovered in WV

regulation during my investigation was that it is a state that is part of the NLC

multi-state nursing license. There are total of 26 states that take part in the

Nursing Compact States (NLC). Being able to practice in numerous states

while paying different license fees and renewal fees every two years is quite

advantageous. I believe that NLC has advantages and disadvantages. The NLC

helps traveling nurses since it eliminates the need for several licenses.

NURS 6050 PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS
NURS 6050 PROFESSIONAL NURSING AND STATE-LEVEL REGULATIONS

Additionally, since there are more traveling nurses, it might make it harder for

nurses to get jobs close to where they live in states that take part in the NLC. In

West Virginia, you must renew your license each year and complete twelve

contact hours (Peterson, 2017).

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Any professional whose license has expired is prohibited from

practicing until it is reinstated. Your license may be revoked, or you may be

required to attend the appropriate lessons or training if you do not fully adhere

to your state’s laws and regulations. The expectations of the profession before

earning that license have been explained to us as we become ready to receive a

license. The American Nurses Association (ANA) supports high standards of

nursing practice, promotes the economic and general welfare of nurses in the

workplace, projects a positive and realistic view of nursing, and advocates

before Concerning medical issues that affect nurses and the general population,

congress and regulatory bodies (Kandrack, et al., 2021). Never forgetting the

need of safe practice, I will always conduct my business as a medical  professional.

 

Reference

Peterson, M. E. (2017). Barriers to practice and the impact on Health Care: A nurse

practitioner focus. Journal of the Advanced Practitioner in Oncology, 8(1),

322-330. https://doi.org/10.6004/jadpro.2017.8.1.6

 

Kandrack, R., Barnes, H., & Martsolf, G. R. (2021). Nurse practitioner scope of

practice regulations and nurse practitioner supply. Medical Care Research and

Review, 78(3), 208-217. https://doi.org/10.1177/1077558719888424

 

 

Carthon, J. M., Nicely, K. W., Sarik, D. A., & Fairman, J. (2018). Effective strategies

for achieving scope of practice reform in Pennsylvania. Policy, Politics, and

Nursing Practice, 17(2), 99-109. https://doi.org/10.1177/1527154416660700

I almost left out a great piont. In my opinion, Pennsylvanians still need to make a lot of progress when it comes to nurse practitioner laws. Although they are acknowledged as primary care professionals under state law in Pennsylvania, nurse practitioners  must have formal collaboration agreements with a qualified physician that enables an NP to diagnose medical issues, create and implement treatment programs, order and carry out diagnostic tests, and provide other health care services. (Pa. Code Section 49.21.251).

While the legal scope of practice for nurse practitioners, commonly known as advanced practice registered nurses, was expanded in West Virginia in 2016 along with 21 other states (APRNs).

This significant change in West Virginia law has resulted from the legislature’s decision to let a nurse practitioner who has collaborated with a physician in a formal, supervised setting for at least three (3) years be eligible to practice independently.. This noteworthy development broadens the range of APRN practice and offers competent APRNs the chance to establish independent nurse practitioner practices in WV. (W. Va. Code § 30-7-1 et seq.)

 

One thing I most clarified, Although  West Virginia is part of the multiple license states. APRN licenses are not part of the compact and do not cross state lines. You may work as an RN in West Virginia, but to work as an APRN you will need to obtain a West Virginia APRN license. One can do so by contacting  APRN@wv.gov for more information.

 

AANP National Nurse Practitioner Database, 2022

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide.

Jones & Bartlett Learni

Nursing scope of practice: American Nurses Association. ANA. (2022). Retrieved

July 1, 2022, from https://www.nursingworld.org/practice-policy/scope-of

 

Kandrack, R., Barnes, H., & Martsolf, G. R. (2021). Nurse practitioner scope

of practice regulations and nurse practitioner supply. Medical Care

Research and Review, 78(3), 208. 217. https://doi.org/10.1177/1077558719888424

I like your post, it pushes me to check regulatiuons i my state regarding NLC and CE requirements. It s good that your state praticipate in NLC program,  I think. Though,  I Agree with you that it has advantages and disadvantages. Its can prove more  benefiacial for nurses, especially when  now there is shortage of nurses and health care worker in Covoid- 19 pandemic. This way nurses can live in their home state and can work in other states where needed. Furthermore, When I was looking for NLC states it includes 26 states (CompHealth, 2018). Furthermnore , CompHealth (2018) states that 26 states has enacted enhanced NLC from Dec 1 , 2017, several other states are also expecting from their lawmakers to bring change in their states.

 

Unfortunately California do not participate in it so far for Nurse practitioners.  California is one of the restricted state where policies takes time to change. Our leaders and nursing administarators tries to influence legislators to change policies for scope of  practice laws.

Accoprding  to NetCE IN California,  Nurse practitioners have to complete 3 contact hours on “schedule II controlled susbstance including the risks of addiction associated with use of schedule II controlled substance with 30 hours” of CE every 2 years to renew license. Also need to submit credentils, exerioence and intitial licnse to renew the license in Caloifornia. I think continous eduaction is necessary as we need to update our knowlledge to provide qluality care and gain knowledge regarding new evidence based practices.

 

Reference

CompHealth blog (2018, Feb 22). What the eNLC means for nurses practitioner. Retreived Sept 30, 2022 from https://comphealth.com/resources/what-the-enlc-means-for-nurse-practitioners/

 

NetCe continuous education  (n.d.) California advanced practioce registered nurse CE requirements accreditation and approvals. Retreived Sept 30, 2022 from https://www.netce.com/ce-requirements/nurse-practitioner/ca/