NRNP 6568 Week 1 Discussion-with 100% verified solutions-2023-2024, Exams of Law

Download NRNP 6568 Week 1 Discussion-with 100% verified solutions-2023-2024 and more Exams Law in PDF only on Docsity!

NRNP 6568 Week 1 Discussion-with 100% verified solutions-

2023 - 2024

NRNP 6568

Week 1 Discussion: Certification and Licensure Main Post How do you get certified and licensed in your state? According to Texas Woman’s University (2021) there are six main steps to becoming a family nurse practitioner (FNP) which are: earn a bachelor's degree in nursing, obtain an RN licensure in Texas, complete an accredited FNP education program, obtain FNP national certification through examination, Get licensed as a Texas FNP, and find employment. What is the application process for certification in your state? Once you have completed an accredited FNP education program, have a current RN license without restrictions, and completed 500 hours of supervised clinical hours of FNP practice you may seek certification through two credentialling professional organizations the American Association of Nurse Practitioners Certification Board (AANPCB) or the American Nurses Credentialing Center (ANCC) according to Texas Woman’s University (2021). Most students apply for graduation, obtain a transcript, receive an authority to test (ATT), and schedule online a date in which to take certification at a testing center with either AANPCB or ANCC. What is the primary nurse licensure office resource website in your state? The Texas Board of Nursing (2020) found at https://www.bon.texas.gov/ is the primary source of all information about nursing, APRN, licensure, laws, rules, news, education, practice, discipline, and complaints. The website is vast, and I use it often to check my current licenses and provide proof of licensure for employers. How does your state define the scope of practice of a nurse practitioner?

According to the Texas Board of Nursing (TBON, 2013), the APRN scope of practice is a dynamic situation that is everchanging with experience, knowledge, evidence-based practice, technology, and health care delivery. To determine scope of practice the TBON takes into the APRN’s education in role and specialty, legal implications, and uses practice statements published by national professional specialty and advanced practice nursing organizations. The professional scope of practice is broadly defined for each role, function, population served, and practice setting. The individual scope of practice is determined by the foundation of their education that evolves over time with clinical experience, continuing nursing education, and formal coursework. What is included in your state’s practice agreement? In Texas it is required to have a supervising physician to oversee care and to have a written agreement to outline which medications, procedures, and devices may be used to deliver care that is to be renewed annually (Texas Board of Nursing, 2013). This agreement must be signed by APRN and physician and kept on premises to be available as necessary to verify authority to provide medical aspects of care. How do you get a Drug Enforcement Agency (DEA) license? According to Texas Board of Nursing “ Obtaining a DEA Number” (2013), it is imperative that APRNs with full licensure and prescriptive authority have a DEA number before prescribing controlled substances. This can be obtained by receiving a prescriptive authority number issued by the TBON and then going to the DEA’s website to fill out an application for your DEA number. How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe? In a nutshell, Texas APRNs are able to prescribe schedules III-V with refills that do not exceed 90 days supply, beyond the 90 days supply the supervising physician must be consulted with notation in the patient’s chart, and no prescribing to children under the age of two without physician consultation (Texas Board of Nursing, 2020). Schedule II drugs can only be given in hospital facility-based practice with the

hospital committee’s agreement, hospital admittance for a minimum of 24 hours, emergency care in the hospital, or hospice care. In what legislative and advocacy activities are your state nurse practitioner organizations involved? The Texas Nurse Practitioners (n.d.) mission is empowering nurse practitioners to advance our profession and the health of all Texans through a unified voice. They advocate for full practice authority for APRNs, prescriptive authority for schedule II-controlled substances, and funding for graduate nursing education. I was surprised to find out that in certain states they have full practice authority or can have it within a few years of working under the supervision of a physician. Texas tends to be slow to make moves and is usually lagging behind other states when it comes to changing laws. Some barriers are the law makers and physicians that believe that for the safety of the patient and for the continued trust and respect of providers that APRNs need to have supervision even though studies have shown no differences in outcomes between APRN care and doctor care. References Texas Board of Nursing. (2020). https://www.bon.texas.gov/ Texas Board of Nursing. (2013). Practice- APRN Scope of Practice. https://www.bon.texas.gov/practice_scope_of_practice_aprn.asp Texas Nurse Practitioners. (n.d.). Advocacy. https://www.texasnp.org/

Texas Woman’s University. (2021). How to become an FNP in Texas. https://onlinenursing.twu.edu/blog/how-become-fnp-texas