Walden University The Major Regulatory Restrictions on NP Practice Chart

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Walden University

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Purpose

NPs have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine and reimbursement that may differ depending on your location. There are several sources of restrictions to NP practice such as state laws and federal regulations which include who may prescribe controlled substances and which substances NPs can prescribe, as well as the various reimbursement agencies. It is essential that the NP be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. Consequences of practicing outside your scope of practice may be anything from a fine, suspension or revocation of your license, civil lawsuit, or even criminal charges.

Directions

Use the provided template to compare and contrast the three major regulatory practice models for NPs: Supervisory, Collaborative, and Independent. Please keep this assignment in the template format provided. This Assignment requires credible and up to date resources for each category. Include in each model at least one state that represents the scope of practice you are discussing. For example, Florida requires a supervisory relationship with a physician along with a practice agreement, formulary, and protocols. In order to apply and receive a DEA license to prescribe controlled substances, you must be approved by the state you are practicing in to prescribe these medications.

Assignment Template provided.

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Instructions: Enter total points possible in cell C12, under the rubric. Next enter scores (between 0 and 4) into yellow cells only in column Unit 2 - Grading Rubric 70 Unacceptable Below Average Average 1 2 3 List the name of a State that is representative of Identifies state with each regulatory Does not identify State with regulatory model but it is regulatory Model model inaccurate or incomplete Did not evaluate how each Evaluate how model affects the NPs each model scope of practice. affects the NPs scope of practice? (include, if applicable, the use of protocols, formulary, written agreements, direct versus indirect supervision, referral policy, patient care, review of medical documentation, and payment reimbursement. Eevaluates how each model affects the NPs scope of practice and includes at least 4 of required elements Identifies state with regulatory model but details are missing Evaluates how each model affects the NPs scope of practice and includes at least 5 of required elements How does model of practice serve as a barrier to access to care? Did not discuss how each model of practice serves as a barrier to access to care Vaguely discussed how each model of practice serves as a barrier to access to care Discussed how each model of practice serves as a barrier to access to care but left out relevant details Compare/contrast the prescriptive privileges of each model and example State Did not compare/contrast NP prescriptive privileges of each model and example State Compared NP prescriptive privileges of one of the models and example States Compared NP prescriptive privileges of two of the models and example States Compare/ Contrast how each model impacts payer status for the NP Did not compare/ Contrast how each model impacts payer status for the NP Compare/ Contrast how Compare/ Contrast how one model impacts two models impact payer status for the NP payer status for the NP Does not include any resources (0) or sources utilized are not relevant and credible sources of information(1). Not all sources utilized are relevant and/or credible and/or does not meet the required number of sources. Resources Supports many opinions and ideas with relevant and credible sources of information; meets the required number and types of resources. Appropriate citations are defined for this course as evidence-based on research, published within last 5 years, peer-reviewed, and from a publication or internet site that targets professional healthcare providers and lists references. Course textbook is not used in case studies. Total available points = 70 4 Rubric Score Grade points Low 3.5 High 4.0 Low High 63 70 2.5 3.49 56 63 1.7 2.49 49 56 1.0 1.69 42 49 0.0 1.00 0 42 d 4) into yellow cells only in column F. ding Rubric 70 points Above Average 4 Identifies state with each regulatory model that is accurate and complete Score Weight Final Score 10% 0.00 20% 0.00 Eevaluates how each model affects the NPs scope of practice and includes all required elements Comments Thoroughly discussed how each model of practice serves as a barrier to access to care 20% 0.00 20% 0.00 20% 0.00 10% 0.00 100% 0.00 Compared NP prescriptive privileges of all the models and example States Compare/ Contrast how all of the models impact payer status for the NP Supports opinions and ideas with relevant and credible sources of information; meets or exceeds the required number and types of resources. Final Score 0 0.00% Percentage Percentage Low High 90% 100% 80% 89.99% 70% 79.99% 60% 69.99% 0 59.99% Template Topic List the name of a State that is representative of each regulatory model. Evaluate how each model affects the NPs scope of practice? (include, if applicable, the use of protocols, formulary, written agreements, direct versus indirect supervision, referral policy, patient care, review of medical documentation, and payment reimbursement. How does model of practice serve as a barrier to access to care? Compare/contrast the prescriptive privileges of each model and example State. Compare/ Contrast how each model impacts payer status for the NP. Compare/Contrast how these models may impact NP job satisfaction. Supervisory Collaborative Independent Practice Practice Practice
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Running head: MAJOR REGULATORY RESTRICTIONS ON NP PRACTICE

Major regulatory restrictions on NP practice
Name
Tutor
Institution
Course
Date

1

MAJOR REGULATORY RESTRICTIONS ON NP PRACTICE

Topic

Supervisory
Practice

Collaborative
Practice

List the name of a
State that is
representative of each
regulatory model

The state law in
California requires
that NPs collaborate
with physicians in
order to deliver their
services. Each
physician should
supervise not more
than four NPs who
can prescribe drugs.
Both physicians and
NPs must jointly
develop a written
official procedure
covering all the main
components of
practice.

NPs practicing in
Alabama are required
to write a
collaborative practice
protocol with the
physician. A single
physician should
collaborate with not
more than three NPs
who practice full time
or 120 hours of NP
collaboration per
week.

2

Independent
Practice

In Alaska, NPs have
full authority
licensure of practice.
The NPs are allowed
to evaluate and
diagnose patients.
They can also
analyze tests and
manage treatment
plans. They may also
a...


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