Current Issues for APRNs

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Prepare a 1,050-word paper using the findings from the Regulated Scope of Practice Learning Team assignment

Using Colorado and Florida and their scope of practice for Advanced Practice Registered Nurses

  • How do the state-specific regulations impact NPs?
  • What regulatory barriers continue to exist for NPs in each state?
  • Where has progress been made, if any?
  • What remains to be done?
  • Explain the four different roles of the advance practice registered nurse: nurse practitioner, certified nurse midwife, clinical nurse specialist, and the certified registered nurse anesthetist.
  • What professional opportunities are available to develop interprofessional relationships within advanced practice nursing?
  • Describe at least one ethical issue that may be faced by an NP. Explain how you as an NP would address the issue.
  • Describe concepts of profession and professionalism as they pertain to the APRN. What is different as an RN for a profession and professionalism as compared to an APN?
  • Analyze historical factors contributing to the development of advanced practice nursing roles. What has happened over time that has made APRNs what they are today?

Cite and reference using APA guidelines.

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P American Association of I\{URSE PRACTITIONERS* Colorado Nurse Practice Act c.R.s.A. $ r-2-38-r_01Regulatory Structure: Full Practice State practice and licensure laws authorize NPs to evaluate patients, diagnose, and prescribe medications and therapeutic measures. 3 CCR 716-1;14-4 Regulatory Agencv NP practice is regulated by the .*si;l *f Li:"Lr::j*#. c.R.s.A. 5 12-38-r-11.s Licensure Reoui rements RN license, graduate degree in NP role, and national certification" c.R.s.A. s 12-38-111.5 Continuing Education* CE hours are required in accordance with national certification requirements. c.R.s.A. g 72-38-L27 & 3 CCR 716-1 Maloractice lnsurance Colorado NPs must have malpractice insurance that pays at least $500,000 per claim and $1,500,000 in the aggregate. Staff Mem bersh pt Medical staff composition is determined by a facility's bylaws. M ed i ca I c.R.s.A. s 12-38-111.8 i 6 CCR 1011-1:lV-6.301 PrimarJ Care Providers NPs are defined as Primary Care Providers. 3 CCR 702-4::4-2-53 Sisnature Recosnition on ltems of Patient Care * Signature Recognition: Colorado recognizes NP signature on select items of patient care. o n * * * c.R.s.A. s 12-38-1_11.5 Physical Therapy: Statute provides for NPs' referral to physical therapy. 3 CCR 716-1:XlV-4 Parking Permits: NPs are authorized to provide proof of disability for parking permits. c.R.s.A. 5 42-3-204 DNR: NPs are authorized to sign Do Not Resuscitate orders. c.R.s.A. s 12-38-111.5 Death Certificates: NPs are not currently authorized to sign Death Certificates. c.R.s.A. 525-2-LLA Provider Orders for Life Sustaining Treatment (Fl$i..$"l): NPs are authorized to sign Colorado POLST forms. c.R.s.A. s L5-18.7-104 x1ontact hours in specific topics may be required. Please contact yaur state Board of Nursingfor current information. f Medicat Staff Membership refers to governing and voting privileges and is not reflective of clinical ar admltting privileges within institutions. State GovernmentAffairsl 225 Reinekers Lane, Suite 525 . Alexandriar VA 22314 , Email: statepoliry@aanp.org 77.2077 A, \NP American Association of I\IURSE PRACTITIONERS* Florida Nurse Practice Act F.S.A. S 464.001 Regulalorv Structure: Restricted Practice State law restricts patient access to NP care. NPs are limited to functioning under protocols with physicians for at least one element of NP practice. r.s.A. s 464.OL2 RegUlatory Agencies N P practice is regu lated by the Siljri*U" i-ji..,h,!t r;t*. F.S.A. S 464.003 LicenEgrq Requirements RN license, graduate degree in NP role, and national certification. F.S.A. g 464.Ot2 Continuing Education* NPs may submit 30 contact hours per two-year licensure cycle or meet CE requirements as needed for national certification Rure 6489-5.002, F.A.c. & F.s.A. s 464.013 MalprActicp lnsurance Florida NPs may either hold malpractice insurance for $100,000 per claim and $3OO,0OO in aggregate or submit a letter of irrevocable credit in the same amount. Rule 6489-4,002, F.A.C. Medipal Staff Membershiot Medical staff composition is determined by a facility's governing board. F.S.A. $ 395.002 F.S.A. 5 458.348 Supervisory Agreement Ratio f, One physician may supervise only one office outside their primary practice site. $ignaturg Reqosnition on ltems of Patient Car.e Physical Therapy: Florida NPs may refer to physical therapy. * * * n F.S.A.5 464.Ot2 Parking Permits: NPs are authorized to provide proof of disability for parking permits. F.S.A 5 320.0848 DNR: NPs are not presently authorized to sign Do Not Resuscitate orderc. Death certificates: NPs are not currently authorized to sign Death 's'A s 401'45 tertificates F.S.A. S 382.008 J E}.ernotio:.rs nta\, a1Div for NPs in c.eLain )eti:\gs. Picdse (-'or]sirlf tuU s]aiute.{a! Eui(lance. Conracr ho.Iriit iiJdcYie {of/ci'Wa! o*e idqltiie"dl Pfedsb"tbrftd'ct ybirT"sia-te"Boa iil of Nuii;f g frl e irrCfit information. tMedical Staff Membership refers to governing and voting, privile€ies and is not reflective af clinical or admitttng privileges within in$titutions. . . State GovernmentAffairs: 225 Reinekers Lane, Suite 525 . Alexandria VA 22314 . Email: statepollcy@aanp.org 17.2077
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Running Head: Advanced Practice Registered Nurses

ADVANCED PRACTICE REGISTERED NURSES
Name
Institution

1

Advanced Practice Registered Nurses

2

Advanced Practice Registered Nurses
Introduction
An advanced practice registered (APRN) is denoted as a licensed nurse through a state
board of nursing and who is supposed to provide sufficient patient care within their role. In many
countries, APRNs are allowed to act independently in regard to their expertise and in their
independent responsibilities they can even prescribe medications (NGA, 2012). The international
council of nurses claims that APRN is a registered nurse and who has proved to be clinically
competent, has the required and expert knowledge in nursing as well as a nurse with complex
decision-making skills (NGA, 2012). This paper aims at making use of the Florida and Colorado
scope of their APRN practices as well as digging deep to understand them.
In Colorado, the nurse practitioners (NPs) are perceived as the primary care providers. In
Colorado, NPs have to comply with the state’s specific regulations. The state’s licensure laws
and practices require all the NPs to attend to patients, diagnose those patients, prescribe
therapeutic measures and medications to those patients (AANP, 2017). Moreover, NP practices
are overseen by Colorado’s board of Nursing. On the other ...


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