American Nurse Practitioner
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nstructions:
Respond to your colleagues and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.
( I need to response to my colleague’s post)( Add 3 references)
Liliana Torres
RE: Discussion – Week 5
Throughout the United States the practice of a nurse practitioner varies from states to state. These laws and regulations can be defined as full practice, reduced practice or restricted practice (American Nurse Practitioner, 2018). I am from New Jersey and I am a current resident of Colorado, therefore, I will elaborate on the difference of regulations for nurse practitioners between the two states.
In Colorado nurse practitioners have full practice. Full practice means all nurse practitioners can “evaluate patients; diagnose, order and interpret diagnostic tests; and initiate and manage treatments, including prescribing medications and controlled substances” (American Nurse Practitioner, n.d.-a). Nurse practitioners have autonomous practice, can order physical therapy referrals, sign disabled placard cards and sign POLST forms and cannot sign death certificates (Barton Associates, 2019). In Colorado, a nurse practitioner can prescribe after a thousand hours of practice with a physician or another nurse practitioner (Scope of Practice, n.d.-a). Licensure requirements are an RN license, graduate degree and national certification (American Nurse Practitioner, n.d.-a).
In new Jersey, nurse practitioners have reduced practice. Reduced practice states “reduce the ability of NPs to engage in at least one element of NP practice” (American Nurse Practitioner, 2018), elements defined as “ordering of certain diagnostic tests, the provision of emergency medical services, the dispensing of certain medications and other treatments, and medical referrals” (Louie, n.d.). The nurse practitioner must collaborate and have a written protocol with a physician when prescribing medications. In addition to, the nurse practitioner “must consult the supervising physician when prescribing controlled substances” (Scope of Practice, n.d.-b). Furthermore, nurse practitioners must have “at least six extra hours of pharmacological education to prescribe medications and devices” (Nurse Practitioner Schools, n.d.). nurse practitioners do not have autonomous practice, can order physical therapy referrals, can sign death certificates under specific situations, can sign disabled placard cards and sign POLST forms. (Barton Associate, 2019). Licensure requirements are an RN license, graduate from an NP program and a national certification (American Nurse Practitioner, n.d.-b).
In both states nurse practitioners are recognized as primary care providers.
Reference:
American Nurse Practitioner. (2018). State practice environment. Retrieved from https://www.aanp.org/advocacy/state/state-practice-environment
American Nurse Practitioner. (n.d.-a). Colorado-Information and Resources for Colorado NPs. Retrieved from American Nurse Practitionerhttps://www.aanp.org/advocacy/colorado
American Nurse Portioner. (n.d.-b). New Jersey-Information and Resources for New Jersey NPs. Retrieved from https://www.aanp.org/advocacy/new-jersey
Barton Associates. (2019). Nurse Practitioner Scope of Practice Laws. Retrieved from
https://www.bartonassociates.com/locum-tenens-resources/nurse-practitioner-scope-of-practice-laws
Louie, K. (n.d.). APRN Scope of Practice: A Guide for Graduate Nursing Students and Practicing APRNs. Online FNP programs. Retrieved from https://www.onlinefnpprograms.com/features/guide-to-aprn-practice-authority/#content-div-state-31
Nurse Practitioner Schools. (n.d.). How Does Nurse Practitioner Authority Vary By State?. Retrieved from https://www.nursepractitionerschools.com/faq/how-does-np-practice-authority-vary-by-state/
Scope of Practice. (n.d.-a). Colorado Scope of Practice Policy: State Profile. Retrieved from http://scopeofpracticepolicy.org/states/co/#tab-nurse-practitioners
Scope of Practice. (n.d.-b). New Jersey Scope of Practice Policy: State Profile. Retrieved from http://scopeofpracticepolicy.org/states/nj/
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American Nurse Practitioner
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. American Nurse Practitioner
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. American Nurse Practitioner
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
American Nurse Practitioner