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NUR 1104 Nursing State Regulations Discussion

NUR 1104 Nursing State Regulations Discussion

NUR 1104 Nursing State Regulations Discussion

 

Same rules as prior please

a) main discussion board (barra)

  1. Which state regulations aid or hinder the practice of a NP?
  2. Identify the required qualifications for NP’s in your state ( my states is TexaS)
  4. B)
  5. resposes to NUMBER ONE
  6. Which state regulations aid or hinder the practice of a NP?
  7. In my personal opinion, the biggest hindrance to our practice is the ability to practice fully within our scope of practice. Dr. Cara Young (2020) reveals that “Nurse Practitioners (NPs) are more likely than physicians to work in rural areas and in underserved areas; removing the unnecessary regulations of the collaborative practice agreement will expand access to high quality health care in the areas of the highest need.” She continues to tell us that one of the most contentious issues in healthcare today is the fight for full practice authority (FPA) among nurse practitioners.

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    NPs in Texas are trained to work as independent healthcare professionals; in their mandatory graduate degree programs, NPs are prepared to serve as care providers who prescribe medication, order laboratory tests, sign death certificates, issue handicap placards, refer patients to specialists, and take on other responsibilities. This inadequacy is threatening the future of American healthcare.” Not all physicians feel that nurse practitioner’s will eliminate their usefulness instead they find NPs very useful. One item in the sea of opportunity for improvement, is the fact that NPs cannot certify the need for diabetic shoes or home health care services for Medicaid and Medicare patients. Currently, NPs must send their diabetic patients who need therapeutic shoes to a physician and the certifying physician must be the provider treating the patient’s diabetic condition going forward.

  9. For home health, NPs with patients who need home health care services must locate a physician who will document the nurse practitioner’s assessment for this care, even if the physician is not involved in the patient’s care and will not be provider of care going forward (TNP, 2020). Really shoes……….The Texas Board of Nurse (n.d.), tells us that the scoep of practice is defined as the actitivits that an individual health care provider performs in the delivery of patient care, so if my “collaborating physician” has not seen or cared for my patient how can I ask him to sign a paper for diabetic shoes.

    Identify the required qualifications for NP’s in your state.

    According to the Texas Board of Nursing (n.d.) NP qualifications includ the following:

    • Required fee is $100 for APRN licensure only. If you are requesting APRN licensure with prescriptive authority, the required fee is $150. This fee is nonrefundable.
    • Texas RN licensure or RN licensure with compact privilege from a state that is party to the Nurse Licensure Compact for RNs and LVNs.
    • Completion of an advanced practice nursing educational program accredited by an organization recognized by the Board that complies with the requirements in Rule 221.3 (see below).

    In the State of Texas a Nurse Practitioner must have the following education:Advanced Physical Assessment that includes a clinical componentPathophysiologyPharmacotherapeuticsAPRN Role PreparationClinical major courses targeted for your advanced practice role and population focus areaCompletion of a practicum/preceptorship/internship within your advanced practice nursing educational program that provided the opportunity to provide direct advanced practice patient care and management under the guidance/supervision of faculty and qualified clinical preceptorsIf you completed your program on or after January 1, 1998, you must demonstrate that you have completed separate, dedicated courses listed above.If you completed your program on or after January 1, 2003, your program must have included a minimum of 500 hours of separate, non-duplicated clinical hours in each advanced practice role and population focus area within the advanced practice nursing educational program.

    • National certification in the role and population focus area congruent with your advanced practice nursing educational preparation. The expiration date of the certification will be requested. If the certification expires more than four years from today, leave the certification expiration date blank and fax copies of the certification, to the Boards office (512) 305-7401 – Attn: APRN Office, upon completion of the online application.
    • Completion of a minimum of 400 hours of practice in your advanced practice role and population focus area within the last 24 calendar months or completion of your advanced practice nursing educational program within the last 24 calendar months
    • Completion of a minimum of 20 contact hours of continuing nursing education in your advanced role and population focus area within the last 24 calendar months or completion of your advanced practice nursing educational program with the last 24 calendar months.

    References

    APRN Scope of Practice. (n.d.). Retrieved June 9, 2020, from https://www.bon.texas.gov/practice_scope_of_practice_aprn.asp Texas Board of Nursing. (n.d.). Texas board of nursing – practice – aprn scope of practice.https://www.bon.texas.gov/practice_scope_of_practice_aprn.aspTexas Nurse Practitioner. (n.d.). texasnp.org. https://www.texasnp.org/page/FAQ?&hhsearchterms=”np and scope and practice”Young, C. (2020, September 7). Texas nurse practitioner practice authority: The fight for fpa. Top Schools Offering Nurse Practitioner Programs. https://www.nursepractitionerschools.com/blog/texas-np-practice-authority

  13. RESPONSE TWO (la bargue)

  14. 1. Which state regulations aid or hinder the practice of a Nurse Practitioner?Texas state regulation of restricted practice is considered hindering to most Nurse Practitioners. The state practice and licensure laws restricts the ability of the Nurse Practitioner to engage in at least one element of practice by requiring supervision throughout the length of the career, and team management by a physician in order to provide patient care (American Association of Nurse Practitioners, n.d.). Some Nurse Practitioners find this regulation offensive and argue that it prevents them from practicing to the full extent of their education.2. Identify the required qualifications for Nurse Practitioners in your state.The required qualifications that must be met to become a Nurse Practitioner in the state of Texas is spelled out by the Texas Board of Nurses in Rue 221.3. To be an eligible applicant for licensure as an APRN the registered nurse must complete a post-basic advanced educational program with a focus of study that is appropriate for practice in an APRN role that is in a population focus area that is recognized by the board (Texas Board Of Nurses, n.d.). When applying for licensure as an APRN in any given population foci the individual must submit verification of completion of an advanced educational program that meets a strict criterion (Texas Board Of Nurses, n.d.).

  16. The program must be accredited by a nursing accrediting body recognized by the Board and the U.S. Secretary of Education and/or the Council for Higher Education Accreditation (CHEA), be at least one academic year in length with a full time academic load, and include a formal preceptorship (Texas Board Of Nurses, n.d.). The required curriculum is to be consistent with the competencies of specific area of practice in one of the population foci recognized by the board, and applicant must have completed a minimum of 500 clinical hours that are related to their role and population foci (Texas Board Of Nurses, n.d.). These clinical hours must also include pharmacotherapeutic management of patients in their chosen population focus.ReferencesAmerican Association of Nurse Practitioners (n.d.) State Practice Environment. Retrieved from https://www.aanp.org/advocacy/state/state-practice-environmentTexas Board Of Nurses (n.d.). Texas Administrative code. Retrieved from https://www.bon.texas.gov/rr_current/221-3.asp