APRNs and State Regulations
Develop a personal philosophy and framework acknowledging professional and accrediting agency competencies relating to the role
and scope of practice of the family nurse practitioner. Identify a nurse theorist that you align your current/ planned practice and how
they provide the foundation for this philosophy development.
Describe the type of educational courses and professional requirements required for APRN professional certification and licensing
within the state that you will practice.
Identify the precise application process for your certification exam, your state regulations for application for prescriptive
authority/practice, and issues related to APRN practice within your state.
Evaluate and discuss APRN roles and prescriptive privileges and impact on client safety and care
Compare the differences between prescriptive authority, credentialing, and clinical privileges and how each of these impact client
safety and care
Evaluate the development of the advanced practice nurse role from a global perspective.
Sample Solution
My personal philosophy and framework for my role as a family nurse practitioner (FNP) is centered on providing comprehensive, evidence-based care that meets the physical and emotional needs of each patient. My practice is based on the work of Hildegard Peplau, who was one of the first nurse theorists to define nursing as a science and an art. She believed that nurses should serve as collaborators with patients by developing relationships through psychotherapeutic methods to ensure holistic health outcomes. The FNP must be knowledgeable in all aspects of healthcare from preventive measures to acute interventions, while also taking into account social determinants of health.In order for me to practice as an APRN I will need to meet the educational requirements set by both professional organizations such as The American Academy Clinical Nurse Specialists (AACNS), which requires successful completion of a master’s degree program accredited by either the Commission on Collegiate Nursing Education or Accreditation Commission for Education in Nursing, along with national certification from recognized certifying bodies such as American Nurses Credentialing Center or American Association Nurse Practitioners/American College Nurse Practitioners/National Certification Corporation/ Pediatric Nurse Credentialing Center/ Adult-Gerontology Primary Care NP Board Certified or Family NP Board Certified. Then once I have completed these requirements I can apply for licensure within my state in accordance with local regulations.
Once licensed I would then pursue prescriptive authority and clinical privileges so that I may provide medications according to protocols approved by applicable state board(s) which includes medication orders under collaborative agreement with physician(s). However there are differences between prescriptive authority, credentialing and clinical privileges; Prescriptive Authority pertains specifically to prescription writing privileges while credentialing refers to the formal process used by hospitals and other healthcare organizations when confirming qualifications before granting permission to practice at their facility; Lastly Clinical Privileges are granted after credentials are reviewed allowing RNs independently assess diagnose manage direct plan care implement ordered treatments educate document evaluate outcomes collaborate coordinate services refer families plan discharge counsel advise empower staff delegate diagnostics establish protocols conduct research utilize telehealth use simulation labs perform teaching functions engage in reflective practices modify treatment plans formulate prognosis write prescriptions authorize overages monitor responses administer vaccines etc.. This ensures that they comply with standards set forth by governing agencies like Joint Commission International (JCI), Centers Medicare Medicaid Services (CMS), National Council State Boards Nursing (NCSBN) etc., thus improving quality of care provided & increasing safety promoting better management strategies encouraging continuous learning complying with laws & regulations protecting vulnerable populations reducing medical errors mitigating risks optimizing costs & resources improving consistency in management reducing duplication & waste ensuring safe effective ethical legal responsible quality patient centered cost effective healthcare delivery which not only benefits patients but providers too!
The development of advanced practice roles has global implications due different countries having varying levels of regulation regarding APNs including scope and setting specific areas where practitioners can specialize in – this could include mental health prescribing primary care hospital settings general medicine community outreach programs international aid missions etc... For example despite similar licensing requirements some states allow FNPs more autonomy than others, many European countries don't permit independent prescribing without additional postgraduate training while other nations offer more lenient licensing options e.g Japan allows NPs much wider range freedoms than America yet still maintain very rigorous standards when it comes verification competency expectations documentation accuracy transparency accountability based procedures protecting vulnerable populations providing continuity safe quality cost effective universal coverage equitable access data protection privacy confidentiality security safeguarding integrity objectivity moral ethical considerations compliance best practices policies procedures meeting changing global demands staying abreast developments technologies cures advances research breakthroughs advancing careers furthering life long learning striving towards excellence no matter pressure points challenges may pose!
In conclusion my professional philosophy and framework is centered on providing quality patient-centered care that meets the physical and emotional needs of each individual, while taking into account social determinants of health. I will meet the educational requirements set by professional organizations to become an APRN; pursue prescriptive authority and clinical privileges so that I may provide medications according to protocols approved by applicable state board(s); abide by regulations related to APRN practice within my state; maintain safety standards in terms of client safety and care; consider the development of advanced practice roles from a global perspective.