Professional Nursing and State-Level Regulations
Professional Nursing and State-Level Regulations
Discussion: Professional Nursing and State-Level Regulations
Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.
To Prepare:
Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
Consider how key regulations may impact nursing practice.
Review key regulations for nursing practice of your states/regions board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..
By Day 3 of Week 5
Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.
My State is Pennsylvania
Excellent
Main Posting 45 (45%) 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
Supported by at least three current, credible sources.
Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Main Post: Timeliness 10 (10%) 10 (10%)
Posts main post by day 3.
ORDER A PLAGIARISM-FREE PAPER HERE !!
Solution
Professional Nursing and State-Level Regulations
The nursing practice and scope are defined by the nurse practice act that is regulated by the board of nursing in all the states in the United States. Cimiotti et al., (2019) discuss that the laws and regulations are developed by the Bon to ensure that nurses in practice are qualified and have met the educational requirements as well as certification to be a nurse. This is important because it helps in preventing unqualified nurses from practicing thus avoiding malpractice and medical errors fem happening.
Additionally, this is improving patient safety (Chesney, & Duderstadt, 2017). Therefore, in the state of Pennsylvania, advanced practice registered nurses follow state law and regulation that allows them to diagnose medical conditions, implement treatment plans, order and perform diagnostic tests among other responsibilities with a written collaborative agreement with a certified and licensed physician (Pittman et al., 2020).
Another state law regulation in this state is that APRNs may prescribe drugs, devices, and schedules II-V controlled substances following the collaborative agreement signed by the APNR alongside a licensed physician.
On the other hand, the APRNs in the state of Pennsylvania with proper training and experience can receive a federal waiver to dispense products containing buprenorphine while being supervised by a licensed physician.
When compared with the state of New Jersey, APRNs require a joint protocol agreement with a licensed physician to perform their responsibilities. Additionally, APRNs in the state of New Jersey are required to have an additional six hours in pharmacological education to be allowed to prescribe medication and devices (Weaver, et al., 2021). Certification from the New Jersey state board of nursing is required for any nurse who wishes to practice as an APRN. However, they must have an advanced level of education like a master of Science in nursing.
APRNs in the state of Pennsylvania are not allowed to have full practice authority; however, they obtain their prescriptive authority by signing a collaborative agreement with a licensed physician. On the other hand, APRNs in Pennsylvania adheres to the prescriptive authority and practice authority by signing a collaborative agreement that is reviewed and updated after every two years.
References
Chesney, M. L., & Duderstadt, K. G. (2017). States progress toward nurse practitioner full practice authority: Contemporary challenges and strategies. Journal of Pediatric Health Care, 31(6), 724-728.
Cimiotti, J. P., Li, Y., Sloane, D. M., Barnes, H., Brom, H. M., & Aiken, L. H. (2019). Regulation of the nurse practitioner workforce: implications for care across settings. Journal of nursing regulation, 10(2), 31-37.
Pittman, P., Leach, B., Everett, C., Han, X., & McElroy, D. (2020). NP and PA privileging in acute care settings: Do scope of practice laws matter?. Medical Care Research and Review, 77(2), 112-120.
Weaver, S. H., de Cordova, P. B., Leger, A., & Cadmus, E. (2021). Licensed Practical Nurse Workforce in New Jersey as Described by LPNs and Employers. Journal of Nursing Regulation, 12(1), 60-70.
