Reference no: EM133577204
Assignment:
HI, Would you please help me with this, I need to narrow my answer and be more specific, I need to answer in bullets. Thank you so much!
1. Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
- How does this regulation influence the nurse's role?
- How does this regulation influence delivery, cost, and access to healthcare?
2. Has there been any change to the regulation within the past 5 years? Explain.
APRN practice is typically defined by the Nurse Practice Act and governed by the Board of Nursing, but other laws and regulations may impact practice, and other boards may play a role. For instance, in some states nurse-midwives are regulated by a Board of Midwifery or public health. In addition, in some states, the CNS category is not identified in the Nurse Practice Act, which means the CNS is held to the same scope of practice as any registered nurse within the state. The scope of practice for CRNAs is fairly standard, but is not evident in statute in all states.
Interpretation of specific acts, not evident conclusively in the Nurse Practice Act is provided by the regulatory body in the form of an opinion. For example, Who may perform micro-dermabrasion, under what circumstances? What are the parameters for participation in a radiologic procedure? Can an APRN administer IV anesthetics for intractable pain?
Given the variation between APRNs and related state statutes, rules and regulations, it is essential that APRNs have a clear understanding of how their scope of practice is defined by those laws and regulations, as well as any opinions promulgated by the state regulatory agency.
A listing of Boards of Nursing and other resources are listed below.
Prescribe, dispense, administer, or order any drug; however, an advanced practice registered nurse may prescribe or dispense a controlled substance as defined in s. 893.03 only if the advanced practice registered nurse has graduated from a program leading to a master's or doctoral degree in a clinical nursing specialty area with training in specialized practitioner skills.
(a) Initiate appropriate therapies for certain conditions.
(b) Perform additional functions as may be determined by rule in accordance with s. 464.003(2).
(c) Order diagnostic tests and physical and occupational therapy.
(d) Order any medication for administration to a patient in a facility licensed under chapter 395 or part II of chapter 400, notwithstanding any provisions in chapter 465 or chapter 893.
(4) In addition to the general functions specified in subsection (3), an advanced practice registered nurse may perform the following acts within his or her specialty:
(e) The certified nurse practitioner may perform any or all of the following acts within the framework of established protocol:
1. Manage selected medical problems.
2. Order physical and occupational therapy.
3. Initiate, monitor, or alter therapies for certain uncomplicated acute illnesses.
4. Monitor and manage patients with stable chronic diseases.
5. Establish behavioral problems and diagnosis and make treatment recommendations.
In 2020, the Florida Legislature changed the law to allow Advanced Practice Registered Nurses (APRNs) who are eligible to hold the status of independent practitioner. Under the law as written APRNs who meet certain criteria to practice primary care or midwifery without physician supervision or a protocol are given this status. There are some limitations too.