...Nursing Practice Act Rules Cindy Hersey Fortis College November 05, 2013 A professional nurse who lacks the knowledge, ability to understand, and competence to delegate care appropriately not only Puts the patient at risk for injury, but also puts his or hers license in jeopardy. The practice of nursing requires specialized Knowledge, skill, and independent decision making. The purpose of delegation was put into perspective when Corazzini et al. (2010) said delegation by RNs is a primary mechanism for ensuring that professional nursing standards of care reach the Bedside. RNs must be made aware of which nursing tasks can be delegated and which cannot. Most importantly , they must know that basic delegation skills will be expected in their first nursing job (Huston, 2008). Nursing Practice Acts are set up in each state to protect individuals who are being taken care of by nurses from unprofessional or unsafe nursing practices. Although the Nursing Practice Acts vary from state to state they all include information on the board of nursing, education standards, requirements for titles and licenses and grounds for disciplinary action. Also included are the standards and scope of nursing practice, these are the sections that will be focused on here (Nurse Practice Act Rules and Regulations, 2013). In the nursing field delegation is the process of transferring a selected task to another individual who is competent to perform the selected task. It is very...
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...The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The Practice Act is located in the California Business and Professions Code starting with Section 2700. Regulations that specify the implementation of the law appear in the California Code of Regulations ("Board Of Nursing", n.d.). What is the NPA? How does it affect nurses? What are the requirements for getting a nursing license from the Board of Nursing? All of these are important questions for someone to ponder when considering joining the nursing profession. Let us explore the ins and outs of becoming and being and registered nurse in California. Nurse Practice Act Samantha Kelly NSG/320 November 21, 2011 Jen Millar University of Phoenix Nurse Practice Act The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The Practice Act is located in the California Business and Professions Code starting with Section 2700. Regulations that specify the implementation of the law appear in the California Code of Regulations ("Board Of Nursing", n.d.). What is the NPA? How does it affect nurses? What are the requirements for getting a nursing license from the Board of Nursing? All of these are important questions for someone to ponder when considering joining the nursing profession...
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...has needed to be reformed and revitalized to ensure every person has adequate healthcare. The Institute of Medicines report is sending a message of needed changes to help reform healthcare in the nation. These messages allow nurses to have a more powerful impact on medicine. According to Thomas Sullivan’s report “nurses have the ability to act as partners with other health professionals and to lead the improvement and redesign of the healthcare” (Sullivan 2010). America will need to improve the education process, the nursing leadership, and how it views primary care for patients. The education of nurses needs to be revised to ensure that future nursing graduates have the training needed to incorporate the Institute of Medicine’s recommended changes. One change, is “nursing should practice to their full extent of their education and training.” (IOM 2010 chap.4) To accomplish this task, nurses will need to take on more responsibilities and accountability of their profession. Nurses will need to be active within their organizations, professional committees, especially policy making. Also, continuing education for nurses should be mandatory in order for nurses to remain up to date on current practices and policies. Another recommendation, “is that nurses should achieve higher levels of education and training through an improved...
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...Nurse Management and Leadership Case Study Nurse Management and Leadership Case Study Introduction Good leadership is necessary in every business organization. When it comes to nursing, every health center must have a good leadership that supports the nurses so that they can maximize their performance. However, for leadership to be of good quality there needs to be a good working environment in all aspects (Pinelli et al., 2004). The following is a case study illustrating an ideal working environment that supports good nurse leadership in health institutions. Type of Organization The organization that I would like to work in is a medium sized health care center. The facility is equipped with all the necessary gear needed to deliver quality healthcare services. There are over fifty doctors and seventy qualified nurses in the organization. The healthcare center serves over five hundred outpatient patients daily. It has enough facilities to cater for approximately 250 in-patients at any particular point. This health facility has taken into consideration the guidelines that make it professionally fit for an advanced nursing role. The development and implementation of good governance in this facility has been taken seriously in order to promote the nursing role. The following are some of the principles that have been implemented in order to promote good governance in this health facility. The organization looks at all the aspects of service delivery to promote good decision...
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...The Future of Healthcare for the APN Rosetta Vaughn Grantham University Foundation of Advance Practice Nursing NUR506 Aimee Kirkendol RN, DNP, FNP-BC May 21, 2014 The Future of Healthcare for the APN According to the IOM report addresses nursing in all practice levels, with the greatest emphasis on advance practice. The report identifies barriers, describes new structures and opportunities, and provides overall specific vision regarding the vital contribution of advanced practice nurses to the health care system. The Department of Veteran’s Affairs (VA), the Geisinger Health system, and Kaiser Permanente are used as examples of care delivery organizations that maximize nursing scope of practice. The transformation of the VA from a hospital-based system into a primary care focused organization is based on the maximization of nurse practitioners (NPs) as primary care providers. As a result, by 2007, VA patients experienced higher quality and significantly lower-cost care compared with similar Medicare populations. Geisinger is noted in the report as an organization that that transitioned from a high-cost, specialty-focused medical facility to an organization of high value. Geisinger’s vision includes “having staff work up to the limit of their license” and to “redistribute caregiving work to increase quality and decrease cost.” Under this model, nurses in call centers shifted to primary care sites and established relationships with patients and families, resulting in...
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...FNP Role Development Katy Lehigh Concordia University Wisconsin FNP Role Development For five decades nurse practitioners have been providing safe, effective, quality primary care services to all ages and populations. As a testament to their commitment and excellence nurse practitioners are being chosen as provider of choice by millions of Americans. Becoming a skilled provider is a dynamic process that occurs over time. Effective role development is essential in becoming a dynamic, compassionate, and knowledgeable clinician. Political Perspective Not all threats to our nation derive from foreign enemies. Our nation suffers within our own borders due to chronic illnesses, rising medical costs, wasted resources, poor coordination of care, and a lack of nationalized healthcare. “America’s health care system is in crisis: It is a ‘sick care’ system, not a health care system” (Blumenthal, 2012). The current healthcare system is fragmented, mismanaged, and poorly financed. Americans receive healthcare insurance through various means, such as government run programs, like Medicare and Medicaid, privately through their employer, private pay, or the purchase through an open market. Regardless of the many healthcare options the United States has to offer, 14.7% of the population remains uninsured (Shi & Singh, 2015, p. 199). “The existence of multiple payers makes the system cumbersome” and poses a billing and collection nightmare for healthcare providers (Shi &...
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...with an Advanced Practice Nurse Introduction Interview with APN/CNP, Diane John Diane John, APN/CNP is a nurse practitioner at Health land, a Hawaii center for the public. She has devoted 30 years to her nursing career. She has worked as a nurse in a medical intensive care unit and as a research nurse in the study in the intensive care unit. She has been a Female Nurse Practitioner for the past 20 years where she started out as a midwife at wife care center, where she provided midwife services to women. Rationale for an engaged interview process The reason for this interview is to find out Competencies necessary for APN role development and also to get some background information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into practice to improve health outcomes of patients as well as improvement of education of nurses. What is your...
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...Advanced practice nurse’s are reimbursed at a lower rate for the same services than physicians by Medicare, Medicaid and other private insurance companies. American medical association sets our scope of practice and regulations and legislation is often influenced by these recommendations. Advanced practice nurses should be consider as equal members of the healthcare provider community and receive equal reimbursement. To make these changes one must develop a plan and advocate for the profession. Advanced practice nurses are reimbursed at a lower rate, for the same services, than physicians. Medicare reimburses nurse practitioners at 85%, certified nurse midwives at 65 %, and physician assistants at 85% or less of the physician fee. The exception to the reimbursement rate is called the “incident to”. Medicare will reimburse at 100% if billed under a physician provider number. Medicaid pays 75-100% of the physician fee with the exception of some rural areas. Private insurance companies reimbursement to advanced practice nurses policies vary state to state. In an attempt to find ways to decrease cost, private insurance companies are beginning to follow Medicare’s reimbursement policies. For advanced practice nurses the reimbursement policies vary according to state, company, and licensure, and are not equitable to physician reimbursement. CRITICAL ANALYSIS OF OFFICIALS VIEW ON ISSUE This issue is being buried by the American Medical Association. The...
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...of his life, and my mother was a dedicated nurse midwife and professor at a university hospital. Serving and caring for people has become second nature to my family. My father was strict and a disciplinarian; he did not allow my family to be out of the house after 6:00 p.m. He believed that it was important to have every member of the family home for dinner. It was from him that I learned the value of self-discipline, respect, and the importance of good education. Meanwhile, my mother was the go-to person for most of our relatives and family friends. Our home was open to anyone who was in need. It was from her that I learned to be available to the people I cared about. When asked about my leadership values, I always knew that they are strong reflections of my parents’ beliefs and practices. Self-reflection is essential in knowing who I am. My Advanced Leadership course from New York University has taught me that a leader is not born to have a specific characteristic or trait to be great; likewise, a unique leader has leadership gifts within him or her. To use this leadership gift to inspire and motivate others, George, Sims, McLean, and Mayer (2007) stated that I must come to understand who I am and my life stories and experiences in order to develop self-awareness. I must continue to explore and develop my values and principles, and keep an integrated in my life with help from a support team. Throughout my years as a nurse leader, I have realized that I have great skills...
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...framework for practice Joe Smith University of Mine Praxis, a framework for practice Differentiating between praxis and practice is important for an advance nurse practitioner. Practice pertains to doing words of a nurse practitioner (NP), while, praxis relates to NP’s theoretical establishment. Taking time to reflect on personal believes, creates a moment for an advance practice nurse (APN) to realize, and understand the need for providing patient care, with up to date knowledge. The paper aims to discuss; the overview of nursing praxis and its benefits, overview of the APN, Empiricism influences on practice, comfort theory (CT) influences, deontology influences and utilization of the praxis in practice. Praxis Overview Merriam-Webster Dictionary (nd) defines praxis as first originating from Medieval Greek, and means doing, performing or practicing a skill, art or science. Chinn and Kramer (2011), explains praxis as a freedom of knowing that makes one reach a full potential, and optimal well-being. Praxis is different from one nurse to another. Nurse expertize develops overtime, through ongoing knowledge, critical thinking skills, and how one perceive the situation. Experience encourages self-motivation and promotes change (Chinn & Kramer, 2011). APN’s encounter with each patient is different, unique, and requires self-reflection of the encounter. With the current changes in patient care needs, praxis should be geared towards the APN area of practice (Masters, 2011)...
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...State of Advance Practice Paper There are many definitions of advanced practice nursing. Nursing’s Scope and Standards of Practice (ANA, 2014) defines APNs as having advanced specialized clinical knowledge and skills through master’s or doctoral education that prepares them for specialization, expansion, and advancement of practice. Specialization is concentrating or limiting one’s focus to part of the whole field of nursing. Expansion refers to the acquisition of new practice knowledge and skills, including knowledge and skills legitimizing role autonomy within areas of practice that overlap traditional boundaries of medical practice. Advancement involves both specialization and expansion and is characterized by the integration of theoretical, research-based, and practical knowledge that occurs as part of graduate education in nursing. APN is an umbrella term for the four roles mentioned earlier: clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), and nurse practitioner (NP) (Sheer, & Wong, 2008). Each role is distinguishable from the others, but in some respects they overlap. This APN definition encompasses nurses engaged in clinical practice; it does not include nurses with advanced preparation for administration, education, or research (ANA, 2014). Only recently has the expectation arisen that APNs should receive their education within master’s or doctoral nursing programs. Although CNSs have always required master’s...
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...Room 234 | cvena@emory.edu | echa5@emory.edu | 404-727-8430 | 404-712-9578 | Office Hours: By appointment | Office Hours: By appointment | COURSE DESCRIPTION: This course is an introduction to the theoretical and research foundations of advanced nursing practice. Key content to be covered includes the philosophical basis of science and knowledge, the structure and development of theory, qualitative and quantitative research methods, theory and research critique, and the application of theory and research in advanced nursing practice. It delineates research competencies for advanced practice nurses. The course encompasses critique of studies, application of research findings to practice (research utilization) and evaluation of outcomes attributable to advanced practice nursing. Ethical considerations related to research are integrated throughout the course. COURSE OBJECTIVES/OUTCOMES: 1. Understand the relationship between theory, research, and practice. 2. Critique and evaluate theoretical perspectives and research methods used to address clinical problems. 3. Understand qualitative and quantitative methodologies and their appropriateness to examining clinical phenomena in advanced nursing practice. 4. Evaluate the clinical applicability of selected theories from nursing and related fields in providing high quality nursing care. 5. Evaluate the clinical applicability of selected research studies and develop strategies for incorporating the findings into...
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...Identification (NPI). You are expected to access the nurse practice act relating to Advanced Practice Nurses (APNs) for the state in which you plan to practice. You will also access the HHS site that provides information on the NPI and application process. Answer each of the following questions. This does not have to be a formal paper but should include all of the requested information. You should site your sources in the references. I encourage you to summarize the information rather than just doing a cut and paste from any web site. 1. What state do you plan to practice in? Indiana 2. What information and documents are required in order to apply / obtain prescriptive authority in your state as an APN? (Be specific) ALL APPLICANTS must mail a completed application along with the items listed below to the Indiana Professional Licensing Agency. You must hold an active, valid registered nurse license in Indiana or another state to be eligible for prescriptive authority. The application requires you to indicate the category of Advanced Practice Nursing under which are applying for Prescriptive Authority: You must choose one of the following: Clinical Nurse Specialist; Nurse Practitioner; or Certified Nurse Midwife. Please note that if you are applying for prescriptive authority as a Certified Nurse Midwife, you still need a current Limited Nurse Midwife license in addition to your current RN license in order to practice nurse midwifery in the State of Indiana. I. REQUIREMENTS ...
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...School of Nursing Participates in professional organizations and activities that influence advanced practice nursing and/or health outcomes of a population focus. NONPF CORE COMPETENCY #2: Leadership NONPF Core Competency CATEGORY # II-7: Participates in professional organizations and activities that influence advanced practice nursing and/or health outcomes of a population focus DSGNE Program Outcome # 2: Utilize critical inquiry to advance the discipline and profession of nursing PYC Specialty Program Outcome # 2: Utilize an evidence-based approach to initiate change and improve primary care practice across the lifespan AACN Essential Standard # VI: Health Policy and Advocacy AACN Element # VI-5: Advocate for policies that improve the health of the public and the profession of nursing This Exhibit Contains: A membership certificate to the Coalition of Advanced Practice Nurses of Indiana (CAPNI). Rationale and Support: Joining professional organizations is a great way for advanced practice nurses to stay up to date on current healthcare information and share their ideas and opinions with other professionals. Professional organizations, such as CAPNI, provide numerous benefits for nurse practitioners. Becoming a member of a professional organization allows nurse practitioners to attend conferences and annual meeting with cohorts across the country. Attending these conferences is a great way to network with other professionals in the same field and...
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...Development Plan It has been my experience that health care professionals as well as consumers are becoming more verbal about the inadequacies of the health care system. It is clear that improvement is necessary. There are many roads to improvement of the system, one of which is the proper use of the Advance Nurse Practitioner. With this role properly developed, the Advanced Nurse Practitioner can effect many changes both in and out of the hospital setting. It is for this reason that I chose to advance my practice as a nurse. As an advanced practice clinician, I will be able to make a difference in the community by contributing to the enlargement of the primary care workforce to meet the population’s primary care needs. Within the next five years, I view myself in an advanced practice role, that of a Nurse Practitioner serving the adult population in an outpatient clinical setting. As an advanced practice clinician and leader, my efforts will be directed at ensuring that effective health care is provided to the patients that will result in improved quality and health outcomes. At the local level, I will have a strong influence on my team in my area of clinical practice. This involves identifying the steps required to develop excellence in care for a group of patients such as skilled assessments, research-based interventions and the competencies required. As a leader, I must ensure that training and development programs and learning opportunities are provided and that there...
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