DISCUSSION: PRAC 6568 WEEK 1 CERTIFICATION AND LICENSURE

DISCUSSION: PRAC 6568 WEEK 1 CERTIFICATION AND LICENSURE

DISCUSSION: PRAC 6568 WEEK 1 CERTIFICATION AND LICENSURE

CERTIFICATION AND LICENSURE

Now that you are in your final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass a national FNP certification exam. Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.

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Although there is a movement called the APRN Consensus Model to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.

Another important area to consider and plan for is prescriptive authority. Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the medical board, state board of pharmacy, or nursing board for the appropriate state licensure being pursued. The authority to write for a controlled substance is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.

Finally, the legal landscape for NPs is constantly changing as the status of NPs as providers improves on a national level. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a nurse practitioner.

For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Leik, M. T. C. (2021). Family nurse practitioner certification intensive review (4th ed.). Springer Publishing Company.

Ch. 1, Certification Exam Information

Ch. 2, Question Dissection and Analysis

Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett.

Chapter 1, “What Is a Nurse Practitioner”

Chapter 7, “Negligence and Malpractice”

See especially the section on “Working with Practice Guidelines.”

Appendix 1-A: State-by-State Definitions of Nurse Practitioner

Appendix 1-B: State-by-State Titles for Nurse Practitioners

Note: The textbook listed below is from NRNP 6531. Review the chapters assigned in this textbook as needed to refresh your knowledge.

Buttaro, T. M., Polgar-Bailey, P., Sandberg-Cook, J., & Trybulski, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). Elsevier.

Ch. 5, An Introduction to Health Care Disparities and Culturally Responsive Primary Care

Ch. 6, Patient/Family Education and Health Literacy

Ch. 7, Genetic Considerations in Primary Care

Ch. 8, Risk Management

RESOURCE WEB LINKS: Please access throughout the quarter as needed.

American Association of Nurse Practitioners (n.d.-a). Nurse practitioners in primary care.Links to an external site. https://www.aanp.org/images/documents/publications/primarycare.pdf

American Association of Nurse Practitioners. (2019). State practice environmentLinks to an external site.. https://www.aanp.org/advocacy/state/state-practice-environment On the map on the webpage, click on your state and review.Links to an external site.

American Nurses AssociationLinks to an external site.. (2020). https://www.nursingworld.org/

American Association of Nurse PractitionersLinks to an external site.. (2020). https://www.aanp.org/

American Nurses Credentialing Center.Links to an external site. (2020). https://www.nursingworld.org/ancc/

Centers for Disease Control and Prevention.Links to an external site. (2020). https://www.cdc.gov/

Office of Disease Prevention and Health Promotion. (2020a). Development of the national health promotion and disease prevention objectives for 2030.Links to an external site. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030

Poghosyan, L. (2018). Federal, state, and organizational barriers affective nurse practitioner workforce and practiceLinks to an external site.. Nursing Economics, 36(1), 43–45.

World Health Organization.Links to an external site. (2020). https://www.who.int/

Required Media

Walden University. (2020e). Walden graduation and next steps [Video]. Walden University Canvas. https://waldenu.instructure.com

Walden Graduation and Next Steps

In this video, Dr. Judi Kuric discusses important topics related to the transition from coursework to advanced nursing practice. (35 min)

Professional Issues in Advanced Practice Nursing

Dr. Phyllis Morgan discusses important professional issues related to advanced practice nursing. (24m)

Walden University. (2022). Test taking strategies: Preparation for your certification exam [Video].Links to an external site. https://lifelonglearning.waldenu.edu/test-taking-strategies-preparation-for-certification/WANC1026.html

Note: You will need to create an account to access this free resource.

To prepare:

Review practice agreements in your state.

Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.

Research the following:

How do you get certified and licensed in your state?

What is the application process for certification in your state?

What is the primary nurse licensure office resource website in your state?

How does your state define the scope of practice of a nurse practitioner?

What is included in your state’s practice agreement?

How do you get a Drug Enforcement Agency (DEA) license?

How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

BY DAY 3

Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

Read a selection of your colleagues’ responses.

BY DAY 6

Respond to at least two of your colleagues on 2 different days in one or more of the ways listed below.

Share an insight from having viewed your colleagues’ posts.

Suggest additional actions or perspectives.

Share insights after comparing state processes, roles, and limitations.

Suggest a way to advocate for the profession.

Share resources with those who are in your state.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

NRNP_6568_Week1_Discussion_Rubric

NRNP_6568_Week1_Discussion_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeMain Posting:Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

44 to >39.0 pts

Excellent Point range: 90–100

Thoroughly responds to the discussion question(s). … Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. … No less than 75% of post has exceptional depth and breadth. … Supported by at least 3 current credible sources.

39 to >34.0 pts

Good Point range: 80–89

Responds to most of the discussion question(s). … Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. … 50% of the post has exceptional depth and breadth. … Supported by at least 3 credible references.

34 to >30.0 pts

Fair Point range: 70–79

Responds to some of the discussion question(s). … One to two criteria are not addressed or are superficially addressed. … Is somewhat lacking reflection and critical analysis and synthesis. … Somewhat represents knowledge gained from the course readings for the module. … Post is cited with fewer than 2 credible references.

30 to >0 pts

Poor Point range: 0–69

Does not respond to the discussion question(s). … Lacks depth or superficially addresses criteria. … Lacks reflection and critical analysis and synthesis. … Does not represent knowledge gained from the course readings for the module. … Contains only 1 or no credible references.

44 pts

This criterion is linked to a Learning OutcomeMain Posting: Writing
6 to >5.0 pts

Excellent Point range: 90–100

Written clearly and concisely. … Contains no grammatical or spelling errors. … Further adheres to current APA manual writing rules and style.

5 to >4.0 pts

Good Point range: 80–89

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Written concisely. … May contain one to two grammatical or spelling errors. … Adheres to current APA manual writing rules and style.

4 to >3.0 pts

Fair Point range: 70–79

Written somewhat concisely. … May contain more than two spelling or grammatical errors. … Contains some APA formatting errors.

3 to >0 pts

Poor Point range: 0–69

Not written clearly or concisely. … Contains more than two spelling or grammatical errors. … Does not adhere to current APA manual writing rules and style.

6 pts

This criterion is linked to a Learning OutcomeMain Posting: Timely and full participation
10 to >8.0 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation. … Posts main discussion by due date.

8 to >7.0 pts

Good Point range: 80–89

Posts main discussion by due date. … Meets requirements for full participation.

7 to >6.0 pts

Fair Point range: 70–79

Posts main discussion by due date.

6 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation. … Does not post main discussion by due date.
10 pts

This criterion is linked to a Learning OutcomeFirst Response: Post to colleague’s main post that is reflective and justified with credible sources.

9 to >8.0 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings. … Responds to questions posed by faculty. … The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 to >7.0 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7 to >6.0 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.
9 pts

This criterion is linked to a Learning OutcomeFirst Response: Writing

6 to >5.0 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues. … Response to faculty questions are fully answered, if posed. … Provides clear, concise opinions and ideas that are supported by two or more credible sources. … Response is effectively written in Standard, Edited English.

5 to >4.0 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues. … Response to faculty questions are mostly answered, if posed. … Provides opinions and ideas that are supported by few credible sources. … Response is written in Standard, Edited English.

4 to >3.0 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication. … Response to faculty questions are somewhat answered, if posed. … Few or no credible sources are cited.

3 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication. … Response to faculty questions are missing. … No credible sources are cited.
6 pts

This criterion is linked to a Learning OutcomeFirst Response: Timely and full participation
5 to >4.0 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation. … Posts by due date.

4 to >3.0 pts

Good Point range: 80–89

Meets requirements for full participation. … Posts by due date.

3 to >2.0 pts

Fair Point range: 70–79

Posts by due date.

2 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation. … Does not post by due date.
5 pts

This criterion is linked to a Learning OutcomeSecond Response: Post to colleague’s main post that is reflective and justified with credible sources.
9 to >8.0 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings. … Responds to questions posed by faculty. … The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 to >7.0 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7 to >6.0 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.

9 pts

This criterion is linked to a Learning OutcomeSecond Response: Writing
6 to >5.0 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues. … Response to faculty questions are fully answered, if posed. … Provides clear, concise opinions and ideas that are supported by two or more credible sources. … Response is effectively written in Standard, Edited English.

5 to >4.0 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues. … Response to faculty questions are mostly answered, if posed. … Provides opinions and ideas that are supported by few credible sources. … Response is written in Standard, Edited English.

4 to >3.0 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication. … Response to faculty questions are somewhat answered, if posed. … Few or no credible sources are cited.

3 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication. … Response to faculty questions are missing. … No credible sources are cited.
6 pts

This criterion is linked to a Learning OutcomeSecond Response: Timely and full participation
5 to >4.0 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation. … Posts by due date.

4 to >3.0 pts

Good Point range: 80–89

Meets requirements for full participation. … Posts by due date.

3 to >2.0 pts

Fair Point range: 70–79

Posts by due date.

2 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation. … Does not post by due date.

5 pts

Total Points: 100