NRNP 6675 WEEK 1 Response To My Colleague no 2 Allisa, C Discussion post

NRNP 6675 WEEK 1 Response To My Colleague no 2 Allisa, C Discussion post

Response to Allisa

            Hello Allisa. I am impressed by the way you have summarized your discussion, with all the relevant information required for one to understand the process of becoming an APRN in Nebraska. Just like in Georgia, APRNs in Nabraska exhibit full patient care practice, but with supervision as pointed out. I believe that in both Nabraska and Georgia, APRNs can only attain prescriptive authority through a collaborative agreement signed by the delegate physician(Chappell et al., 2021). It is quite thoughtful that you even specified the number of hours APRNs in your state exhibit collaborative practice with the delegate physician, when enjoying their prescriptive rights. It is also necessary to appreciate the advanced practice roles authorized by your state board of nursing such as Certified Nurse-Midwife (CNM), Certified Registered Nurse Anaesthetist (CRNA), Clinical Nurse Specialist, Psychiatric/Mental Health (CNS/PMH), Clinical Nurse Specialist (CNS), and Nurse Practitioner (NP) (Li et al., 2021).

The application process to become an APRN in Nebraska, is far much the same as that of my state, Georgia. Consequently, nurses with prescriptive privileges are required to obtain a DEA license/number as you have mentioned, by completing their application at the Department of Justice website. The same is required in Georgia. The DEA specifies the controlled substance schedule which the APRN can prescribe or dispense(Clement, 2018). Lastly, just like in Georgia, I can see that Nabraska also has a PMP, where prscribers can be able to track the treatment records of patient to whom they prescribed or dispensed controlled substances.

References

‌Chappell, K. B., Howard, M. S., Lundmark, V., & Ivory, C. (2021). Credentialing and certification: Overview, science, and impact on policy, regulation, and practice. International Nursing Review, 68(4), 551-556. https://doi.org/10.1111/inr.12721

Clement, D. M. (2018). Factors Influencing Georgia Legislators’ Decision-Making on Nurse Practitioner Scope of Practice. Policy, Politics, & Nursing Practice, 19(3-4), 91-99. https://doi.org/10.1177/1527154418817036

Li, Y., Greenwood, L., Eichelberger, L. W., Marion, L., Cleghorn, J., Wheeler, R., &Cimiotti, J. P. (2021). State and national data on the Georgia nursing workforce. Nursing Outlook. https://doi.org/10.1016/j.outlook.2021.07.005

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PLEASE RESPOND TO MY COLLEAUGE no 2 Allisa, C discussion post below
Respond to my colleague in one or more of the ways listed below. My own state is Georgia

• 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

Nebraska is a full practice state. “State practice and licensure laws permit all NPs to evaluate patients; diagnose, order and
interpret diagnostic tests; and initiate and manage treatments, including prescribing medications and controlled substances, under
the exclusive licensure authority of the state board of nursing.” (AANP, 2020). The requirement for the physician supervision of an NP
is 2000 hours, and the collaborating physician or NP must have had 10,000 hours themselves. This requirement is called the
transition-to-practice, and it entails the supervisor, and the NP will have a joint responsibility to deliver healthcare based on the scope
of practice.

Obtaining a graduate degree and passing the national certification is how to get licensed as an APRN in Nebraska. The
application process consists of the application and fee first. Documents to submit are proof of citizenship or lawful presence, proof of
age, criminal background check by fingerprints, official transcripts, active RN license, proof of passing the national certification, any
disciplines or convictions information, and the transition-to-practice agreement. A temporary license may be issued for 120 days but
can extend up to a year. Lastly, 2000 hours must be completed by the transition- to practice agreement.

The Nebraska Board of nursing website is http://dhhs.ne.gov/licensure/Pages/Nurse-Licensing.aspx.

To obtain and DEA license, you must apply at the U.S. Department of Justice website. To administer, prescribe, or dispense any
controlled substance, one must be registered with the DEA Registration forms are found at www.deadiversion.usdoj.gov.

Nebraska has a PMP. Nebraska was also the first state to require all drugs to be monitored thru this program, and the
nationwide initiative went into effect in 2018. “Utilizing this form of tracking, the prescriber and pharmacist are able to review what
prescriptions for controlled substances have been filled, when they were filled, and where.” (Stewart & DeNisco, 2019, p.325).
Nebraska requires NPs to complete 3 hours of continuing ed, covering the PDMP. Included are Naloxone, pain management, and
PDMP on-demand training videos. The nurse licensing unit will conduct random audits to verify completion.

According to Buppert (2021), Nebraska describes an NPs prescriptive authority as explicit legal authority to prescribe, or no
physician involvement required. (p. 210). NPs can prescribe schedule II-V regarding controlled substances.

References
American Association of Nurse Practitioners. (2020). State practice environment.

https://www.aanp.org/advocacy/state/state-practice-environment

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

Bartlett Learning.

Stewart, J.G., & DeNisco, S.M. (2019). Role development for the nurse practitioner (2nd ed.).

Jones & Bartlett Learning.