According to the Pearson Report, there is a total of 147,295 Nurse Practitioners throughout the United States (Pearson, 2009). However, for NPs in some states the battle continues over some forms of prescriptive authority or physician involvement in NP prescribing, such as the state of Pennsylvania. State regulatory approaches to NP prescribing range from no authorization for prescribing (in Georgia, 2006 legislation passed which recognized NPs as prescribers, but the rules have not been approved at the time of this writing) to unencumbered prescriptive authority (Arizona, DC, Montana, Oregon, Washington, and Wyoming) (Lugo, O’Grady, Hodnicki & Hanson, 2007).
Lugo et al. (2007) writes that NPs in 47 states can prescribe controlled substances, although some states restrict the quantities prescribed or place additional restrictions on NPs' prescribing. In 4 states (Alabama, Florida, Hawaii, and Missouri), NPs' ability to prescribe are limited to legend drugs (no controlled substances), with or without restrictions. In 42 states, the NP prescriber's name must remain on all medication bottles, whereas in 6 states, regulation does not allow the prescribing NP's name to remain on the label. This latter situation creates a patient safety violation because neither the pharmacist nor the patient can easily access or determine the prescriber.
According to the Pennsylvania Code, Section 18.54, restrictions on CRNP prescribing and dispensing practices are that a CRNP can write scripts for control substances, but limited to a 72 hour dose. The CRNP must notify the collaborating physician as early as possible but in no event longer than 24 hours. Also, they may write for a Schedule III or IV controlled substance, however limited to 30 da...
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... R. & Hanson, C. M. (2007). Ranking State NP
Regulation: Practice Environment and Consumer Healthcare Choice. The American
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http://www.webnp.net/images/ajnp_april07_article.pdf
Pearson, G.S. (2009). Global Prescribing: A Transition. Perspectives in Psychiatric Care. 45(1),
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Pearson, L. J. (2009). American Journal for Nurse Practitioners: The Pearson Report (2009)
13(2) Retrieved May 12, 2009 http://www.webnp.net/downloads/pearson_report09/ajnp_pearson09.pdf
Plager, K. A. & Conger, M. M. (2007). Advanced Practice Nursing: Constraints to Role
Fulfillment . The Internet Journal of Advanced Nursing Practice. 9(1)
US Nurse Practitioner Prescribing Law: A State-by-State Summary: Medscape Nurses (2002)
4(2) Retrieved April 14, 2009 http://www.medscape.com/viewarticle/440315_print
Nurse practitioners (NPs), one type of advanced practice nurses, are licensed by the states where they practice and certified by private boards. Nurse practitioners hold advanced degrees in clinical practice and function in a wide variety of settings and across the life span. They provide a broad array of healthcare services ranging from managing treatment plans, to prescribing medications, to implementing health promotion services. As of 2014, 205,000 NPs were licensed in the United States with 86% of those prepared to deliver care to patients in primary care settings (NP Facts, 2015). The progression of the Nurse Practitioner movement that occurred in the 1960 and 1970s emerged as a creative and
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
...vacy screen on the computer and/or turning the computer away so customers cannot see what’s on the screen, and use a secure network to receive new prescriptions or request refills. A patient must be notified and give authorization to allow a list of their drugs be given to a marketing company. The authorization must say what the data disclosure and use is being planned for and the date when the authorization will expire. In a community practice a pharmacist cannot discuss treatment with anyone unless patient signs authorization. In an institutional practice the patient can call the pharmacist and give permission to talk to a doctor if able to speak. In case of an emergency, such as a heart attack or car accident, the doctor can call the pharmacist to get the information without patient consent. A patient must give a written authorization in a community pharmacy.
For this practice guideline, the original development panel of six members included; a Chief Nursing Officer, Charge Nurse, Clinical Nurse Specialist, Clinical Practice Facilitator, a Professor from a School of Nursing, and an Education Coordinator. The revision panel members included; a Chief of Nursing & Professional Practice, an Assistant Lecturer from York University, a Clinical Nurse Specialist, Clinical Practice Facilitator, a Nursing Professional Development Educator, an Internist/Geriatrici...
During this same time, Medicaid and Medicare programs were growing rapidly and increasing the number of individuals covered, such as to low income individuals, the disabled, and the elderly. The abrupt expansion of coverage caused the demand of primary care services to skyrocket. With physicians no longer able to meet the growing demand, nurses stepped to provide medical care, and soon believed that were qualified to broaden their role and scope of abilities. In 1965, a nurse and physician, Loretta Ford and Henry Silver, recognized the need for a training program, and developed the first curriculum for nurse practitioners. Since then, the role of nurse practitioner has rapidly increased in response to the expanding and growing need for accessible and affordable care and is currently ranked as one of the fastest growing professions in healthcare.
Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nursed who have received graduate-leveling nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialist when necessary. Some Nurse practitioners work under the supervision of a physician; while others run their own practices.
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
The key to a successful healthcare reform is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue. Description of the Topic Definition The American Nurses Association (2008) has defined the FNP, under the broader title of Advanced Practice Registered Nurse (APRN), as one “who is educationally prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, which includes the use and prescription of pharmacologic and non-pharmacologic interventions” (p. 7).... ... middle of paper ... ...
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
In the United States, depending upon the state in which they work, nurse practitioners may or may not be required to practice under the supervision of a physician, frequently referred to as a “collaborative practice agreement”. However, in consideration of the shortage of primary care/internal medicine physicians, many states are eliminating or lessening the restrictive authority which allows and nurse practitioners the ability to function more autonomously (AANP 2015).
O’Brien, J. M. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. Retrieved from http://www.medscape.com/viewarticle/464663
The CNO’s scope of practice statement is, “The practice of nursing is the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function” (College of Nurses of Ontario, 2015). The goal I set for myself is, to learn and understand the scope of practice of an RPN in order to be accountable for all my actions as a future nurse. The reason I feel I need further development in IV therapy is because, in my current clinical setting at the hospital, the majority of the patients I have cared for are on IV therapy. As a nursing student, we have just started learning about IV therapy. I will also use the CNO standards for medication when administering an IV solution because it is a medication and the 10 rights need to be applied (CNO, 2015).
Gandey, Allison. “New National Drug Control Policy Includes More Prescription Monitoring.” Medscape Today. Web MD, 7 May 2010. Web. 24 Jan. 2012. .
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.
West Virginia has one of the highest rates for prescription drug abuse, and overdose in the nation. In order to change this it is important to understand what pharmacists do, their role in prevention, and the severity of prescription drug abuse. Pharmacists are known to dispense prescription drugs to patients and inform them about their use; However, one aspect of their career most people overlook is that Pharmacists must keep a sharp eye out for criminals looking to abuse these prescribed drugs.