Nurse Practitioners Practice in Florida In the state of Florida, an Advanced Registered Nurse Practitioner (ARNP) is defined by s. 464.003, Florida Statutes, as any person licensed in this state to practice professional nursing and certified in advanced or specialized nursing practice. According to Rule 64B9-4.010(1), Florida Administrative Code, An Advanced Registered Nurse Practitioner shall only perform medical acts of diagnosis, treatment, and operation under a protocol between the ARNP and a Florida-licensed medical doctor, osteopathic physician, or dentist (Florida Board of Nursing, 2016). In Florida, NPs are recognized as primary care providers. Primary care provider means a health care provider licensed under chapter 458, chapter 459, or chapter 464 who provides medical services to patients who are commonly provided without a referral from another health care provider, including family and general practice, general pediatrics, and general internal medicine (Florida Board of Nursing, 2016). Furthermore, NPs in Florida are required to practice under the supervision of a licensed physician and a written protocol filed with the Florida Board of Nursing. The …show more content…
893.03. An ARNP who is certified as a Psychiatric Nurse may now prescribe certain controlled substances according to HB 977. Additionally, an ARNP may only prescribe or dispense a controlled substance as defined in s. 893.03 Florida Statutes if the ARNP graduated from a program with a master’s or doctoral degree in a clinical nursing specialty area with training in specialized practitioner skills. However, all ARNPs and PAs are required to complete at least three hours of continuing education on the safe and effective prescribing of controlled substances (Graduatenursingedu.org,
In tandem with growing scientific knowledge, programs expanded their length and credit loads. Nurse practitioner specialties such as cardiology and intensive care appeared in graduate programs across the country with educational programs aimed at their specialized knowledge. NAPNAP had been founded as one of the first national specialty nurse advanced practice organizations in 1973. By the end of the 1980s, nurse practitioner care was part of the normal menu of services offered by many health care institutions, supported by the 1986 OTA study that found that NPs “provide care whose quality is equivalent to that of care provided by physicians,” particularly when such care depended on preventative services and communication with patients (Office of Technology Assessment, 1986, 5). In 2003, health care institutions began to hire large numbers of NPs in response to the Accreditation Council for Graduate Medical Education’s Resident Duty Hours standards, which limited the number of hours medical residents could work (Nasca, Day & Amis, 2010). Numerous studies, including a Cochrane review, reports from the Rand Health Foundation, Commonwealth Fund, and Western Governor’s Association all provided positive evidence of the value and quality of NP-provided services. Today, NPs have proven their effectiveness in delivering high quality, lower
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.
o Type of healthcare worker: Nurse practitioner o When this type of work entered the market: The medical profession of nurse practitioner was developed in the mid 1960s. The job of nurse practitioners grew from implementing work from primary care physicians into that of traditional nurses. o Reasons for creation and growth: In the late 1950s and early 1960s, increased specialization amongst physicians was taking place, which led to many doctors exploring other avenues of medicine, resulting in a large shortage of physicians practicing primary care. This left many rural and inner city areas with very limited access to medical care.
A nurse practitioner (NP) is one who is qualified to treat certain medical conditions without the direct supervision of a doctor. Also known as a registered nurse. (RN)
This certification will strengthen as well as show potential employers an intiative towards personal growth as well as professional achievement. To be specialized in a particular area of this field, one must amass knowledge by going through continuing education programs, formal coursework, self-study, and clinical experience. Then, you must successful pass a certification exam, which will then show their recognition of expertise. There are two programs, The National Association of Practical Nurse Education and Service (or NAPNES) and National Federation of Licensed Practical Nurses (or NFLPN), that offer certification courses in such areas as: infection control, nursing administration long term care, hospice and palliative, managed care, among
The nurse practitioner (NP) is a registered nurse with graduate education and advanced clinical training. The NP has acquired knowledge and clinical skills to diagnose and treat illness, and provide individualized, evidence-based care to a particular population (Chism, 2013). Throughout the past decades, the responsibilities of the NP have expanded and evolved due to the advances in healthcare. NPs are responsible for understanding the complex life processes of patients and must integrate evidence-based research into clinical practice (American Association of Colleges of Nursing, 2006). NPs focus on meeting the current and the future health needs of the patient population.
The original discussion board post from this author discussed the main issues of education, and scope of practice to be the most prominent issues effecting the practice for FNPs. While the need for quality education and greater access to educational follow-up is still in the forefront of concern for this author, the completion of NSC 842 Advanced Nursing Practice Issues class expanded the knowledge base of these issues. The concerns focus more on the need to regulate educational requirements, and scope of practice issues across the United States. There is a vast difference in the regulations of these issues from state to state. Quality research, and collaborative agreements need to be completed by governing bodies to agree upon a more structured job role and educational/licensure agreement with all
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.
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
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 i...
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Educating legislators and regulators about prescriptive authority has been an ongoing battle for APNs. Developing curriculum guidelines for APNs to follow in pharmacotherapy has alleviated some of the fear of allowing APNs to practice with prescriptive authority (Klein, 2012). The American Medical Association can no longer use the fear that APNs do not have education in pharmacotherapy as a scare tactic. Advanced practice nurses should foll...
Anderson, A. R., & O’Grady, E. T. (2009). The primary care nurse practitioner. In A. B. Hamric, J. A. Spross, & C. M. Hanson (Ed.), Advance practice nursing and integrative approach (4th ed., pp. 380-402). St. Louis MO: Saunders.
According to Advanced Practice Nursing: An Integrative Approach, Advance practice nursing role is defined as a nurse who has acquired advanced nursing knowledge and clinical skills from an accredited institution; obtained a certification that demonstrate minimum proficiency to perform the role as advanced practice registered nurse (APRN); provides direct and indirect care to patients; and demonstrate independence when diagnosis and prescribing. At the same time, APRN are able to choose between four roles depending on the population they are focusing: “nurse practitioner (NP), clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA), and certified nurse-midwife (CNM)” (Hamrie, Hanson, Tracy, & O’Grady, 2014). Advance
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.