In order to become authorized to practice as an APRN in Massachusetts, it is required that an applicant fulfill five criteria. What are the five criteria? To be eligible for initial Board authorization to practice as a certified nurse practitioner an applicant must provide proof satisfactory to the Board of the following: A valid Massachusetts RN licensure in good standing; Good moral character as established by Board policy; Compliance with the following academic requirements: a graduation from a graduate degree program designed to prepare the graduate for practice as a CNP that is approved by a national accrediting organization for academic programs acceptable to the Board; and successful completion of, at minimum, core content at the …show more content…
James appropriately met with his supervising physician every 3 months, or a designee if he was unavailable. His supervising physician was appropriately related to the APRN's area of practice, is Board certified in a specialty area appropriately related to the APRN's area of practice (www.mass.gov). James reviewed all initial prescriptions for Schedule II medications within 72 hours, which shows that he complied with his organizations requirements for prescriptive practice. James got into the habit of documenting Schedule II reviews with Dr. Smith in the individual medical records, which shows that as he prescribed he documented meeting and discussing the prescription with his supervising physician. James also kept current on treatment protocols and the use of new equipment through continuing education programs offered by vendors, at the local college and through attendance at professional …show more content…
Boston University School of Medicine, with the cooperation with the Massachusetts Board of Registration in Medicine, the Massachusetts Department of Public Health, the New England Division of the US Drug Enforcement Agency, the Massachusetts Medical Society, and the Massachusetts Hospital Association, developed presentations entitled Safe and Effective Opioid Prescribing for Chronic Pain that meet the educational objectives of the statute. The educational program is a web-based activity supported by funding from the Massachusetts Board of Registration in Medicine, and by an unrestricted educational grant from the Center for Substance Abuse Treatment of the Substance Abuse and Mental Health Services Administration and is offered at no charge to prescribers. At the completion of the program, a certificate for 3 AMA PRA Category 1 Credit(s) can be downloaded and printed. This continuing education offering is consistent with the Board of Registration in Nursing (Board) requirements at 244 CMR 5.00 Continuing Education for the
The APRN regulatory LACE model defines Licensure as the granting authority to practice, accreditation as review/approval by a recognized agency of educational degree or certification programs, certification as recognition of the knowledge, skills, and experience demonstrated by the achievement of standards set forth by the profession, and education as the preparation of APRNs in graduate degree programs (Consensus Model for APRN Regulation, 2015). An APRN addresses common and various chronic illnesses and they focus on health maintenance, disease prevention, counseling, and patient education in a variety of health care
My plans after obtaining my advanced degree is to acquire licensure to practice as AGNP in the state of Texas. The Texas BON acknowledges that APN education, experiences, and competency levels vary, hence, holds individual APN accountable for knowing and practicing within their own scope of practice and competency always. The APN’s education is the grounds to their scope of practice: however, the APN can expand the scope of practice within the role and population-focus, as long as it remains within limits of the law. The Texas BON restricts the scope of practice for the APNs. The Nurse Practitioner Supervision Laws require¬¬¬¬¬ APN to work under physician supervision within seventy five mile perimeter. In addition, there is the Texas ' Nurse Practitioner Prescribing Laws which require APNs to prescribe medications under physician supervision and APNs are not allowed to prescribe schedule two drugs. All prescriptions written by the NPs must include the supervising physician 's name, address, Drug Enforcement Administration (DEA) number and phone number (Texas BON,
I now that I have the knowledge to aspire to take up my role within one of the identified population foci. APRNs program developed my core competencies by allowing me to be more efficient adaptability with regards to newly emerging APRN roles or population focus. Furthermore, achieving my course objectives enable me to understand the specific APRN roles. For example, course objectives provide me with a better detail, and align my licensure goals with the responsibilities expected of each role. Licensure will provide me and my fellow APRN graduates with the full authority to practice. Also, certification is required to meet the highest possible standards as APRNs are expected to align knowledge, skills and experience with the standards of health care professionals. This field has very narrow margins for error, and it is therefore important, for APRNs to meet the highest and most stringent academic qualifications. In order to be a recognized as APRN graduate, one is required to complete formal education with a graduate degree or post-graduate certificate awarded by an academic institute and accredited by a recognized accrediting agency empowered by the relevant government education
Culver, APRN, who specializes in adult health and has been a practicing APRN for over 10 years at a busy private family practice in Louisville, KY. She described her role as working within a team of medical staff consisting of two other advanced practice nurses, two registered nurses, one licensed practical nurse, four support and office staff, and a working collaboration with two internal medicine physicians. Her scope of practice includes telephone triage and seeing, treating and discharging patients with minor illness who need a same-day appointment as well as patients with long-term health conditions such as diabetes and heart disease. She serves a diverse (White, Black, Hispanic, and Asian) middle age to older adult population living in the community in the city of Louisville and surrounding areas. My basis for choosing J.M.C. for this interview is my professional goal of practicing in the primary care setting after I obtain my graduate degree and successfully pass the state licensure board and receive certification to practice as an advanced practice nurse in the state of Kentucky. I believe the opportunity to speak with her allowed me to gain insight into this area of practice as well as see how the core competencies are understood and applied in advanced practice
The current medical review process at a proprietary MAC (henceforth referred to as “Well Health”); will be reviewed for the course project. At Well Health, incoming service requests from healthcare providers are received by fax and made available to the nurse reviewers in electronic format using a computerized application. Once received by the reviewer, the nurse must access numerous web sites and programs to complete the medical necessity review process. Each of these applications is much like the standard electronic health records (EHR) utilized in many ...
This service is experienced, documented, evaluated and paid for as Pharmaceutical Care. Pharmaceutical Care consists of a philosophy of practice, patient care process as well as a patient management system. Pharmaceutical Care has common integrated vocabulary consistent with other patient care practices such as medicine, dentistry and nursing. Philosophy of pharmaceutical care consists of a description of the social need for the practice, a concise and clear statement of individual practitioner responsibilities to meet this social need, the expectation to be patient-centered and the requirement to function within the caring paradigm. This philosophy of practice is expected and practiced by all health care professionals. The patient care processes must be consistent with the patient care processes of all other health care providers. These processes include the assessment of the client’s pharmaceutical needs, a health care plan that is constructed to meet the specific needs of the client and a process in which evaluates the health care plan to gauge the efficacy of decisions made and actions taken. Pharmaceutical care management system includes all resources needed to manage the client’s needs, which include the space provided, such as a clinic or hospital, an appointment system for patients, appropriate and ethical documentation, reporting of patient care, evaluation of decisions made and actions taken and payment of service
After completing a year of post-graduate training, a physician may apply for state medical licensure. They must have good character, be at least 18 years of age of, and pay a fee, they must show documentation of education and training, and they must pass one of the following exams, the National Board of Medical Examiners exam or have 75% or better on the FLEX exam, the National Board of Osteopathic examiners or the state board examination or the USMILE. They must submit supplies of chronological list of activities after med school, and disciplinary actions by licensing board, criminal background check, any health issues, and results of all past required exams and any license or certificate they hold.
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
The National Counsel State Boards of Nursing APRN Advisory Committee and the APRN Consensus Work Group (2008) created the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education to outline the four major roles of the advanced practice registered nurse (APRN). The four roles outlined are the clinical nurse specialists, nurse practitioner, certified nurse midwife and certified registered nurse anesthetist. This paper will review the nurse practitioner (NP) and clinical nurse specialist (CNS) roles, the similarities and differences, as well as the strengths and limitations in practice.
In order to better understand the role of an Advanced Practice Nurse (APN) and how the core competencies work in their role I conducted an interview with
The laws and regulations of the practice and prescribing privileges of Advanced Practice Register Nurse Practitioner (APRN) in North Carolina is jointly regulated by North Carolina Board of Nursing and North Carolina Board of Medicine (NC Board of Nursing, 2016). These privileges can only be granted under a collaborative practice agreement (CPA) with a licensed physician. The CPA provides ongoing supervision and collaboration between the APRN and physician, however the APRN can practice independently, without direct supervision, under the CPA (NC Board of Nursing, 2016).
In medical school/pharmacology school, medical professionals are taught to treat severe pain with opioids. However, opioids should be prescribed with the possibility of future dependency in mind. Physicians often struggle with whether they should prescribe opioids or seek alternative methodologies. This ethical impasse has led may medical professionals to prescribe opioids out of sympathy, without regard for the possibility of addiction (Clarke). As previously stated, a way to address this is use alternative methods so that physicians will become more acquainted to not not treating pain by means of opioid
Most APNs or NPs posses a master’s degree; however the American Association of Colleges of Nursing (AACN) member institutions voted to change the current level of preparation for advanced nursing practice from a masters degree to a doctorate level by 2015”. “An individual who wished to apply for a license must meet the following requirements; a complete application, pass the NCLEX, provide any felony or misdemeanor conviction information, any drug related behavior, functional ability deficit and license fee to Virginia State Board of Nursing”. Most RNs gain their clinical experience by working a staff nurse before entering into a graduate program for their nurse practitioners, but once they gain a significant of experience as a nurse t...
From as early as the 1990s, there has been statistical data to show that the opioid addiction epidemic has seen its significant amount of overdose death rates, sales and substance abuse of these prescription pain relievers increased over time. Regarding an outstandingly high concentration of opioid use in areas such as Delaware, Washington D.C, New Jersey, Ohio, and Pennsylvania, the United States has currently approximately that now as many as 20.1 million Americans addicted to some type of opioid (Centers for Disease Control and Prevention, 2017). Some of these most commonly prescribed opioid that is provided to some patients are Oxycodone, Vicodin and Percocet to effectively reduce chronic pain symptoms for either a short or long period
Aranella, Cheryl, MD., M.P.H. Use of Opiates to Manage Pain in the Seriously and Terminally Ill Patient. American Hospice Foundation, 2006. Web. 7 November 2011.