April 16, 2019 Show
 Prepared through advanced education and clinical training, Nurse Practitioners (NPs) fill roles that involve enormous levels of autonomy and responsibility. Providing a wide range of services, a Nurse Practitioner is responsible for evaluating patients; ordering and interpreting diagnostic tests; making diagnoses; and initiating and managing treatment plans, which includes prescribing medications. NPs have a variety of options when it comes to practice specialty and the settings in which they choose to practice. Regardless, these professionals must adhere to the scope of practice for Nurse Practitioners within the state in which they provide care. As NP scope of practice is determined by state regulatory bodies — typically state boards of nursing — it varies from state to state. Below is a closer look at Nurse Practitioner scope of practice by state and the answer to a frequently asked question: “In what states can Nurse Practitioners practice independently?” Following the scope of practice discussion is a brief overview of several Nurse Practitioner specialties and related responsibilities. States Where Nurse Practitioners Can Practice IndependentlyAccording to the American Association of Nurse Practitioners (AANP), there are three distinct categories of scope of practice for Nurse Practitioners: full practice, reduced practice, and restricted practice. The AANP describes full practice (i.e., independent practice) as such: “State practice and licensure laws provides for all Nurse Practitioners 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.” This is the model recommended by the National Academy of Medicine and the National Council of State Boards of Nursing (PDF, 645 KB). The following states allow NPs to enjoy full, independent practice:
In the remaining states, the NP scope of practice has reduced or restricted practice laws, which affect scope of practice for Nurse Practitioners as described by the AANP. Impact of Specialization on Scope of Practice for Nurse PractitionersThere are a variety of specialization options for Nurse Practitioners, and each involves particular responsibilities. In some frameworks, scope of practice may be connected to a Nurse Practitioner’s responsibilities related to the individual’s specialization, advanced education, clinical training, certification, and competencies in a specific area. However, the context of the scope of practice language here refers to state-level regulations for Nurse Practitioners, which override scope of practice language for specialty certifications. As such, we will examine how different specialties have related responsibilities that are carried out within the context of state-specific scope of practice regulations. Family Nurse Practitioner ResponsibilitiesFamily Nurse Practitioners (FNPs) are clinical experts who implement a holistic approach while working in primary care settings to provide comprehensive care to individuals and families. FNPs focus on:
Women’s Health Nurse Practitioner ResponsibilitiesWomen’s Health Nurse Practitioners (WHNPs) act as primary care providers for women throughout the life span. They focus on treating and preventing illnesses unique to women as well as providing focused care in areas such as:
Adult Gerontology Acute Care Nurse Practitioner Responsibilities
Adult Gerontology Acute Care Nurse Practitioners (AG-ACNPs) are Nurse Practitioners who have acute care experience and provide direct patient management in acute and complex care settings. The Adult Gerontology Acute Care Nurse Practitioner role includes:
Nurse-Midwifery Women’s Health Nurse Practitioner ResponsibilitiesNurse-Midwifery Women’s Health Nurse Practitioners (NM-WHNPs) manage a woman’s normal obstetric and gynecologic needs during the childbearing years, manage the care of the healthy newborn, and provide primary care to women throughout the life span. Doctor of Nursing Practice ResponsibilitiesThe Doctor of Nursing Practice (DNP) is the highest clinically focused nursing degree in the field. DNPs lead developments across the health system — whether improving health outcomes in the clinical setting, implementing systems-level change, or advocating for policies that improve population health. DNPs typically specialize in a specific area of practice, such as those mentioned previously. Overall, Nurse Practitioners have many opportunities to embrace careers that align with their personal and professional goals. Since the scope of practice for Nurse Practitioners varies from state to state, where they choose to practice will have a significant influence on how autonomous they can be. Citation for this content: Nursing@Georgetown, the online MSN program from the School of Nursing & Health Studies Can nurse practitioners practice independently in Arkansas?Full Independent Practice for Certified Nurse Practitioners
Applications shall be submitted through the Arkansas Nurse Portal. Once all required documents have been received, applications will be sent for review by the Full Independent Practice Credentialing Committee (FIPCC).
Can nurse practitioners practice independently in Mississippi?Mississippi limits the ability of nurse practitioners to practice up to their full training — what is called “full practice authority.” In particular, nurse practitioners who wish to open their own practice, or a free-standing clinic, must enter into a collaborative agreement with a physician.
Can nurse practitioners practice independently in Tennessee?Overall, nurse practitioners are required to be loosely supervised by physicians in Tennessee. The physician must comply with mandatory site visits and chart reviews as well as be available to the nurse practitioner at all times but not necessarily in person.
Can nurse practitioners practice independently in Colorado?Colorado allows nurse practitioners the ability to diagnose, treat and prescribe independently while creating an initial period of supervision for NPs in the beginning stages of their career.
|
Scope of practice nurse practitioner by state
Copyright © 2024 chuyencu Inc.
