How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay
Please answer these two post for me
Dicussion post- 1
Nurse Practitioner in Texas
Acquiring an Advanced practiced Registered Nurse Certification and License
The initial requirement for an advance practice nurse to be certified is to accomplish an advanced practice nursing program in an educational accredited institution. Graduating from this institution authorizes individual to engage in the certification examination that will agree to be nationally certified in the specific area of practice. To acquire your license, individual must accomplish an online application on the Texas Board of Nurse website. There are some stipulations that need to be successful such as a transcript from when individual completed his/her APRN graduate degree with a specific date of degree attainment. All degrees obtained must be included even from different institution. In addition, you must furnish evidence of your certification within the scope of practice specific to what you are applying. Also, your “Consent to Release information” must be done and a $100 fee for application of APRN license without Prescriptive authority and $150 including prescriptive authority.(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
Application for the APRN Certification
The entire APRN license application is completed on Texas Board of Nursing website. One must initially create credentials of username and password in nurse portal account. Via the portal, the individual will be prompt to apply for 6-month APRN license. The mode of the application is followed in 3 proceedings. The first is to select the APRN role and specific patient population wish to be licensed. You will complete general information such as your name, gender, race and contact information. The last spectrum of the application via online is the eligibility stage. At this level, you will be prompted to upload a copy of your national certificate. There will be questions provided to answer to determine your eligibility of permit. Also, a Consent to Release information form sent directly to program an individual who foresee the program in your school responsible for sending the required documents to the Texas Board of Nursing. This is the link of the Texas board of Nursing https://www.bon.texas.govLinks to an external site..(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
The integrate practice Agreement
A nurse practitioner is not allowed to practice independently in Texas, and such makes the scope of practice limited. Nurse practitioner must work under the supervision of physician within 75-mile radius. A physician is only allowed to supervise no more than four APRN (Campo et al., 2019). According to Texas Nursing Act, a physician must provide a consent of prescriptive delegation of nurse practitioner called collaborative delegation consent (Campo et al., 2019).(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
Acquiring the DEA number and the Prescription Monitoring Program in Texas
To be eligible for DEA license, one must acquire a master’s program in an accredited institution and passed certification examination. The application will be done online that will prompt you to provide personal information. Also in the application, the individual will provide a background of controlled substance license. At the completion of the application, individual will make a payment online and wait for approval. Texas state has a program called prescription monitoring that manages and supervisor inputs regarding to substances that are proceed in the jurisdiction of Texas State. Also, this program provides a database to providers that enables them to monitor the prescription history of patients.(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
Prescribing Controlled substances
Nurse practitioner with a license is allowed to prescribe some controlled substances according to prescriptive authority. Although NPs are allowed to provide some controlled substances, there is some limitation that NP can prescribe. APRNs can prescribe schedule III, IV and V only under the following conditions: The quantity of medication provision to supply to patient must not exceed 90 days (Thomas & Thomas, 2018). In some circumstance, the ARPN must consult a physician if there is a need to refill medication for patient following the 90- day supply. Also, NPs are limited to prescribe controlled substance to children under the age of 2 years without physician endorsement and must be transcribe in the patient’s chart. When it comes to schedule II-controlled substances, NPs are allowed to prescribe controlled substances only if located in a health care facility (Thomas & Thomas, 2018). In this situation, the prescriptive authority is restricted to clients admitted to emergency unit in the facility. In addition, they are restricted to clients admitted to the facility and either hospitalized for 24 hours or under hospice care.(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
Regulations and Challenges Affecting Independence practice.
As provided above, in Texas state, NPs are supervised by a physician before allowed to work (Martin & Alexander, 2019), therefore cannot work independently. One presenting factor that has precipitated to the persistence of this ruling is the consistent halt of effort that NPs have made to change the policies to pave a way for them to conduct their responsibilities without physician supervision (Martin & Alexander, 2019)(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
There are some interesting aspects I did not realized during my entire research. One is the fact that there are different fees for APRN licenses with and without prescriptive authority. Also, I discovered that the fee for application process is not refundable, therefore each and individual must be diligent on information input with the application process to avoid making mistakes.(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
References
Campo, T. M., Carman, M. J., Evans, D., Hoyt, K. S., Kincaid, K., Ramirez, E. G., Roberts, E., Stackhouse, K., Wilbeck, J., & Weltge, A. (2019). Scope of Practice for Emergency Nurse Practitioners. Advanced Emergency Nursing Journal, 38(4), 252–254. https://doi.org/10.1097/TME.0000000000000126Links to an external site.
Thomas, K. A., & Thomas, M. B. (2018). The Texas Board of Nursing Responds to Disaster. Journal of Nursing Regulation, 9(2), 41–46. https://doi.org/10.1016/S2155-8256(18)30116-9Links to an external site.
Martin, B., & Alexander, M. (2019). The Economic Burden and Practice Restrictions Associated With Collaborative Practice Agreements: A National Survey of Advanced Practice Registered Nurses. Journal of Nursing Regulation, 9(4), 22–30. https://doi.org/10.1016/S2155-8256(19)30012-2(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
Discussion post 2
How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay
In the state of South Carolina, Advanced Practice Registered Nurses (APRNs) are licensed by the South Carolina Board of Nursing. Practice agreements include protocols and guidelines for APRNs to adequately and safely deliver care. South Carolina requires nurse practitioners to sign collaborative practice agreement with a physician that is not only licensed and certified but also practicing within a similar scope to that of the nurse practitioner. The collaborative practice agreement explains the scope of practice that nurse practitioner will be practicing within(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay). Upon successfully completing the Psychiatric-Mental Health Nurse Practitioner Certification exam through the American Nurses Credentialing Center (ANCC) Certification Program, one can apply for a license in the state of South Carolina through the South Carolina Board of Nursing online application. The process for certification in my state involves completing the application, which consists of applicant identifying information, education history, record of examination, record of licensure, employment history, personal history information, specialty area, advanced practice employment, certifying statement, and affidavit of eligibility. Along with the application, a recent full faced passport type photo, copy of a current SC RN license, official transcripts, copy of specialty certification through a board-approved credentialing organization, and application fees will also be needed to be submitted to the SC Board of Nursing. Upon successful submission of application, it can take approximately 2-4 weeks to receive licensure in SC. The South Carolina Board of Nursing for APRNs is https://llr.sc.gov/nurse/aprn.aspxLinks to an external site..(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
The state of SC defines the scope of practice of a nurse practitioner in which an APRN that is licensed by the SC Board of Nurse can practice within the full scope of practice. This includes ordering and interpreting diagnostic procedures; conducting an advanced assessment; providing a diagnosis; prescribing, ordering, administering, and dispensing therapeutic measures and pharmacological agents, including over-the-counter, legend, and controlled substances medications; delegating and assigning therapeutic measures to assisting personnel. A practice agreement in South Carolina should include the following:(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
o Name, address, and South Carolina license number of the nurse and the supervising physician;
o The nature and scope of the practice;(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
o Practice location for the nurse and the physician;
o Explanation of how consultations will occur with the physician;
o Allowance for an alternate physician as back-up, if the primary physician is not available
o Date of the original agreement and dates of any amendments;(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
o Medical conditions for which treatment may be initiated, continued, or modified;
o Treatments that may be initiated, continued, or modified;(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
o Medication that may be prescribed;(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
o And any situations that may require direct evaluation by or referral to the supervising physician and/or another medical provider.
After receiving an SC APRN license number and practice agreement, one may register for prescriptive authority. For prescriptive authority, proof of completion of forty-five (45) contact hours of education in pharmacotherapeutics, completed application, and required fee must be submitted. Once prescriptive authority is obtained and prior to applying for a DEA license, one can apply for the Controlled Substance Registry through South Carolina Department of Health and Environmental Control (DHEC). After obtaining DHEC licensure one is able to apply for the federal DEA controlled substance license. The application can be completed online on the U.S. Department of Justice’s website. The DEA licensure application requires personal information, state licensure in the start registering, background information, and payment.(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
South Carolina utilizes the following prescription monitoring program: South Carolina Reporting & Identification Prescription Tracking System (SCRIPTS). SCRIPTS aids the state in identify and stopping diversion of prescription drugs. A SCRIPTS report will display information for controlled substance (CII-CIV) prescriptions a patient has had filled, the prescriber, and the dispenser. In the state of South Carolina, APRNs are able to provide a 5-day prescription supply of schedule II controlled substances and a 30-day prescription supply of schedule III, III-N, IV, and V controlled substances.(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
South Carolina, amongst a few other states, imposes some of the most restrictions for APRNs to practice. Through the years, various barriers, that are imposing a burden to practice and impeding access to care, for APRNs in South Carolina have been removed. It was to my surprise to discover, prior to change in laws, South Carolina APRNs were to only practice within 45 miles of a collaborating physician. This prevented APRNs to provide care in rural communities in SC. Such restrictions imposed upon APRNs can not only decrease access to healthcare but also negatively impact job satisfaction.(How to Acquire an Advanced Practiced Registered Nurse Certification and License Essay)
Frequently Asked Questions
What is the highest certificate in nursing?
The highest certificate in nursing is typically the Doctor of Nursing Practice (DNP) degree, which focuses on advanced clinical practice, leadership, and research within the nursing field. It is a terminal degree that prepares nurses for roles in advanced practice, administration, education, and healthcare innovation.
How do I get an APRN license in Florida?
To obtain an Advanced Practice Registered Nurse (APRN) license in Florida, you typically need to complete a graduate-level nursing program, pass the required national certification exam for your chosen APRN specialty, submit an application to the Florida Board of Nursing, and meet any additional state-specific requirements. It’s recommended to review the latest guidelines and requirements from the Florida Board of Nursing for the most accurate and up-to-date information.
What does an advanced nurse practitioner do?
An advanced nurse practitioner is a highly trained and specialized healthcare professional who is authorized to diagnose and treat medical conditions, prescribe medications, and provide comprehensive care to patients. They often work independently or collaboratively with physicians to deliver advanced healthcare services and improve patient outcomes.
What is the role of the APN?
The Access Point Name (APN) is a gateway that connects a mobile device to the internet or a specific network, enabling data communication and services such as browsing and messaging. It directs data traffic between the mobile network and external networks like the internet, allowing seamless connectivity and data exchange.
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