Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples. 1 Response for each discussion. Discussion 1 and 2 Discussion 1 APRN Board of Nursing Regulations in Kansas and Missouri MAIN QUESTION POST- Throughout history, defining APRNs scope of practice has been an ongoing issue in different states. According to Loversidge (2019), the actual practice acts are inevitably a product of individual states political forces, so titles, definitions, criteria for entrance into practice, scopes of practice, reimbursement policies, and models of regulation are state-specific (p.63). APRN regulations are state-specific and can differ in multiple ways. In Kansas, it is important to know the license renewal regulations. When renewing your license in Kansas, you must complete 30 hours of continuing nursing education about the advanced practice registered nurses role (Kansas Administrative Regulations, n.d.). Also, you cant roll-over continuing nursing educations hours from different years. If the Kansas Board of Nursing asks for proof of the education you completed, you must provide it. As an APRN in Kansas, when prescribing controlled substances, you must put the D.E.A. registration number issued to the advanced practice registered nurse (Kansas Administrative Regulations, n.d.). When prescribing medications, it is crucial to know the rules behind what an APRN can and cannot prescribe and the correct way to fill out prescriptions. In Missouri, as an APRN, you do not have to do continuing nursing education hours to renew your license. Also, in Missouri, APRNs do not have the authority to prescribe schedule II controlled substances. Only being one state apart shows that each state defines its regulations for APRNs. In Missouri, when renewing your license, you need to know your RN license expires every odd-numbered year on April 30th and you must keep your RN license current to maintain your APRN recognition (State of Missouri Advanced Practice Registered Nurse Document of Recognition Renewal Instructions, n.d.). In Kansas, when renewing your license, you need to know advanced practice registered nurse licenses shall be renewed on the same biennial cycle as the cycle for the registered professional nurse licensure renewal (Kansas Administrative Regulations, n.d.). As you can see, each state has specific regulations on when to renew your license, which shows the importance of researching your state board of nursing regulations. Regulations for Advanced Practice Registered Nurses (APRNs): Legal Authority to Practice When it comes to allowing full practice authority for APRNs it differs from state to state. Not all states allow full practice authority as an APRN and this causes a barrier to the accessibility and affordability to health services for low income citizens (Bosse et al., 2017).With the shortage of primary care doctors, the states that do not allow full practice authority limit healthcare access to their vulnerable populations (Bosse et al., 2017). The regulations of license renewal requirements and the ability to prescribe controlled substances apply to all APRNs, depending on their educations and state laws. Even though they differ by state, APRNs need to abide by the rules for renewing and keeping their current licenses, such as through education hours and meeting renewal deadlines. When prescribing controlled medications following the rules for what to write, such as DEA numbers or the physician they are working under, is essential for APRNs. Researching and understanding your state board of nursing APRN regulations is crucial for your success in your career as an APRN. Discussion 2 Comparison between South Carolina and North Carolina Nursing Regulations South Carolina, my home state, is a part of AANP Region 4, which includes KY, NC, SC and TN. Nurse Practitioner in South Carolina Practice Authority Written protocol with a physician is required. The protocol must outline information for delegated medical acts and a description of how consultation with the physician is provided. The protocol must be reviewed annually. Prescriptive Authority Drugs and devices prescribed must be within the NPs specialty and listed in the written protocol developed by the NP and the supervising physician. An NP may also prescribe Schedules II-V controlled substances. Nurse Practitioner as a Primary Care Provider NPs are recognized in state policy as primary care providers. The South Carolina Medicaid Provider Manual lists the provider types that may enroll as a primary care provider. (Scope of Practice Policy.2020) Nurse Practitioner in North Carolina Practice Authority Collaborative practice agreement required between the NP and the supervising physician. The agreement must establish minimum standards of consultation and must be reviewed yearly. Prescriptive Authority The drugs and devices an NP may prescribe must be outlined in the collaborative practice agreement. Schedules II-V controlled substances may be prescribed if outlined in the agreement. Nurse Practitioner as a Primary Care Provider NPs are recognized in state policy as primary care providers. Primary care means preventive, diagnostic, treatment, consultant, referral and other services rendered by physicians, physician assistants and nurse practitioners. (Scope of Practice Policy.2020) In the states of South Carolina and North Carolina nurse practitioners are not allowed to practice to their full scope of practice without the oversight of a Medical doctor. As far as I can tell through some research is that only 14 states allow for nurse practitioners to practice without physician oversight. These states include Alaska, Arizona, Hawaii, Idaho, Iowa, Montana, New Hampshire, New Mexico, North Dakota, Oregon, Rhode Island, Utah, Washington, Wyoming. (Beckers, 2019). While I feel that having no limits on my education and training in the practice setting, I think that have a physician to collaborate with will help me with the anxiety of being an autonomous provider. I might can see where this may get redundant when becoming a more experienced family nurse practitioner. In both SC and NC, the NP can prescribe Schedules II-V controlled substances within the scope of the agreement guidelines with overseeing physicians. Both states only allow for no more than a 30-day supply of these medications. It is the position of AANP that NP prescriptive authority be solely regulated by state boards of nursing and in accordance with the NP role, education and certification. (AAPN.2020). Both states recognize nurse practitioners as a primary care provider. Therefore, allowing reimbursement from Medicaid and Medicare and private insurance companies. For nurse practitioners wanting to open their own practice in the states of NC and SC would have to live with in 45 miles of the overseeing physician. If this were ones goal to own their own practice it would probably be a lot less headache to do so in one of the states that allow full scope of practice with out an agreement with a physician.
Why Choose Us
Top Quality and Well-Researched Papers
An important research paper due imminently? We have your back! Simply request help from an expert whose expertise is verified. We employ Bachelor's, Master's, and Ph.D. graduates with years of expertise in the industry of professional writing. Before they begin writing for us, we verify their credentials and conduct assessments to ensure they can consistently provide the highest quality content. Before submission, your research article will also be examined by the quality control team.
Professional and Experienced Academic Writers
We firmly believe that all of our clients deserve to excel in both their academic careers and, in the future, their professional life, and we are glad to assist them in achieving that goal. We have curated a team of subject-oriented academic writers who have been carefully selected to ensure that we deliver the best quality papers you can expect from a professional writer. Writing essays, completing extensive research, and performing complex calculations are all areas of expertise for every one of our specialists. They have a lot of experience in their industries. They are capable of completing any writing assignment within the allotted time limit. They enjoy what they do and are always striving to better their knowledge and abilities in research and writing. Contact us to hire our academic help services at the drop of a hat.
Free Unlimited Revisions
Our primary goal is to ensure our customers are delighted; therefore, we endeavor to offer an excellent service. Essaywriter4me's revision policy allows customers to receive free changes within ten days of the due date. You can request a free revision of your order if you believe we made a mistake. Log in to your personal account.
Prompt Delivery and 100% Money-Back-Guarantee
Are you having trouble completing your MBA project case studies and assignments? Due to a lack of time, are you unable to research? In need of a company that provides high-quality custom writing services at reasonable prices? Contact Essaywriter4me and get Take the help of a professional assignment help writer. The length, difficulty, and deadline all factor into how much time it takes to prepare and polish an essay. Completing technical assignments sometimes takes longer than expected. On the other hand, our writers and supervisors will do everything in their power to meet your deadlines. We can produce a finished article within four hours without sacrificing quality.
Original & Confidential
We check online first. Second, we examine our database of completed orders to ensure that you always receive original content. Every assignment is written from scratch by Essaywriter4me writers and double-checked with our plagiarism detection software. We never send pre-written essays or papers that include copied content. This originality report is available upon request, providing you full trust in the quality of our writing. We guarantee that all information provided or shared with us will remain confidential since we never share it with a third party. You are not concerned about what will happen to the data. PayPal and the bank protect your funds, so there is no risk of fraud or deception. Students love us due to our stringent confidentiality policies. Whatever occurs here is strictly confidential between you and us.
Customer Support 24/7
We have a team of dedicated customer care representatives eager to help you with the best-suited assignment help services, each of which is tailored to each client's unique needs. You can contact them via email, phone, or live chat if you need help with a particular subject. At Essaywriter4me, you'll have access to an expert 24 hours a day, seven days a week! Our expert writers are also available around the clock, no matter the time of the day or night. Choose between scheduling a tutoring session or getting immediate help when you need it most. We always have experts available to work around your schedule, no matter what time of day!
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
Hire an assignment writing expert to get a well-written project before the deadline. Request "write my essay" today. Our academic writers have worked in this field for years; they are familiar with the most common formatting standards. These include but are not limited to MLA, APA, Harvard, and Chicago/Turabian formats.
Our writers are chosen from a pool of qualified candidates, with just the top two percent gaining employment with our paper writing service. This implies that every writer you hire will be eager to discuss your needs and construct a flawless paper that leaves you entirely satisfied. Start by placing an order, or contact customer service for additional information about our experts.
Admission and Business Papers
Applying to college or university requires much effort and accountability. Every applicant should persuade the admissions committee with their reasons for pursuing a degree in a particular program. Please familiarize yourself with why an application essay writing service is an excellent choice for you.
Our admission essay writing service will help you effectively present yourself. It is hard to find legit online expert college application essay writers. At our service, we offer high-quality cooperation based on extensive experience and a strict confidentiality policy. The price per page varies depending on the writer's experience and the urgency of the job. Therefore, you can request, "Please write my application essay," and find the best available writer.
Editing and Proofreading
We are an award-winning group of talented editors and reviewers serving over 10 thousand clients in 100 countries. Exclusively for professors, lecturers, post-doctoral researchers, research students, and commercial clients, Essaywriter4me offers professional academic proofreading and English language editing services. Our objective is to address the increasing demand for English-language services among academics and business people worldwide.
We specialize in academic proofreading and English language editing for authors of dissertations, Doctoral dissertations, journal articles, books, journal articles, essays, and other professional documents, such as research projects, in the Social Sciences, the Sciences, and the Humanities.
If you believe your paper needs some modification, you can request a review. Our specialist writers are familiar with all academic formats, including MLA, APA, CSE, and Chicago. We collaborate to improve your writing. If you didn't start your paper the night before, you've come to the proper place. Our academic revision service is available 24/7. Simply place your order now.