Nursing and State Level Regulations Essay Assignment

Nursing and State Level Regulations Essay Assignment

State Boards of Nursing (BONs) are there for each of the states in the US. They serve to protect the public by overseeing the regulation of nursing practice, licensure, discipline issues, and the strict adherence to the state’s Nurse Practice Act (NCSBN, 2022). Advanced practice nurses can practice in three practice environments depending on the state. These are full practice authority (full autonomy), reduced practice, or restricted practice (AANP, 2022; Peterson, 2017). The last two require supervision by a practicing physician with whom one must have a paid for collaborative agreement. The BON for the state of California is the California Board of Registered Nursing. Nursing and State Level Regulations Essay Assignment

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Regulations for Nursing Practice in the State of California

According to the California Nursing Practice Act (NPA) that is found in the California Business and Professions Code, two regulations are in force concerning the state’s practice environment for advanced practice registered nurses or APRNs. First is that the state is a restricted practice state. This is the most restrictive practice environment and it means that the APRN must practice under the lifetime supervision of a practicing physician (CBRN, 2022). What this means is that the APRN cannot even order diagnostic tests such as MRIs and CT scans without the approval of the supervising physician. The other regulation concerns prescriptive authority. The APRN is only allowed to prescribe (and even then under the physician’s supervision) scheduled III and IV medications. They cannot prescribe schedule II medications such as morphine at all. Nursing and State Level Regulations Essay Assignment

Comparing the Stat of California and Maryland

While California is a restricted practice state, Maryland is a state that allows for full practice authority (FPA) as per its Nursing Practice Act and regulations (AANP, 2022; ANA, 2022; NCSBN, 2022). This means the APRN in Maryland does not have to consult any physician or even enter into any collaborative agreement with them. They can order diagnostic tests, interpret them, prescribe, and follow up autonomously. According to Bosse et al. (2017), in order for APRNs to have any meaningful impact in terms of bridging the primary health care gap for vulnerable and marginalized populations there must be FPA. This, as per Milstead and Short (2019), is why nurses must always engage in advocacy and lobbying to have all states change their legislation to favor FPA for APRNs. Nursing and State Level Regulations Essay Assignment

References

American Association of Nurse Practitioners [AANP] (2022). State practice environment. https://www.aanp.org/advocacy/state/state-practice-environment

American Nurses Association [ANA] (2022). Welcome to the American Nurses Association. https://www.nursingworld.org/ana/

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. https://doi.org/10.1016/j.outlook.2017.10.002

California Board of Registered Nursing [CBRN] (2022). Nursing Practice Act. State of California. https://www.rn.ca.gov/practice/npa.shtml

Milstead, J. & Short, N. (2019). Health policy and politics: A nurse’s guide, 6^th ed. Jones & Bartlett Learning.

National Council of State Boards of Nursing [NCSBN] (2022). The world leader in nursing regulatory knowledge. https://www.ncsbn.org/index.htm

Peterson, M.E. (2017). Barriers to practice and the impact on health care: A nurse practitioner focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74-81. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995533/ Nursing and State Level Regulations Essay Assignment