The focus of this role analysis paper will be on the role of the family nurse practitioner (FNP), specifically within New Mexico, since the scope of practice can vary from state to state. An FNP, also referred to as simply nurse practitioner (NP) in many studies, is a nurse with an advanced practice degree as well as national certification. Their focus is on preventative care for people of all ages, from young children up to elderly adults. A majority of FNPs work in primary care clinics, but are not limited to this field, some also work within hospitals or in specialized clinics as well. When discussing the difference between the NP and the clinical nurse specialist, one study stated that "initially developed to meet the needs of underserved …show more content…
State and local legislatures also worked to get NP's more prescriptive privileges. (Marchione et al., 1980) Although many advances had been made within the role of the NP, there was still some confusion regarding their educational requirements as well as scope of practice. Then, more recently in 2008, The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education, further defined the role of the advanced practice registered nurse and its' educational requirements. The model defined the educational requirements as "formal education with a graduate degree or postgraduate certificate awarded by an academic institution and accredited by a nursing or nurse-related accrediting organization." (Summers, 2011, p. 11) It also requires that the curricula within these educational institutions comply with the "3 Ps: three separate comprehensive graduate-level courses (the APRN Core) in advanced physiology / pathophysiology, advanced health assessment, and advanced pharmacology." (Summers, 2011, p. 11) These continue to be the current educational requirements for the …show more content…
The American Nurses Credentialing Center is the one who provides the national board certification, which is accredited by the National Commission for Certifying Agencies and the Accreditation Board for Specialty Nursing Certification. The exam aligns with the Consensus Model for APRN Regulation and once achieved gives the applicant the title of Family Nurse Practitioner - Board Certified (FNP-BC). In order to be eligible to take the examination, the applicant must have a current RN license and have a master's or doctorate degree from an accredited FNP program. They must also have a minimum of 500 faculty-supervised clinical hours. Once certified, the FNP-BC is required to renew certification every 5 years. In order to do so, they must have completed 75 continuing education hours in their certified specialty, 25 continuing education hours of pharmacotherapeutics, hold a current RN license and ANCC certification as well as complete 1 of the other 8 potential renewal categories as found on the ANCC website. (American Nurses Credentialing Center Website,
Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.
The ANA standards of practice are rules and regulations. They are not actual laws. State laws are much harder to change and require legislative action to do so. The ANA has 15 standards of practice (1-6) and professional performance (7-15) which are: Standard 1 – Assessment, Standard 2 – Diagnosis, Standard 3 - Outcomes Identification, Standard 4 – Planning, Standard 5 – Implementation, Standard 6 – Evaluation, Standard 7 - Quality of Practice, Standard 8 – Education, Standard 9 - Professional Practice Evaluation Standard 10 – Collegiality, Standard 11 – Collaboration, Standard 12 – Ethics, Standard 13 – Research, Standard 14 - Resource Utilization, &Standard 15 – Leadership How often do RN’s renew their license and what is the consequence of not
Before working in the health care field, soon to be registered nurses have to follow procedures in order to achieve their current proposition. RNs are included as one of the certified occupations from predetermined standards, which is required by taking courses and final examinations. Students must graduate from an accredited program and obtaining an associate’s degree or bachelor’s degree in nursing. The nursing degree completion is subject to the will of determination in accomplishing the courses in two years to achieve an associate degree or four years for a bachelor’s degree. After graduating, candidates are advised to register for the computerized NCLEX-RN examination for a cost of $200.
According to the BON, the scope of practice for the RN is defined as, “the legal scope of practice for professional registered nurses (RNs). “Professional nursing” means the performance of an act that requires substantial specialized judgment and skill, the proper performance of which is based on knowledge and application of the principles of biological, physical, and social science as acquired by a completed course in an approved school of professional nursing. The term does not include acts of medical diagnosis or the prescription of therapeutic or corrective measures.” (bon.texas.gov,
Scope of Practice NP’s scope of practice can vary depending on which state they are licensed in. It is extremely important that the NP is aware of the laws and regulations that their state has implemented. Understanding the scope of practice allows you to understand what you can and cannot do as an NP. In Arizona, NP’s are board certified and are now required to take a national certifying exam (Buppert, 2015). NP’s in Arizona have an expanded scope of practice, they can assess, manage, diagnose, and prescribe medications to patients.
A family nurse practitioner (FNP) is a member of the health care team who provides quality and cost-effective care to patients across the lifespan, from newborn to old age. They provide care in various healthcare settings such as outpatient clinics, hospitals, community health centers and public health departments. They focus on disease prevention, health and wellness promotion. The FNP empowers patients through patient education and partnerships in clinical treatment decisions (Hamric, 2014; “Nurse Practitioner,” 2014). How does one become an effective Family Nurse Practitioner?
In conducting their duty, FNPs need to educate their patients frequently on certain issues including diet, and lifestyle issues relating to the patient’s health problem. The FNP role also requires the nurse to prepare patient educational material on proper medication and other issues relating the patient’s wellbeing. The FNP diagnoses patients, uncovers underlying medical complications, and plans a proper plan of care to ensure that the patient receives proper treatment. Additionally, FNPs constantly collaborate with other health care providers such as nurse practitioners with other specialties, physicians, nursing scholars, and the government. Apart from providing health care services, Family nurse practitioners are involved also involved in teaching of other FNPs, nursing research, patient advocacy, and policy creation at both the state and the national level (Nurse Journal,
This paper explores how the Affordable Care Act (ACA) addresses the Family and Medical Leave Act (FML) in regards to Advanced Practice Registered Nurses and Nurse Practitioners. Dietrich (2013) defined how The Family Medical Leave Act (FMLA) was enacted into law in 1993 to allow up to 12 weeks of time off for employees to care for themselves or immediate family members who had a serious medical condition. FMLA is not an anti-discrimination law, it is an entitlement law and a very complex one. The resulting
As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice.
The requirement of taking the NCLEX-RN is completing an approved nursing educational program follows the guideline and regulation established by the board of nursing (National Council of State Boards of Nursing, 2018). American Association of College of Nursing (2008) provides a framework for establishing a baccalaureate nursing program which comprises the expectation for coursework and clinical experience. Clinical experience is critical in nursing training for preparing the trainee to provide care to “a variety of patient across the lifespan and across the continuum of care” (American Association of College of Nursing, 2008, p. 33). Although the required clinical training hour is varied in each nursing program, it is essential and mandatory for all the curriculum. According to the curriculum for a four-semester Bachelor of Science in Nursing (BSN) from The University of Kansas School of Nursing, student has to have 687 hours of clinical and laboratory experience before graduation (The University of Kansas Medical Center, 2018).
New York provides an additional option for applicants that did not graduate from an education program registered by NYSED as qualifying for NP certification. The nurse must satisfy the pharmacology coursework requirement by demonstrating to NYSED that they
According to the Indiana Professional Licensing Agency (2015), in order to apply for prescriptive authority the advanced practice nurse needs at least 2 semester hours of a graduate level
Nurse Practitioner Interview I spoke with a friend’s sister, a recent graduate DNP, who works as a women’s health NP at a public health clinic system in Utah. Role The role of the women’s health care nurse practitioner can vary widely depending on the setting. J. Yale sees patients for both annual visits as their main care provider and for gynecological issues (personal communication, September 9, 2016). “Many people don’t realize you can do annual visits,” she said, “for example, I can treat someone for high blood pressure in the clinic, in an office setting.”
Licensed Practical Nurses take vital signs, give out medication and measure/monitor frequency and amounts, provide personal hygiene assistance to patients, supervise nursing assistants and aides, set up, clean up, and use catheters, oxygen supplies, and other equipment, and provide care and feeding to infants. They are required to know how to do these things and be certified in doing them. A Licensed Practical Nurse is required to have a diploma or certificate in practical nursing. All Licensed Practical Nurses are to take and pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN). This occupation can require a two year
APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with