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Nursing Scope Of Practice Synopsis

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Department of Nursing: Scope of Practice Synopsis In every state, nurses must follow their state's board of nursing's scope of practice guidelines. When a facility, or specifically the nurse, fails to follow this protocol, the patient could be harmed, which might lead to a malpractice lawsuit. In addition, this can lead to a significant loss of revenue for the facility. Furthermore, it can place a great deal of financial strain on the nurse. Hence, it is extremely important that nurses follow not only their facility policies and state regulations, but also their facility policies and procedures. I will now incorporate a thorough review and differentiate the regulations for licensed, practical and registered nurses. Conduct and Accountability …show more content…

Additionally, nurses collaborate with interdisciplinary teams to promote optimal patient outcomes and adhere to institutional policies and regulatory guidelines. Through their unwavering dedication, nurses contribute to the delivery of safe, compassionate, and patient-centered care. Practice of Professional Nursing (Registered Nursing) The practice of professional nursing for registered nurses encompasses a multifaceted role dedicated to promoting and restoring health, preventing illness, and providing compassionate care to individuals, families, and communities across diverse healthcare settings. Registered nurses (RNs) serve as frontline caregivers, utilizing their specialized knowledge, clinical skills, and critical thinking abilities to assess patient needs, develop care plans, and deliver evidence-based interventions tailored to each patient's unique circumstances. Beyond direct patient care, RNs also engage in health promotion and disease prevention initiatives, educate patients and their families about managing chronic conditions, and collaborate with interdisciplinary healthcare teams to coordinate comprehensive

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According to Buppert (2017), federal laws prevail over state laws when clarifying what rules the advance practice registered nurse (APRN) must follow. There are several guidelines listed within the Consensus Model for APRN that was created in 2008 by the APRN Consensus Work Group and the National Council of State Boards of Nursing APRN Advisory Committee (American Associations of Nurse Practitioners, 2017). I have listed several of the regulations that the APRN must follow below. • There is no standardized uniform model that regulates all APRN’s across the nation. Each state individually determines the legal scope of the APRN practice.

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Nurse practitioners will be present at all outpatient locations functioning as primary care providers in family practice and other practice settings (pediatrics, geriatrics, acute care, and other specialties). CNMs will be providing midwifery care along with primary health care of women. Nurse-midwives in United States have demonstrated excellent results in their field of practice throughout the years, especially attending to underserved, uninsured, low-income women (Lindeke, Fagerlund, Avery, & Zwygart-Stauffacher, 2010). CNSs will serve the role of case managers and care coordinators mainly at the hospital leading discharge planning of those patients with complex health problems. CRNAs will provide their services at the hospital for the patients in the intensive care unit.

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In this section, I will start to talk about the nurse practice act and how it improves patient care around the world. The Nurse Practice Act is laws that define responsibilities of the nurse and the scope of practice within their range. The range of activities and services as well as the qualifications for practice. The act describes what constitutes unprofessional conduct of misconduct and investigation and the disciplinary procedures for complaints filed against a nurse. These acts are in place to protect patients and families from harm as a result of unsafe or incompetent practices of unqualified nurses.

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However the ANA and provision 6 of the code of ethics speaks to the moral obligation of Nurses to do what is right (ANA, 2015, p. 23). I would have a discussion with my preceptor regarding current practice and ask where to find the current policy. After reviewing guidelines, I would talk with the unit educator regarding the current use of standard care plans. According to the ANA Scope and Standards of Practice there are two tenets of practice that stand out. First “nursing practice is individualized”, and second “Registered nurses use the nursing process to plan and provide individualized care for healthcare consumers” (ANA, 2015, p.8).

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The Nurse Practice Act is a specific set of rules and regulations. The purpose is to oversee the safe practice of nursing and safety of the public. NPA lists the standards and scope of nursing practice, along with requirements for licensure, the types of titles and licenses and educational standards. The Nurse Practice Act is a nurse’s guide to safe practice (Russell, K. 2012).

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The various nursing roles include decision-making, patient safety, safe environment, communicate effectively with the healthcare team, and participate in updating healthcare policies and procedures. Registered nurses can build their clinical and professional capabilities through education, clinical experience, a context of practice, relevant legislation and the employment setting to develop skills that remain within the legislated professional practice standards, codes, and competencies. RNs should only deliver care within their scope of practice. A tool such as a decision-making framework and decision-making tools are developed by NMBA to guide nurses in making decisions about their scope of practice. RNs should be accountable for any decisions they make in their nursing practice and should be able to justify their decisions based on the code of ethics and professional conduct, evidence-based practice, policies and procedures of the workplace setting.

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For this discussion I will be defining the nurse’s scope of practice based on our reading assignment and describe the California nurse’s scope of practice. I will also describe my experience as a student during clinical where I believe I applied the California nurse’s scope of practice. Lastly, I will provide my opinion on why I believe every nurse should be aware of their state’s nursing scope of practice. The American Nurses Association (2010) book states that the nurse’s scope of practice is a guide or a set of regulations to deliver safe care to clients.

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As a nurse you must follow your own states guidelines to protect the public from harm. I fallow the California State Board guidelines for nursing. Nurses must follow this rules because we pose a risk to the public every time we provide care. These guidelines provide parameters in which nurse can work in. At the same time, it protects patients from unsafe nursing practices.

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According to the California Board of Registered Nursing (2011), “An Explanation of the Scope of RN Practice including Standardized Procedure” documentation defines the scope of practice for RNs licensing in California also explains the process of determining if a standardized procedure is required. It is RNs’ responsibilities and accountabilities to enforce the Nurse Practice Act (NPA) pertaining to the specific state for nursing practice within the scope of educational level and entitled licensure allowed. In addition, “Code of Ethics for Nurses” (American Nurses Association [ANA], 2015) provides guide indicating how to care patients with ethical obligations. An organized health care system such as health care facility, clinic, home health

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The American Nurses Association’s (ANA) scope of practice casts a large net that captures the concept of holistic nursing, along with a multitude of challenges that can vary from day to day. Utilizing the nursing process, the nurse gathers hard indisputable facts, as well as makes observational assessments of the mood, character, overall appearance, and so on. As such, each patient interaction may pose a challenge for the competency of the nurse, but with each challenge comes an opportunity for professional and personal growth (American Nursing Association, 2010). The nurse who is aware of these challenges may then seek answers through education, further development of a skill set, or even participate in an evidence based research project to contribute new knowledge of a problem that may have a solution. The ANA’s scope of practice adds that the position of the nurse is an integral part of a team of healthcare professionals all working toward a common goal to serve the needs of the patient (American Nursing Association, 2010).

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Therefore, I work by following the rules and regulations based on said Act. Week 7 lecture states, "The nurse is authorized by the Nurse Practice Act to be the care coordinator and have broad decision-making authority

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The NMBA RN Standards of Practice have several standards that relate to the importance and the continuation of learning new knowledge practices for RN’s (Registered nurse standards for practice, 2016). If nurses adhere to the full 20 hours of CPD opportunities, it will profoundly support standard 3.7 which “Identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people”, although, this is not also limiting to Standards 2.7 (Ensuring safety, learning and sharing of knowledge for person-centred care), 3.3 (The continuation of CPD) and 6.1 (Providing a safe quality nursing care in order to meet agreed health outcomes) (Registered nurse standards for practice, 2016). It is essential for all nurses to comply with the NMBA standards provided as it secures the continuation of providing safe care within a health system (Registered nurse standards for practice, 2016). From the knowledge gathered from CPD courses, they are able to make an informed planning decision (Australian Health Practitioner Regulation Agency, 2017).

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In collaboration with other medical personnel, nurses engage in the development and enactment of patient care plans. Furthermore, they provide education to families and groups on various health issues such as disease prevention, among others. Scope of Practice The nursing scope of practice gives a precise definition of the strict duties of a registered nurse practitioner. It is obligatory for these professionals not to engage in medical activities that go beyond their scope of practice.

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A nurse must keep up to date on education and new processes in health-care, so they can provide the best care. As a nurse, you have promised to give each of your patients the best care that can possibly be given. Nurses must follow a code of ethics, to act safely, provide ethical care no matter how they feel about the patient or the reason they are in your care. Following this code of ethics shows your commitment to caring for people and society, it is a guide of ethics and standards to follow to keep everyone safe. Nursing is also a wonderful opportunity to meet hundreds of people from almost every nationality and every walk of life.

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Importance of nurses A nurse is a health care professional who is engaged in the practice of nursing. Nurses are men and women who are responsible (along with other health care professionals) for the treatment, safety and recovery of acutely or chronically ill or injured people, health maintenance of the healthy, and treatment of life-threatening emergencies in a wide range of health care settings. Nurses may also be involved in medical and nursing research and perform a wide range of non-clinical functions necessary to the delivery of health care. Nurses develop a plan of care, sometimes working collaboratively with physicians, therapists, the patient, the patient 's family and other team members.

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