Kelechi Eronobi Norwich University Nursing 523: Health Care System, Leadership Advanced Nursing Role August 15, 2021 Dr.David Bennett 2 Transition to Practice The future role I will be pursuing is that of a Nurse Practitioner (NP). Scope of Practice The Board of Registered Nursing (2011) says that a nurse practitioner is a registered nurse who possesses additional skills and preparation in physical diagnosis, psycho-social assessment, and management of health and illness needs in primary care. Licensing and Educational Requirements According to the California Legislative Information, to be certified as an NP, one has to have a valid and active RN license. Also, they will need a master’s degree in nursing, a master’s in a clinical field related to nursing, or a graduate degree in nursing. Lastly, they will need to complete a nurse practitioner program provided by the board (California Legislative Information, n.d). Then to renew a license, in addition to the renewal fee, the person needs to submit proof of completing 30 hours of a Board-approved continuing education course (California Code of Regulations, n.d). Continuing education courses can include activities including nursing practice and/or research. Business and Professional Guidelines One professional guideline outlined is that one should not refer to themselves as a nurse practitioner unless they have been licensed and have met the standards to become a nurse practitioner. In addition, an NP can be authorized to approve, sign, modify, or add to the plan of treatment after consultation with a treating physician or surgeon (Board of Registered Nursing, 2013) Standards and Guidelines for Nurse Practitioners 3 The American Association of Nurse Practitioners (AANP) outlines standards of practice for nurse practitioners. An NP blends the scientific process, current evidence, and national standards of care with a holistic approach to manage patient care and foster professional practice (AANP, 2019). In addition, the practice model of an NP focuses on patient-centered holistic health care. This includes patient and family education, facilitating shared decision making, promoting optimal health, providing continuous competent care, facilitating patient entry into the healthcare system, and creating/promoting a safe and welcoming environment. In addition, the NP also has interprofessional and collaborative responsibilities in that they will need to interact with professional colleagues from other specialties to provide quality patient-centered care. An NP should also maintain accurate documentation regarding their patients. They should act as an advocate for their patients. They recognize the importance of continued education as a way of quality assurance and continued competence. Lastly, an NP uses research as a basis for their practice. Prescribing Guidelines for Drugs and/or Devices According to the Board of Registered Nursing (BRN, an NP must register with the United States Drug Enforcement Administration before they can issue drug orders for controlled substances. Nurse practitioners registered to order can do so from Schedule II through Schedule V controlled substances. It is further limited because the drug ordered must be agreed upon by the NP and attending physician (BRN, 2011). Lastly, the drug ordered should address the diagnosis of illness, injury, or condition it was ordered for. Standardized Procedures Standardized procedures are the legal authority to go beyond the usual scope of a registered nurse. While the scope of practice of an NP is quite similar to that of an RN, they must 4 rely on standardized procedures for authorization to perform overlapping medical functions. Although, the nursing practice act (NPA) gives authority for nursing functions that are needed to provide primary health care. Without standardized procedures, an NP is legally susceptible regardless of being a certified RN. Ethical Considerations In 1950, the American Nurses Association developed the formal nursing code of ethics for nurses. This code was created as a guide to what nurses should be aware of during their practice. The four main principles of the code are autonomy, beneficence, justice, and nonmaleficence. Autonomy is respecting the patient’s right in decision-making. Beneficence is acting for the good and wellbeing of the patient. Justice means that there should be an element of fairness regarding all nursing decisions and care (Gaines, 2021). Lastly, nonmaleficence means doing no harm to the patient. Ethical considerations are important to all healthcare workers including nurse practitioners. 5 References American Association of Nurse Practitioners. (2019). Standards of practice for nurse practitioners. American Association of Nurse Practitioners. https://www.aanp.org/advo cacy/advocacy-resource/position-statements/standards-of-practice-for-nurse-practitioners. Board of Registered Nursing. (2011, April 13). General information: nurse practitioner practice. https://www.rn.ca.gov/pdfs/regulations/npr-b-23.pdf. Board of Registered Nursing. (2013, September 11). Nurse practitioners: laws and regulations. https://www.rn.ca.gov/pdfs/regulations/bp2834-r.pdf. Gaines, K. (2021, July 22). What is the nursing code of ethics? Nurse.org. https://nurse.org/education/nursing-code-of-ethics/. Thomas Reuters Westlaw. (n.d.). § 1451. license renewal requirements. California Code of Regulations. https://govt.westlaw.com/calregs/Document/IABB628A0D48E11DEBC0283 1C6D6C108E?viewType=FullText&originationContext=documenttoc&transitio nType=CategoryPageItem&contextData=%28sc.Default%29&bhcp=1. Thomas Reuters Westlaw. (n.d.). § 1451.2. continuing education courses. California Code of Regulations. https://govt.westlaw.com/calregs/Document/IAC960150D48E11DEBC0283 1C6D6C108E?viewType=FullText&originationContext=documenttoc&transitio nType=CategoryPageItem&contextData=%28sc.Default%29&bhcp=1.
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