ANP-650 TOPIC 1 DQ 2

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ANP-650 topic 1 dq 2

ANP-650 topic 1 dq 2
ANP-650 topic 1 dq 2
Topic 1 DQ 2
For California-based learners, review the advanced practice rules for nurse practitioners in California using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.
In your response, acknowledge that you have read the Nurse Practice Act for California. Identify the professional codes and business practices regulated by the California Board of Nursing for nurse practitioners. Explain how standardized procedure guidelines are governed within California, detail at least two standards for nurse practitioners outlined by the California Board of Nursing, and discuss the regulations of furnishing and ordering medications, drugs, and devices within the state. How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.
For learners based in states other than California, review the advanced practice rules for nurse practitioners in your respective state using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.
In your response, identify the state in which you practice and acknowledge that you have read your state’s Nurse Practice Act. Identify the professional codes and business practices regulated by the state for nurse practitioners and explain how invasive procedure privileges are granted within your state. Detail at least two standards for nurse practitioners within your state and discuss the regulations for ordering medications and devices within your state. How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.
ANP-650 topic 1 dq 2 sample
I am a California-based learner, and I acknowledge that I have reviewed the advanced practice rules for nurse practitioners in California using the resource “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.
The professional codes and business practices regulated by the California Board of Nursing for nurse practitioners can practice under the supervision of a physician and order durable medical equipment but are subject to any limitations outlined in the standardized procedures. This is after a physical examination by the nurse practitioner and collaboration with a physician and surgeon. Additionally, after the patient has a consultation with the treating physician and surgeon, NP can approve, sign, modify, or add to a treatment plan or care plan for individuals receiving home health or personal care services. The furnishing or ordering of drugs or devices by a nurse practitioner also occurs under physician and surgeon supervision. The board charges the initial application fee is at most one thousand five hundred dollars ($1,500) or more than one thousand dollars ($1,000) for a renewal application. There may be a penalty fee for failing to renew a furnishing number within the prescribed time of at most five hundred dollars ($500). Drugs or devices furnished or ordered by a nurse practitioner may include Schedule II through Schedule V controlled substances under the California Uniform Controlled Substances Act. NP must obtain a Drug Enforcement Administration (DEA) number to order control substances and the signature when prescribing drugs for purposes of the Health and Safety Code. There are specified educational requirements that must be met by the furnishing NP who wishes to “order” Schedule II Controlled Substances. (GCU, 2021).
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California is 1 of 22 states and the only western state restricting NPs by requiring them to work with physician oversight. Much research has linked such restrictions to fewer NPs, poorer access to care for state residents, lower primary care use, and higher hospitalization and emergency department visits. Although dozens of studies demonstrate that the quality of NP care is comparable to that of physician care and that there is no difference in care when there is no physician oversight, advocates of the scope of practice restrictions continue to argue that oversight is necessary for quality care (Spetz, 2019).
Assembly Bill 890, signed by California Governor Gavin Newsom in 2020, was enacted in January 2023. A new law allows NPs who have completed 4,600 hours or three years of full-time clinical practice in California will be authorized to apply for the first group of California’s new expanded practice authority. NPs can gain full-practice authority in two phases (Munday, 2023):
·      In the first phase, NPs work without physician supervision for three years at certain practices where a physician or surgeon also practices. This phase allows NPs to practice independently, but they can consult a physician if needed.
·      After those three years, nurse practitioners gain full-practice authority without any restrictions. Approximately two-thirds of California’s NPs could gain full-practice authority by 2026.
NPs with full-practice authority can practice within the scope of their NP license without an oversight physician. They can diagnose patients, order tests, prescribe medications, and perform physical exams. Nevertheless, full-practice authority under this law or any other law does not give NPs added duties outside an NP license’s scope of practice. It also does not eliminate the need for providers to collaborate. Collaborating with physicians and other healthcare providers is part of the NP preparation. The collaboration will still play a significant role for many NPs who choose to practice autonomously within a practice with other healthcare providers (Munday, 2023) ANP-650 topic 1 dq 2.
References:
GCU. (2021). Board of Nursing Links for AGACNP Practice Considerations. https://www.gcumedia.com/lms-resources/student-success-center-content/documents/conhcp/Board-of-Nursing-links-by-states.pdf
Munday, R. (2023). California expands nurse practitioner practice authority. NurseJournal.https://nursejournal.org/articles/california-expands-nurse-practitioner-practice-authority/  ANP-650 topic 1 dq 2
Spetz, J. (2019). California’s nurse practitioners: How scope of practice laws impact care. CHCF. https://www.chcf.org/publication/californias-nurse-practitioners/
 
ANP-650 topic 1 dq 2 sample 2
I have accessed the website and have read the Nurse Practice Act.
Professional codes and business practices are thoroughly regulated by the Arizona Board of Nursing (AZBN) with regulations, roles, and functions, related to each type of nurse practitioner, such as ACNP, FNP, RNP, etc. The Acute Care Nurse Practitioner (ACNP) is allowed to provide many services in healthcare including “the diagnosis and management of acute, chronic, and complex health problems, health promotion, disease prevention, health education, and counseling to individuals, families, groups and communities” (American Association of Nurse Practitioners [AANP], 2019), while the Arizona State Board of Nursing (AZBN, 2021) states they “provide health care services across the continuum of care from wellness to illness, including preventive, chronic, and acute conditions”. As far as invasive procedures go the NP is allowed to provide these additional skills but only in those that they have been educationally prepared to do so, through academic coursework, continuing education, or through competencies that are during supervised clinical practices (Arizona State Board of Nursing, 2021).
Arizona standards of prescribing medications include that a nurse practitioner (NP) has to apply through the Arizona Board of Nursing (AZBN) for prescribing authority however; prior to applying they have to have completed 45 hours of education in drug therapy, or pharmacology, within three years preceding the application (Arizona State Board of Nursing, 2021). ANP-650 topic 1 dq 2 Once this application has been processed NP’s need to apply for their drug enforcement administration license, which for any NP that will be prescribing schedule II-controlled substances they will need to complete a minimum of 3 hours continuing education on opioid or substance use disorder and/or addictions. After obtaining the DEA license a NP should also register with the Controlled Substance Prescription Monitoring Program (CSPMP) to help mitigate the risk of causing harm from prescribing controlled medications to their patients and the public (Arizona State Board of Nursing, 2021).
References
American Association of Nurse Practitioners. (2019). Scope of Practice. https://storage.aanp.org/www/documents/advocacy/positionpapers/ScopeOfPractice.pdf
Arizona State Board of Nursing. (2021). APRN Questions & Answers. https://www.azbn.gov/sites/default/files/202107/APRN%20Scope%20of%20Practice%20Q%26A%20FINAL.pdf  ANP-650 topic 1 dq 2

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