State APN Practice Privileges and Prescriptive Authority.

Posted: January 8th, 2023

State APN Practice Privileges and Prescriptive Authority.

 

Week 4: Discussion Question 2 – Green, Yellow, Red: State APN Practice Privileges and Prescriptive Authority Points: 20 | Due Date: Week 4, Day 5 & 7 | CLO: 2 | Grade Category: Discussions Discussion Prompt Determine your states practice environment color – green, yellow, or red. Discuss how your states is an independent practice or practice restricted state. Describe the prescriptive authority for your state. (For California Students) Review the CA Standardize Procedures requirement of NPs and discussion the meaning of Standardize Procedures (California BRN – Standardized Procedures Guideline) .

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State APN Practice Privileges and Prescriptive Authority. (For States other than California Students) Identify one (1) barrier to practice and a strategy to address the removal of the identified barrier. Review the American Association for Nurse Practitioners ‘State Practice Environment’ Map and determine your states color – green, yellow, or red. Review a second time the Nurse Practice Act in your State for Advanced Practice to assist you in answering the questions in the discussion. Expectations Initial Post:State APN Practice Privileges and Prescriptive Authority.

State APN Practice Privileges and Prescriptive Authority

The APN practice authority is regulated by the state. The American Nurses Association defines the level of practice authority for nurse practitioners as restricted, reduced, or full as determined by the capability to perform patient assessment and diagnosis, provide treatments and prescribe medications (Stewart & Dennert, 2016).  Pennsylvania is a yellow state meaning that APNSs have reduced practice authority.State APN Practice Privileges and Prescriptive Authority.   In reduced practice, state law reduces the capability of APNs to perform one or more elements of the APN practice.   To be able to offer patient care, the nurse practitioner is mandated to have a collaborative agreement with an outside health discipline (AANP, 2019).  In Pennsylvania APNs are required to work under physician supervision and possess a collaboration agreement, with the supervising physician.  As Buppert (2017) indicates, a collaborative agreement is a document that is written and signed by the collaborating physician and a certified registered nurse practitioner (CRNP) outlining details of their collaboration and tasks that the CNRP can perform.State APN Practice Privileges and Prescriptive Authority.

APNs in Pennsylvania IN Pennsylvania, APNs might prescribe schedule two to five controlled drugs, devices and as outlined in the collaborative agreement. According to Buppert (2017), a CNRP with an active prescriptive authority from the Pennsylvania board of nursing might engage in prescription, dispensation, and administration of drugs and corrective or therapeutic measures in accordance with the prescriptive authority as outlined in the collaborative agreement and pertinent to the specialty of the CNRP.State APN Practice Privileges and Prescriptive Authority.

The restrictive regulatory environment is a key barrier that prohibits APNs from practicing to full capacity. The current Pennsylvania law makes it mandatory for a nurse practitioner to work under physician supervision which reduces the ability of nurse practitioners to practice and prescribe independently (Carthon et al., 2016).  This barrier can be addressed by introducing a bill that will eliminate the requirement for APNs to work under physician supervision when providing patient care.

State APN Practice Privileges and Prescriptive Authority.

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