After attending the Arizona State Board of Nursing meeting through live stream on September 18, 2015 at approximately eleven in the morning, I had the opportunity to witness how the board enforces all the rights and regulations of the Nurse Practice Act and upholds the requirements set for each standard. The board consists of the board president Randy Quinn, RN, MSN, CRNA, the boards vice president Carolyn Jo Mccormies, RN, MS, FNP-BC, Kathryn Busby, J.D., Public Member, Lori A. Gutierrez, BS,RN-C,DON-CLTC,CBN, Terri Berrigan, LPN, C-AL who is the board secretary, Patricia Johnson, LPN, M. Shawn Harrell, RN, MS, Charleen Snider, BSN,RN , Dr. Kimberly A. Post, DNP,MBA/HCM,RN,NEA-BC, and Leslie Dalton, MSN, RN. Nine out of the ten board member were in attendance and conducting rulings in this particular meetings.
In the beginning of the meeting on September 18th the board addressed the investigative reports of CNA, RN, AP license holders due to specific acts these nurses did during practice that disregarded the regulation of the Nurse Practice Act. For example, David Dane Ryer was a RN and AP license holder. He was under investigation because he was prescribing himself different forms of medicine and was practicing outside of his scope of practice. He had a previous hearing with the board to discuss this issue and ended up walking out before the hearing was concluded. This action then confirmed for the board that he lack self-control and ultimately caused the board to revoke
If the defendant would have adhered to the numerous safeguards for nurses, it could have prevented the alleged wrongdoing. According to the American Nurses Association’s Code of Ethics for Nurses, nurses must advocate for proper assistance for coworkers when indicated. This supports nurses in early recovery when they return to work (O’Neil, 2015). If the coworkers of the defendant would have recognized her issue and spoken up prior to December 9th. 2015, than this hearing could have been prevented. It is the nurse’s ethical responsibility to safeguard the patient, the public, and the profession from prospective harm when a nurse appears to be impaired. This can be
This paper explores the perception of clinical practitioners to the change in policy related to the advanced practice registered nurse (APRN) full practice authority. The author conducts a one-on-one, open-ended interview of 5 nurse practitioners and 5 physicians licensed to practice in Maryland on their perceptions of the recent passage of the Advanced Practice Registered Nurse Full Practice Authority. A literature review was conducted in a policy report by the professional nursing organization, and discussion within the peer-reviewed article supported an overview, regulatory differences among 50 states, including the District of Columbia. Their policy implication for enhancing APRNs role nationally. The author discusses a critical component
The Arizona State Board of Nursing (AZBN) is an organization that protects the public by ensuring that all nurses holding a license or certificate are competent to practice safely. The board approves education programs and also regulates the practice of nursing (Arizona State Board of Nursing, 2012). The board holds a meeting almost every month to discuss issues and rule on present cases. The purpose of this paper is to identify and discuss agenda items of the attended Arizona State Board of Nursing’s monthly professional meeting.
The Kentucky Nursing Board oversees the delegation of the entire practice and its practitioners in accordance to the KRS Chapter 13A. Only competent nurses perform selected nursing situations under the supervision and persuasion of proper administrative policies promulgated in accordance to the board. This set of laws do affect the way that nurse practitioners carry out their clinical, administrative and teaching registered nursing practices. The laws integrate nursing skill, training
As resistant as some states’ legislative and regulatory bodies are to grant APNs autonomy of practice, the damage being done by over-regulation is clear (Safriet, 1992). Physicians are forced into a position to either supervise the APN’s practice or be constantly consulted for approval of their practice decisions. Safriet (1992) described that in and of itself, this constant supervision may appear to patients that the APN is not competent to provide adequate or care equivalent to that of a physician. If the role of the APN is to bridge gaps in health care by relieving the medical establishment of some of the patient load by performing the same function as a physician in a primary care setting, it seems wholly unnecessary to restrain their scope of practice in those areas. This type of restrictions affect cost and patient care accessibility (Safriet, 1992). This was a problem stated in the article, however 25 years later, populations of patients remain unseen or cared for and APNs continue to be underutilized (Safriet, 1992). Rigolosi and Salmond (2014) cite the American Association of Nurse Practitioners (AANP) when they state that not utilizing nurse practitioners due to practice restrictions costs $9 billion annually in the US (p. 649).
Since the inception of the Nurse Practitioner (NP) role in the 1960s, NPs have thrived in the delivery of primary healthcare and nurse case management. Despite patient satisfaction with NPs ' style of care, nurses have been critical of NPs, while physicians have been threatened by NP encroachment on MD practice. Balancing assessment, diagnosis, and treatment with caring defines NPs ' success as primary care providers. Understand the role and Scope of Practice of NPs is sometimes difficult for some to understand. The purpose of this paper is to define the role and history of NP, compare and contrast licensure versus certifications, understand NP Scope Of Practice and Standards of Care, discuss how the State Practice Acts regulate FNP practice, discuss credentialing and privileging, and differentiate between legislative and regulatory processes.
Cherry, B., & Jacob, S. (2008). CHAPTER 8 Legal Issues in Nursing and Health Care. In Contemporary Nursing: Issues, Trends & Management (5th ed., p. 185, p. 222). St. Louis, Mo.: Mosby/Elsevier.
State law is made up of two different forms: statues and regulations (Buppert, 2015). Under the established rules and regulations, an ARNP can: (a) monitor and alter drug therapies; (b) initiate therapies for certain diagnosis’; (c) perform additional functions as may be determined by rule; (d) and order diagnostic tests and appropriate therapies (The Florida Legislature, 2016). A practitioner licensed under chapters 458, 459 or 466, must maintain supervision for directing certain course and medical treatment (The Florida Legislature, 2016). Within the context of advanced nursing practice and the Florida Statues chapter 464.003(2), an ARNP may diagnosis, treat, alter medication regimes, diagnose, prescribe and operate, which are approved by a joint committee composed of three members appointed by the Board of Nursing, three members appointed by the Board of Medicine and the State Surgeon General or his/her designee (The Florida Legislature, 2016). On the other hand, the federal government regulates nurse practitioner practice through statutes passed by Congress and regulations (Buppert, 2015). According to Buppert (2015), federal law can override state law, and when federal and state law conflict with one another, federal law usually triumphs. Due to these state and federal statutes and regulations, this can impose a huge threat and impact to NP practice since the BON and the Nurse Practice Act usually help
The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The Practice Act is located in the California Business and Professions Code starting with Section 2700. Regulations that specify the implementation of the law appear in the California Code of Regulations ("Board Of Nursing", n.d.). What is the NPA? How does it affect nurses? What are the requirements for getting a nursing license from the Board of Nursing? All of these are important questions for someone to ponder when considering joining the nursing
According to this Act the nurses are well-positioned to lead in providing essential prevention and wellness services and care coordination for individuals and families. The law improves opportunities for the nurse to provide quality of care. This will increase availability for the growing number of people needing basic health services. The nurses need to provide education to the people, they have greater protection against losing or being denied health insurance coverage, and better access to primary and preventive services Nurses role to prepare herself as a leader, administrators, and researchers who can improve care processes and related disease around outcomes and cost. And need to provide education about the ACA benefits. All nurses
The meeting I attended was the Arizona State Board of Nursing via livestream on September 17, 2015. This meeting is open to the public to attend or watch online livestream which is what I did. The members of attendance were: Board President Randy C. Quinn, RN, MSN, CRNA, Board Vice President Carolyn Jo McCormies, RN, MS, FNP-BC, Board Secretary Terri Berrigan, LPN, C-AL, and Board Members Lori A. Gutierrez, BS, RN-C, DON-CLTC, CBN, Jana Machesky, LPN, Kathryn L. Busby, J.D., Dr. Kimberly A. Post, DPN, MBA/HCM, RN, NEA-BC, M. Shawn Harrell, RN, MS, and lastly Melinda Pheanis Preston, DNP, APRN, PMHNP-BC. According to the Arizona Board of Nursing mission statement their organization protects and promotes the welfare of the public ensuring that each person holding a nursing license of the practice of nursing license or certificate is competent to practice safely (“Mission Statement,” n.d.). The purpose of these board meetings is to discuss any regulations that need investigating so they keep the nursing standards to protect the public. This involves bringing forth nurses to discuss any disciplinary actions that have been brought up against them or that needs further review.
Affordable Care Act (ACA), and the aging of the population are the three major factors driving healthcare costs at this time (CMS, 2014). The nursing profession has the ability to contribute to refining the cost-effectiveness and efficiency of care through the delivery of evidenced-based treatment strategies to known populations with communal needs, and by advocating for polices that address the fundamental aspects that influence health and healthcare (Curley & Vitale, 2016, p. 5). The NE must be well-informed of laws entrenched in policy, as well as those central to both healthcare delivery systems and payment structures. Having knowledge of policy and law will enable the nurse leader to provide financial stability and sustain quality
First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet
A profession can be defined as a “prestigious occupation with a high degree of identification among its member that requires a length and rigorous education in an intellectually demanding and theoretically based course of study; that engages in rigorous self-regulation and control; that holds authority over clients; and that puts service to society above simple self interest” (Schwirian, 1998, p. 6). Nursing is just that, and with its specific body of knowledge, standards, and codes of ethics, it is only fitting that it be self-regulated (College of Nurses of Ontario, 2012). The College of Nurses works with registered nurses, registered practical nurses, and nurse practioners to determine whether or not standards and best practices are met and that the public’s safety is protected.
The American Nurses Association (ANA) is a full-service professional organization that symbolizes the interests of registered nurses through its constituent and state nurses associations. The ANA implements the nursing profession by raising high standards of nursing practice, honoring the rights of nurses in the work field, promoting a positive and realistic view of nursing, and by pushing the Congress and regulatory agencies on health care issues affecting nurses and the public. Their mission statement is, “Nurses advancing our profession to improve health for all.” Some of ANA’s main focuses are reformation of the health care system so that it delivers primary health care in the communities, growing roles for