The Relationship Between Standards Practice And Standards Of Care

The Scope of Practice describes the procedures, actions, and processes that a healthcare practitioner is permitted to undertake in keeping with the terms of their professional license (Wikipedia). Stories such as Delean Botkins’ is a primary example of why the Scope of Practice needs to be terminated once and for all. The Scope of Practice is causing a shortage of medical help, can cause more harm than good, inconsistent, unfair, and most of all, unnecessary. APN nurses should not only be able to, but should be encouraged to practice to the fullest extent of their education and

When nurses are held to a professional standard, staffing becomes safer and more efficient. The professional standard created by the American Nurses Association Code of Ethics (ANACEN) for Nurses is commonly used. The standard is made up of nine points that ensure patients will receive the highest quality of care. The purpose of the standard is to determine whether nurses have the assets, abilities, responsibility, and expertise to make judgments concerning professional practice and optimum care for patients and families (Clevenger, et al. 2005). The goal of safe staffing is to provide optimal care for patients and the patients’ families, so facilities should invest in nurses with a high degree of professionalism who can

The scope of practice changes from state to state and it is good that we have the Nurse Practice Act of the state that we practice at the tip of our fingers because these laws are written by the board of that state to implement the standards of practice that is required. Further more, Federal too have their laws

Advanced practicing registered nurses (APRNs) serve essential roles in providing acute care, pediatric care, maternity care, chronic disease management, adult primary care, and mental health treatment. They are registered nurses who have additional training, education, and certification in a given field of practice. There are many potential issues which can influence their practice setting. This paper covers the legislative issues affecting advanced practice nursing formulates a possible policy change to address that matter. Legislative Issues Affecting Advanced Practice Nursing Legal issues affecting advanced practice nursing refer to the policies or laws enacted by legislatures to give guidelines in the field of advanced practice nursing.

Regulatory and legal requirements in Florida for an Advanced Registered Nurse Practitioner, according to the Florida Board of Nursing (2014) are as follows:

Defining the scope of practice for an advanced practice nurse (APRN) can be a difficult task. Currently, in the United States, each state has its own policies regarding APRN scope of practice. State policies/laws vary from restrictive to independent. States under a restrictive policy of APRN scope of practice may have strict physician collaboration regulations. For example Missouri requires the collaborating physician to review a percentage of charts and be within so many miles of the APRN’s work place. Restrictive scope of practice can also limit prescriptive authority and decrease reimbursement of services (Hain & Fleck, 2014). States with more independent scope of

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 CNO outlined professional standards for nurses to comply with. The seven that are outlined are accountability, continuing competence, ethics, knowledge, knowledge application, leadership, and relationships. “A standard is an authoritative statement that sets out the legal and professional basis of nursing practice” (College of Nurses of Ontario, 2009, p. 3). Although each standard has different meaning, they all work together in order to provide the best possible patient care.

Being a former nursing student in the state of Pennsylvania I have had the Nursing Practice Act of Pennsylvania. Before this assignment I knew little of the Pennsylvania laws and absolutely none of the state of Florida. Every state has their set of laws, which is referred to the Nursing Practice Act. Every nursing student must have a copy. The nursing practice act ensures that anyone practicing does not fall below the minimum competency and does not present danger to the public, and anyone who does will be prohibited from practicing (Nurse Practice Act, 2007, p.7). Nurses have a legal liability to advocate for patients, and provide safe administration of medications, and provide quality, nursing care to patients

The Advance Practice Nurse has a long and interesting history. Advanced practice nursing has gone from women being trained by physicians to administer chloroform to, in some states, having their very own practice. The term of advanced practice did not begin until the 1980s, prior to that the advanced practice nurse was described as having an extended or expanded role. While the advanced practice nurse had finally gained a name for their role there are currently several definitions to define this ever changing field. There is currently no standardized definition of the Advanced Practice Nurse (APN). Three definitions of advanced practice will be described and reviewed within this text.

In the practice of nursing there are governing bodies that set policies that healthcare professionals have to follow. The legal mandates that regulate nurse practitioners are there for a multitude of reasons, namely, to ensure that proper licensing is acquired, ensure that nurses are practicing at their training and education level, to avoid legal issues, and to include Nurse practitioners as primary care providers among other things (Buppert, 2014). The state laws that govern nurse practitioners in their respective states have the most authority over their practice, however, private organizations and government agencies may also have policies that influence the scope of practice for nurse practitioners, and some professional nurse organizations and societies have taken on other components that are part of the scope of practice for nurse practitioners. This paper discusses the regulating bodies at the state and federal level that guide nurse practitioners, the impact of the Nurse Practice Act on NP scope of practice, and the legal mandates that allow nurse practitioners to practice in California.

I admit that I have not read the Florida Nurse Practice Act (NPA) in its entirety before this class and it has been about seven years since I studied the guidelines applied to registered nurses. As Jeremy mentioned in his essay, not only do RN’s fall under the NPA regulations, but also Certified Nursing Assistants (CNA), Advanced Registered Nurse Practitioners (ARNP), and Medical Assistants (MA). I proceeded to read the rules that each must follow and found it necessary that there be a law that regulates their scope of nursing as well. Furthermore, it is essential that standards are set under the state’s NPA for each of these healthcare workers to be subjected to disciplinary action to protect patients. According to the Florida NPA, if any of these workers are found guilty of misconduct, “the board of nursing is authorized to deny, suspend, or revoke that individual's certification”, and “the board may also impose an administrative fine or probation or restriction of the certification as well” ("Ch-6 Florida Nurse Practice Act and Scope of Nursing," 2013).

nursing care.” The guidelines of the NPA and its rules provide safe parameters within which to

The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse’s decision-making (“American Nurses Association,” 2010).

In recent years, APRNs have been very vocal through many nursing coalitions and associations. The voices of all ARNPs seeking full practice authority has been heard with the proposed bills. The Florida Panhandle Nurse Practitioner Coalition (FRNPC), has given information to all ARNPs to keep ahead in legislative issues. A white paper published by the American College of Physicians have been shared to all Floridian ARNPs through the