Discussion Board - Peer Reply
ligiarivera
InstructionsReply2.docxInstructions Reply # 2
Respond to a colleague and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region (Florida). Be specific and provide examples. At least 2 references
Joshua Leasure
Legislation and regulations, two terms used to describe the process and rules to follow, “protects the interests of public safety” (Milstead & Short, 2017, p. 58). Legislation is described by Milstead & Short (2017) as “both a bill-in-progress and a law that has been enacted”. A regulation can be defined as “a rule or order issued by an executive authority or regulatory agency of a government and having the force of law” (Merriam-Webster, n.d.). The board of nursing (BON) is a regulatory agency that oversees advanced practice registered nurse’s (APRNs) scope of practice. “There are 60 boards of nursing (BON) in the United States, including those in the 50 states, the District of Columbia, and the U.S. territories” (Milstead & Short, 2017, p. 66). Each of these boards create their own regulations on how an APRN shall practice and is why there are differences is practices from state to state. Ohio and Arizona are two states I wanted to research regard regulation governing the practice of nurse practitioners.
One regulation that has a lot of momentum to change is the restriction for full-practice authority (FPA). In Ohio, APRNs are not able to practice without the supervision of a collaborating physician. “A nurse authorized to practice as a certified nurse practitioner, in collaboration with one or more physicians or podiatrists, may provide preventive and primary care services, provide services for acute illnesses, and evaluate and promote patient wellness within the nurse's nursing specialty”. (Lawriter, n.d.a., C section). In Arizona, an APRN does not need to be supervised by a physician to provide care as stated in Arizona State Legislature (n.d.a.) “a registered nurse practitioner makes independent decisions in solving complex patient care problems”.
Another Ohio APRN regulation is the authority to prescribe medications. According to Lawriter, (n.d.b.), “the prescriptive authority of a clinical nurse specialist, certified nurse-midwife, or certified nurse practitioner shall not exceed the prescriptive authority of the collaborating physician or podiatrist”. According to Arizona State Legislature (n.d.), a registered nurse practitioner shall “prescribe, administer, and dispense therapeutic measures, including legend drugs, medical devices and controlled substances within the scope of registered nurse practitioner practice”.
Restricting authority to practice is under debate. The Institute of Medicine (IOM) “called for the removal of laws, regulations, and policies that prevent advanced practice registered nurses (APRNs) from providing the full scope of health care services that they are educated and trained to provide” ((Fauteux et al., 2017, para. 1). If APRNs in Arizona and the other 21 states had to adhere to the regulations in Ohio, there could be many Americans without primary care in those less restricted states. Promoting FPA is a positive campaign that would bring better access to healthcare for Americans struggling to find a primary care provider.
References
Arizona State Legislature. (n.d.). View Document. https://www.azleg.gov/viewDocument/?docName=http://www.azleg.gov/ars/32/01601.htm
Fauteux, N., Brand, R., Fink, J., Frelick, M., & Werrlein, D. (2017, February 28). The case for removing barriers to aprn practice. RWJF. https://www.rwjf.org/en/library/research/2017/03/the-case-for-removing-barriers-to-aprn-practice.html
Lawriter. (n.d.a.). 4723.43 Scope of specialized nursing services. LAWriter Ohio Laws and Rules. http://codes.ohio.gov/orc/4723.43v1
Lawriter. (n.d.b.). 4723.481 Authority of A.P.R.N. designated as clinical nurse specialist, certified nurse-midwife, or certified nurse practitioner to prescribe drugs and therapeutic devices. LAWriter Ohio Laws and Rules. http://codes.ohio.gov/orc/4723.481v1
Milstead, J. A., & Short, N. M. (2017). Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.
Bottom of Form
In
str
uctions
Re
ply
#
2
Respon
d
to
a
colleague
and explain how the regulatory environment and the
regulations selected by your colleague differ from your state/region
(Florida)
. Be specific
and provide examples
.
At least
2 references
Joshua
Leasure
Legislation and regulations, two terms used to describe the process and rules to follow,
“p
rotects the interests of public safety” (Milstead & Short, 2017, p. 58). Legislation is
described by Milstead & Short (2017) as “both a bill
-
in
-
progress and a law that has been
enacted”. A regulation can be defined as “
a
rule
or
order
issued
by
an
executiv
e
authority
or
regulatory
agency
of
a
government
and
having
the
force
of
law
”
(Merriam
-
Webster,
n.d.).
The
board
of
nursing
(BON)
is
a
regulatory
agency
that
oversees
advanced
practice
registered
nurse’s
(APRNs)
scope
of
practice.
“There
are
60
boards
of
n
ursing
(BON)
in
the
United
States,
including
those
in
the
50
states,
the
District
of
Columbia,
and
the
U.S.
territories”
(Milstead
&
Short,
2017,
p.
66)
.
Each
of
these
boards
create
their
own
regulations
on
how
an
APRN
shall
practice
and
is
why
there
are
differences
is
practices
from
state
to
state.
Ohio
and
Arizona
are
two
states
I
wanted
to
research
regard
regulation
governing
the
practice
of
nurse
pra
ctitioners.
One
regulation
that
has
a
lot
of
momentum
to
change
is
the
restriction
for
full
-
practice
authority
(FPA).
In
Ohio,
APRNs
are
not
able
to
practice
without
the
supervision
of
a
collaborating
physician.
“A
nurse
authorized
to
practice
as
a
certifi
ed
nurse
practitioner,
in
collaboration
with
one
or
more
physicians
or
podiatrists,
may
provide
preventive
and
primary
care
services,
provide
services
for
acute
illnesses,
and
evaluate
and
promote
patient
wellness
within
the
nurse's
nursing
specialty
”. (La
writer, n.d.a., C section). In
Arizona, an APRN does not need to be supervised by a physician to provide care as
Instructions Reply # 2
Respond to a colleague and explain how the regulatory environment and the
regulations selected by your colleague differ from your state/region (Florida). Be specific
and provide examples. At least 2 references
Joshua Leasure
Legislation and regulations, two terms used to describe the process and rules to follow,
“protects the interests of public safety” (Milstead & Short, 2017, p. 58). Legislation is
described by Milstead & Short (2017) as “both a bill-in-progress and a law that has been
enacted”. A regulation can be defined as “a rule or order issued by an executive
authority or regulatory agency of a government and having the force of law” (Merriam-
Webster, n.d.). The board of nursing (BON) is a regulatory agency that oversees
advanced practice registered nurse’s (APRNs) scope of practice. “There are 60 boards
of nursing (BON) in the United States, including those in the 50 states, the District of
Columbia, and the U.S. territories” (Milstead & Short, 2017, p. 66). Each of these
boards create their own regulations on how an APRN shall practice and is why there are
differences is practices from state to state. Ohio and Arizona are two states I wanted to
research regard regulation governing the practice of nurse practitioners.
One regulation that has a lot of momentum to change is the restriction for full-practice
authority (FPA). In Ohio, APRNs are not able to practice without the supervision of a
collaborating physician. “A nurse authorized to practice as a certified nurse practitioner,
in collaboration with one or more physicians or podiatrists, may provide preventive and
primary care services, provide services for acute illnesses, and evaluate and promote
patient wellness within the nurse's nursing specialty”. (Lawriter, n.d.a., C section). In
Arizona, an APRN does not need to be supervised by a physician to provide care as
