Reply to two Discussions

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DISCUSSION POST # 1 Reply to Minu

Standardized procedures refer to rules and protocols developed by organized health care systems to carry out standardized process functions. Standardized procedures are the legal framework that allows registered nurses and nurse practitioners to conduct duties that would otherwise be deemed medical practice. Health facilities, acute care clinics, home health agencies, physician's offices, and public or community health services are all part of organized health care systems. Nursing, medicine, and administration must work together to design standard operating procedures in the structured health care system where they will be used. Because of this multidisciplinary collaboration for formulation and approval, there is responsibility on several levels for the registered nurse and nurse practitioner's work (Vanderpool, 2021). 

The registered nurse practitioner can conduct tasks that would otherwise be classified as the practice of medicine with the use of standardized procedures. According to California Code of Regulation CCR 1480, the nurse in the state is given complete practice power and can utilize their nursing expertise to assist in managing and providing care. They are also used to evaluate nurse practitioners' responsibilities, projects, and practices in particular. In California, a surgical nurse practitioner is permitted to do all surgical procedures in addition to opening wounds, suturing them, administering suction, and using laparoscopic instruments (Sobel and Fogarty, 2020). 

A nurse practitioner's capacity to engage in at least one aspect of their profession is restricted by state practice and license requirements in states other than California. A Summary of the Laws in Other States State laws governing the range of practice for NPs vary greatly. The nurse practitioner must enter into a legally binding, long-term collaboration agreement with another nurse in order to deliver healthcare services. Where I will be working, Florida, has various laws and regulated procedures. Since January 1, 2017, advanced registered nurse practitioners (ARNPs) in the state of Florida are permitted to prescribe Schedule II, Schedule III, or Schedule IV restricted medications. In the state of Florida, psychiatric nurse practitioners are permitted to prescribe specific prohibited substances. All APRNSs in Florida were required to complete 3 hours of continuing education on the safe and effective prescription of controlled substances. Additionally, after they had earned their certification, APRNs were only permitted to prescribe controlled substance medications for a maximum of 7 days (Florida Board of Nursing, 2023).

DISCUSSION POST # 2 Reply to Shanine

The California Standard Procedures are guidelines that outline the roles and scope of practice for Nurse Practitioners (NPs) in California, as well as how those duties should be developed, performed out, and regulated. In California, NPs are required to adhere to a set of standards. Their primary duty is to independently identify, manage, and treat patient illnesses. In order to maintain consistency and high-quality service in the settings, the standard approach exists to ensure that providers such as NPs follow the standard procedure. Additionally, this helps NPs implement therapies and make clinical decisions based on their expertise and knowledge (California Board of Registered Nursing, n.d.). I currently reside in California and this is where I also intend to work as a nurse practitioner.

Standardized processes have significance for ensuring patient safety and increasing the effectiveness of NPs' skills and knowledge. By following these principles, NPs can deliver efficient and appropriate treatment to patients in primary care and specialized settings. Keep in mind that standard practice should be examined, updated, and maintained on a regular basis in compliance with state law and regulation. In fact, a new law (AB. 890) was signed in September 2020 by Governor Newson that allows NPs in California to diagnose, prescribe, and treat patients without the oversight of a physician. There are two categories in AB 890. The first category only permits NPs to practice in a group environment with at least one physician and excludes the use of standard procedures. The second group consists of NPs with valid, unrestricted licenses who have met certain requirements, such as three years or 4600 hours of direct patient care. This legislation significantly changed the practicing environment for nurse practitioners in California, which also enhances their professional capabilities and increases their level of accountability for patient care (California Board of Registered Nursing, 2023).