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3 pages/≈825 words
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Style:
APA
Subject:
Health, Medicine, Nursing
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Essay
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English (U.S.)
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Assignment 2: Week 9 Practicum Journal: State Practice Agreements

Essay Instructions:

In many states, nurse practitioners are completely autonomous professionals. In other states, however, NPs have a wide range of “restrictive” practice ranging from requirements for a “supervising” physician to requirements for a “collaborative” agreement with a physician.
In this Practicum Journal Assignment, you will examine the requirements of your own state in order to prepare yourself for the realities of practice upon graduation.
Learning Objectives
Students will:
Analyze state PMHNP practice agreements
Analyze physician collaboration issues
Analyze barriers to PMHNP independent practice
Create plans for addressing state PMHNP practice issues
To Prepare for this Practicum Journal:
Review practice agreements in your state.
Identify at least two physician collaboration issues in your state.
For this Practicum Journal:
Briefly describe the practice agreements for PMHNPs in your state.
Explain the two physician collaboration issues that you identified.
Explain what you think are the barriers to PMHNPs practicing independently in your state.
Outline a plan for how you might address PMHNP practice issues in your state.

Essay Sample Content Preview:

State Practice Agreements
Name
Institutional Affiliation
The capacity of nurse practitioners to perform to the full extent of their training is the matter that affects NPs worldwide. As acknowledged in current interviews with some Colorado's nurse practitioners, the effort for full practice authority is significant to assist in meeting the developing demand for qualified providers and to keep costs low with safe, operative healthcare services. While the Institute of Medicine, AARP, and other bodies advocate for granting full practice authority (FPA) to nurse practitioners, various physician groups still fight these efforts. According to Buppert, 2017, greatest challenge is getting the NP groups to understand that they are not in competition with each other. As a team, they need to work collaboratively with each other to improve the health of various patients. This paper will focus on agreements that govern the practice for NPs in California.
California was the very first State to approve the nurse practitioner role. Since then, the State has incorporated Nurse practitioners as qualified health care providers and falls unevenly in the middle of the range of the level of individuality it offers to NPs (Buppert, 2017). The scope of practice laws was established as a legal framework in order to control the delivery of medical services. These agreements include the full range of licensed healthcare providers, such as dental hygienists, to physicians. Such laws vary from one state to another. Most State allows health care professions broad to engage in the services they need to offer while others establish strict limits.
California's Nurse Practitioner Supervision and Prescribing Laws
In California State, PMHNP is governed by the state nurse practice Act. The Board of Nursing has broadcasted regulations that require the PMHNP to perform under standardized processes for authorization to work overlying medical functions. This agreement requires that PMHNPs work the collaboration with the physician and follow the standardized methods established through collaboration amongst managers and healthcare providers such as physicians and surgeons. In California, NPs must gain extra certification from the BRN devices under standardized processes established with the overseeing physician and surgeon (Lugo, O'Grady et.al.) As collaborators, physicians usually take the lawful role for the NP's practice and are required to regulate the suitable level of supervision, frequently communicate with the Nurse Practitioner, and manage the Nurse practitioner's practice and quality of care. More than a third of NPs in California report that they always involved in the improvement of standardized processes.
There are no guidelines regarding nearness to the NP, and thus a physician can offer supervision slightly. In 2016, 70% of California NPs suggested that their collaborating physician practiced in a similar area they did, while 10% of NP reported that their collaborating physician was at a different practice. One particular area of regulation concerns the prescribing of buprenorphine medicine...
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