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2 pages/β‰ˆ550 words
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APA
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Health, Medicine, Nursing
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English (U.S.)
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Topic:

Differentiate the Major Regulatory Restrictions on NP Practice Health

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Differentiate the Major Regulatory Restrictions on NP Practice
Purpose
NPs have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine and reimbursement that may differ depending on the location.
There are several sources of restrictions to NP practice such as state laws and federal regulations which include who may prescribe controlled substances and which substances NPs can prescribe, as well as the various reimbursement agencies. 
It is essential that the NP be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. Consequences of practicing outside the NP scope of practice may be anything from a fine, suspension or revocation of NP license, civil lawsuit, or even criminal charges.
Directions
Please keep this assignment in the template format provided.
Use the provided template to compare and contrast the three major regulatory practice models for NPs: Supervisory, Collaborative, and Independent.
This Assignment requires credible and up to date resources (at least 3-4) for each category in APA format.
It is important to include in each model at least one from California state that represents the scope of practice you are discussing.
For example, Florida requires a supervisory relationship with a physician along with a practice agreement, formulary, and protocols. In order to apply and receive a DEA license to prescribe controlled substances, NP must be approved by the state that are practicing in to prescribe these medications.

Template Topic Supervisory Practice Collaborative Practice Independent Practice List the name of a State that is representative of each regulatory model. Evaluate how each model affects the NPs scope of practice? (include, if applicable, the use of protocols, formulary, written agreements, direct versus indirect supervision, referral policy, patient care, review of medical documentation, and payment reimbursement. How does model of practice serve as a barrier to access to care? Compare/contrast the prescriptive privileges of each model and example State. Compare/ Contrast how each model impacts payer status for the NP. Compare/Contrast how these models may impact NP job satisfaction.

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Major Regulatory Restrictions on NP Practice
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Major Regulatory Restrictions on NP Practice
TopicSupervisory PracticeCollaborative PracticeIndependent PracticeList the name of a State that is representative of each regulatory model.FloridaCaliforniaWashingtonEvaluate how each model affects the NPs scope of practice? (Include, if applicable, the use of protocols, formulary, written agreements, direct versus indirect supervision, referral policy, patient care, review of medical documentation, and payment reimbursement).The supervisory practice in Florida hinders nurse practitioners (NPs) from practicing primary care extensively. The model requires these professionals to be supervised when delivering healthcare services. In other terms, NPs have a limited scope of services that they can offer to patients. Notably, Florida requires supervisors to relate well to NPs by practicing protocols, formulary, and agreement (American Association of Nurse Practitioners, 2016). Moreover, before receiving a Drug Enforcement Administration (DEA) license, NPs must be approved by the state depending on the medications they are entitled to prescribe.NPs in California
have a reduced
scope of practice, and they must have a collaborative contract with an outside health institution for them to be allowed to provide basic healthcare services (Spetz, 2018). The state enhances the use of protocols, indirect supervision, written agreement, and the review of the medication documentation. NPs are not restricted to offer medical services.Independent practice allows NPs to provide different medical services, such as diagnosing, prescribing, treating, and dispensing medications to sick individuals. Physicians are not required to supervise NPs, but instead there exist nursing institutions that carry out that responsibility (American Association of Nurse Practitioners, 2016).How does model of practice serve as a barrier to access to care?The barriers of a supervisory model include NPs restriction, licensed practices, limited scope of work, and the inaccessibility of services if physicians are absent (Hain & Fleck, 2014). A collaborative practice allows NPs to offer basic healthcare services. The only primary barrier is that NPs cannot provide care without being permitted by physicians. In other words, NPs are supervised indirectly to ensure that they offer the best services. NPs are not allowed to take care of patients with special needs (Hain & Fleck, 2014).This model has no barriers since either NPs or physicians can offer healthcare services to patients. Besides, NPs are licensed to provide medical services and are answerable to the state’s nursing institutions (Simmons School of Nursing and Health Sciences, 2015).Compare/contrast the prescriptive privileges of each model and example State.In Florida, NPs are restricted from prescribing drugs. Only physicians with a DEA license are allowed to administer and prescribe medicines to patients (Japsen, 2016). On the contrary, through a collaborative practice, NPs in California are allowed ...
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