PMHNP Practice Environment Essay.

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PMHNP Practice Environment Essay.

PMHNPs carry out the above functions in a myriad of settings such as emergency, inpatient, and community-based mental health services. For this reason, aspiring PMHNPs need to be provided the opportunity to go through complete clinical placements within their jurisdiction. This allows them to not only get hands-on experience but to also interact with the various policies affecting PMHNP practice across the state. This response highlights the importance of interacting with these policies early in one’s career with Florida’s case.PMHNP Practice Environment Essay.

Earlier in the year 2020, the Florida Legislature would pass HB 607. The new law would allow “advanced practice registered nurses” to get licensed for autonomous practice. The law would take effect on July 1, 2020 and would allow qualified nurse practitioners to, through the above license, set up their own practice without any need for supervision from physicians. However, the new opportunity offers new issues for practitioners that need to set up these practices. These issues work as barriers to practice for many nurses who feel they have the necessary experience to venture out on their own with no supervision. According to McMichael, and Markowitz (2020), some of the barriers associated with the new law include:PMHNP Practice Environment Essay.

The nurse must have an active and unencumbered advanced practice nursing license.
The nurse need gave no disciplinary action taken against them five years prior to applying for this new license.
They need to have completed not less than 3,000 hours of clinical practice. This is inclusive of clinical instruction hours five years prior to applying for this new license.
Nurses need to have completed three graduate level semesters in pharmacology and three in differential diagnosis not more than five years prior to applying for this new license.

Furthermore, PMHNPs and other nursing practitioners in Florida are required to have proof of malpractice insurance or have an exception before being allowed to treat patients. While this is a standard requirement across many states, its ability to impede PMHNPs from practicing cannot be understated. This is especially in a state that has consistently suffered from understaffing among registered nurses. This policy makes it especially difficult for recently certified PMHNPs to practice before they establish themselves and get the relevant insurance.PMHNP Practice Environment Essay.

Texas law is relatively different from Florida law on some of the above fronts. As of recently, Texas law requires an written application of aprescriptive delegation from supervising physicians, TX Department of Public Safety and DEA registration for controlled substances for a registered nurse to practice. The above is the case for PMHNPs as well (Chapman et al., 2019). This means that PMHNPs may practice without an onsite physician supervisor given that they have obtained said written prescriptive delegation.PMHNP Practice Environment Essay.

Certain professional and clinical practice issues should be considered by new PMHNP students. Professionally, the need to be aware of the binding legal terms that relate to credit transfers and relocation for students. Furthermore, as stated above all states have different policies and guidelines that affect practice. For example, in the above mentioned State of Texas, there is a different prescriptive authority. Such policies and guidelines often affect the individual views of learners thereby impacting where they wish to study and where they wish to practice upon finalizing their studies (Phoenix and Chapman, 2020).PMHNP Practice Environment Essay.

If a student chooses to transfer from one university to another or from one state to another, the ease of credit transfer will be greatly dependent on whether their university has in place any affiliate treaties with the university they wish to transfer to. For this reason, students need to make well informed decisions about the school they wish to so as to avoid situations where they want to make a shift by are hindered by the university’s credit transfer policies (Dyess, et al., 2016).PMHNP Practice Environment Essay.

Finally, students need to be aware of the state restrictions when it comes to nursing practice. They need to be aware for example that having a registered nursing practitioner’s license in one state does not mean that they can practice in a different state as well. There are also a variety of restrictions that are unique to PMHNP programs and practice that new students need to be aware of that are part of state diversity in practice guidelines.

When preparing for PMHNP and other certified nursing examinations, it is important to go above and beyond in preparation. Preparation in this endeavor transcends course material and requirements as it involves also financial and personal preparation as well. Onceit is established that an applicant met all the admission requirements then a student may apply for the certification examination. The application will usually be done through the national exam licensure board and once it is approved, students need be ready to pay the relevant examination fees. After payment, students will wait for the official examination timetable to be released by the examination board and this will allow them to come up with their study plans (Ellis, 2018).PMHNP Practice Environment Essay.

Conclusion

While different states have difference procedures on how to educate, license and regulate PMHNP practice, the overall goal is usually to have in place professionals who can address mental health issues with autonomy. While states like Florida have some distance to go before this is achieved, the trend has been well set by states like Texas where the practice environment is has guidelines that empower PMHNP education programs and practice.PMHNP Practice Environment Essay.

The role of Psychiatric Mental Health Nurse Practitioners or PMHNPs is to provide a full range of mental health-related services, including the diagnosis of patients with such illnesses and their biopsychosocial assessment. The modalities of treatment facilitated by Psychiatric Mental Health Nurse Practitioners will typically include both the prescription of medication and psychotherapeutic management. PMHNPs carry out the above functions in a myriad of settings such as emergency, inpatient, and community-based mental health services. For this reason, aspiring PMHNPs need to be provided the opportunity to go through complete clinical placements within their jurisdiction. This allows them to not only get hands-on experience but to also interact with the various policies affecting PMHNP practice across the state. This response highlights the importance of interacting with these policies early in one’s career with Florida’s case.PMHNP Practice Environment Essay.

Florida law is noted for its requirement that all advanced nursing practice registered nurses including PMHNPs to practice under the supervision of physicians. Their practice is also limited to what the written protocol stipulates. The above legislation therefore limits the practice of PMHNPs. By necessitating that they practice under the supervision of a physician, the law eliminates the some of the autonomy and independence that aspiring PMHNPs acquire during their education and shifts the functions of identification, diagnosis and treatment of patients with mental health issues back to the physician (Chapman et al., 2019). The result of the above is not only a lack of interest in the profession thereby reducing the number of mental health professionals in the state but also negatively impacts patient outcomes as emergency room mental health cases often go without follow-ups after discharge.PMHNP Practice Environment Essay.

Conclusion

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