Standards of Practice For NP And Scope of Practice Discussion

The standards of practice are principle-based and broad statements that describe a high standard of nursing care as shown by the nursing process, a paradigm of critical thinking (Gonzalez & Gigli, 2021). In the United States, every state has set laws that govern its nursing practice and operations as defined by the nursing practice act (NPA). Each state’s and territories nursing board, which has the jurisdiction to control how nursing care is provided and to enact laws, interprets the NPA into rules. State boards of nursing (BON) in fifty states, the District of Columbia, and four US territories are in charge of governing each state’s NPA. The boards carry out these laws following the directives of the state or territorial legislative authorities in question. Nursing legislation and regulatory violations are subject to disciplinary action by the board of nursing, which is empowered by the legislative body (Lavin et al., 2022). Standards of Practice For NP And Scope of Practice Discussion

ORDER HERE A PLAGIARISM-FREE PAPER 

The nursing practice act (NPA) in Texas was enacted by the Texas legislature and the Texas Board of Nursing (BON) conducts its enforcement. The first nursing practice act in Texas was enacted in the year 1909 and it has been revised and updated severally by the BON. The act created the board of nursing as the board of nurse examiners, which met to establish the standards of practice. However, this board was not originally authorized to provide nursing education, the authority it was later given in 1923. Additionally, it did not define “professional nursing,” did not outline the educational qualifications for a nurse license, and only applied to those who used the term “Registered Nurse.” Several responsibilities of the BON have changed since then. The act was later codified as Chapter 301 of the Texas Occupations Code in the year 1999 (Lavin et al., 2022).

Currently, the Texas Board of Nursing (BON) is in charge of approving, regulating, and keeping track of the status of over 260,000 registered nurses and 98,000 certified vocational nurses who hold valid licenses (Gonzalez & Gigli, 2021). The BON certifies 98 programs for certified vocational nurses and 114 programs for registered nurses in the field of nursing education. On the matters scope of practice, the nursing practitioners in this state can work directly with their patients as part of a health team or under a physician. They can diagnose, prescribe, treat, and assess. It reflects the type of patients to which the practitioners should care, the procedures they can perform, and their ability to seek reimbursement for the services they provide (Gonzalez & Gigli, 2021). The statutes through the Texas Nursing Practice Act (NPA) define the scope of practice in Texas. Standards of Practice For NP And Scope of Practice Discussion

Collaborative agreements in Texas

The APRN compact has not been implemented in Texas. This means that all the nurses wishing to practice in this state must have the RN license privilege that is a party to the nurse licensure compact. The administration of pharmaceutical treatment and physician dominance are the two collaborative issues required in Texas (Sachdev et al., 2020). The Psychiatric-Mental Health Nursing Practitioner collaborates with the physician when administering medications used in pharmacological treatment to help patients recover from their mental illnesses. In this instance, the agreement enables PMHNPs to keep in touch with the psychiatrist to provide clients with the best care possible. To ensure that patients acquire mental health and stability, the PMHNP also makes sure that the rehabilitation process for psychiatric patients complies with the goals and outcomes set forth (Sachdev et al., 2020). In the State of Texas, NP Collaborative Practice Agreements.

Prescriptive authority in Texas

The APRNs in Texas have not yet been granted full practice authority despite their impeccable record of accomplishment regarding patient outcomes (Sachdev et al., 2020). It is only dentists, physicians, veterinarians, and podiatrists are authorized to issue prescriptions. Surprisingly, there is no pending legislation that is expected to change the scope of practice for APRNs in Texas in the near future. Standards of Practice For NP And Scope of Practice Discussion

References

Gonzalez, J., & Gigli, K. (2021). Navigating population foci and implications for nurse practitioner scope of practice. The Journal for Nurse Practitioners, 17(7), 846-850.

Lavin, R. P., Veenema, T. G., Sasnett, L., Schneider-Firestone, S., Thornton, C. P., Saenz, D., … & Couig, M. P. (2022). Analysis of Nurse Practitioners’ Educational Preparation, Credentialing, and Scope of Practice in US Emergency Departments. Journal of Nursing Regulation, 12(4), 50-62.

Sachdev, G., Kliethermes, M. A., Vernon, V., Leal, S., & Crabtree, G. (2020). Current status of prescriptive authority by pharmacists in the United States. Journal of the American College of Clinical Pharmacy, 3(4), 807-817. Standards of Practice For NP And Scope of Practice Discussion