Guidelines And Regulations Through the Board of Nursing Essay

Advanced Practice Registered Nurses, or the APRNS, are governed by the Board of Nursing defined by the Nursing Practice Act and the several laws and regulations each state has. The main practice issue with APRNS is independent practice (NCSBN, n.d.). This problem is that specific legal requirements and physician involvement limit the services APRNS can provide. Thus, making it more difficult for patients to access these types of providers fully. The scope of practice for all APRNS varies depending on state and specialty. Guidelines And Regulations Through the Board of Nursing Essay

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In Texas, the Board of Nursing is who oversees evaluating applications, disciplinary actions, and issuing and renewing of nursing licenses. In New Mexico, the Board of Nursing is also in charge. The criteria of both organizations to give credentials are similar. Still, there is a very different scope of practice between Texas and New Mexico. Texas has very restrictive APRNS practice laws compared to those of New Mexico. For example, in New Mexico, NPs are allowed to diagnose and treat without physician involvement. A formal relationship with a doctor is required and documented in writing in Texas. This relationship varies from state to state and requires supervision, delegation, authorization, and collaboration between the doctor and the Nurse Practitioner. New Mexico does not require doctor authorization for NPs to prescribe medications, but Texas does. Guidelines And Regulations Through the Board of Nursing Essay

Texas Nurse Practitioners are allowed to prescribe medications only under physician supervision. They may only prescribe a 30-day supply and are not allowed to prescribe class II medications. Nurse Practitioners must include the supervising physician’s name, address, DEA number, and phone number when prescribing. Furthermore, APRNS are not allowed to sign death certificates or handicap parking permits in Texas but can sign worker’s compensation claims and be officially named primary care providers (ThriveAP,2013). Guidelines And Regulations Through the Board of Nursing Essay

New Mexico made national headlines as it has one of the most favorable and liberal laws regarding APRNS. New Mexico does not require physician supervision allowing more freedom in their practice. According to New Mexico state law, Nurse Practitioners can practice independently, make decisions regarding their patients, families, or community’s health care needs, and carry out health regimens. Furthermore, New México’s NPS may prescribe schedule II to V without physician authorization and sign death certificates and handicap permits (ThriveAP,2013). Guidelines And Regulations Through the Board of Nursing Essay

In my resident and practice state, Texas laws and regulations are restricting our practice as APRNS. Regardless of the strict Texas laws and regulations, it will ensure physician supervision for the length of my career. As an APRN, I will provide my patients with exceptional care. In my practice, the restriction of not being able to prescribe class II medications and a supply of 30 days or less limits the scope of practice of nurses and interferes with patient care. Guidelines And Regulations Through the Board of Nursing Essay

As previously stated, each state has different scopes of practice, regulations, and titles but has similar education requirements standards (Milstead &Short, 2019, pp. 65). All Advanced Practice Registered Nurses should always work within their scope of practice, following their state’s guidelines and regulations through the Board of Nursing and if the state requires it to be overseen by a physician.

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