Discussion: Certification and Licensure Plan
Discussion: Certification and Licensure Plan
Discussion: Certification and Licensure Plan(In the state of Maryland)
Now that you are in the final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass the national PMHNP certification exam. Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.
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Although a movement called the APRN Consensus Model is attempting to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish an independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.
Another important area to consider and plan for is prescriptive authority. The appropriate board, which may be the medical board, state board of pharmacy, or nursing board, grants prescriptive authority under state law for the appropriate state licensure. The federal government grants the authority to write for a controlled substance, and the Drug Enforcement Administration (DEA) verifies this action through by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.In this Discussion, you will locate and review the practice agreements in the state in which you plan to practice, identify potential collaboration requirements in your state, and understand the certification and licensing process that you will need to follow.
To Prepare:Review practice agreements in your state.Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
Research the following:
How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?
What is the application process for certification in your state?
What is your state’s board of nursing website?
How does your state define the scope of practice of a nurse practitioner?
What is included in your state practice agreement?
How do you get a DEA license?
Does your state have a prescription monitoring program (PMP)?
How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
By Day 3 of Week 1Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.
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Discussion: Certification and Licensure Plan
[elementor-template id="165244"]APRNs in Maryland are certified and licensed by the Maryland Board of Nursing (MBON). The APRN must hold a registered nurse (RN) license, either in Maryland or in another nurse compact state (Maryland SOP, 2020). In addition, the APRN must have a certification that is nationally recognized and Board recognized. Currently, MBON cites four organizations: the American Academy of Nurse Practitioners, the American Nurses Credentialing Center, the Pediatric Nursing Certification Board, and the National Certification Corporation. The APRN must have completed a Board-approved APRN program and pass a Board-approved examination (Maryland SOP, 2020). Besides, the program must be accredited by an entity recognized by the US Department of Education or the Council for Higher Education Accreditation.
What is the application process for certification in your state?
APRNs wishing to apply for certification should visit the MBON website: http://mbon.maryland.gov/Pages/advanced-practice-index.aspx. The website contains application materials for the respective APRN roles. The APRN should submit the following documents: A copy of RN license/Compact License, Certification application, Sealed official transcripts, Declaration of residence form, and Copy of current national certification (Maryland SOP, 2020). The application is accompanied by a non-refundable fee of $50. An APRN applying for a second advanced practice credential pays $25.
How does your state define the scope of practice of a nurse practitioner?
The state of Maryland defines the scope of practice of APRNs as full independent practice. APRNs are allowed by the state practice and licensure laws to perform patient assessments, diagnose, order and interpret diagnostic tests, and initiate and manage treatment, independent of physician supervision (Maryland SOP, 2020). APRNs in Maryland are identified in the state policy as primary care providers. Although APRNs have full practice authority, they are required to consult and collaborate with an NP or physician mentor for 18 months. However, a practice agreement is not required.
How do you get a DEA license?
APRNs who wish to prescribe controlled substances must apply for state and federal licenses. The APRN must first apply for a Maryland State Controlled Dangerous Substances Registration (CDS) license with the Office of Controlled Substances Administration (OCSA). Once the CDS is approved, they can proceed to apply for a Federal DEA license on the DEA website where the NP is required to provide their state license number.
Does your state have a prescription monitoring program (PMP)?
MD has a prescription monitoring program (PMP), which was created to support healthcare providers and patients in the safe and effective use of prescription drugs. The PMP obtains and securely stores information on drugs containing controlled substances that are dispensed to patients in MD (Lin et al., 2018).
Nurse Practitioner’s Controlled-Substance Prescriptive Authority
NPs in MD have Full independent prescriptive authority meaning that they are allowed to prescribe independently with no physician oversight. APRNs can prescribe drugs, devices, and Schedules II-V controlled substances (Maryland SOP, 2020). Besides, they are allowed to prescribe certain drugs without an attestation agreement.
Regulations that exist in MD for APRNs include having a regulated collaborative relationship for 18 months with a physician or NP with full practice authority and licensed in MD before being granted full practice authority, an APRN must have a These regulations can be barriers that may impact APRN independent practice in MD since NPs have to look for a mentor with a license in good standing (Phoenix & Chapman, S2020). I was surprised to learn that NPs in MD are considered primary care providers. They are therefore certified in various areas of specialization, including adult, geriatric, pediatric, OB/GYN, school nurse, and family health.
References
Lin, D. H., Lucas, E., Murimi, I. B., Jackson, K., Baier, M., Frattaroli, S., … & Alexander, G. C. (2018). Physician attitudes and experiences with Maryland’s prescription drug monitoring program (PDMP). Addiction, 112(2), 311-319. https://doi.org/10.1111/add.13620
Maryland SOP. (2020). Maryland scope of practice policy – State profile. Scope of Practice Policy. https://scopeofpracticepolicy.org/states/md/
Phoenix, B. J., & Chapman, S. A. (2020). Effect of state regulatory environments on advanced psychiatric nursing practice. Archives of psychiatric nursing, 34(5), 370–376. https://doi.org/10.1016/j.apnu.2020.07.001
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