Assignment: Advanced Role Development and Organizational Leadership

Assignment: Advanced Role Development and Organizational Leadership

Assignment: Advanced Role Development and Organizational Leadership

Georgia and California Nurse Practitioner Practice Authority Comparison

Georgia and California Nurse Practitioner Practice Authority Comparison

An advanced practice registered nurse (APRN) comprises clinical nurse specialists, nurse practitioners, nurse midwives, and nurse anaesthetists who play a crucial role in shaping healthcare. Generally, APRNs are the primary care providers that diagnose and treat illnesses, provide advice to the public concerning health issues, manage chronic disease, and engage in knowledgeable education that keeps ahead methodological and technologically wise. The paper compares Georgia as the primary state of residence and California scope of APRNs scope of practice. Hence, the main factors in assessing include nurse practitioner definition, practice authority, the scope of practice, licensure requirements, Prescriptive authority and requirements to attain DEA number, Education requirements, Certification requirements, and Future of APRN practice. The paper will also evaluate current bills in states with a restrictive practice that supports full practice, full practice authority, and one research study that promotes the benefits of APRNs to the healthcare system and society.

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Nurse Practitioner Definition

Nurse practitioners refer to registered nurses with additional training and education in special areas like paediatrics or family practice. According to Torrens et al. (2020), NP’s role requires assessing patients’ needs, interpreting and ordering laboratory tests and diagnostics, diagnosing disease, and prescribing and formulating treatment plans. In that regard, Georgia does not explicitly refer to the NP’s primary caregivers since they have to work under a supervising physician (NCSL). However, the situation in California is different since the state recognizes nurse practitioners as the primary caregivers (NCSL).

 Practice Authority

Nurse practitioners in the United States are subjected to different practice authorities since each state has different rules and regulations for APRNs practices. In that regard, Georgia’s NP’s work under a collaborative agreement with the physician, but they are still trying to fight for practice independence. On the other hand, NP’s in California have also been engaging in a collaborative agreement with the physicians. However, Brusie (2020) indicates that by 2023, APRNs will become independent practitioners, making NPs in California more sure about their independence compared to Georgia.  

The Scope of Practice

Both Georgia and California NPs are still fighting towards scope expansion to carry out care practices without restrictions especially radiographic imaging for Georgia.  However, California’s NP’s can currently give basic primary care, but they will still need a collaborative agreement from physicians for complex tasks.

Licensure Requirements

            To qualify as an NP in Georgia, one should have an RN license, Graduate degree, National certification, while in California, the nurse practitioners require an RN license and graduate degree.

Prescriptive Authority and Requirements to Attain DEA Number

Prescriptive Authority

In Georgia, the NP can prescribe controlled substances within schedules III-V, but the NP has to have prescription authorization and has provided a written protocol to the supervising supervisor (NCSL).  On the other hand, California’s NP’s prescriptive authority aligns with protocols and agreements provided to the supervising physician for any devices or drugs (NCSL). However, the NP can furnish devices and drugs within their area of practice. Still, they will need physician involvement when furnishing controlled substances in Schedule II or III and when a need for a patient-specific protocol arises.

Attainment of DEA Number

Georgia and California NP’s can attain their DEA number by applying online or calling their respective States’ DEA registration center headquarters. 

Certification Requirements

In Georgia,  the NP certification requirements require graduation proof from a recognized nursing institution and employment verification proving APRNs practice within five hundred hours from the application date (NCSL).  On the other hand, in California, the NP’s certification requirements can either be to complete in-state programs that the Board recognizes, earn certification from recognized institutions or complete a nursing equivalent program (NCSL).

Future of APRN practice

In both Georgia and California States, the APRN practice future relies on the States management towards making the practice independent. According to Torrens et al. (2020), when NP’s independence is upheld, the main benefits achieved include low healthcare costs since patients under the care of NP’s will guarantee shorter hospital stays and fewer emergency room visits. As a result, Georgia and California will increase chances of patient satisfaction.

Current Bills

  In Georgia, the current bill is Georgia HB213 which advocates for the APRNs to have full practice authority on controlled substances. In California, the current bill is Assembly Bill No. 890, which aims at providing the NP’s with a full mandate on practice independence without relying on physicians’ approvals.

Full Practice Authority

Georgia’s Law still inhibits NP’s into full practice. They still need approval with written protocols to the supervising physicians, making it why they are still striving towards full practice for better healthcare outcomes in the State (Georgia Watch). However, California is one of the many States that have approved the NP’s to conduct full practice. According to Brusie (2020), Governor Gavin Newsome of California State approved bill AB-890 into Law on September 29, 2020, making California the 23^rd  United States’ State towards a full practice that will start in January 2023.

Research Study on APRNs

The article by Brom et al. (2020)  supports the statement that APRNs whose respective boards have granted full practice authority are more beneficial to the healthcare system and society. Hence, the following is their article, and it is available in Google scholar. 

Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018). Leveraging health care reform to accelerate nurse practitioner full practice authority. Journal of the American Association of Nurse Practitioners, 30(3), 120.

Conclusion

The paper provides a comparison between Georgia and California concerning APRN practice. There are various similarities and differences from the comparison, like Georgia NPs not having State recognition as primary caregivers like Georgia’s NPs’. Comprehensively, the comparison helps APRNs acknowledge the different laws and requirements they need to adhere to during their practice. 

References

Brusie, C. (May 10, 2020). California Grants Nurse Practitioners Full Practice Authority by 2023. Nurse.org. https://nurse.org/articles/california-nurse-practitioners-full-practice/

NCSL. State Overview: Georgia. https://scopeofpracticepolicy.org/states/ga/

NCSL. State Overview: California. https://scopeofpracticepolicy.org/states/ca/

Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, M., Cunningham, M., … & Maxwell, M. (2020). Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies, 104, 103443.

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Assignment 3
Nurse Practitioner Practice Authority State to State comparison assignment

The purpose of this assignment is to examine the practice authority and scope of practice differences among APRNs in the United States. You are asked to review the Nurse Practice Act from Georgia state (primary state of residence) and compare that to another state that has restrictive or different practice authority. Review the websites below (AANP, NCSBN) to identify the scope of practice of APRNs in the United States. Also, you may review Georgia state board of nursing website to identify specific practice authority guidelines for APRNs. The expected length of the paper is approximately 2-3 pages, which does not include the cover page and reference pages. Lastly, review the Assignment rubric to ensure you have met the assignment criteria.

American Association of Nurse Practitioners (AANP)

National Council of State Boards of Nursing (NCSBN)

Submission Parameters:

Please use the following as a guide for drafting your 2-3 page paper.

Introduction (including purpose statement)
Compare and contrast between your two selected states (one of them needs to be your state of residence) and address the following items:
Nurse Practitioner definition
Practice authority (collaborative agreement, independent, restrictive)
Scope of practice (functions APRNs may perform)
Licensure requirements
Prescriptive authority and requirements to attain DEA number
Education requirements
Certification requirements
Future of APRN practice
Please discuss current bills or legislation that support full practice authority in the state that has restrictive practice
Full Practice Authority
Identify at least one research study (primary source) that supports the following statement: “APRNs with full practice authority benefit society and health care system”
Conclusion

In regards to APA format, please use the following as a guide:

Include a cover page and running head (this is not part of the 2-3 page limit)
Include transitions in your paper (i.e. headings or subheadings)
Use in-text references throughout the paper
Use double space, 12 point Times New Roman font
Spelling, grammar, and organization is appropriate
Include a reference list (this is not part of the 2-3 page limit)
Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)
References:

American Association of Nurse Practitioners. (AANP). (2017). State practice environment. Retrieved from https://aanp.org/legislation-regulation/state-legislation/state-practice-environment
National Council of State Boards of Nursing. (NCSBN). (2016). Implementation status map. Retrieved from https://www.ncsbn.org/5397.htm