NR510 week 6 Discussion Part 1 Advanced Practice Nursing

NR510 week 6 Discussion Part 1 Advanced Practice Nursing (graded) You have completed your nurse practitioner education, likely one of the most challenging tasks you have ever undertaken. Several of your graduated colleagues live in different states, including California, Washington, and Illinois. After a year of primary care practice in your respective states, you get together for a reunion and share your practice perspectives. It is apparent that your experiences are not equal. Discussion Question: How do licensure, accreditation, certification, and education (LACE) considerations differ for APN clinical roles for these three states: California, Washington and Illinois? Provide evidence for your response. Topic responses • • More Sort By:    Jose DelAcruz Discussion Part One Hello Dr Duncan and Classmates, APN Clinical Roles 8/7/2016 10:39:44 AM DeNisco & Barker (2012) asserts that advanced practice nurses (APN) mostly include nurse midwives, nurse practitioners or clinical nurses among many other types of nurses. APN’s are usually very crucial when it comes to healthcare and they mostly deal with ensuring that the general public receives care from the illnesses they may suffer from. Licensure involves giving license majorly through state agencies to people who have successfully taken the nursing program so that they are able to practice as nurses. Accreditation is the process through which all the schools that offer nursing programs must be approved by government officials and sometimes even the legislature (Sumner, 2013). Certification mostly involves evaluating the level of understanding and knowledge that the individuals who have undergone the nursing program have achieved and also evaluating their abilities and all the skills they have acquired, while education is that process where individuals are imparted the knowledge and skills at their different educational levels. How LACE differs for APN Clinical Roles in California, Washington and Illinois For someone to be registered as an advanced practice nurse in California, the minimum requirement is a master’s degree at the area of their specialization with only one exemption to public health nurses whose minimum requirement is just a bachelors’ degree. Anyone willing to be an APN must also attend one of the schools that have been accredited by the National League of Nursing (NLN) for their nursing degrees to be recognized by the California state. In California, only six APN classifications are recognized which include; nurse practitioner, a public health nurse, psychiatric health nurse, clinical nurse specialist, a nurse midwife and a nurse anesthetist. Certification of individuals usually happens after individuals undertake a nursing exam and they pass it (Alleman & Houle (2013). Then all the nursing students who have passed their exams are supposed to apply for their certificates where it is a must for them to give their social security numbers during the process. In Washington, for an individual to become an APN, one must first of all complete the advanced nursing program one year before they apply for their APN license. The nursing programs that one wishes to take should be accredited by an agency that is well recognized by the United States Department of Education (USDE). In a case where, a nursing student got their degree from outside the U.S, the nursing program that they underwent must be similar to that offered in Washington for them to be allowed to work in the State. For nursing students to be certified in Washington, all individuals undertaking the program must undergo an examination that will test their competences (Alleman & Houle, 2013). The APN categories that are recognized by the Washington State Department of Health are: Nurse practitioner, certified nurse-midwife, certified registered nurse anesthetist. Individuals who have been successful in undertaking the program should then apply for their licenses and it is a must for them to provide their Taxpayer identification numbers together with their social security numbers. In Illinois, for one to be able to get an APN license, one must have to finish a graduate level in any of the APN categories. The nursing school and the program that one undertakes in Illinois must be accredited by any recognized body in the USDE (Carter et al, 2013). It is a requirement in Illinois State for one to earn a national certificate way before they are given an APN license. For one to apply for a license in Illinois, it is a must for one to have the following: An Illinois registered nurse license number, one should also indicate the APN category that one is applying for, a copy of the national certification, a transcript that shows that one received a graduate degree and finally one must also pay some application fees. Jose References Alleman, K., & Houle, K. (2013). Advanced practice registered nurse certification. Nephrology Nursing Journal, 40(3), 219. Retrieved from Carter, N., Dobbins, M., Ireland, S., Hoxby, H., Peachey, G., & DiCenso, A. (2013). Knowledge gaps regarding APN roles: What hospital decision-makers tell us. Nursing Leadership, 26(4), 60- 75. Retrieved from AWSAccessKeyId=AKIAJ56TQJRTWSMTNPEA&Expires=1467299421&Signature=t9itFXD V2UzjxS17SuurOg iogVg%3D&response-content- disposition=inline%3B%20filename %3DKnowledge_Gaps_Regarding_APN_Roles_W DeNisco, S. M., & Barker, A. M. (2012). Advanced Practice Nursing. Jones & Bartlett Publishers. Retrieved from %20%26%20Barker%2C%202012) &f=false Sumner, J. (2013). Advanced Nursing Practice in the United States. Advanced Practice in Healthcare: Skills for Nurses and Allied Health Professionals, 113. Retrieved from Show Less Instructor Duncanreply to Jose DelAcruz RE: Discussion Part One Jose, 8/10/2016 1:03:43 AM As you so eloquently described, there are vast differences between these three states as is relates to LACE considerations. Excellent work! Dr. Duncan Show Less Mijanou Marretta-Lewis Discussion Part One Dr. Duncan and Classmates, 8/8/2016 7:28:28 AM The Consensus Model for the Advance Practice Registered Nurse (APRN) regulation uses the Licensure Accreditation, Certification & Education (LACE Model), as a platform to define the National Council of State Boards of Nursing role of the APRN. The LACE model defines four roles of the APRN as clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA), certified nurse practitioner (CNP) and certified nurse midwife (CNM). This mode requires each of these four roles to be educated in at least one patient population focus: family/individuals across a lifespan, adult-gerontology, neonatal, pediatrics, women’s health, and psychiatric-mental health across lifespans (Foster & Flanders, 2014). Each state has its own state legislation with policies that govern the practice of the APRN. Each state requires different courses that are required before sitting for the exams of certification. All states have different requirements as licensures, educations, accreditation and certification to practice in that state (Buppert, 2014). In the United States the clinical role model allow for: • Diagnose, treat, prescribe medications and test for disease processes. • The scope of practice with the necessary education for competency in a given area of practice. • With each state the APRN is mandated to practice under the state’s legislation in regards to practicing with an independent licensure or under the supervision of a physician and the prescribing of Schedule II narcotics depending on the state. • The education of the APRN requires theory and evidence-based scientific knowledge. The APRN has the ability to be a healthcare provider, educator, coach, consultant, administrator and researcher (Foster & Flanders, 2014). • The APRN can diagnosis medical and chronic disease processes using diagnostic tools. However, the APRN cannot perform complex surgeries, but may do some invasive procedures, which change depending on the state’s requirements. • APRNs may work in a primary care facility, hospital setting with a specialty area, of a small clinic. APRN have the ability to care for patients in a variety of setting such as hospice, long-term facilities, family planning clinics, health care agencies, and HMOs.