Discussion: Certification and Licensure Plan
Order Instructions
Discussion: Certification and Licensure Plan
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:
o How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?
o What is the application process for certification in your state?
o What is your state’s board of nursing website?
o How does your state define the scope of practice of a nurse practitioner?
o What is included in your state practice agreement?
o How do you get a DEA license?
o Does your state have a prescription monitoring program (PMP)?
o 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 1
Post 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.
Read a selection of your colleagues’ responses.
By Day 6 of Week 1
Respond to at least two of your colleagues on 2 different days in one or more of the ways listed below.
• Share an insight from having viewed your colleagues’ posts.
• Suggest additional actions or perspectives.
• Share insights after comparing state processes, roles, and limitations.
• Suggest a way to advocate for the profession.
• Share resources with those who are in your state.
NOTE; I AM FROM THE STATE OF DELAWARE.
Learning Resources
Required Readings (click to expand/reduce)
American Association of Nurse Practitioners. (2020). State practice environment. https://www.aanp.org/advocacy/state/state-practice-environment
• On the map on the webpage, click on your state and review. After you complete the PMHNP Program, pass the certification exam, and get a job, you will need to revisit this website to apply for the privilege to practice as an APRN with your state Board of Nursing.
American Psychiatric Association. (2020). Telepsychiatry. https://www.psychiatry.org/psychiatrists/practice/telepsychiatry
American Psychiatric Nurses Association (2020). Psychiatric mental health nurse practitioner competencies. https://www.apna.org/i4a/pages/index.cfm?pageID=3849&activateFull=true
Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.
• Chapter 1, “What Is a Nurse Practitioner?”
• Chapter 2, “Nurse Practitioner Scope of Practice”
• Chapter 3, “State Regulation of the Nurse Practitioner Practice”
• Chapter 4, “Federal Regulation of the Nurse Practitioner Profession”
• Chapter 5, “Prescribing”
Centers for Disease Control and Prevention. (2020). Using telehealth to expand access to essential health services during the COVID-19 pandemic. https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html
Centers for Medicare & Medicaid Services. (2019). National provider identifier standard (NPI). https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand
• The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.
Drug Enforcement Administration Diversion Control Division. (2020). Registration. https://www.deadiversion.usdoj.gov/drugreg/index.html
• This site contains information about applying for your DEA registration number. This number is required for writing prescriptions.
• After completing PMHNP Program and passing the PMHNP certification exam, complete the DEA application to request prescriptive privileges. Your DEA number will be renewable every five years.
Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning.
• Chapter 1, “Historical Perspectives: The Art and Science of Nurse Practitionering”
o Nurse Practitioner Core Competencies
o Nurse Practitioners’ Unique Role
• Chapter 13, “Quality, Safety, and Prescriptive Authority”
Substance Abuse and Mental Health Services Administration. (2020). Become a buprenorphine waivered practitioner. https://www.samhsa.gov/medication-assisted-treatment/buprenorphine-waiver-management/apply-for-practitioner-waiver
• This site contains information about applying for a practitioner waiver to prescribe or dispense buprenorphine under the Drug Addiction Treatment Act of 2000 (DATA 2000).
• After you obtain a Drug Enforcement Agency (DEA) number and completed 24-hour medication-assisted treatment (MAT) waiver training, you may apply to Substance Abuse and Mental Health Services Administration (SAMSHA) for MAT waiver to be able to prescribe Schedule III, IV, or V opioid drugs for the maintenance and detoxification treatment of opioid use disorders rela
Rubric Detail
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Name: NRNP_6675_Week1_Discussion_Rubric
• Grid View
• List View
Excellent
90%–100% Good
80%–89% Fair
70%–79% Poor
0%–69%
Main Posting:
Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. 40 (40%) – 44 (44%)
Thoroughly responds to the Discussion question(s)
Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources
No less than 75% of post has exceptional depth and breadth
Supported by at least three current credible sources 35 (35%) – 39 (39%)
Responds to most of the Discussion question(s)
Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module
50% of the post has exceptional depth and breadth
Supported by at least three credible references 31 (31%) – 34 (34%)
Responds to some of the Discussion question(s)
One to two criteria are not addressed or are superficially addressed
Is somewhat lacking reflection and critical analysis and synthesis
Somewhat represents knowledge gained from the course readings for the module
Post is supported by fewer than two credible references 0 (0%) – 30 (30%)
Does not respond to the Discussion question(s)
Lacks depth or superficially addresses criteria
Lacks reflection and critical analysis and synthesis
Does not represent knowledge gained from the course readings for the module
Contains only one or no credible references
Main Posting:
Writing 6 (6%) – 6 (6%)
Written clearly and concisely
Contains no grammatical or spelling errors
Adheres to current APA manual writing rules and style 5 (5%) – 5 (5%)
Written concisely
May contain one to two grammatical or spelling errors
Adheres to current APA manual writing rules and style with minor errors 4 (4%) – 4 (4%)
Written somewhat concisely
May contain more than two spelling or grammatical errors
Contains some APA formatting errors 0 (0%) – 3 (3%)
Not written clearly or concisely
Contains more than two spelling or grammatical errors
Does not adhere to current APA manual writing rules and style
Main Posting:
Timely and full participation 9 (9%) – 10 (10%)
Meets requirements for timely, full, and active participation
Posts main Discussion by due date 8 (8%) – 8 (8%)
Posts main Discussion by due date
Meets requirements for full participation 7 (7%) – 7 (7%)
Posts main Discussion by due date 0 (0%) – 6 (6%)
Does not meet requirements for full participation
Does not post main Discussion by due date
First Response:
Post to colleague’s main post that is reflective and justified with credible sources 9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings
Responds to questions posed by faculty
The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. 8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. 7 (7%) – 7 (7%)
Response is on topic, may have some depth. 0 (0%) – 6 (6%)
Response may not be on topic, lacks depth.
First Response:
Writing 6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues.
Response to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in standard, edited English. 5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues.
Response to faculty questions are mostly answered, if posed.
Provides opinions and ideas that are supported by few credible sources
Response is written in standard, edited English. 4 (4%) – 4 (4%)
Response posted in the Discussion may lack effective professional communication.
Response to faculty questions are somewhat answered, if posed.
Few or no credible sources are cited. 0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication.
Responses to faculty questions are missing.
No credible sources are cited.
First Response:
Timely and full participation 5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation
Posts by due date 4 (4%) – 4 (4%)
Meets requirements for full participation
Posts by due date 3 (3%) – 3 (3%)
Posts by due date 0 (0%) – 2 (2%)
Does not meet requirements for full participation
Does not post by due date
Second Response:
Post to colleague’s main post that is reflective and justified with credible sources 9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings.
Responds to questions posed by faculty
The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. 8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. 7 (7%) – 7 (7%)
Response is on topic, may have some depth. 0 (0%) – 6 (6%)
Response may not be on topic, lacks depth.
Second Response:
Writing 6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues.
Response to faculty questions are fully answered, if posed.
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in standard, edited English. 5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues.
Response to faculty questions are mostly answered, if posed.
Provides opinions and ideas that are supported by few credible sources
Response is written in standard, edited English. 4 (4%) – 4 (4%)
Response posed in the Discussion may lack effective professional communication.
Response to faculty questions are somewhat answered, if posed.
Few or no credible sources are cited. 0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication.
Responses to faculty questions are missing.
No credible sources are cited.
Second Response:
Timely and full participation 5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation
Posts by due date 4 (4%) – 4 (4%)
Meets requirements for full participation
Posts by due date 3 (3%) – 3 (3%)
Posts by due date 0 (0%) – 2 (2%)
Does not meet requirements for full participation
Does not post by due date
Total Points: 100
Name: NRNP_6675_Week1_Discussion_Rubric
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