Explain how the regulatory environment and the regulations sel

Class Response 1

Introduction

Professional nursing boards and nurse practice acts exist in each state so that licensed professionals can be aware of the different rules and regulations that need to be followed. Some professionals practice in numerous states throughout their career so it is important to be aware of the differences between states to ensure that laws are followed accordingly. The purpose of this discussion post is to identify the overall mission of these nursing boards, to identify the impact that regulations have on nursing practice, and to compare these between different states.

The Mission of Nursing Boards

The mission of professional nursing boards is a simple one, to protect the public. The National Council of State Boards of Nursing (n.d.) explains that the boards that make up this council help to ensure public safety and welfare and provide regulations for licensed professionals to adhere to to make this possible. Nurses are required to be licensed through their state’s board to be able to practice legally. The state board monitors nurses and provides regulations that must be followed to maintain an active license. This provides the public with an added level of safety and security. Nurses hold a lot of power in their licenses and laws must be upheld. Nursing boards follow up with complaints and issues that a nurse may encounter during their career to make sure that they stay practicing in a safe manner. If it is determined that a nurse is not adhering to these regulations, the state board may revoke the nurse’s license if deemed necessary for the safety of the public.

Impact on Nursing Practice

Each state’s board of nursing and practice act will have an impact on the nursing practice in that state. Depending on the state, advanced practice nurses may be allowed to practice independently. According to the true scope of practice for nurse practitioners, they should be allowed to do this in every state (Neff et al., 2018). When nurse practitioners are allowed to practice independently, there is improved access to primary care (Neff et al., 2018). I am from California where nurse practitioners are able to practice independently. Honestly, I was not aware that other states did not allow this. I agree with this article and can see how primary care can not evolve to be as accessible as it could be when nurse practitioners are limited and required to work under a medical doctor.

Regulations by State

As I mentioned before, I am from California. This being said, I did my nursing education in Arizona. I will be comparing and contrasting these two states as they are the ones I am most familiar with. Before I did my education outside of California, I was not aware that regulations differed so much between states. One major difference that I learned about is the renewal times and fees for registered nursing licenses. Advanced practice nurses' renewal follows the schedule of the renewal of the registered nurse's license. In California, a registered nurse must renew their license every two years for $190 (California Board of Registered Nursing, n.d.). According to the state website, there is no additional fee for renewal for Psychiatric-Mental Health Nurse Practitioners but there is for other specialties (California Board of Registered Nursing, n.d.). I am surprised by this fact. In Arizona, a registered nurse must renew their license every four years for $160 (Arizona State Board of Nursing, n.d.). Not only is it slightly cheaper for each renewal in Arizona, it is also every four years instead of every two years saving the nurse even more money. When it comes to continuing education units and hours, California and Arizona also differ. In California, a registered nurse must complete 30 hours of continuing education every two years (California Board of Registered Nursing, n.d.). In Arizona, if a nurse works more than 960 hours in the last five years, they do not need to do continuing education units, if they do not, they need to complete 45 hours in advanced pharmacology and 45 hours related to the specific advanced specialty (Arizona State Board of Nursing n.d.). These are just a couple of comparisons between certain states and their regulations but it can easily be seen how important it is to be aware of these. If a nurse moves and transfers their license from Arizona to California, it’s important to be sure that renewal times and continuing education requirements are noted as they are much more expensive and more frequent than they would be accustomed to.

Conclusion

In conclusion, professional nursing boards are in place for the safety of the public and the accountability of that state’s nurses. As mentioned above, there is a significant impact of regulations on nursing practice that can be either positive or negative. Lastly, regulations vary from state to state and nurses are responsible for staying updated if they move or transfer their license to another state to ensure compliance. Overall, it can be seen how important these professional boards are in nursing practice and how important it is for nurses to be familiar with them.

Class Response 2

Professional Nursing and State-Level Regulations

If you decide to acquire your nursing license in a state other than your home state, the board of nursing in that state will be different from the boards in the other states. Although New York is my home state, I have investigated the legal systems of other states since I am contemplating relocating to a new region once my children reach the age when they may independently attend college.

Every advanced practice registered nurse in the state of New York must perform their duties under the supervision of a physician. On the other hand, it is anticipated of the APRN that they will be able to diagnose and treat patients on their own, and the physician will not be personally supervising them while they are treating patients. Although physicians are not required to sign off on patient prescriptions or records, a written agreement and procedure must be drafted to declare that a physician supervises the activities of advanced practice registered nurses. While physicians are not required to sign off on patient prescriptions or records, they are required to declare that they supervise the activities of an APRN. The state conducts routine inspections of these APRNs' offices to ensure that they are adhering to the agreement between the policy and practices of their designated provider (NursingLicensure.org, 2021). These APRNs can operate independently in their own offices, subject to routine inspections by the state.

On the other hand, the nursing board in the state of California has some of the strictest requirements in the nation. APRN are licensed to practice nursing in the state of California and operate directly under the supervision of a physician. They are supposed to have the physician indirectly oversee the treatment that they deliver to patients, and the physician is the one who will sign off on the care that was given. It is permissible for APRN to write prescriptions for patients, but not for all pharmaceuticals. Because I am now working in a hospital, I can inform you that advanced practice registered nurses report to either emergency medicine or the chief of medicine when hired in hospitals (NursingLicensure.org, 2021). Most of the clinicians on staff are advanced practice registered nurses, and they are most often deployed in the roles of hospitalists, providers of fast-track care, and urgent care providers.

When compared side by side, the boards governing the two states could not be much farther apart if they tried. Because California is a stringent and monitored state to practice in which APRNs are required to work very closely with providers, the benefits for the advanced practice registered nurse include never being alone and always having connected resources that are closely monitored to ensure that they are practicing in the correct manner. It is because the state requires advanced practice registered nurses to work very closely with providers (NursingLicensure.org, 2021). When compared to other states, the advanced practice registered nurse in New York enjoys a more significant degree of autonomy (NursingLicensure.org, 2021). They are permitted to function on their own without the direct supervision of a provider, which leaves room for error on their part.

Additionally, since they are not studied as attentively, they get less feedback on their strategies. It is because the strategies are not observed as closely. When treating a patient, an APRN in California and an APRN in New York have the same duty since they are both held accountable for the care they alone provide (National Council of State Boards of Nursing, n.d).

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