Understanding Scope of Practice in relation to Certification and Licensure
Discussion: Understanding Scope of Practice in relation to Certification and Licensure
Discussion: Understanding Scope of Practice in relation to Certification and Licensure
NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings | Week 6
Nationally recognized competencies and practice standards ensure our profession is meeting the benchmark for excellence in health care delivery to include acute, chronic, and preventive care. Research has proven that the care provided by NPs improves patient outcomes significantly. The National Organization of Nurse Practitioner Faculties (NONPF) developed NP Competencies to use as a guide for ensuring NPs have mastered their program of study and are ready to transition from the role of RN to the role of NP and pursue National Certification with one of the current certifying bodies. NURS 6565: Discussion: Understanding Scope of Practice in relation to Certification and Licensure
Once certified, NPs are then eligible to apply for licensure as Advanced Practice Registered Nurses (APRNs) in the state provider status is desired. Currently for FNPs and AGPCNPs, The American Association of Nurse Practitioners and the American Nurses Credentialing center both support the outcome of the APRN Consensus Model to ensure licensure after completion of an accredited program(s) of study and certification, which is recognized on a national level. The consensus model supports the goals of the nationally recognized APRN certification process with the ultimate goal of aligning credentials in regards to education, accreditation, licensure, and certification to establish a more uniform practice across the country.
This week you will review the importance of certification and licensure and recognize the differences in the application process at the state level. Additionally, students will examine the importance of Scope of Practice in regard to certification, licensure, and practice.
Learning Objectives – NURS 6565: Week 6: Discussion: Understanding Scope of Practice in relation to Certification and Licensure
By the end of this week, students will:
- Analyze NP certification, licensure, and relocation processes
- Compare Scope of Practice among acute care, family practice, and adult gerontology primary care nurse practitioners
- Evaluate certification exam options
- Create plans for passing National Certification Exams
- Analyze state restrictions or limitations for practice
Learning Resources
This page contains the Learning Resources for this module. Be sure to scroll down the page to see all of this module’s assigned Learning Resources.
Required Readings
American Nurses Association (n.d.). Advanced Practice Nurses. Retrieved from http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses
Barton Associates (n.d.). Nurse Practitioner Scope of Practice Laws. Retrieved from http://www.bartonassociates.com/nurse-practitioners/nurse-practitioner-scope-of-practice-laws/
Buppert, C. (2015). Appendix 1-A, state by state definitions of the nurse practitioner. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (16-32). Burlington, MA: Jones & Bartlett.
National Council of State Boards of Nursing (n.d.). Boards and Regulations. Retrieved from https://www.ncsbn.org/boards.htm
National Organization of Nurse Practitioner Faculties (2011). Statement on Acute Care and Primary Care Nurse Practitioner Practice.Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/imported/NPPrimaryCareAcuteCarePracticeFINAL.pdf
O’Connell, J., Gardner, G., & Coyer, F. (2014). Beyond competencies: Using a capability framework in developing practice standards for advanced practice nursing. Journal of Advanced Nursing, 70(12), 2728-2735.
Pearson, L. (2014). 2014 Pearson Report. Burlington, MA: Jones & Bartlett. Retrieved from http://d2jw81rkebrcvk.cloudfront.net/assets.navigate/Nurse_Practitioners_Business_Practice_Legal_Guide/CWS/The_Pearson_Report.pdf
Wood, D. (2015). Everyday Ethics for Nurses: Addressing Ethical Challenges – Turning the Nurses Week theme into Year-Round Ethical Practice. Retrieved from http://essynursingservices.com/everyday-ethics-for-nurses-addressing-ethical-challenges/
Document: Licensing and Certification (PPT Presentation)
Document: Nurse Practitioner Certification Applications (Word document)
Document: Test Taking Strategies to Prepare for Your Certification Exam
Note: All nurses who review this presentation will earn one contact hour.
Certification Sites
The purpose of the credentialing body is to provide a valid and reliable program for entry-level nurse practitioners to recognize and validate their education, knowledge, and professional expertise as a nurse practitioner. Both credentialing bodies will be reviewed including application process.
American Academy of Nurse Practitioners (n.d.). American Academy of Nurse Practitioners National Certification Program. Retrieved from http://www.aanpcert.org/index
American Nurses Association (n.d.). American Nurses Credentialing Center. Retrieved from http://www.nursecredentialing.org/
Required Media – NURS 6565: Discussion: Understanding Scope of Practice in relation to Certification and Licensure
The American Association of Nurse Practitioners (2011, April 19). A Brief History of the AANP [Video file]. Retrieved from https://www.youtube.com/watch?v=9M9gyjvpetw
Note: The approximate length of this media piece is 5 minutes.
Optional Resources
Delaney, K. R. (2014, November). 2015 Is Here: The Impact of LACE on the Child/Adolescent Psychiatric Nursing Workforce. Journal of Child & Adolescent Psychiatric Nursing, 27, (161-162). doi:10.1111/jcap.12096.
Discussion: Understanding Scope of Practice in relation to Certification and Licensure
The National Council of State Boards of Nursing (NCSBN) is a non-profit organization comprised of members from each state board of nursing in the U.S., the District of Columbia, and the four U.S. territories. Their role is to provide a platform for all state boards of nursing to convene, discuss, and ensure all state boards work together to provide the appropriate regulation to ensure that public health, safety, and welfare is the primary focus. A key element of NP licensure is understanding the components of Scope of Practice and subsequent practice within the parameters of the educational program completed and appropriate national certification.
To prepare:
- Consider the differences in certification exams options for your specialty
- Consider whether primary care NP graduates are qualified to seek employment in acute care settings such as ER, OR, or hospitalist/intensivist
- Review and select one of the following case studies to research in depth:
- Case Study One: Selecting the Certification Exam for your specialty.
Mary is in the last two months of her program of study. She is trying to decide whether to take the American Association of Nurse Practitioner Credentialing Exam or the American Nurses Credentialing Exam. - Case Study Two: Obtaining initial licensure post matriculation.
Amy, FNP-BC has recently graduated from an accredited Family Nurse Practitioner Program. She decides to relocate from her home state of Tennessee to Missouri and practice in a rural area. She is very excited about her new role and new position.
- Case Study One: Selecting the Certification Exam for your specialty.
By Day 3
Post the National Certification Exam you plan to take, a brief explanation for why you chose this exam, and an outline of your plan for passing the National Certification Exam you selected. Then, provide an explanation of the professional and/or clinical practice issues the new Nurse Practitioner will need to consider and address with the certification, licensure, credentialing, or relocation process. Compare Scope of Practice between the Acute Care, Family Practice, and Adult Gerontology Primary Care Nurse Practitioner and how practice may differ from state to state. Then, identify and explain at least two types of settings that are appropriate for FNP and AGPCNP graduates to practice.
Read a selection of your colleagues’ responses.
By Day 7
Respond to at least two of your colleagues on three different days in one or more of the ways listed below. Respond to colleagues who selected a different Case Study than you did.
- Reflect on the differences between certifying bodies that offer credentialing exams for registered nurses.
- Provide key components a Nurse Practitioner should consider when relocating from one state to another.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. NURS 6565: Discussion: Understanding Scope of Practice in relation to Certification and Licensure
Understanding Scope of Practice in relation to Certification and Licensure
Introduction
A scope of practice is the range of services which a health care provider can legally provide. In order to be considered a licensed or certified provider, you must have the appropriate certification or licensure for your line of work. The specific requirements for each state will vary depending on what type of facility you are licensed to open and how many patients you can treat at once, but many states require that doctors obtain additional training before they can perform certain procedures or take certain medications (such as high blood pressure medication).
Definition of Scope of Practice
Scope of practice is the range of tasks, procedures, and services that a health care professional is legally authorized to perform.
Scope of practice is determined by state law and the state’s licensing board. The scope of practice for dentists includes dental hygiene (oral examination), preventive care (tooth brushing and flossing), diagnostics (diagnosis using x-rays or other means), surgical procedures on the mouth cavity (removal of decay or fillings) as well as restorative work on teeth including crowns if necessary.
Typical Scope of Practice Limitations
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The limitations on your practice.
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The role of the health care team in defining the scope of practice.
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The role of the state and federal regulations in defining the scope of practice.
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The role of the hospital and/or clinic in defining their own scope of practice.
The role of the state and federal regulations in defining the scope of practice. The role of the hospital and/or clinic in defining their own scope of practice.
The role of the state and federal regulations in defining the scope of practice. The role of the hospital and/or clinic in defining their own scope of practice. The role of the health care team in defining the scope of practice.
Certification and Licensure
Certification and licensure are two different processes by which you can practice a profession. While both are necessary to becoming a professional, certification is more common than licensure.
Licensure is the process of obtaining a license to practice in a particular field, such as dentistry or medicine. To be licensed by an agency such as the American Dental Association (ADA), you must meet certain criteria set forth by that organization; these include passing written and practical examinations during your residency program and demonstrating competence with current technology through continuing education requirements.*
Certification is similar but not identical; it shows that someone has met all requirements for entry into their profession’s body of knowledge before they start practicing.*
Specific Requirements in the State of New York
The State of New York has specific requirements for the following professions:
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Physician assistant
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Dental hygienist (this includes dental hygienist assistants)
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Dental laboratory technician and assistant. It also requires a certain number of hours of training as well. For example, a dental laboratory technician must complete at least 40 hours of training within their first year in the field. After that, they are required to take another 40 hours every two years until they reach 60 total hours; this includes any continuing education classes that may be required in order for them to maintain their license or certification while working at an office setting outside their home state or country!
Understanding the regulations and limitations on your practice is helpful in many ways
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Knowing what you can and cannot do legally is important.
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Knowing your limitations will help avoid problems, as well as find the right professional to help you with any problem that comes up.
Here’s a look at some of the most important things you should know about home ownership.
-You have to pay property taxes on your home. -If you sell your house, the new owner will need to be informed of any problems with the property. -You can call a professional when something needs fixing.
-You’re responsible for making sure that your home is safe and habitable. -If you have a minor problem with your home, you should hire a contractor as soon as possible.
Conclusion
The scope of practice is the area in which an individual or entity can legally practice. When you are considering a career in nursing, it’s important to understand that your scope of practice will determine whether you’re able to take on new responsibilities and gain additional experience. The level of certification might also impact how much authority you have over your patient care decisions or if other nurses will listen when you speak with them about medical issues.
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