Module 3: Overview – Credentialing, Privileging and Prescriptions

https://medicalschoolhq.net/prescription-writing-101/Links to an external site.

Writing prescriptions safely is an essential aspect of NP practice.  Prescriptive practices vary from state to state and from one practice setting to another.   Most states have prescription monitoring programs for tracking controlled substances.  For the new NP and the NP who crosses state lines to practice, keeping abreast of the legislation surrounding prescription privileges, the scope of practice guidelines, and legislative issues is of paramount importance.

The ANCC Nurse Practitioner (FNP) board certification examinations are competency-based examinations that provide a valid and reliable assessment of the entry-level clinical knowledge and skills of the new NP. This certification aligns with the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, and Education. Once you complete the eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential of a board-certified NP.  This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. The Accreditation Board for Specialty Nursing Certification accredits this ANCC certification.

Module Objectives

At the end of this module students will be able to:

Discuss advanced nursing practice and prescriptive authority. (CO 5, 8)

Summarize the evolution of prescriptive authority for advanced practice registered nurses (APRNs). (CO 1, 4, 8)

Discuss the patterns of statutory and regulatory policy currently governing prescriptive authority for APRNs. (CO 8)

Describe obstacles to achieving plenary prescriptive authority for APRNs. (CO 8)

Distinguish prescriptive authority among nurse practitioners (NPs), clinical nurse specialists (CNSs), certified registered nurse anesthesiologists (CRNAs), and certified nurse-midwives (CNMs). (CO 5, 8)

Discuss the future of prescriptive authority for APRNs. (CO 7, 8)

Describe the purpose of credentialing for providers, institutions, regulators, and the public. (CO 1, 4, 6, 7, 8)

Evaluate the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education (LACE). (CO 8)

Explain the federal and state regulatory impact on the processes of credentialing and privileging required by institutional providers and payers.  (CO 8)

Justify the direct relationship between the processes and documents required for the APRN credentialing process and the decisions for scope of practice or clinical privileges made by the employing institution. (CO 8)

Module Activities

1. Below is an outline of the items for which you will be responsible throughout the module.

From your textbook: Advanced Practice Nursing: Essentials for Role Development, Joel, 5th ed.Read:Chapter 6, p 105 – 112Chapter 7 p 113-128

1. 2. Assignment Directions to upload to Canvas: Prescriptive Authority, Credentialing, and DEA Licensing

Part 1: State Prescriptive Authority (MO 1, 3)

1. Research: Go to the official website of the State Board of Nursing in your state.

Information Gathering: Find and document comprehensive information regarding prescriptive authority for nurses in your specified state. This should include regulations, requirements, and any limitations or specifics.

1. Reporting: Write a summary highlighting the key points of the prescriptive authority within your state, ensuring to mention specific regulations and requirements and include proper citations.

APA Format: Adhere to APA format guidelines for in-text citations and the reference list.

1. Part 2: Understanding Drug Schedules (MO 2, 3,5)

Research: Familiarize yourself with the Controlled Substance Act and understand the classifications of Schedule I, II, III, IV, and V drugs.

1. Differentiation: Describe the differences between these schedules, including examples of drugs falling under each category.

Examples: Provide at least five examples of drugs for each schedule, explaining their uses and restrictions.

1. APA Format: Adhere to APA format guidelines for in-text citations and the reference list.

Part 3: DEA Licensing Process (MO 4,6,9)

1. Research: Visit the official DEA website (DEA.gov) to explore the process of obtaining a DEA license for prescribing controlled substances.

Information Gathering: Identify the steps involved in obtaining the license, the initial cost, renewal cost, and the duration of validity for both the initial license and renewals.

1. Reporting: Write a summary detailing the steps involved in obtaining a DEA license, including costs and validity duration, ensuring proper citations.

APA Format: Adhere to APA format guidelines for in-text citations and the reference list.

1. Part 4: Summary and AACN Essentials Alignment (MO 7, 8, 10)

Reporting: Write a summary detailing AACN Essentials Alignment. Identify and explain which specific AACN essentials for nursing education and practice are addressed or met by this assignment.

Part 5: Credentialing Application (M 7, 8, 10)

Completion: Fill out the provided credentialing application form with as much accurate and relevant information as possible. You do not need to add private information. Blank Credentialing Application-1.docxDownload Blank Credentialing Application-1.docx

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