Family Nurse Practitioner (NP) Program
Discussion Post
Week six
NURS6565, N-5
Scope of Practice, Licensure, and Certification
Case Study Two As one comes closer to matriculation in a given nurse practitioner (NP) program, the necessity to plan for the future is essential. These plans must include certification, licensure, and scope of practice. Amy is a new graduate from a family nurse practitioner (FNP) program and wishes to relocate from her home state of Tennessee to Missouri as she wants to practice in a rural area. As students graduate and move into their new role, they must take many aspects of their new role into consideration. However, if one decides to relocate they should first consider the process of moving from one state to another and what this entails. Before Amy relocates, she must do the research to evaluate the licensure process in …show more content…
Missouri as each state differs. According to the National Council of State Boards of Nursing (NCSBN) (n.d.), it is the NPs responsibility to contact the Board of Nursing (BON) in the state that he or she wishes to practice and obtain an application for licensure in that state. However, if an NP is licensed in one state, she may be able to get another state licensure through endorsement. The second state may base the license on the verification of the original state (NCSB, n.d.). Another component for Amy to consider is the scope of practice as each state varies about to the level of independent practice allowed in a particular state. For example, Tennessee and Missouri NPs are no allowed to have an independent practice. However, both states can be a primary care provider and order physical therapy. Although, Missouri NPs can sign worker’s comp claims and Tennessee NPs cannot (Barton’s Associates, n.d.). Therefore, the NP must research the level of autonomy in each state to ensure that he or she is satisfied with that particular state’s practice laws. Another area that Amy may want to think about is salary when relocating. For example, a gallon of milk in Kentucky may be three dollars as one in Hawaii is seven or eight dollars. Therefore, a cost of living comparison may be necessary before moving from one state to another (MidlevelU, 2015).
Scope of Practice The scope of practice between the Adult-Gerontology Nurse Practitioner (AGNP) and the Family Nurse Practitioner (FNP) is similar in many ways.
However, there are some notable differences. Many educational NP programs do not include acute care as a focused area of study. However, many employees may ask NPs to practice beyond their field of study and education. However, this may pose legal consequences for the practitioner and not the employer. Therefore, the NP must protect his or her license and refuse to work outside of their focused education and certification level (National Organization of Nurse Practitioner Faculties (NONPF, 2011).
Appropriate Care Settings The newly licensed FNP has a variety of choices when deciding the area in which he or she wishes to work. Appropriate settings for both the FNP and AGNP consist of hospitals, primary care practices, and assisted living facilities. However, the FNP may also care for the pediatric population, whereas the AGNP must work with children over the age of 13. The acute care nurse practitioner (ACNP) may work in emergency rooms, hospitals, and quick care facilities (NONPF, 2011).
Conclusion In conclusion, upon graduation from an accredited NP program, the student must be sure to take the appropriate steps for licensure and certification at the state level. One must also be aware of the scope of practice for NPs in their particular state, as they vary. Staying abreast of changes is necessary to ensure that the NP is current on licensure, certification, and scope of NP practice.
References
Barton Associates (n.d.). Nurse Practitioner Scope of Practice Laws. Retrieved from http://www.bartonassociates.com/nurse-practitioners/nurse-practitioner-scope-of- practice-laws/
MidlevelU: The Online Hub for Midlevels. (2015). 5 Questions to ask before relocating for a Nurse Practitioner job. [Blog post]. Retrieved from http://midlevelu.com/blog/ 5-questions-ask-relocating-nurse-practitioner-job
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/NPPrimaryCareAcuteCarePractice-FINAL.pdf
Week six
NURS6565, N-5
Scope of Practice, Licensure, and Certification
Case Study Two As one comes closer to matriculation in a given nurse practitioner (NP) program, the necessity to plan for the future is essential. These plans must include certification, licensure, and scope of practice. Amy is a new graduate from a family nurse practitioner (FNP) program and wishes to relocate from her home state of Tennessee to Missouri as she wants to practice in a rural area. As students graduate and move into their new role, they must take many aspects of their new role into consideration. However, if one decides to relocate they should first consider the process of moving from one state to another and what this entails. Before Amy relocates, she must do the research to evaluate the licensure process in …show more content…
Missouri as each state differs. According to the National Council of State Boards of Nursing (NCSBN) (n.d.), it is the NPs responsibility to contact the Board of Nursing (BON) in the state that he or she wishes to practice and obtain an application for licensure in that state. However, if an NP is licensed in one state, she may be able to get another state licensure through endorsement. The second state may base the license on the verification of the original state (NCSB, n.d.). Another component for Amy to consider is the scope of practice as each state varies about to the level of independent practice allowed in a particular state. For example, Tennessee and Missouri NPs are no allowed to have an independent practice. However, both states can be a primary care provider and order physical therapy. Although, Missouri NPs can sign worker’s comp claims and Tennessee NPs cannot (Barton’s Associates, n.d.). Therefore, the NP must research the level of autonomy in each state to ensure that he or she is satisfied with that particular state’s practice laws. Another area that Amy may want to think about is salary when relocating. For example, a gallon of milk in Kentucky may be three dollars as one in Hawaii is seven or eight dollars. Therefore, a cost of living comparison may be necessary before moving from one state to another (MidlevelU, 2015).
Scope of Practice The scope of practice between the Adult-Gerontology Nurse Practitioner (AGNP) and the Family Nurse Practitioner (FNP) is similar in many ways.
However, there are some notable differences. Many educational NP programs do not include acute care as a focused area of study. However, many employees may ask NPs to practice beyond their field of study and education. However, this may pose legal consequences for the practitioner and not the employer. Therefore, the NP must protect his or her license and refuse to work outside of their focused education and certification level (National Organization of Nurse Practitioner Faculties (NONPF, 2011).
Appropriate Care Settings The newly licensed FNP has a variety of choices when deciding the area in which he or she wishes to work. Appropriate settings for both the FNP and AGNP consist of hospitals, primary care practices, and assisted living facilities. However, the FNP may also care for the pediatric population, whereas the AGNP must work with children over the age of 13. The acute care nurse practitioner (ACNP) may work in emergency rooms, hospitals, and quick care facilities (NONPF, 2011).
Conclusion In conclusion, upon graduation from an accredited NP program, the student must be sure to take the appropriate steps for licensure and certification at the state level. One must also be aware of the scope of practice for NPs in their particular state, as they vary. Staying abreast of changes is necessary to ensure that the NP is current on licensure, certification, and scope of NP practice.
References
Barton Associates (n.d.). Nurse Practitioner Scope of Practice Laws. Retrieved from http://www.bartonassociates.com/nurse-practitioners/nurse-practitioner-scope-of- practice-laws/
MidlevelU: The Online Hub for Midlevels. (2015). 5 Questions to ask before relocating for a Nurse Practitioner job. [Blog post]. Retrieved from http://midlevelu.com/blog/ 5-questions-ask-relocating-nurse-practitioner-job
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/NPPrimaryCareAcuteCarePractice-FINAL.pdf