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Home>Homework Answsers>Nursing homework helpdiscussionPostreplyPlease see attachment for instructions.2 years ago30.11.202316Report issuefiles (1)WK1Discussionpostreply.docxWK1Discussionpostreply.docxDiscussion post 250-to-350-word count minimumAPA style format with intext citation3 three peer-reviewed references minimum within the last 5 yearsTurnitin report·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.Olivia CDiscussion post # 1How do you get certified and licensed as an Advanced Practice Registered Nurse(APRN) in your state?I am from Iowa.  The process for licensure in the state of Iowa is, after graduating from a Masters-accredited nursing program, boards have been passed.  The advanced practice nurse must seek advanced certification through a board-recognized national certification agency. Certifying agencies will depend on specialty, though there is some overlap between certifications offered by the American Nurses Credentialing Center and those offered by specialty certification agencies. Certification will be held through the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners (AANP). An advanced practice nurse will apply to the Iowa Board after meeting all requirements. The application may be submitted online through IBON Online Services (https://nursing.iowa.gov/online-services) or downloaded and mailed to the Board office in Des Moines. The licensing agency mandates that transcripts be sent directly from the school. The applicant will include a copy of his or her national certification; a copy of a certificate card can also be accepted. An applicant who resides in another compact state will provide verification of a current RN license. Different states have different methods of issuing and verifying licenses, so documentation may take any of several forms: a copy of a paper document, a copy of verification obtained through the website of the other state’s Board of Nursing, or a copy of nursys.com verification.  The ARNP applicant will need to pay an $81 fee. Some ARNPs require DEA numbers; this is part of the authorization process for a practitioner who will prescribe controlled substances. ARNP are referred to the Pharmacy Board for application materials (https://pharmacy.iowa.gov/Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.Advanced Registered Nurse Practitioners (ARNPs) may practice independently in Iowa. This practice is based on educational background, population focus, national certifying body standards, and guidelines. Examples are the American Nurses Credentialing Center and the American Academy of Nurse Practitioners. An ARNP may have a collaborative agreement with a physician(s), if warranted. This agreement is not required by the Iowa Board of Nursing.  (Advanced Registered Nurse Practitioner Role & Scope, n.d.).How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state? What is the application process for certification in your state?Current licensure as a registered nurse is mandatory for advanced nursing practice in Iowa. For licensure as an advanced registered nurse practitioner, a national professional nursing certifying body with Board recognition is required. It is required to be licensed in all the population foci that are served. Licensure with the Iowa Board of Nursing at the advanced level permits the nurse to use the title Advanced Registered Nurse Practitioner and authorizes the nurse to prescribe substances or devices, including controlled substances. When practicing a nursing specialty that is subject to rules set forth by the Board of Nursing, the ARNP shall have the authority to prescribe. Provided documentation of certification in the application (Iowa ARNP License Requirements, 2020).What is your state’s board of nursing website?https://dial.iowa.govHow does your state define the scope of practice of a nurse practitioner? What isIncluded in your state practice agreement?Before treating a patient, ARNPs must:1.Establish a patient-provider relationship.2Perform and document or have access to the patient’s health records, including,3.Chief complaint,4Health history,5.Focused assessment,6,Diagnosis,7, Plan of treatment,8. Maintain hospital privileges, if applicable (Advanced Registered Nurse Practitioner Role & Scope, n.d.).How does your state define the scope of practice of a nurse practitioner? What is included in your state practice agreement?The scope of practice for nurse practitioners in the state of Iowa is full practice. They can be primary care providers and order PT, sign death certificates, sign disabled person placard forms, and sign POLST or similar documents. This allows for the ability to practice autonomously, including assessing, diagnosing, and treating the patient. They are also able to prescribe medications independently. This does include schedule II drugs, but they must register with the Board of Pharmacy before prescribing schedule II drugs(Nurse Practitioner Scope of Practice by State , Iowa– 2023, n.d.).Registration as a practitioner with the Federal Drug Enforcement Administration (DEA) and the Board of Pharmacy Examiners permits the Advanced Registered Nurse Practitioner to prescribe controlled substances within the practitioner’s recognized specialty. To obtain a DEA number, the provider must be licensed as an ARNP.  Application forms for DEA numbers may be obtained from the Pharmacy Board website.ARNPs located in Iowa must register for a Controlled Substance Registration if prescribing controlled substances (up to schedule II). To be eligible to register, ARNPs must hold a current, active license to practice. Every individual practitioner or researcher who administers, prescribes, stocks, or dispenses any controlled substance must be registered under both state and federal Controlled Substances Acts. Federal registration is with the Drug Enforcement Administration (DEA). State registration is with the Iowa Board of Pharmacy. These registrations must be renewed periodically; check the respective registration certificates for expiration dates. Registration certificates must be maintained at the registered location. Registration is for a specific practice location. Individual practitioners or researchers who personally procure and maintain a stock supply of controlled substances for dispensation or administration at multiple locations must obtain a separate registration for each location. Individuals who make a change in their practice location must notify both the state and federal offices (Controlled Substances Act Registrations (CSA), n.d.).​Does your state have a prescription monitoring program (PMP)? 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?Yes, in Iowa. The Iowa Prescription Monitoring Program is a tool used to track the prescription of controlled substances. This includes Schedule II, III, and IV drugs. This program allows prescribers and pharmacists to determine the appropriate treatment for patients. The program assists practitioners in identifying potential diversion, misuse, or abuse of controlled substances. The Iowa Board of Pharmacy regulates this program.Jennine NDiscussion post # 2Practice parameters vary from state to state and in some circumstances are limited for advanced practice nurses (APRNs). As a current resident of Illinois this state became the focus of this writer’s contribution for the assignment. Illinois is interesting as it falls under the parameters of both a collaborative and full practice authority state depending on the qualifications of the APRN. Certification as an APRN in Illinois requires an RN licensure, a graduate degree appropriate for national certification in a clinical APRN specialty, or alternatively a post-master’s certificate from a graduate level program in a clinical APRN specialty, submission and clearance of a criminal history records check, or submitted licensure from another jurisdiction that also meets the qualifying parameters (Illinois Nurse Practice Act, 2018).Illinois defines the scope of practice of an APRN as based on skills acquired through advanced education, training, and experience that includes advanced patient assessment and diagnoses, advanced counseling, health and patient education, advocacy, and palliative and end-of-life care (Illinois Nurse Practice Act, 2018). It also encompasses the capability to order diagnostic and therapeutic tests or procedures/treatments, and the ordering and application of medical devices. Illinois does also note that APRNs are still able to practice within the registered nurse scope of practice as well (Illinois Nurse Practice Act, 2018).The state board of nursing website for Illinois is the Illinois Department of Financial and Professional Regulation athttps://idfpr.illinois.gov/Links to an external site.. The application process can be done online or by filling out physical forms accompanied by a $125 fee, official transcripts, a copy of a national certification, an affidavit certifying 250 hours of continuing education, and absence of delinquency in child support or tax issues pending with the state (Illinois Department of Financial and Professional Regulation, 2023).Full practice authority can be granted under Section 65-43 when the APRN has completed national certification and 4,000 hours of clinical experience with a collaborative physician in their certification specialty or a notarized attestation of completion of 250 hours of continuing education and an unencumbered license (Madura et al., 2022). This was granted in 2017 but it is accompanied by a prescriptive clause that the APRN must still have a consultive relationship with a physician to prescribe benzodiazepines or Schedule II narcotics and adhere to documentation in the Illinois state prescriptive monitoring program (Madura et al., 2022). A written collaborative agreement is required for the APRN if they do not meet the requirements of Section 65-43 and are not privileged in affiliation with a hospital, a hospital affiliate, or an ambulatory surgical center (Illinois Nurse Practice Act, 2018).If the collaborating physician’s prescriptive authority includes Schedule II through V medications the APRN will have to apply for a mid-level practitioner controlled substance license as detailed under the Illinois Controlled Substances Act (Illinois Nurse Practice Act, 2017). Specifics regarding controlled substances for the APRN include delegation of Schedule II medications when routinely prescribed by the physician if oral, topical, or transdermal with the exclusion of injectables or other routes of administration. These can only be ordered in a 30-day supply without continuation and the patient’s condition regarding the need and ongoing treatment with controlled substances must be an ongoing discussion with the collaborating physician. The collaborating physician must file a notice of delegation of prescriptive authority and with that the APRN is only allowed to prescribe within the scope of practice of the physician and must also complete 45 graduate contact hours of pharmacology with an additional annual 5 hours of continuing education in pharmacology (Illinois Nurse Practice Act, 2017).To obtain a DEA license, the APRN must apply through the Department of Justice Diversion Control Division using the Mid-Level Practitioner Form 224 outlining personal information, email validation, activity, state licensing, background information, payment, and confirmation of the forementioned information (U.S. Department of Justice, n.d.). This brings the Illinois state prescriptive monitoring to the discussion. Illinois is a prescriptive monitoring state and has an electronic database that stores and tracks dispensing data of controlled substances that are Schedule II through V in efforts to maintain safety and prevent abuse and misuse (Illinois Department of Human Services, n.d.). The supervision of a collaborating physician and the prescriptive monitoring of controlled substances places Illinois in the restricted practice category even though full practice authority can be granted under Section 65-43 (Phoenix & Chapman, 2020).With Illinois implementing full practice authority without true full practice one issue that may impact how progress is viewed is the need for collaboration with controlled substances. The need exists for APRNs to assist with ever increasing patient loads. As this stands the physicians are still having to maintain and closely monitor each case that has use of controlled substances minimalizing the relief of burden. Another issue that this writer feels can hinder successful independent practice is with the state-by-state variations and intricacies of collaborations there is a potential liability issue of practicing outside the APRNs scope of practice. Hudspeth and Klein (2019) state that due to the increasing patient population with more complex co-morbidities APRNs may find themselves in situations where the appropriate practice guidelines can become askew. This opens the door for malpractice litigation due to constraints placed on APRNs that do not allow them to practice to the full extent of their education and competency. This writer was surprised to learn that Illinois had such a complexity of care stating on one hand you are qualified to work independently and on the other you require ongoing extensive monitoring.WK1Discussionpostreply.docxDiscussion post 250-to-350-word count minimumAPA style format with intext citation3 three peer-reviewed references minimum within the last 5 yearsTurnitin report·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.Olivia CDiscussion post # 1How do you get certified and licensed as an Advanced Practice Registered Nurse(APRN) in your state?I am from Iowa.  The process for licensure in the state of Iowa is, after graduating from a Masters-accredited nursing program, boards have been passed.  The advanced practice nurse must seek advanced certification through a board-recognized national certification agency. Certifying agencies will depend on specialty, though there is some overlap between certifications offered by the American Nurses Credentialing Center and those offered by specialty certification agencies. Certification will be held through the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners (AANP). An advanced practice nurse will apply to the Iowa Board after meeting all requirements. The application may be submitted online through IBON Online Services (https://nursing.iowa.gov/online-services) or downloaded and mailed to the Board office in Des Moines. The licensing agency mandates that transcripts be sent directly from the school. The applicant will include a copy of his or her national certification; a copy of a certificate card can also be accepted. An applicant who resides in another compact state will provide verification of a current RN license. Different states have different methods of issuing and verifying licenses, so documentation may take any of several forms: a copy of a paper document, a copy of verification obtained through the website of the other state’s Board of Nursing, or a copy of nursys.com verification.  The ARNP applicant will need to pay an $81 fee. Some ARNPs require DEA numbers; this is part of the authorization process for a practitioner who will prescribe controlled substances. ARNP are referred to the Pharmacy Board for application materials (https://pharmacy.iowa.gov/Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.Advanced Registered Nurse Practitioners (ARNPs) may practice independently in Iowa. This practice is based on educational background, population focus, national certifying body standards, and guidelines. Examples are the American Nurses Credentialing Center and the American Academy of Nurse Practitioners. An ARNP may have a collaborative agreement with a physician(s), if warranted. This agreement is not required by the Iowa Board of Nursing.  (Advanced Registered Nurse Practitioner Role & Scope, n.d.).How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state? What is the application process for certification in your state?Current licensure as a registered nurse is mandatory for advanced nursing practice in Iowa. For licensure as an advanced registered nurse practitioner, a national professional nursing certifying body with Board recognition is required. It is required to be licensed in all the population foci that are served. Licensure with the Iowa Board of Nursing at the advanced level permits the nurse to use the title Advanced Registered Nurse Practitioner and authorizes the nurse to prescribe substances or devices, including controlled substances. When practicing a nursing specialty that is subject to rules set forth by the Board of Nursing, the ARNP shall have the authority to prescribe. Provided documentation of certification in the application (Iowa ARNP License Requirements, 2020).What is your state’s board of nursing website?https://dial.iowa.govHow does your state define the scope of practice of a nurse practitioner? What isIncluded in your state practice agreement?Before treating a patient, ARNPs must:1.Establish a patient-provider relationship.2Perform and document or have access to the patient’s health records, including,3.Chief complaint,4Health history,5.Focused assessment,6,Diagnosis,7, Plan of treatment,8. Maintain hospital privileges, if applicable (Advanced Registered Nurse Practitioner Role & Scope, n.d.).How does your state define the scope of practice of a nurse practitioner? What is included in your state practice agreement?The scope of practice for nurse practitioners in the state of Iowa is full practice. They can be primary care providers and order PT, sign death certificates, sign disabled person placard forms, and sign POLST or similar documents. This allows for the ability to practice autonomously, including assessing, diagnosing, and treating the patient. They are also able to prescribe medications independently. This does include schedule II drugs, but they must register with the Board of Pharmacy before prescribing schedule II drugs(Nurse Practitioner Scope of Practice by State , Iowa– 2023, n.d.).Registration as a practitioner with the Federal Drug Enforcement Administration (DEA) and the Board of Pharmacy Examiners permits the Advanced Registered Nurse Practitioner to prescribe controlled substances within the practitioner’s recognized specialty. To obtain a DEA number, the provider must be licensed as an ARNP.  Application forms for DEA numbers may be obtained from the Pharmacy Board website.ARNPs located in Iowa must register for a Controlled Substance Registration if prescribing controlled substances (up to schedule II). To be eligible to register, ARNPs must hold a current, active license to practice. Every individual practitioner or researcher who administers, prescribes, stocks, or dispenses any controlled substance must be registered under both state and federal Controlled Substances Acts. Federal registration is with the Drug Enforcement Administration (DEA). State registration is with the Iowa Board of Pharmacy. These registrations must be renewed periodically; check the respective registration certificates for expiration dates. Registration certificates must be maintained at the registered location. Registration is for a specific practice location. Individual practitioners or researchers who personally procure and maintain a stock supply of controlled substances for dispensation or administration at multiple locations must obtain a separate registration for each location. Individuals who make a change in their practice location must notify both the state and federal offices (Controlled Substances Act Registrations (CSA), n.d.).​Does your state have a prescription monitoring program (PMP)? 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?Yes, in Iowa. The Iowa Prescription Monitoring Program is a tool used to track the prescription of controlled substances. This includes Schedule II, III, and IV drugs. This program allows prescribers and pharmacists to determine the appropriate treatment for patients. The program assists practitioners in identifying potential diversion, misuse, or abuse of controlled substances. The Iowa Board of Pharmacy regulates this program.Jennine NDiscussion post # 2Practice parameters vary from state to state and in some circumstances are limited for advanced practice nurses (APRNs). As a current resident of Illinois this state became the focus of this writer’s contribution for the assignment. Illinois is interesting as it falls under the parameters of both a collaborative and full practice authority state depending on the qualifications of the APRN. Certification as an APRN in Illinois requires an RN licensure, a graduate degree appropriate for national certification in a clinical APRN specialty, or alternatively a post-master’s certificate from a graduate level program in a clinical APRN specialty, submission and clearance of a criminal history records check, or submitted licensure from another jurisdiction that also meets the qualifying parameters (Illinois Nurse Practice Act, 2018).Illinois defines the scope of practice of an APRN as based on skills acquired through advanced education, training, and experience that includes advanced patient assessment and diagnoses, advanced counseling, health and patient education, advocacy, and palliative and end-of-life care (Illinois Nurse Practice Act, 2018). It also encompasses the capability to order diagnostic and therapeutic tests or procedures/treatments, and the ordering and application of medical devices. Illinois does also note that APRNs are still able to practice within the registered nurse scope of practice as well (Illinois Nurse Practice Act, 2018).The state board of nursing website for Illinois is the Illinois Department of Financial and Professional Regulation athttps://idfpr.illinois.gov/Links to an external site.. The application process can be done online or by filling out physical forms accompanied by a $125 fee, official transcripts, a copy of a national certification, an affidavit certifying 250 hours of continuing education, and absence of delinquency in child support or tax issues pending with the state (Illinois Department of Financial and Professional Regulation, 2023).Full practice authority can be granted under Section 65-43 when the APRN has completed national certification and 4,000 hours of clinical experience with a collaborative physician in their certification specialty or a notarized attestation of completion of 250 hours of continuing education and an unencumbered license (Madura et al., 2022). This was granted in 2017 but it is accompanied by a prescriptive clause that the APRN must still have a consultive relationship with a physician to prescribe benzodiazepines or Schedule II narcotics and adhere to documentation in the Illinois state prescriptive monitoring program (Madura et al., 2022). A written collaborative agreement is required for the APRN if they do not meet the requirements of Section 65-43 and are not privileged in affiliation with a hospital, a hospital affiliate, or an ambulatory surgical center (Illinois Nurse Practice Act, 2018).If the collaborating physician’s prescriptive authority includes Schedule II through V medications the APRN will have to apply for a mid-level practitioner controlled substance license as detailed under the Illinois Controlled Substances Act (Illinois Nurse Practice Act, 2017). Specifics regarding controlled substances for the APRN include delegation of Schedule II medications when routinely prescribed by the physician if oral, topical, or transdermal with the exclusion of injectables or other routes of administration. These can only be ordered in a 30-day supply without continuation and the patient’s condition regarding the need and ongoing treatment with controlled substances must be an ongoing discussion with the collaborating physician. The collaborating physician must file a notice of delegation of prescriptive authority and with that the APRN is only allowed to prescribe within the scope of practice of the physician and must also complete 45 graduate contact hours of pharmacology with an additional annual 5 hours of continuing education in pharmacology (Illinois Nurse Practice Act, 2017).To obtain a DEA license, the APRN must apply through the Department of Justice Diversion Control Division using the Mid-Level Practitioner Form 224 outlining personal information, email validation, activity, state licensing, background information, payment, and confirmation of the forementioned information (U.S. Department of Justice, n.d.). This brings the Illinois state prescriptive monitoring to the discussion. Illinois is a prescriptive monitoring state and has an electronic database that stores and tracks dispensing data of controlled substances that are Schedule II through V in efforts to maintain safety and prevent abuse and misuse (Illinois Department of Human Services, n.d.). The supervision of a collaborating physician and the prescriptive monitoring of controlled substances places Illinois in the restricted practice category even though full practice authority can be granted under Section 65-43 (Phoenix & Chapman, 2020).With Illinois implementing full practice authority without true full practice one issue that may impact how progress is viewed is the need for collaboration with controlled substances. The need exists for APRNs to assist with ever increasing patient loads. As this stands the physicians are still having to maintain and closely monitor each case that has use of controlled substances minimalizing the relief of burden. Another issue that this writer feels can hinder successful independent practice is with the state-by-state variations and intricacies of collaborations there is a potential liability issue of practicing outside the APRNs scope of practice. Hudspeth and Klein (2019) state that due to the increasing patient population with more complex co-morbidities APRNs may find themselves in situations where the appropriate practice guidelines can become askew. This opens the door for malpractice litigation due to constraints placed on APRNs that do not allow them to practice to the full extent of their education and competency. This writer was surprised to learn that Illinois had such a complexity of care stating on one hand you are qualified to work independently and on the other you require ongoing extensive monitoring.Bids(61)Dr. Ellen RMMathProgrammingPROF_ALISTERSheryl HoganEmily Clarefirstclass tutorProf Double RFiona DavaMUSYOKIONES A+Dr CloverJudithTutorSTELLAR GEEK A+Jahky BProWritingGuruColeen AndersonDr. Everleigh_JKBrilliant GeekTutor Cyrus KenWIZARD_KIMMARTHA92_PHDShow All Bidsother Questions(10)english 225 film week 3 discussionACC 281 Week 2 Understanding Real World Financial Reports9+7Finance questionsSee descriptionGEN 105 Week 5-Checkpoint – Setting GoalsWEB 240 Week 2-Web Design and DevelopmentMGMT 303 Final Exam – Wheelworks Case StudyI need it within 7 hrsDiscussion board postings.

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