Now that you are in the final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass the national PMHNP certification exam. Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.
Although a movement called the APRN Consensus Model is attempting to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish an independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.
Another important area to consider and plan for is prescriptive authority. The appropriate board, which may be the medical board, state board of pharmacy, or nursing board, grants prescriptive authority under state law for the appropriate state licensure. The federal government grants the authority to write for a controlled substance, and the Drug Enforcement Administration (DEA) verifies this action through by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.
In this Discussion, you will locate and review the practice agreements in the state in which you plan to practice, identify potential collaboration requirements in your state, and understand the certification and licensing process that you will need to follow.
To Prepare:
- Review practice agreements in your state.
- Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
- Research the following:
- 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?
- What is your state’s board of nursing website?
- How does your state define the scope of practice of a nurse practitioner?
- What is included in your state practice agreement?
- How do you get a DEA license?
- 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?
By Day 3 of Week 1
Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.
Rubric Detail
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Name: NRNP_6675_Week1_Discussion_Rubric
| Excellent
90%–100% |
Good
80%–89% |
Fair
70%–79% |
Poor
0%–69% |
|||
| Main Posting:
Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. |
40 (40%) – 44 (44%)
Thoroughly responds to the Discussion question(s) Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources No less than 75% of post has exceptional depth and breadth Supported by at least three current credible sources |
35 (35%) – 39 (39%)
Responds to most of the Discussion question(s) Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module 50% of the post has exceptional depth and breadth Supported by at least three credible references |
31 (31%) – 34 (34%)
Responds to some of the Discussion question(s) One to two criteria are not addressed or are superficially addressed Is somewhat lacking reflection and critical analysis and synthesis Somewhat represents knowledge gained from the course readings for the module Post is supported by fewer than two credible references |
0 (0%) – 30 (30%)
Does not respond to the Discussion question(s) Lacks depth or superficially addresses criteria Lacks reflection and critical analysis and synthesis Does not represent knowledge gained from the course readings for the module Contains only one or no credible references |
||
| Main Posting:
Writing |
6 (6%) – 6 (6%)
Written clearly and concisely Contains no grammatical or spelling errors Adheres to current APA manual writing rules and style |
5 (5%) – 5 (5%)
Written concisely May contain one to two grammatical or spelling errors Adheres to current APA manual writing rules and style with minor errors |
4 (4%) – 4 (4%)
Written somewhat concisely May contain more than two spelling or grammatical errors Contains some APA formatting errors |
0 (0%) – 3 (3%)
Not written clearly or concisely Contains more than two spelling or grammatical errors Does not adhere to current APA manual writing rules and style |
||
| Main Posting:
Timely and full participation |
9 (9%) – 10 (10%)
Meets requirements for timely, full, and active participation Posts main Discussion by due date |
8 (8%) – 8 (8%)
Posts main Discussion by due date Meets requirements for full participation |
7 (7%) – 7 (7%)
Posts main Discussion by due date |
0 (0%) – 6 (6%)
Does not meet requirements for full participation Does not post main Discussion by due date |
||
| First Response:
Post to colleague’s main post that is reflective and justified with credible sources |
9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings Responds to questions posed by faculty The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. |
8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
7 (7%) – 7 (7%)
Response is on topic, may have some depth. |
0 (0%) – 6 (6%)
Response may not be on topic, lacks depth. |
||
| First Response:
Writing |
6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in standard, edited English. |
5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources Response is written in standard, edited English. |
4 (4%) – 4 (4%)
Response posted in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. |
0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication. Responses to faculty questions are missing. No credible sources are cited. |
||
| First Response:
Timely and full participation |
5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation Posts by due date |
4 (4%) – 4 (4%)
Meets requirements for full participation Posts by due date |
3 (3%) – 3 (3%)
Posts by due date |
0 (0%) – 2 (2%)
Does not meet requirements for full participation Does not post by due date |
||
| Second Response:
Post to colleague’s main post that is reflective and justified with credible sources |
9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. |
8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
7 (7%) – 7 (7%)
Response is on topic, may have some depth. |
0 (0%) – 6 (6%)
Response may not be on topic, lacks depth. |
||
| Second Response:
Writing |
6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in standard, edited English. |
5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources Response is written in standard, edited English. |
4 (4%) – 4 (4%)
Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. |
0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication. Responses to faculty questions are missing. No credible sources are cited. |
||
| Second Response:
Timely and full participation |
5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation Posts by due date |
4 (4%) – 4 (4%)
Meets requirements for full participation Posts by due date |
3 (3%) – 3 (3%)
Posts by due date |
0 (0%) – 2 (2%)
Does not meet requirements for full participation Does not post by due date |
||
| Total Points: 100 | ||||||
Name: NRNP_6675_Week1_Discussion_Rubric
Expert Answer and Explanation
Certification and Licensure in Georgia
In Georgia, one can be licensed if they pass NCLEX-RN exams as well as the undergraduate nursing degree program. Background check is also required for those who are applying for licensure. To apply for the license, one has to fill application forms, pay $75 fee and submit transcripts as well as evidence of background check. The employment document is then verified before the applicant completes Georgia Board of nursing re-entry program. The website, sos.ga.gov provides resources for anyone who wants to know about application procedures. The scope of practice, as defined by this state, is a nurse can prescribe under the physician’s supervision (Mark & Patel, 2019). For a nurse to practice, they need to sign an agreement that includes the list of physicians they intend to work with. A nurse also requires a license from the Drug Enforcement Agency (DEA). To get this license, they need to electronically apply via the Department of Justice web portal. Even with this license, Georgia does not permit nurses to prescribe controlled substance unless they are supervised by a physician (Peterson, 2017). The Georgia’s nurse practitioner organizations are involved in lobbying to remove scope of practice regulations.
Georgia has a number of regulations pertaining to the issuance of license or the SOP. According to section Ga. Rules & Regs. §410-11-.14, a nurse working under a physician can prescribe controlled drugs. For the nurse to practice still based on this regulation, they need to produce a formal protocol. This protocol must show that the nurse is working under a physician. These regulations including issues such as cumbersome licensure procedures can hamper independent practice (NCSL Scope of Practice Policy, 2020). One surprising thing about the research is that a nurse cannot practice independently without producing a written agreement that they would be supervised by a physician (Asiimwe, Muwema, & Drake, 2019).
References
Asiimwe, J. B., Muwema, M., & Drake, K. (2019). Factors that influence transition To Advanced Roles by RN To BSN Nurses, In Three Selected Hospitals Of Central-Uganda. BMC nursing, 18, 18. Doi: https://doi.org/10.1186/s12912-019-0345-z..
Mark, B. A., & Patel, E. (2019). Nurse Practitioner Scope of Practice: What Do We Know and Where Do We Go?. Western Journal of Nursing Research, 41 (4), 483-487.Doi:https://doi.org/10.1177/0193945918820338.
NCSL Scope of Practice Policy. (2020). State Overview: Georgia. https://scopeofpracticepolicy.org/states/ga/.
Peterson M. E. (2017). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. Journal of the advanced practitioner in oncology, 8(1), 74–81. https://www.researchgate.net/publication/313146728_Barriers_to_Practice_and_the_Impact_on_Health_Care_A_Nurse_Practitioner_Focus.
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