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

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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.

 State practice environment 

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LEARNING RESOURCES

Required Readings

· American Association of Nurse Practitioners. (2020).  State practice environment Links to an external site. . https://www.aanp.org/advocacy/state/state-practice-environment

· On the map on the webpage, click on your state and review. After you complete the PMHNP Program, pass the certification exam, and get a job, you will need to revisit this website to apply for the privilege to practice as an APRN with your state Board of Nursing.

· American Psychiatric Association. (2020).  Telepsychiatry Links to an external site. . https://www.psychiatry.org/psychiatrists/practice/telepsychiatry

· Buppert, C. (2021).  Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.

· Chapter 1, “What Is a Nurse Practitioner?”

· Chapter 2, “Nurse Practitioner Scope of Practice”

· Chapter 3, “State Regulation of the Nurse Practitioner Practice”

· Chapter 4, “Federal Regulation of the Nurse Practitioner Profession”

· Chapter 5, “Prescribing”

· Centers for Disease Control and Prevention. (2020).  Using telehealth to expand access to essential health services during the COVID-19 pandemic Links to an external site. . https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html

· Centers for Medicare & Medicaid Services. (2019).  National provider identifier standard (NPI) Links to an external site. . https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand

· The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.

· Drug Enforcement Administration Diversion Control Division. (2020).  Registration Links to an external site. . https://www.deadiversion.usdoj.gov/drugreg/index.html

· This site contains information about applying for your DEA registration number. This number is required for writing prescriptions.

· After completing PMHNP Program and passing the PMHNP certification exam, complete the DEA application to request prescriptive privileges. Your DEA number will be renewable every five years.

· National Panel for Psychiatric Mental Health NP Competencies. (2003).  Psychiatric-mental health nurse practitioner competenciesLinks to an external site. . National Organization of Nurse Practitioner Faculties (NONPF).  https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/imported/PMHNPcomps03.pdf

· Stewart, J. G., & DeNisco, S. M. (2019).  Role development for the nurse practitioner (2nd ed.) . Jones & Bartlett Learning.

· Chapter 1, “Historical Perspectives: The Art and Science of Nurse Practitionering”

· Nurse Practitioner Core Competencies

· Nurse Practitioners’ Unique Role

· Chapter 13, “Quality, Safety, and Prescriptive Authority”

· Substance Abuse and Mental Health Services Administration. (2020).  Become a buprenorphine waivered practitioner Links to an external site. . https://www.samhsa.gov/medication-assisted-treatment/buprenorphine-waiver-management/apply-for-practitioner-waiver

· This site contains information about applying for a practitioner waiver to prescribe or dispense buprenorphine under the Drug Addiction Treatment Act of 2000 (DATA 2000).

· After you  obtain a Drug Enforcement Agency (DEA) number and completed 24-hour medication-assisted treatment (MAT) waiver training, you may apply to Substance Abuse and Mental Health Services Administration  (SAMSHA) for MAT waiver to be able to prescribe Schedule III, IV, or V opioid drugs for the maintenance and detoxification treatment of opioid use disorders relapse prevention.

· Zakhari, R. (2021).  The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.

· Chapter 2, “The Role of the Psychiatric-Mental Health Nurse Practitioner: Regulations and Scope of Practice”

· Chapter 3, “Theoretical Foundations of Care and Nonpharmacological Therapies”

Discuss the potential impact of a nurse leader who embraces hopefulness for the future on the well-being of team members that he or she leads. 

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Discuss the potential impact of a nurse leader who embraces hopefulness for the future on the well-being of team members that he or she leads.

Ten Spiritual Rules of the Road

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Select and discuss one or two of the “Ten Spiritual Rules of the Road” (Porter-O’Grady & Malloch, Exhibit 14-4, p. 588) that you wish to further develop in your role as a nurse leader. Speculate on the impact of creativity and spiritual intelligence in a nurse leader role.

How does lack of diversity among leaders in healthcare organizations affect patient care?

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How does lack of diversity among leaders in healthcare organizations affect patient care?

Discuss at least two examples of how you, as a nurse leader, would encourage a diverse and inclusive culture with your leadership team.

Identify at least four contemporary leadership principles you could apply as a nurse leader to minimize dysfunctional behaviors among people in your healthcare organization.

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Identify at least four contemporary leadership principles you could apply as a nurse leader to minimize dysfunctional behaviors among people in your healthcare organization.  Discuss one specific example to illustrate each of the four chosen leadership principles.

Why would a healthcare organization want to participate in a new healthcare initiative?  

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Why would a healthcare organization want to participate in a new healthcare initiative?

Weigh the cost/benefits of a new health care initiative of your choice.

What are the major risks for participating in a new healthcare initiative?

Discuss a healthcare initiative based on excellence

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Discuss a healthcare initiative based on excellence (refer to examples in week seven Signature Assignment directions) that directly or indirectly impacts patient care and why you, as a nurse leader, would recommend this initiative in your healthcare organization.

On what policy issues might nurses lobby Congress? What strategies might nurse use to have their voices heard?

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On what policy issues might nurses lobby Congress? What strategies might nurse use to have their voices heard?

The discussion must address the topic.

Rationale must be provided

400 words in your initial post by Wednesday 23:59 pm

Minimum of two scholarly references in APA format within the last five years published

You must post two answers to your peers  peers of 200 words by Saturday 23:59 pm. ****

Purpose of Assignment

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Purpose of Assignment

This assignment will address the current issues in pediatric healthcare related to safety. Growth and development is an important factor that should be considered along with safety in many areas of pediatric health alterations. Many times the health alterations experienced by children can be prevented if safety education is provided.

Competency

Prioritize nursing interventions when caring for pediatric clients with health disorders.

Instructions

This discussion will focus on the importance of teaching a chosen safety concern in the pediatric population. You will present your response in the discussion addressing the following questions: (discussion should be 300 words).

Initial Post:

  1. Determine the age and developmental stage and how that impacts the child related to the safety concern.
  2. Describe why you believe the safety education you chose will benefit the pediatric population. Who do you believe is the target age range for this specific educational teaching?
  3. Describe at least three nursing diagnoses related to the incident you are providing teaching to prevent. Support your choices with rationales citing 1-2 scholarly sources.