NUR 513 Identify at least two regulatory bodies, and your state’s nurse practice act, that specify certification, licensure requirements, or scope of practice for your specialty

NUR 513 Identify at least two regulatory bodies, and your state’s nurse practice act, that specify certification, licensure requirements, or scope of practice for your specialty

The Board of Registered Nursing is a state driven regulatory body associated with a large array of business regarding details such as RN licensure, standards of practice and disciplinary actions (California Board of Registered Nursing. 2022). The California Nurse Practice Act encompasses the laws of California pertaining to elements within our field. It is updated every year and helps govern the innerworkings of the California Board of Nursing business and profession codes as well as the core regulations. (California Board of Registered Nursing. 2022). The federal regulatory process has many different initiatives for nurses and the healthcare system. One that is very important is the Patient Protection and Affordable Care Act (ACA). The ACA addresses affordable insurance, affordable healthcare and medical innovation for low-income families (U.S. Department of Health & Human Services. 2022).

These regulatory bodies strongly impact nursing practices, patient outcomes, and positive actions within the everchanging healthcare system (DeNisco & Barker, 2019). It is vital within the nursing profession to stay up to date on annual changes within our practice. The significance of different improvements influence nursing and healthcare by providing straight forward knowledge and definition of expectations required to maintain the high standard of care within the medical system. It is important for these entities to research and identify the disparities associated with different regions of the country to pinpoint specific community needs and actively combat unique inequalities and imbalances associated with all types of societies and cultures.

California Board of Registered Nursing. (2022). Nursing Practice Act. https://www.rn.ca.gov/practice/npa.shtml  

U.S. Department of Health & Human Services. (2022). About the Affordable Care Act. https://www.hhs.gov/healthcare/about-the-aca/index.html

DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284176124

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One nursing regulatory body (NRB) in the state of Georgia is the Georgia Board of Nursing under the Georgia Secretary of State, Brad Raffensperger. The Georgia Board of Nursing is a member of the National Council of State Boards of Nursing (NCSBN), a not-for-profit organization made up of the NRBs from all 50 states, Washington D.C and four U.S. territories (National Council of State Boards of Nursing, n.d). Because nursing has such a key role in the health care system, it is vital that it is done in a safe, evidence-based, consistent manner. Each of the members of the NCSBN has a law called the Nurse Practice Act that explains in detail every aspect of nursing, including but not limited to what duties, responsibilities, educational requirements, licensing, and scope of practice are necessary to ensure that nursing is being practiced safely in their state or territory. Each nurse must function in a way that is in line with this law to maintain their license. Nursing regulatory bodies such as the Georgia Board of Nursing are responsible for enforcing the Georgia Registered Professional Nurse Practice Act. 

Another nursing regulatory body that enforces the requirements of the Georgia Nurse Practice Act is the Oncology Nursing Society (ONS). Although ONS is a nursing organization that focuses on the specialty of oncology, it builds its specialty scope of practice on the foundation of the Nurse Practice Act of each state or territory. The Oncology Nursing scope and standards set minimal standards as well as requirements to become Oncology Nurse Certified (OCN). The Oncology Nursing scope and standards also provide initial and annual competencies to individual oncology nurses so that they can gain and/or improve their knowledge in the field of oncology ((Lubejko & Wilson, 2019) 

The specialty of Public Health Nursing is regulated by the Georgia Department of Public Health Office of Nursing. The Georgia DPH Office of Nursing acts as a nursing regulatory body to ensuring that Public Health nurses practice in a way that is in line with the Georgia Nurse Practice Act, the Georgia Board of Nursing rules and regulations, and scope of practice by developing policies and procedures, and providing leadership, and assistance to public health nurses in their communities. (dph.georgia.gov, n.d) 

References:

About NCSBN. NCSBN: Leading regulatory excellence. (n.d.). Retrieved August 13, 2022, from https://ncsbn.org/about.htm 

Lubejko, B. G., & Wilson, B. J. (2019). Oncology nursing: Scope and standards of Practice. Oncology Nursing Society. 

Office of Nursing. Georgia Department of Public Health. (n.d.). Retrieved August 13, 2022, from https://dph.georgia.gov/clinical-services/office-nursing 

Each state has an agency that is responsible for the nurses in their state and how they practice, these are called nursing regulatory bodies. The point of these nursing regulatory bodies Is to protect the public’s health by practicing safe nursing (National Council of State Boards of Nursing [NCSBN], 2022a). Each state has its own Nurse Practice Act that is enforced (NCSBN,2022a). Each states act has rules and regulations such as qualifications for licensure and scope of practice. Two nursing regulatory bodies are the Arizona State Board of Nursing and the American Nurses Association. Within the Arizona State Board of Nursing is the Advanced Practice Advisory Committee who provides recommendations to the Board on issues involving advanced practice (Arizona State Board of Nursing, 2018).

The Arizona State Board of Nursing has a plethora of information as they regulate licensure requirements, specify certification, and scope of practice for your specialty. Within the Arizona State Board of Nursing is the Advanced Practice Advisory Committee who provides recommendations to the Board on issues involving advanced practice (Arizona State Board of Nursing, 2018). Some of the goals of this committee are to clarify regulatory sufficiency of the four Advanced Practice roles and develop recommendations for change related to Advanced Practice (Arizona State Board of Nursing, 2018). For example, Certified Registered Nurse Anesthetists in Arizona have their scope of practice laid out on Arizona State Board of Nursing and the Arizona State Legislature. CRNA’s in Arizona are able to administer anesthetics under the direction of a physician or surgeon before, during, or after a surgery/procedure in certain settings that are clearly listed (Arizona State Board of Nursing, 2018).

I actually really enjoyed reading through the APRN Conesus Model as it gave really good insight into the roles, licensure, accreditation, certification and education. As we discussed last week in this course the number of APRN’s are growing exponentially to try and keep up with forever changing healthcare needs in our growing country. The consensus discusses that as nursing practice evolves and health care needs of the population change, new APRN roles or population focus may change over time (NCBSN, 2022b).  Every APRN role uses a significantly differentiated set of competencies and there is a plan in place to help the role evolve.

References

Arizona State Board of Nursing. (2018). About the organization. Arizona State Board of Nursing. https://www.azbn.gov/

National Council of State Boards of Nursing. (2022a). About U.S. nursing regulatory bodies. NCSBN. https://www.ncsbn.org/about-nursing-regulatory-bodies.htm

National Council of State Boards of Nursing. (2022b). APRN consensus model. NCBSN. https://www.ncsbn.org/aprn-consensus.htm

The nurses scope of practice regarding different types of specialized patient handling issues may be advancing in the near future. The state boards of nursing across the country may already be aware of these proposed elements and there are already certification opportunities available for nurses.

The Association of Safe Patient Handling Professionals (ASPHP) is a 501 (c)(3) non -profit organization that brings together like-minded individuals that want to share ideas, support research and advocate for sound regulatory activity that improves and promotes safer working environment for all caregivers (ANA, 2022).

The ASPHP and American Nurses Association (ANA) are working together to propose discussions and improvements associated with manual patient handling. This initiative is geared towards nurse and patient safety, and can help reduce injuries. There is a total of eight standards of change including culture of safety, SPHM technology, and comprehensive evaluation system (ASPHP, 2022).

SPHM and ANA can help introduce programs and resources into the clinical setting to help decrease the number of work-related injuries caused by patient mobility limitations. This proposed initiative can leave a positive mark on patients plan of care and interventions associated with positive outcomes. Where I work, physical and occupational therapists are the front runners in movement, mobility and exercise.  I worked in acute care rehab as a new grad and my eyes were opened to the extensive programs needed to overcome physical barriers associated with diagnosis and illness. In my time there, I learned a wide variety of techniques for patient handling and was trained by the physical therapy department. Also, our rehab facility had state of the art technology to aid in the process. If all hospitals were to adopt this consultive expertise as a main element of care within nursing, it would definitely improve nursing practices and patient care outcomes.

The Association of Safe Patient Handling Professionals, Inc. (ASPHP). (2022). https://asphp.org/

American Nurses Association. (ANA). (2022). Eliminating Manual Patient Handling to Reduce Work-Related Injuries. https://www.nursingworld.org/practice-policy/nursing-excellence/ 

Regulatory bodies for nursing exist to protect the public when receiving nursing care. Nurses are under the federal and state legislation to ensure they are educated appropriately, licensed correctly, practice within their scope, and receive disciplinary action when there are violations of their state’s or territories Nurse Practice Act (National Council of State Boards of Nursing, 2022). The National Council of State Boards of Nursing (NCSBN) is an entity that encompasses all the regulatory bodies of the 50 states, the District of Columbia, and United States territories. The purpose of NCSBN is to support these regulatory bodies in their role to safeguard the public as well as support nurses in their practice. 

NCSBN influences the requirements for education within nursing by providing a framework for state boards of nursing to license and educate their nurses. Further, NCSBN provides research and tools for individual boards of nursing to make decisions on what education, licensure, scope, and disciplinary action makes sense given the states laws and regulations. The laws and regulations are then put into place by state lawmakers. This is the creation of each states Board of Nursing and Nurse Practice Act. Additionally, NCSBN advocates for nurses and their scope of practice. NCSBN paired with APRN’s to advocate for the APRN Consensus Model which, “promotes a uniform regulatory process based on nationally accepted standards for certification, licensure, and practice” (DeNisco, 2019, p. 244). There is a push for federal funds and accreditation to schools that teach to the consensus model. By incorporating the consensus model into APRN standards and education, it allows APRN’s to bring their practice to other states outside of their licensure state thus expanding access to healthcare for many populations (DeNisco, 2019, p. 244). 

The Minnesota Board of Nursing (MnBON) is the regulatory body for nursing in Minnesota. In general, with support from NCSBN, MnBON is responsible for enforcing the state’s nurse practice act (NPA), accrediting or approving nurse education, developing standards of practice, developing policies, rules, and regulation, and addressing violations of the NPA (NCSBN). Minnesota’s Nurse Practice Act describes the roles and responsibilities of nurses in Minnesota.  

One such example I can think of specific to my practice of school nursing that comes up often is medication administration in the school setting. Different districts (by decision of the school board) can decide what medication administration looks like in the school setting with the guidance and expertise of a Licensed School Nurse (LSN) (Minnesota Department of Health, 2015, p. 9). Often parents and families will not understand that I cannot just “give out” medication; that I require an order from a physician or other licensed prescriber as listed in MN law and our school board policy. Understanding my scope of practice as put into law by the board of nursing and nurse practice act in this often-encountered scenario not only protects the students receiving medication but also protects my nursing licensure.  

 References

DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284176124 

Minnesota Guidelines for Medication Administration in Schools. (2015). Minnesota Department of Health. https://www.health.state.mn.us/docs/people/childrenyouth/schoolhealth/medadmin.pdf 

National Council of State Boards of Nursing. (2022) . Retrieved from https://www.ncsbn.org/boards.htm