NR 510 Week 6 TD.docx - NR 510 Week 6 TD PART 1 You have...

NR 510 Week 6 TD
PART 1:
You have completed your nurse practitioner education, likely one of the
most challenging tasks you have ever undertaken. Several of your
graduated colleagues live in different states, including California,
Washington, and Illinois. After a year of primary care practice in your
respective states, you get together for a reunion and share your practice
perspectives. It is apparent that your experiences are not equal.
Discussion Question :
How do licensure, accreditation, certification, and education (LACE)
considerations differ for APN clinical roles for these three states:
California, Washington and Illinois? Provide evidence for your
response.
LACE stands for licensing, accreditation, certification, and education (APNA,
2017). The model for LACE defines the practice for advanced practice nurses, identifies
titles, defines and approves specialty tracks, and defines how new roles and population
focuses may develop (APNA, 2017). It is important that Students, educators, and
advanced practice nurses understand the differences of these 4 terms. Licensure is
decided by state agencies whose legislature dictates licensure requirements (APNA,
2017). Accreditation regards the evaluation of educational institutes in order to determine
if they meet requirements set forth by the accrediting bodies (APNA, 2017). Certification
regards showing one has the skills, knowledge, and abilities in a certain specialty area by
certification processes (APNA, 2017). Certification is different from licensure because it
allows a licensed practitioner to certify in a specialty area. Education refers to master’s
and post-masters or doctoral programs; when deciding which educational institute to
attend, one should choose the appropriate accredited program (APNA, 2017).
For one to obtain advanced practice licensure in the state of California, one must
graduate a master’s degree program in the area of their preferred specialization that is
accredited by the National League of Nursing (NLN). The other 2 choices California
offers is earning a certification via an accepted organization or by completing an
equivalent program (Nursing Licensure, 2017). California recognizes 6 areas of practice
for APRN, they include nurse practitioner, public health nurse, clinical nurse specialist,
psychiatric health nurse, nurse anesthetist, and nurse midwife (Alleman & Houle, 2013).
APRN’s and nurse midwives need a furnishing number before California will authorize
them to prescribe medications (Nursing Licensure, 2017). An application for the
furnishing number must be submitted along with the application for nurse practitioner
certification or licensure (State of California, 2016).
In Washington, before one can become an APRN, they first must complete a
APRN program that is accredited and recognized by the United States Department of
Education (USDE) (Nursing Licensure, 2017). Washington recognizes 3 categories of
APRN’s, which include NP, CNM, and CRNA (Nursing Licensure, 2017). In Washington,

APRN’s have their RN license active along with their APRN license (Nursing Licensure,
2017). APRN’s students must also pass a national certification exam at some point after