Slide Notes for PowerPointSlide 2: LACE Model:The model identifies the essential elements of APRN regulation as licensure, accreditation, certification, and education (LACE). Licensure refers to the authority to practice as an independent practitioner. The APRN education program must be accredited. The APRN must be certified in the APRN role by a national board. The LACEModel defines advancedpracticenursing(APRN) and delineates four roles: clinical nurse specialist (CNS), certified nurse practitioner (CNP), certified registered nurse anesthetist (CRNA), and certified nurse midwife (CNM). Advanced education builds on the pre-licensure preparation for RNs and occurs at the role and population level, which then prepares the individual for initial certification. The LACEModel specifies educational program requirements and the program is accredited accordingly. Slide 3:The APRN Consensus Model: The APRN Consensus Model was authored by a number of national professional advanced practice nursing organizations and was created to provide guidance for states to adopt uniformityin the regulation of advanced practice registered nurse roles. This model makes a clear distinction between acute care and primary care practice preparation, noting that acute care focused, and primary care focused Nurse Practitioner programs have distinct competencies basedon the consensus model as well as specific certification processes. All candidates must first earn a Master of Science in nursing or doctoral degree from an accredited nursing education program in the United States. While the length of the program varies across APRN roles and specialties, a minimum 2-year full-time course of study should be expected. The typical APRN curriculum includes health promotion and/or health maintenance; advanced health assessment, physiology/pathophysiology, and pharmacology; and research, ethics, policy, finance, and organization of health care delivery. APRN students also must successfully complete extensive clinical practicum learning experiences.Following degree conferral, the graduate obtains national certification by passing an examinationadministered by a recognized certifying body, such as the American Nurses Credentialing Center.After becoming certified, the APRN follows the procedure in his or her state to become authorized for APRN practice. No uniformity in the nurse practice act exists across the United States. Slide 4:California Licensure Considerations:California's advanced practice nurses are under the jurisdiction of the California Board of Registered Nursing (BRN). In order to be certified as an advanced practice nurse, a practitioner must also be licensed as a registered nurse.The Board recognizes the following graduate-level advanced specialty areas:
Nurse Anesthetist (NA)Nurse Practitioner (NP)Nurse-Midwife (NMW)Clinical Nurse Specialist (CNS)Psychiatric/ Mental Health Nurse (PMH)A nurse can become an NP by 1)completing an in-state program recognized by the Board as meeting standards 2)
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