What is advanced practice nurse (APRN)?Nurse who successfully completed graduate level accredited program in one APRN role 1Successful completion of national certification exam 1Nurse who holds skills and clinical knowledge to practice competent care 1Obtained APRN license to practice in one of four role 1
What is advanced practice nurse (APRN)?Nurse who holds clinical knowledge 1Takes responsibility and accountability of health promotion and maintenance, including assessment, diagnosis, patient problem management through usage of non-pharmacologic and pharmacologic interventions 1Continues to increase practice competencies 1
Importance of APRN Regulatory ModelWho is regulated under APRN regulatory model? 1Certified Registered Nurse Anesthetist (CRNA)Certified Nurse Midwife (CNM)Certified Nurse Practitioner (CNP)Clinical Nurse Specialist (CNS)Educated in one role specialty and at least one of six population 1Neonatal, women’s health/gender related or psych/mental health, family/individual across life span, pediatrics, adult-gerontology 1
APRN Regulatory Model - LACEEssential elements – LACE 1L – Licensure, A – Accreditation, C – Certification, E – EducationLicensure – gives authority to practice 1Accreditation – nursing or nursing related program certification, or approval or formal review within educational degree 1Certification – formal recognition of experience, knowledge, and skills of obtained profession 1Education – APRN formal preparation through graduate level educational programs 1
Why is LACE important?Preparing APRN for specialized roles 1Acquiring specialized skills and knowledge through proper graduate level education 1Delivering high quality patient care 1Ensuring patient safety 1
LACE Comparation for following states: California, Illinois, & Washington
CaliforniaRegulated by California Board of Registered Nursing (BRN) 1Recognizes five graduate level APRN roles 1Nurse Anesthetist (NA), Nurse Practitioner (NP), Nurse-Midwife (NMW), Clinical Nurse Specialist (CNS), Psychiatric/Mental Health Nurse (PMH) 1Prescriptive privilege (Nurse Midwife, Nurse Practitioner) 1Furnishing number required 1Graduate level advanced pharmacology course required 1Prescriptive authority 2MD supervision required 2
California (Continued)Nurse Anesthetist has specific education and certification
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Nursing, Advanced practice nurse, Registered nurse, Nursing specialties