license. For the certified nurse practitioner (CNP), care along the wellness-illness
continuum is a dynamic process in which direct primary and acute care is provided
across settings. CNPs are members of the health delivery system, practicing
autonomously in areas as diverse as family practice, pediatrics, internal medicine,

geriatrics, and women’s health care. CNPs are prepared to diagnose and treat
patients with undifferentiated symptoms as well as those with established
diagnoses. Both primary and acute care CNPs provide initial, ongoing, and
comprehensive care, includes taking comprehensive histories, providing physical
examinations and other health assessment and screening activities, and
diagnosing, treating, and managing patients with acute and chronic illnesses and
diseases. This includes ordering, performing, supervising, and interpreting
laboratory and imaging studies; prescribing medication and durable medical
equipment; and making appropriate referrals for patients and families. Clinical
CNP care includes health promotion, disease prevention, health education, and
counseling as well as the diagnosis and management of acute and chronic
diseases. Certified nurse practitioners are prepared to practice as primary care
CNPs and acute care CNPs, which have separate national consensus-based
competencies and separate certification processes.
Safriet, Barbara J. “Health Care Dollars & Regulatory Sense: The Role of Advanced
Practice Nursing”, Yale Journal on Regulation, Vol., No. 2, 447.
World Health Organization. (2016). WHO Health Promotion Glossary: new terms.
Health Promotion International Advance Access . Oxford University Press: Author.
Show Less
Amber Kelly
7/8/2016 7:04:45 PM
Discussion Part Two
Professor and class
The state I currently reside in is South Carolina and according to the South Carolina Labor,
Licensing, and Regulations (SCLLR) there is not a specific list for the scope of practice for any
area of nursing such as the APRN, RN, and LPN (n.d.). SCLLR refers the reader to the South
Caroline Nurse Practice Act title 40 Professions and Occupations Chapter 33 (2006). The most
current Nurse Practice Act of SC was released in 2006. Section 40-33-20 of the Nurse Practice
Act defines the APRN as an RN who has achieved extra skills and knowledge through a formal
education (2006). SC recognizes the four categories of APRN’s are the NP, the CNM, CNS, and

CRNA (2006). According to section 40-33-20 the APRN (NP, CNM, and CNS only) may
perform delegated medical acts that is defined as “additional acts delegated by a physician or
dentist to the APRN” which can be for the APRN to formulate medical diagnosis, to initiate,
continue, and modify therapies, and the APRN can prescribe medications as long as they are not
schedule II controlled (2006). According to section 40-33-34 in SC each physician can have only
up to three APRN’s under their license, and they must be “readily available” no further than
forty-five minute drive (2006). According to the SC Nurse Practice Act the APRN cannot: order


You've reached the end of your free preview.
Want to read all 32 pages?
- Fall '16
- Cameron Duncan
- Nursing, Advanced practice nurse, Registered nurse, CNPs