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When comparing the licensure, accreditation, certification, and education (LACE) requirements for APNs in California, Washington, and Illinois, I noticed that they have a few similarities. All three states require APNs to hold an active registered nursing license, must have graduated from an accredited Master’s of nursing program in a specific specialty, and obtain a national certificate in order to practice with the exception of California (AANP, 2016). Students that graduated from a California institution do not require national certification while out-of-state graduates do (California board of registered nursing, 2016). I was surprised by the different classification of advanced practice nursing (APN) that each state recognized. Washington for instance only has three APN roles that require a license which includes: Nurse Practitioner (NP), Certified Nurse Midwife (CNM), and Certified Registered Nurse Anesthetist (CRNA) (Nursinglicensure.org, n.d.). In Illinois, licenses
are issued for four roles of the APN which include the three roles mentioned for Washington as well as the role of the Certified clinical nurse specialist (CNS) (graduatenursingedu.org, 2016). Lastly, California recognizes and certifies six different classifications of APN and include the roles mentioned above in addition to Psychiatric/mental health nurse (PMH) and Public health nurse (PHN) (graduatenursingedu.org, 2016).