Currently the District of Colombia and 22 states grant the APRNs full authority

Currently the district of colombia and 22 states

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permit APRNs to practice independently. Currently, the District of Colombia and 22 states grant the APRNs full authority to practice. 16 states grant partial authority and 12 states give restricted authority to practice. Important concepts in relation to scope of APRNs The APRN scope of practice is primarily administered by the federal nurse practice act. These acts are developed by directive agency bodies which include the board of practice nursing, board of the medical examiner and the federal board of nursing. Some of federations which do not grant APRN full practice authority restrict activities such as the provision of emergency medical services, ordering of some diagnostic tests, the provision of assured treatments, medical referrals and some medications. Though each state has a specific nurse practice act, they share
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7 ADVANCED PRACTICE NURSE some common elements such as collaborative agreement between the physicians and the APRN, procedures for some APRN practice, the recognition of signature on the healthcare elements and the prescriptive authority. Collaborative Agreements This refers to written agreements between the APRN and physicians, which defines the exercise privileges given to the APRN, how often the physicians in charge will evaluate records of the patients. This contract also determines whether the physicians will superintend the APRN practice with patients and to what extent. It also defines the level in which patients should interrelate with physicians in cases of absence of one party. These contract usually states certain procedures that the APRNs ought to abide by, for instance, the type of medical services the APRNs can give in certain conditions the cases in which it can consult the supervising physician. It also states the circumstances in which it can administer certain medication. Prescriptive Authority The state rules a body referred to as Drug Enforcement Administration together with the federal regulations recommend the type of substance that advanced practitioner nurses are supposed to prescribe, the prescription procedure, and under which circumstances it is supposed to be administered to a patient. Theses bodies categorize drugs into different classes on the bases of their level of addictiveness to the human. The controlled substance schedule 2/2N has high level of addictive content therefore not recommended for medical use as it can lead to severe mental and physical effects. Controlled substances plan 4/4 N and 5/5N have less abuse potential, with 5/5 being the lowest abusive.
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8 ADVANCED PRACTICE NURSE Signature Recognition and Items of the Patient care. Federal legislature has controls on the items which APRNs can sign off for patient care, such as proof of parking authorizations, physical therapy referrals, death certificates, provider orders for life sustaining treatment forms and Do Not Resuscitate (DNR) orders. The APRNs privileges vary from state to state, some state may allow APRN to sign up all the items while others may restrict some allowing sign of others.
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  • Spring '19
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