regulation does not require supervision by a physician if the APN has

Regulation does not require supervision by a

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regulation does not require supervision by a physician if the APN has specifically obtained the authority to prescribe medications, so rules and regulations should be reviewed on a regular basis (Wisconsin Medical Society, 2017). Advanced Practice Nurse Professional Development Plan Advanced Practice Registered Nurses (APRNs) are nurses with a master’s, post-masters, or doctoral degree in a nursing specialty. They acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice. However, rapid changes in healthcare delivery systems, and the complexity of patients compel APNs to develop a professional development plan (PDP). The PDP is an important as it allows one’s to assess his/ her knowledge, education, and identify learning needs, licensure and governing requirements specific to the geographic location (Spoelstra & Robbins, 2010). This paper will detail those considerations as they applied to the State of Virginia. Advance Practice Nurse Scope of Practice – State of Virginia Licensure, accreditation, certification, and education (LACE) considerations for APNs differ from states to states. This lack of uniformity creates confusion among APRNs, the public and healthcare community, devalues APRN position in shaping health policy and limits access to APRNs across states and settings (Rounds, Zych, & Mallary, 2013). In the State of Virginia, the Committee of the Joint Boards of Nursing and Medicine administers the regulations governing the licensure of APNs. An APN candidate must first hold a valid Virginia nursing license or hold a current multistate licensure privilege as a registered nurse (Virginia Board of Nursing, 2016). APNs are licensed on the basis of graduate education (master degree in nursing) or a post graduate certificate from an accredited program, and are board certified nationally in their areas of specialty. Five requirements need to be satisfied in order to obtain a permanent license. Of course, one’s must pass the certifying examination, file the required application and pay the application fee. Licenses are issued for four categories of
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3 ADVANCED PRACTICE NURSE PROFESSIONAL DEVELOPMENT PLAN advanced practice nurses: nurse practitioners (NP), certified nurse- midwives (CNM), certified registered nurse anesthetists (CRNA), and clinical nurse specialists (CNS) (Virginia Board of Nursing, 2016). Neighboring state of Maryland and the District of Columbia grant full practice authority to APRNs. However, in Virginia APRNs do not have the freedom to practice independently; they must work under the medical direction and supervision of a licensed physician. Under the direction of a physician, NPs provide a full range of primary, acute and specialty health care services including: ordering, performing and interpreting diagnostic tests such as lab work and x- rays. They care for patients, perform acts of medical diagnosis and treatment, order physical and occupational therapy (Virginia Board of Nursing, 2016). No laws or regulations prevent NPs
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