Professional Issues Flashcards

1
Q

What is certification?

A

attests to the education, skills, and training of an APN via standardized exams

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2
Q

Who certifies APNs?

A

American Nurses Credentialing Center (ANCC) or American Association of Nurse Practitioners (AANP)

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3
Q

What are the requirements to be certified?

A

completion of an accredited advanced degree program and application for testing

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4
Q

What is licensure?

A

provision of a license to practice as an APN, as defined by State statutes or regulations

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5
Q

Who provides licensure for APNs?

A

State Board of Nursing

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6
Q

What are the requirements for licensure?

A

current RN license in the state and passage of certification exam (ANCC or AANP)

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7
Q

What is credentialing?

A

obtaining the authorization by a hospital’s governing board to provide specific patient care and treatment services within defined limits

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8
Q

Who credentials APNs?

A

hospital’s highest governing body (e.g., Board of Directors) - but may be delegated (e.g., health insurance providers)

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9
Q

What are the key elements of credentialing?

A

individual’s license, education, training, experience, competence, health status, and judgment; must be reassessed every 2 years (static information reviewed only one, dynamic information verified at review or reappointment); based on peer review

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10
Q

What are privileges?

A

authorization of a credentialed individual to perform or order specific diagnostic or therapeutic services within a hospital

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11
Q

Who grants privileges?

A

hospital’s highest governing body (e.g., Board of Directors) - but may be delegated

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12
Q

What are the key elements of privileges?

A

license and credentials to practice; reassessed every 2 years; based on peer review; 4 methods for focused review: (1) direct observation, (2) chart review, (3) monitoring of diagnostics and treatment patterns, and (4) discussion with other members of treatment team

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13
Q

What is scope of practice?

A

defines the functions that an APN can perform

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14
Q

Who authorizes scope of practice?

A

State statutes or regulations

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15
Q

What are the key elements of scope of practice?

A

professional association versus State statutes/regulations; diagnosis, treatment, prescription, hospital admission, laceration repair, teaching, ordering diagnostic tests, physician involvement

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16
Q

What are standards of practice?

A

requirement to ensure the highest quality of care is provided by APNs

17
Q

Who authorizes standards of practice?

A

professional societies (e.g., American Association of Nurse Practitioners)

18
Q

What are the key elements of standards of practice?

A

conformance with regulatory requirements; participation in management activities; performance of functions within full scope of practice; maintenance of health and medical records for patients; participation in quality assurance; maintenance of high standards of professionalism; competitive salaries; use of the scientific process and national standards in managing patient care; serving as patient advocate; maintenance of competence

19
Q

What is prescriptive authority?

A

ability of APNs to independently prescribe medications and controlled drugs, devices, adjunct health/medical services, durable medical goods, and other equipment and supplies - does not require collaboration with a physician

20
Q

Who establishes prescriptive authority?

A

State statutes or regulations - State Board of Nursing grants authorization

21
Q

What factors are considered in establishing prescriptive authority (i.e., sources of variation across states)?

A

in some states, prescriptive authority is granted at the time of APN licensure - in others, the APN must apply separately for these privileges; how much and what type of advanced pharmacology and pharmacotherapeutics education is required; whether and how much supervision of prescribing practice must take place before independent prescriptive authority is granted; whether all, or only some, APN roles can be granted prescriptive authority; restrictions on prescribing controlled substances or the schedules of controlled drugs included; requirements for collaboration with a physician

22
Q

What are the requirements for prescriptive authority in New Jersey?

A

completion of a graduate-level pharmacology course/CE; complete 6 contact hours in controlled substances pharmacology, prescribing, and addiction; authority to prescribe controlled substances requires CDS registration; prescription of controlled drugs requires use of universal New Jersey prescription blanks; all prescribers must access the PDMP when prescribing controlled substances to a patient for the first time and quarterly thereafter; joint protocol/standing orders