Scope of practice and regulations Flashcards
Nurse Practitioner core competencies
Scientific Foundations Leadership Quality Practice Inquiry Technology and Information Literacy Policy Health Delivery System Ethics Independent Practice
The nurse practitioner advanced practice specialized competencies
The specialty competencies are designed for entry level psych NPs.
They are meant to be used along side the NP core competencies.
The specialty competencies address people all across the lifespan, families, and populations.
As changes occur in the world, the competencies will change too
Leadership competencies
Participates in community and population-focused programs. These programs promote mental health and reduce risk.
Advocates for people’s rights
Works interprofessionally to advocate, reduce disparities, and improve outcomes for populations.
Quality competencies
Evaluates if restraints and seclusions are used appropriately
Policy competencies
Influences policies so that stigma is reduced
Independent practice competencies
There are too many to list.
It’s any competency that you need in your own practice, like, “ safely prescribes medication, teaches clients,” etc.
Things that are helping the NP role to grow
Consumer demand for services
Acceptance of NPs
Decreasing stigma
Emergence of the NP role
Emphasis on integrated care
Things that are preventing the NP role from growing
Competition in the job market
Problems getting reimbursed by Medicare and other insurance companies
Overlapping scope of practice with other NPs
Concern about fraud and abuse (issues with coding and billing)
Scope of practice and needing to be supervised by a physician
Nurse Practice act for each state:
Provides title protection (who can be called an “NP”)
Defines what advanced practice is
Defines the scope of practice (what the NP is allowed to do)
Places restrictions on what you can’t do and decides on disciplinary actions
Sets the NP credentialing requirements
Things that you could do to get a disciplinary action
Practicing without a license, falsifying records, medicare fraud, not using good judgement, not following the standards, not completing the documentation
Statutory law
It differs between states
Sometimes the statutory law further defines scope of practice and practice requirements
It also might provide restrictions for practice
Licensure means that you are allowed to practice, and also that
others without a license are NOT allowed to practice
Credentialing
Process used to protect the public by ensuring a minimum level of competence
Certification
It does a lot of the same things that we’ve already talked about:
Certification is a credential that provides title protection.
Determines scope of practice
It says that you are not only licensed, but you also meet further criteria.
Assures the public the you know what you’re doing
The ANCC
It’s the only certifying body. It’s a subsidiary of the ANA
Scope of practice
Defines the NP role
Identifies the competencies that all NPs in a specific role should have
Varies between states
Standards of practice
It says what is the standards of quality
Can be used in legal situations
It can include very specific protocols or very general things
Confidentiality
It is protected under the Medical Record Confidentiality Act (not HIPAA)
Providers have to get written permission to release info.
HIPAA includes 4 patient rights:
To be educated about HIPAA
To have access to their own records
To request that their record is amended if they want to
To require permission to disclose their information
Health Information Technology for Economic and Clinical Health Act (HITECH)
Incentive payments for sharing specific information from EMRs
Incentives for meaningful use (meaningful use is using EHRs in a way that is meaningful because it benefits patients and providers)
An example of how EHR can be beneficial is
Using physician order sets
Telehealth
Must include provisions for what you’ll do if the patient has an emergency
Exceptions to confidentiality
Information given to attorneys/courts
Meeting state requirements for mandatory reporting of diseases
Tarasoff Principle (warning a vicim who is in danger from the patient)
In cases of child or elder abuse
Who has the right to informed consent
Adults and emancipated minors
