Becoming APRN Quiz 1. Top Questions and answers. 100% Accurate. Graded A+

Becoming APRN Quiz 1. Top Questions and answers. 100% Accurate. Graded A+ Nurse practitioner - role - Educated to practice independently at an advanced level to provide care; Address health promotion, disease prevention, health education and counseling as well as the diagnosis and management of acute and chronic diseases.; Provide initial, ongoing and comprehensive care to patients in family practice, pediatrics, internal medicine, geriatrics, and women's health. Practice in primary or acute care which have separate national competencies and unique certifications. (ANA, 2016) Milestone - 1965 - Dr. Loretta Ford: 1st NP (pediatrics specialty) & Dr. Henry Silver create 1st NP program at University of Colorado. - first recognized role/program Milestone - 1974 - ANA created Council of Primary Care NPs= 1st national certification exams - to become nationally recognized/certified Milestone - 2008 - APRN Consensus Model - 4 national specialties Milestone - 2016 - Full Practice Authority in the VA - any NP can fully recognize and can practice fully with no restrictions Milestone - 2020 - HHS Sec. Azar advises loosening restrictions in all states; CMS temporarily loosened restrictions on NP practice during pandemic, allows NP ordering of home health services LACE Model - Licensure, Accreditation, Certification, & Education Model. Developed in 2008 by the APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee. Collaboration among > 40 nursing organizations to address the inconsistency in APRN education, regulation, and practice which limited APRN mobility from one state to another - wanted standardization/uniformity for all programs. Standardization of licensure, accreditation, certification, and education aimed to improve access to APRN care. The result was the Consensus Model for APRN Regulation American Nurses Credentialing Center (ANCC) - Certifies FNP, PMHNP, AGPCNP, & AGACNP American Academy of Nurse Practitioners Certification Board (AANPCB) - Certifies FNP, AGPCNP & ENP American Association of Critical Care Nurses (AACN) - Certifies AGACNP Pediatric Nursing Certification Board (PNCB) - Certifies PPCNP & PPACNP National Certification Corporation (NCC) - Certifies WHNP & NNP Georgia, why does scope of practice matter? - National shortage of PCPs; GA did not expand access to Medicaid, rural hospitals have been closing, PCP shortage with GA ranking last in the number of physicians to citizens Scope of Practice Authority in GA - A written protocol is required between the NP and the supervising physician. The protocol specifies medical acts delegated by the physician and provides for immediate consultation with the physician. Ga. Rules & Regs. §410-11-.14; O.C.G.A. § 43-34-25. O.C.G.A. § 43-34-23. Any person practicing or offering to practice nursing or using the title "advanced practice registered nurse," as defined in O.C.G.A. §§ 43-26-1 et. seq. within the State of Georgia, shall be authorized as provided in O.C.G.A. §§ 43-26-1 et. seq. GA restrictions on NPs - NPs not recognized in state policy as PCPs; Can only order CT or MRIs in life threatening emergencies; NPs are not able to prescribe schedule 2 medications; NPs require collaborative agreements with a physician with one physician to four NP ratio; NPs cannot provide placards for disabled parking; NPs cannot refer to PT; cannot sign death certificates or cannot provider orders for life sustaining treatment How are NPs licensed? - GBON authorizes APRNs practice as NP and all NPs must have a GA RN license first. - Practice is typically defined by the GA Nurse Practice Act and governed by the GA Board of Nursing; NPs also have to work with the Georgia Composite Medical board is they would like prescriptive authority by submitting a "Nurse Protocol Agreement." - Delegating physician is held legally responsible for all medical acts performed by NP. Statutes that govern scope of practice in GA - OCGA 43-34-23 is in regards to nurse protocol agreements without prescriptive authority: - 1989 rule - It is used when a APRN does not write prescriptions but calls prescriptions in under the physician's name. - call