ANCC PMHNP Role and Scope of practice 2024

State Legislative Statutes: What do they do? (law created by the state) - -They are the Nurse Practice Act -Provides Title protection, -Grants legal authority; -Define Scope of Practice , -Defines advanced practice, -Puts restrictions on practice, -Sets credentialing requirements, -Sets grounds for disciplinary actions, -May require a Collaborative agreement Statutory Law (written law created by legislative body) - -rules and regulations differ per state -may further define scope of practice requirements -may provide restrictions unique to each state Licensure - The state grants permission to practice Credentialing - ensuring minimum level of competence Certification - -Is a credential that provides title protection, -Determine scope of practice -Process as to how ANCC certifies that NP has met specified standards; -Assures mastery and skills; -*ANA is the only certifying body for psych nursing* Scope of Practice - -Define NP roles and actions -Identify competencies Standard of Practice - -Provides a way to judge the nature of care -Reflex the expectation for the care -May include precise protocols or general guidelines What is HIPAA? - -Privacy Protection Act -Garante 4 rights: 1. To be educated about privacy 2. Have access to their own med. record 3. Request amendments to their med record to which they object 4. Permission to disclose their records What is Health Information Technology for Economic And Clinical Health Act (HITECH)? - -Provide intensive payment for sharing electronic medical record (EHR) data -Meaningful use incentive Exceptions to guaranteed confidentiality - -The need for information outweigh confidentiality -Intent to harm self or others, -attorney involved in litigation -records released to insurance companies, -answering court orders, subpoenas, or summons -mandatory reporting of diseases, -Child or elder abuse -duty to warn potential victims (Tarasoff principle, 1976) Informed Consent - -Communication between the patient and provider that results in patient accepting or rejecting the proposed treatment. -Explanation of relevant information that enables the client to make an informed decision. -Right of all adults and emancipated minors (person <18 who is married or live independently of parents) Elements of Informed Consent - Nature and purpose of treatment Risks / Benefits of doing treatment Risks / Benefits of not doing it Alternatives treatments Diagnosis and prognosis Theoretical Approaches to Ethical Decision Making include the following theory: - Deontological Theory Teleological Theory Virtue Ethics Deontological Theory - Action is good or bad based on the *act itself*, regardless of the concsequences Theological Theory - Action good or bad based on *consequences or outcomes* Virtue Ethics - Action is chosen based on moral virtures (honesty, courage, compassion, wisdome...) or the character of the person making the decision Justice - Doing what is fair, fairness in all aspects of care Beneficence - Promoting well-being and doing good. Nonmaleficence - Doing no harm