Locate a collaborative practice agreement. Based on this agreement, consider the scope of practice of an advanced practice nurse in your Ohio.
Locate and select at least two hospitals where you would be interested in working at once you obtain your licensure.
Locate the hospitals’ credentialing documents and investigate the scope of practice at each hospital. University of Cincinnati Hospital and Good Samaritan Hospital. these are the hospitals am interested in working at.
Note: All hospitals do not have the same scope of practice even if they are located within the same city and state.
Consider how the laws and regulations of the state and hospitals might affect your practice with medical and surgical patients in acute care settings. Advanced Practice Nurses in Ohio Essay
Think about how you would negotiate your first Advanced Practice role. Consider issues such as salary range, Continueing Medical Education (CME), license and DEA costs, insurance, hours, on call requirements, etc.
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Advanced practice nursing (APN) is a professional nursing designation that delineates a specific level of training and education as well as scope of practice. In fact, the role has evolved in response to societal and professional forces that define its professional and legal scope. The professional scope of APN practice refers to the limitations set by professional nursing organizations that articulate the expected activities within the nursing specialty and discipline. The legal scope of APN practice is defined by the State nursing board that delineates the legal margins of nursing activities and practices that are permissible with nursing as a regulated profession (American Nurses Association, 2018). The present essay explores the scope of practice for APNs in Ohio State. Advanced Practice Nurses in Ohio Essay
The role of APN
An APN is a registered nurse who has an advanced degree in clinical focus, either at the Master’s, post-Master’s or doctoral level after adhering to nursing education curriculum that observes standards set by regulatory agencies. The education is acquired through three major pathways that include on-the-job instructions, completing a continuing education course, or completing a full-time academic course. The education allows the nurse to acquire expanded professional knowledge and skills that allow the qualified individual to be licensed as an independent practitioner capable of practicing collaboratively with other medical personnel or autonomously to carry out patients’ assessments, diagnosis, treatment, and management. Besides that, an APN can serve as an advocate for patients, a consultant in interdisciplinary teams, and medical researcher. Also, the APN can facilitate innovation and change in medical care delivery, and lead the synthesis, integration, transformation and translation of evidence to bridge the gap between practice and research (Joel, 2018).
Scope of APN practice in Ohio State
The Ohio Board of Nursing has the legal mandate to determine the scope of APN practice in the state. The board mentions that within the state, all APNs can offer nursing services in long-term, acute, ambulatory and primary settings although the practice is limited by the education background as well as the guidelines and standards established by professional certification bodies. It identifies four specialization areas for APNs to include certified registered nurse anesthetist, certified nurse practitioner, certified nurse midwife, and certified clinical nurse specialist. In addition, the board acknowledges that an APN can either practice independently or work collaboratively with other medical professionals. Besides that, the board mentions that APNs can serve ten specific functions and services to include (Ohio Nurses Association, 2018): Advanced Practice Nurses in Ohio Essay
Assessing patients’ health status.
Collecting the appropriate medical and health history.
Conducting physical exams.
Admit patients into medical facilities.
Ordering diagnostic and preventive procedures based on the patient’s history and age.
Formulating differential diagnosis.
Developing treatment plans.
Prescribe and dispense medication using the granted authority.
Developing an education plan for the patients.
Maintaining hospital privileges.
Promoting the maintenance of health.
Educational background of APNs in Ohio State
Prior to qualification to practice as an APN in Ohio State, nursing personnel are required to have graduated from an education program approved by the Ohio Board of Nursing. The graduation allows for licensure as an APN. Consent is implied to practice once an individual has graduated and been licensed (Ohio Nurses Association, 2018).
APN licensing in Ohio State
Ohio Board of Nursing sets conditions for APN licensure within the state. The first condition is the presence of a registered nursing licensure that must be current. The second condition is certification at an advanced level of nursing from a board recognized certification body. Once the individual receives an APN license from the board, he or she would be permitted to use the APN title. Licensed nursing personnel are also allowed to prescribe medication when engaged in professional practice following the rules and regulations presented by the board. These rules include being registered with the Board of Pharmacy Examiners. Prescribing controlled medication requires additional registration with the Drug Enforcement Administration (DEA) to include having a registration number since this is the federal agency concerned with controlling the use of controlled substances. It is notable that the license is only issued for a limited period with a current time-dated license necessary to imply that the license should be renewed regularly (Ohio Nurses Association, 2018). Advanced Practice Nurses in Ohio Essay
APN responsibility, accountability and regulation in Ohio State
The responsibilities of APNs are not static and they continue to evolve and grow in response to the community demands and needs for care. Still, at the core of their responsibilities is their functions as leaders, researchers, and educators. As leaders, APNs are responsible for ensure constantly maintaining professional standards through participating in health policy initiatives at all levels and involving professional associations (Ohio Nurses Association, 2018).
APNs are accountable for the medical care they offer to patient. This implies that the care they offer to communities and individuals must be of high quality, safe and competent. For them to be truly accountable, they must maintain their clinical skills, present evidence to show that they are continuously developing professionally, and practice based on the established code of ethics. Additional measures of accountability include being subjected to evaluations of clinical outcomes, periodic peer reviews, and current certification (Ohio Nurses Association, 2018).
APNs practicing in Ohio State observe set regulations. Firstly, their titles as advanced practice nurses are protected through regulations (such as the conditions set by the American Nurses Association) and legislation (such as APN licensure conditions set as provisions of HB 216). Secondly, Ohio Board of Nursing, using the consensus model, determines the legal scope and regulations for APN practice within the state. The consensus model is a document endorsed by approximately 41 nursing organizations to regulates APN practice to include education, certification, accreditation and licensure (Ohio Board of Nursing, 2018).
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APN in the University of Cincinnati Medical Center and Good Samaritan Hospital
I intend to practice as an APN in University of Cincinnati Medical Center and Good Samaritan Hospital, particular in addressing the medical needs of their medical and surgical patients within acute care settings. A review of the salaries offered by the two facilities shows that they present a median hourly salary of $50 with the median annual salary being $104,000 while working 40 hours every week. Personnel are paid directly. Advanced Practice Nurses in Ohio Essay The two facilities present specific job requirements for APNs that are presented as responsibilities and duties. APN personnel who undertake prescription functions are required to have a DEA registration number that allows them to prescribe controlled substances. DEA registration is a personal undertake with the financial responsibilities undertaken by the individual. In addition, the two facilities demand that all APN personnel must meet the licensing and certification conditions set by Ohio Board of Nursing to include a graduate degree with a major in nursing. Although the two facilities do not make any demands for continuing medical education, they offer education opportunities through in-house training programs and paid time off to attend education activities. I consider the conditions set for meeting the requirement set by Ohio Board of Nursing as favorable since they verify the professional qualifications of APNs and distinguish them from other nursing personnel. In addition, I consider the salary rates acceptable since this reimbursement for APN nursing services is commensurate with similar medical services offered by licensed health professionals. Besides that, the support for continued education is favorable since I intend to advance my education by attending more advanced nursing programs. In this respect, I believe that the APN opportunities offered at University of Cincinnati Medical Center and Good Samaritan Hospital are favorable.
American Nurses Association (2018). Advanced practice registered nurses. Retrieved from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/
Joel, L. (2018). Advanced practice nursing: essentials for role development (4th ed.). Philadelphia, PA: F. A. Davis Company.
Ohio Board of Nursing (2018). Nursing practice – advanced practice registered nurses. Retrieved from http://www.nursing.ohio.gov/Practice-APRN.htm
Ohio Nurses Association (2018). Position statement: advanced practice registered nurses. Retrieved from http://ohnurses.org/position-statement-advanced-practice-registered-nurses/ Advanced Practice Nurses in Ohio Essay
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