Choose a state and review the scope of practice for the advanced practice nurse. How does it compare to Florida?
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Choose a state and review the scope of practice for the advanced practice nurse
NRS NRS 493Benchmark – Capstone Change Project Objectives
Let’s compare the scope of practice for advanced practice nurses (APNs) in two states: Texas and Florida. Both states have specific regulations governing the practice of APNs, but there are variations in scope of practice, prescriptive authority, and other regulations.
**Scope of Practice for Advanced Practice Nurses in Texas:**
In Texas, APNs are recognized as Advanced Practice Registered Nurses (APRNs), which includes Nurse Practitioners (NPs), Certified Nurse Midwives (CNMs), Clinical Nurse Specialists (CNSs), and Certified Registered Nurse Anesthetists (CRNAs). The Texas Board of Nursing (BON) regulates APRNs and outlines their scope of practice.
According to the Texas Nursing Practice Act and Administrative Rules, APRNs in Texas have prescriptive authority, including the authority to prescribe Schedule II-V controlled substances, under a collaborative agreement with a physician. They can diagnose, treat, and manage acute and chronic illnesses, order and interpret diagnostic tests, and perform certain procedures within their specialty area.
Texas law requires APRNs to maintain a collaborative agreement with a physician, which outlines the scope of practice, prescribing authority, and protocols for consultation and referral. APRNs must practice within the scope of this agreement and collaborate with physicians as needed.
**Scope of Practice for Advanced Practice Nurses in Florida:**
In Florida, APNs are known as Advanced Registered Nurse Practitioners (ARNPs), which includes NPs, CNMs, CNSs, and Certified Registered Nurse Anesthetists (CRNAs). The Florida Board of Nursing regulates ARNPs and sets forth their scope of practice.
ARNPs in Florida have prescriptive authority, including the authority to prescribe controlled substances, under a supervisory protocol with a qualified physician. They can diagnose, treat, and manage health conditions, order and interpret diagnostic tests, and perform certain procedures within their specialty area.
Florida law requires ARNPs to have a written supervisory protocol with a supervising physician, which outlines the scope of practice, prescribing authority, and protocols for collaboration, consultation, and referral. ARNPs must practice within the scope of this protocol and collaborate with their supervising physician as needed.
**Comparison:**
– Prescriptive Authority: Both Texas and Florida grant APNs prescriptive authority, including the ability to prescribe controlled substances, but the requirements and regulations for prescriptive authority differ. In Texas, APRNs must have a collaborative agreement with a physician, while in Florida, ARNPs must have a supervisory protocol with a physician.
– Collaborative Practice: Both states require some form of collaboration with physicians, either through a collaborative agreement (Texas) or a supervisory protocol (Florida). This collaboration involves consultation, referral, and oversight of certain aspects of APN practice.
– Scope of Practice: The scope of practice for APRNs and ARNPs in both states includes diagnosing, treating, and managing health conditions, ordering diagnostic tests, and performing procedures within their specialty area. However, specific regulations and limitations may vary between the two states.
In summary, while both Texas and Florida grant APNs significant autonomy and authority in their practice, there are differences in the regulations governing prescriptive authority, collaborative practice, and scope of practice. APNs practicing in either state must be aware of and adhere to the specific regulations outlined by the respective state boards of nursing.
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