NR 508 Week 1 Discussion: Legal and Professional Issues in Prescribing: 3 Versions-Chamberlain College Of Nursing: SATISFACTION GUARANTEED

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Week 1: Discussion- Foundation of the Role of the Nurse Practitioner as Prescriber Legal and Professional Issues in Prescribing  Describe NP practice in your state.  Tell the class what you... r state laws are related to nurse practitioner prescribing.  Include how many continuing education hours are required for your state.  Describe the importance of knowing the specific laws in your state pertaining to Nurse Practitioners prescribing medications. Good afternoon Class and Professor Paalberg, Nurse practitioners are considered restricted in the State of Florida. They are able to make diagnoses, prescribe medications, and order labs and necessary diagnostics all under the supervision of a practicing physician. Nurse practitioners are seen in multiple settings including primary care clinics, hospitals, and specialty clinics across the country. They are capable of independent diagnosis and prescribing other states, but it ultimately depends on the legislature as well as the progressiveness of the state. Nurse practitioners must hold a registered nursing license and apply for a program. The program must be accredited not only in their state, but should be accredited nationally in case he/she were to move into another state. they must also complete a master's degree in order to practice. When working in a group setting with other medical doctors, nurses and other ancillary staff. A nurse practitioner “must enter into a supervisory protocol with at least one physician within the physician group practice," according to the Florida Senate.gov (2018). This has benefits and consequences. This maybe be extremely beneficial to a new graduate NP that is starting off in her career. Having a safety net can be reassuring especially when diagnosing more challenging patients in their practice. While later on this may also be a limiting factor, since nurse practitioners were created to practice independently of a doctor due to shortages and unwillingness to practice in a rural parts This study source was downloaded by 100000831988016 from CourseHero.com on 04-24-2022 10:33:31 GMT -05:00 https://www.coursehero.com/file/33140411/NR-508-Week-1-discussion-docx/ of the country. Nurse Practitioners may even find this restrictive and somewhat what limiting of their capabilities and may even consider changing their careers. Nurse practitioners in the state of Florida according to the Florida Senate (2018) are capable of: (a) Monitor and alter drug therapies. (b) Initiate appropriate therapies for certain conditions. (c) Perform additional functions as may be determined by rule in accordance with s. 464.003(2). (d) Order diagnostic tests and physical and occupational therapy. (4) In addition to the general functions specified in subsection (3), an advanced registered nurse practitioner may perform the following acts within his or her specialty: 1. Manage selected medical problems. 2. Order physical and occupational therapy. 3. Initiate, monitor, or alter therapies for certain uncomplicated acute illnesses. 4. Monitor and manage patients with stable chronic diseases. 5. Establish behavioral problems and diagnosis and make treatment recommendations. Nurse Practitioners in the State of Florida are required to complete 24 hours of continuing education during each renewal period. Two of those hours must be related to prevention of medical errors and two (2) hours in Laws and Rules in Nursing (floridanursing.gov, 2018). Every third renewal requires an additional 2 hour course on domestic violence and abuse, for a total of 26 hours. Nurse practitioners are given the right to prescribe controlled substances, under the approval/supervision of a physician and their predetermined protocols. Starting July 1, 2018, Florida recently updated this statute due to the ongoing narcotic crisis; requiring NP’s to complete a specified board-approved continuing education course to prescribe controlled substances. This course also requires health care practitioners to check the prescription drug monitoring program (PDMP) database prior to prescribing or dispensing a controlled substance (New Legislation Impacting Your Profession, 2018). This study source was downloaded by 100000831988016 from CourseHero.com on 04-24-2022 10:33:31 GMT -05:00 https://www.coursehero.com/file/33140411/NR-508-Week-1-discussion-docx/ It is ultimately the responsibility of the Nurse practitioner to be up to date with the laws and regulatory changes within his/her state. Np’s are considered sole, independent practitioners in some states, and no matter where you are, you should practice with that thought in mind. Prescribing medications is a huge responsibility considering the issues we are having in this country today. Nurses Practitioners are demonstrating that they are up to the challenge of becoming a strong alternative practitioner for their patients. This gives patients more choices when seeking out a PCP for a routine visit, or even a great ER Acute Care NP in a major hospital. I hope Florida decides to move away from restricting NP’s in the future, but in the mean time we can see that they are playing a huge role in many facilities around the state. Thanks Class! References The Florida Senate. (n.d.). Retrieved July 9, 2018, from https://www.flsenate.gov/Laws/Statutes/2012/464.012 (Links to an external site.)Links to an external site. How many continuing education hours are required for licensure renewal? (n.d.). Retrieved July 9, 2018, from http://floridasnursing.gov/help-center/how-many- continuing-education-hours-are-required-for-licensure-renewal/ (Links to an external site.)Links to an external site. New Legislation Impacting Your Profession. (n.d.). Retrieved July 9, 2018, from http://floridasnursing.gov/new-legislation-impacting-your-profession-4/ Peer Response Hey Lana and Class, Thanks for that great response! I can sympathize with you regarding the step backwards for nurse practitioners. I'm shocked that a facility would limit the practice of an NP that way! I worked for a healthcare system that used NP's as overworked extensions of the physicians which i thought was disturbing. For example, the NP would see the patient do a full head [Show More]

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