Clare's lecture

Question 1

Why are there nurse practice acts?

Answer 1

Nursing care poses risk if performed by incompetent, under trained individuals, so they are in place to protect people from harm

Question 2

Regulation is intended to…

Answer 2

Protect citizens, offer reassurance that the providers have adequate schooling/training, provide a means to punish those that do not comply with professional standards including license revokation

Question 3

All states and territories have nurse practice acts and they are enacted by the state’s _____.

Answer 3

legislature

Question 4

Each nurse practice act is insufficient to provide necessary guidance, so each state must create a _____ to have authority over rules, regulations, and to clarify or make rules more specific.

Answer 4

Board of nursing

Question 5

Not all nurse practice acts are the same, but they all include…

Answer 5

types of titles & licenses with requirements, standards & scope of nursing practice, education requirements, authority & composition of board of nursing, grounds for disciplinary action

Question 6

Your practitioner profile is/is not a matter of public record.

Answer 6

is

Question 7

Changes to your profile including provider responsibility and links to NP & physician and location must be updated within _____ days.

Answer 7

30

Question 8

The APRN regulatory model says that scope of practice=

Answer 8

education + certification

Question 9

Neonatal APRNs are the only ones with _____ focus. The rest are either primary or acute care focus.

Answer 9

critical care

Question 10

What is LACE?

Answer 10

licensure, accreditation, certification, & education and are the 4 elements of the consensus model

Question 11

What % of nurse practice acts are out of date?

Answer 11

50

Question 12

Accreditation in the LACE model is responsible for…

Answer 12

pre-approval of all new APRN programs, accreditation for post-grad certification programs, ensure programs are designed to prepare graduates for national certification/licensure

Question 13

Certification in the LACE model is responsible for…

Answer 13

competencies, ongoing congruence between education & certification, making processes transparent between boards of nursing, communication

Question 14

Education in the LACE model is responsible for…

Answer 14

attainment of competencies, graduates prepared for board certification, pre-approval before acceptance of students

Question 15

state APRN requirements

Answer 15

RN license in good standing, graduate from accredited program, national certification, state APRN license/certification, DEA, prescriptive authority

Question 16

The role of the medical examiners board

Answer 16

Impose supervisory restrictions (diagnose, treatment, prescribe), protocols, categories of mandatory review

Question 17

Physician supervision requirements

Answer 17

vary by state, don’t always have to be present, must have designee in absence, chart reviews, accountable to EBP protocols, available for consultation

Question 18

Mandatory categories of review for the board of medical examiners

Answer 18

when medically necessary, when requested by the patient, off formulary prescription, controlled substance prescription

Question 19

Practice protocols are…

Answer 19

EBP protocols, standard of care, includes formulary, population specific, updated at least Q2 years

Question 20

APRN professional responsibilities

Answer 20

RN/APRN current license, certification, & profile, notice & formulary, DEA, compliance with supv rules, chart review, continuing education

Question 21

Continued competence is…

Answer 21

a measure of skill against outcome standards or role expectations, assessment of practice to direct professional activities

Question 22

Proposed strategies of the Continued Competence Advisory Panel

Answer 22

900 clinical hours, skill assessment inventories, peer review, critical thinking tests, self assessment modules, reflective practice, professional portfolios

Question 23

Full practice authority is…

Answer 23

Allows APRN’s to diagnosis, treat, prescribe, interpret diagnostic data, initiate & manage treatments all under the board of nursing authority

Question 24

Process of verification for credentialing

Answer 24

education/training, licensure, criminal background check, sanctions, NPDB, malpractice, former employment

Question 25

What is meant by privileges?

Answer 25

grant of authorization for provider to practice within scope of practice, tend to be competency based, core, special, & extra special (laser, robotics), process governed thru bylaws---must function within scope, carry rights under dispute

Question 26

Credentialing and privileging is the same/different than physicians?

Answer 26

same--reappointed Q2 years

Question 27

Turn around time for privileges

Answer 27

90-120 days

Question 28

What are the requirements prior to obtaining privileges?

Answer 28

may not prescribe, 100% chart review, must function under privileged staff

Question 29

JCAHO requires what of all privileged providers?

Answer 29

competency evaluations: focused professional practice evaluation, ongoing professional practice evaluation---data maintained in credentialing files

Question 30

Prescription safety act

Answer 30

requires all providers with DEA to register within 30 days of licensure, register on the controlled substance monitoring database (CSMD), check on CSMD prior to prescribing opioids or benzodiazopines

Question 31

Prescribing pearls

Answer 31

watch own practice, do not prescribe for family/friends, need H&P, diagnosis, treatment plan, and follow up

Question 32

Collaborative Practice Philosophy

Answer 32

member of interdisciplinary team, clinical reporting structure, all members responsible for outcomes