First, it is important to understand how the scope of practice laws is defined and categorized by each state. The AANP has created a useful map for a simple visual reference that shows you where the different statuses are. Lee, even as a registered nurse graduated 40 years ago (in dark times), when you had to spend time in a classroom and with a teacher, I agree 100% for you! I have met many wonderful CRNP and without a doubt they often have more time than the doctor. But I do not think, like you, that the NPCC should practice without the usefulness of a collaborative agreement. In fact, in some states, there are people who monitor how doctors and the NPRC follow the rules of collaborative practice! What a smart idea! Reduced practice: NP has the ability to participate in at least one element of PNP practice and is regulated by a cooperation agreement with an external health discipline to ensure patient care. A. Dr. Katherine Darling: Chelsea, this was a common tactic that has been used in several states where PNs have proposed comprehensive practical laws. According to the medical board, nurses would lose the power to self-regulate. The National Council of State Boards of Nursing has spoken out in favour of regulating care as an area of state care boards. The Arkansas State Board of Nursing licensed and now regulates all Nurses in Arkansas, including NPs.
Putting NP practice under the Board of Medicine would be a kind of chiropractic under the Board of Medicine. Each profession must be responsible for the regulation itself. The AANP has always advised states to avoid this regulation by doctors` orders, and most states have managed to keep their public health boards in the position of licensing and regulating the practice of NP. Each state issues individual care licenses, which are exactly like driver`s licenses, which allow individuals to drive cars, except that the practice license can stop at the state border. In 2010, the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) published a pioneering report entitled “The Future of Nursing: Leading Change, Advancing Health.” Four key messages were outlined in this document: (1) nurses should be fully trained; (2) Nurses should achieve a higher level of education and training through an improved education system that promotes unwavering academic progress; (3) Nurses should be full partners with physicians and other health care professionals in the U.S. health care overhaul. and (4) Effective workforce planning and governance require better data collection and improved information infrastructure (IOM, 2010). Q. Dr. Chelsea Kellow-Hedge: Dr. Darling, we learned that the Arkansas Medical Society has introduced laws that require the practice of NP to be regulated by the Arkansas Medical Board.
Why don`t the PNs oppose this action? A. Dr. Katherine Darling: I am very pleased to represent AANP and the Arkansas Nurse Practitioner Association (ANPA) at the Arkansas Nursing Policy Roundtable. This group works closely with several legislators to introduce bills that remove these barriers to practice and access to care. These priorities include the abrogation of the cooperation agreement, the full pre-registration of Calendar II, the status of PCP and the overall signature.