AN_NU 688 Wk 10 IPPD

AN_NU 688 Wk 10 IPPD

Week 1

Name:

APRN Speciality Foci: Psychiatric-Mental Health Nurse Practitioner (PMHNP)

Where you plan to practice as APRN: Ohio

State’s definition

Advanced practice registered nurse has a current, valid license obtained under chapter 4723 that allows them to exercise advanced practice nursing and is recognized as one of the subsequent: A certified registered nurse anesthetist, a certified nurse practitioner, a clinical nurse specialist, and a certified nurse-midwife (Buppert, 2021).

Title allowed by Ohio

Certified Nurse Practitioner (CNP) OR Advanced Practice Registered Nurse (Buppert, 2021).

Board of nursing hyperlink: https://nursing.ohio.gov/

A summary of how Ohio is meeting the components of the consensus model.

The Nurse Practice Act, found in Chapter 4723 of the Ohio Revised Code, was enacted by the Ohio legislature (“APRN consensus implementation status,” n.d.). The Board is a management body established by Ohio law to control the nursing profession in the state for the public’s safety. Secondly, Ohio Administrative Code (OAC) – Forms the Administrative Rules. The Board implements rules from Chapters 4723-1 through 4723-27 of the Ohio Administrative Code that defines guidelines for licensing and certification, morals of conduct, discipline, and pre-deployment nursing training, all of which are founded on the Nurse Practice Act (“Find your Nurse Practice Act,” n.d.).

Week 5

A review of the nurse practice act and summary of practice for N.P.s in Ohio

In Ohio, the Nurse Practice Act, set out in chapters 4723-01 through to 4723-099, creates regulations for certification and licensure, pre-licensure nursing education, standards of practice, and discipline. The act provides that the N.P.’s scope of practice shall be overseen by the nursing board consisting of thirteen members who are residents of Ohio and citizens of the United States. It authorizes certified or licensed nurse practitioners recognized by the nursing board and nurses who practice in specific settings (Burson et al., 2016). According to the Act, a nurse should be able to perform specified functions, including ordering and interpreting diagnostic procedures, prescribing, dispensing, and administering treatments. It also provides a transition to various nursing practice programs. Further, it does not restrict N.P.s by not demanding that they work with physician oversight.

A review of information related to Ohio’s physician supervision/ collaboration requirement.

Nurse practitioners in Ohio cannot practice alone. According to state law, nurse practitioners must work with physicians. The act provides that R.N.s of all categories must enter into a standard care arrangement with physicians, either in person or electronically. Supervision means nurses are under the direction of the physician (s) to act within the scope of practice per the act’s provisions. In contrast, nurses and physicians collaborate to create a standard care arrangement, which is a written document that guides the planning and evaluation of patient care.

A summary of restrictions of practice and collaborative/ supervisory practice agreements

Ohio’s Nurse Practice Act restricts the practice authority of N.P.s to a limited scope (Joel, 2017). As part of the act, nurses must create a written standard care arrangement with their supervisor to plan and evaluate patients’ health, including prescribing medications, interpreting diagnostic tests, and providing other essential services to the patients. Unlike states, for example, California, Ohio does not restrict advanced practice registered nurses (APRNS) from practicing independently. In other words, nurses are not prohibited from establishing and operating independent private healthcare businesses.

The information can be found at the link: https://codes.ohio.gov/ohio-revised-code/section-4723.01.

Regulatory Agency for N.P. practice

The Ohio Board of Nursing operates as the state’s regulatory body for NPS. It ensures the state has high-quality registered nurses by safeguarding and advocating public health and safety. The Board’s duties include establishing Registered Nurse Education Standards, evaluating licensure and applications, approving Ohio Nursing programs, issuing certificates, issuing and renewing licenses, managing intervention programs, taking disciplinary actions, and operating an online license verification system.

 

Summary of information related to licensing and qualification for APRNS

The Ohio Board of Nursing regulates and issues qualified registered nurses with a certificate of authority in the following APRN roles: Certified Registered Nurse Aesthetic (CRNA), Certified Nurse Specialist (CNS), Clinical Nurse Specialist (CNS), and Certified Nurse-Midwife (CNM). An individual must hold a valid unencumbered Ohio R.N. license to be approved to work (Burson et al., 2016). One can obtain an active R.N. license in Ohio by applying using the Licensure Examination Application packet if one is a graduate of a nursing program approved by the Ohio Nursing Board. Suppose one is a graduate of a nursing program out of the state. In that case, one can apply by submitting a Transcript Authorization Form using the Licensure by Examination Application packet. Individuals who are R.N. licensed in another jurisdiction or state must apply for approval using the Licensure by Endorsement Application packet.

Requirements for ARNP licensure in Ohio

The Ohio Nursing board establishes that one must hold an action Ohio R.N. license and a master’s or doctoral degree with a major in a nursing specialty. The nursing specialty must be approved by the Board that certifies and qualify APRN license and designation for nurses. For CNPs, CNSs, and CNMs, one must prove to complete at least 45 hours of course in advanced pharmacology, whose contents are following section 4723.482(B) (Burson et al., 2016). The advanced pharmacology course has to be completed within the last five years before applying for APRN licensure is made. Also, for CNPs, CNSs, and CNMs, applicants from other jurisdictions must show proof of prescriptive authority and complete a two-hour course in Ohio prescribing law.

APRN licensing requirements in Ohio

• The individual must be a U.S. citizen (either legally living or legally allowed in the U.S.)
• A current and valid Ohio R.N. license is required.
• Completion of the application by answering the questions about compliance.
• Payment of the applicable fees
• Passing the due diligence or criminal record check
• A master’s or doctoral degree with a specialization in an area of nursing practice is required (or a related field that qualifies the applicant for the APRN national certification)
• The individual must pass the APRN national certification exam and maintain a certificate from a nationally recognized organization recognized by the Ohio Board of Nursing.

Below is the Hyperlink for this information

http://www.ohioaprn.com/l.a.c.e..html

Week 6

Prescriptive Authority Requirement

The Ohio Board of Nursing licenses Advanced Practice Registered Nurses (APRNS) in Ohio. Graduate degrees and national certifications are required for state licensure. Also, experience is required for nurse midwives, clinical nurse specialists, and nurse practitioners who need prescriptive authority (Prescribing Resources, 2022). Further, additional requirements are required for prescriptive authority. For instance, a course in advanced pharmacology is required (http://codes.ohio.gov/orc/4723.482v2). The course must include at least 45 contact hours designed for the nurse’s specialty. It must cover information mandated by state law, such as issues regarding prohibited substance prescriptions and pharmacokinetic principles. Externship is also a requirement (http://codes.ohio.gov/oac/4723-9). For in-state applicants, the usual externship is 1, 500hrs, including at least 500hours spent under direct supervision by a professional supervisor. Out-of-state nurses with prescriptive experience, including controlled substances, are exempted from externship but must complete a two-hour course on the state’s drug legislation and prescribing authority. On the other hand, nurses with prescriptive experience but with no experience in controlled substances are offered reduced externship requirements ((“Find your Nurse Practice Act,” n.d.).

MD supervisory or collaborative regulation of controlled and non-controlled substances:

In Ohio, prescriptive authority for NPs requires physician involvement. The prescription authority for NPs is established through an agreement between the NP and the collaborating physician (O.R.C. 4723.43 (C) and 4723.48 (A)) (Nurse Practitioner Interactive Map, 2022). According to the nursing practice act, NPs can prescribe schedule iii-v controlled substances. (ORC 4723.48). Similarly, the act authorizes NPs to prescribe schedule ii-controlled substances (ORC 4723.481 (C); ORC 3719.06 (A) (2)) (“Find your Nurse Practice Act,” n.d.).

The state of Ohio maintains a drug monitoring program. OARRS is Ohio’s prescription drug monitoring system (PDMP). OARRS is a system for tracking patients’ distribution and personal delivery of regulated prescription medications. It gives health officials current and timely information regarding prescribing and patient behaviors, allowing them to respond quickly and effectively.

Hyperlink for Ohio prescriptive authority: https://codes.ohio.gov/ohio-revised-code/chapter-4723

Federal DEA Requirements

In Ohio, The Ohio Nursing Board keeps track of the number of NPs with certifications to prescribe, but not how many have DEA numbers. In other words, having a DEA number is not mandatory. For a DEA license, applicants must provide state licensing information and social security number and pay the applicable fee. During application, applicants must fill in their background, personal and practice information, state license, business activities, and prescribing schedules and payments.

MD supervisory collaborative regulations related to prescription of a controlled substance:

In Ohio, Schedule II prescriptions, which include the majority of narcotics, are subject to supervision. The state’s act, ORC 4723.481 (C); ORC 3719.06 (A) (2)) indicates NPS authority to prescribe narcotic drugs under a written practice agreement with a physician (Nurse Practitioner Interactive Map, 2022).

Restrictions to Naloxone and Opioids

Naloxone falls under schedule IV of control substances (Buppert, 2020, p.209). In Ohio, the nursing practice Act authorizes NPs to prescribe schedule iii-V controlled substances, among which Naloxone belongs. This regulation is aimed at making Naloxone more accessible to persons who may be at risk of experiencing an opioid-related overdose. According to House Bill 341, prescribers must acquire patient information from Ohio Reporting System before the prescription. The majority of opioids fall under class I to IV. NPs in Ohio have the prescription authority of controlled substances falling under the mentioned schedules. In 2018, the state introduced new regulations for opioid prescriptions (State Medical Board of Ohio, 2022). Before administering an opioid drug, doctors are required by law to raise the patient’s level of consciousness. Non-opioid medications must first be considered and documented by physicians. If an opioid prescription is judged necessary, it should be written in the shortest possible time. If a prescriber suspects opioid abuse, they must undertake a functional pain evaluation, complete and document the patient’s medical history, administer a diagnostic test if necessary, and document the treatment plan in a patient’s medical records, among other requirements (State Medical Board of Ohio, 2022).

DEA hyperlink: https://www.deadiversion.usdoj.gov/ or https://www.dea.gov/who-we-are

References

APRN consensus implementation status. (n.d.). NCSBN. https://www.ncsbn.org/5397.htm/

Buppert, C. (2021). Nurse practitioner’s business practice and legal guide. Jones & Bartlett Learning.

Burson, R., Moran, K. J., & Conrad, D. (2016). Why Hire a Doctor of Nursing Practice–Prepared Nurse? The Value-Added Impact of the Practice Doctorate. Journal of Doctoral Nursing Practice, 9(1), 152–157. https://doi.org/10.1891/2380-9418.9.1.152

Find your Nurse Practice Act. (n.d.). NCSBN. https://www.ncsbn.org/npa.htm/

Joel, L. A. (2017). Advanced practice nursing: Essentials for role development. FA Davis.

Nurse Practitioner Interactive map: https://lmscontent.embanet.com/Media/RC/NU668/NU668-w10-m01/

Ohio Board of Nursing. (2022). Retrieved 31 May 2022, from https://nursing.ohio.gov/wp-content/uploads/2022/02/APRN-Licensure-and-Practice-in-Ohio.January-2022.pdf

Prescribing Resources. (2022). Ohio Board of Nursing. https://nursing.ohio.gov/practice-resources/prescribing-resources/

State Medical Board of Ohio > Overview: Regulations for Chronic and Subacute Opioid Prescriptions. (2022). Retrieved 9 June 2022, from https://med.ohio.gov/Overview-Regulations-for-Chronic-and-Subacute-Opioid-Prescriptions

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AN_NU 688 Wk 10 IPPD

Paper details

State is Ohio
IPPD is attached.
Please write one page or less and include references
Week 10 Assignment 2: State and National Networking
Value: Complete at 100 points/Incomplete at 0 points. This assignment is worth 3% of
the total grade.
Due: Day 3
Grading Category: IPP Document Development
Instructions
Using the IPP document you started in Week 1 and added to in Weeks 5 and 6,
please add the following information:
1. Identify one state and one national professional organization in the area in which
you will reside/ practice that will provide you with professional networking
opportunities.
2. Please identify the organizations, their purpose, membership fees, and the
resources they provide. Professional organizations include Nurse Practitioner
Associations or specialty organizations such as Nurse Practitioners in Women\'s
Health (NPWH). Please summarize this information; do not cut and paste to your
IPPD assignment.
3. Refer to the Nurse Practitioner Association for details on Nurse Practitioner
Association websites.

Please refer to the Grading Rubric for details on how this activity will be graded.
For this assignment to be considered complete, you must identify at least one state and
one national professional organization and address all prompts by Day 3.