NURS 6565 Week 6: Certification Licensure and Scope of Practice

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NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings | Week 6

Nationally recognized competencies and practice standards ensure our profession is meeting the benchmark for excellence in health care delivery to include acute, chronic, and preventive care. Research has proven that the care provided by NPs improves patient outcomes significantly. The National Organization of Nurse Practitioner Faculties (NONPF) developed NP Competencies to use as a guide for ensuring NPs have mastered their program of study and are ready to transition from the role of RN to the role of NP and pursue National Certification with one of the current certifying bodies.

Once certified, NPs are then eligible to apply for licensure as Advanced Practice Registered Nurses (APRNs) in the state provider status is desired. Currently for FNPs and AGPCNPs, The American Association of Nurse Practitioners and the American Nurses Credentialing center both support the outcome of the APRN Consensus Model to ensure licensure after completion of an accredited program(s) of study and certification, which is recognized on a national level. The consensus model supports the goals of the nationally recognized APRN certification process with the ultimate goal of aligning credentials in regards to education, accreditation, licensure, and certification to establish a more uniform practice across the country.

This week you will review the importance of certification and licensure and recognize the differences in the application process at the state level. Additionally, students will examine the importance of Scope of Practice in regard to certification, licensure, and practice.

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Learning Objectives

By the end of this week, students will:
  • Analyze NP certification, licensure, and relocation processes
  • Compare Scope of Practice among acute care, family practice, and adult gerontology primary care nurse practitioners
  • Evaluate certification exam options
  • Create plans for passing National Certification Exams
  • Analyze state restrictions or limitations for practice

The National Council of State Boards of Nursing (NCSBN) is a non-profit organization comprised of members from each state board of nursing in the U.S., the District of Columbia, and the four U.S. territories. Their role is to provide a platform for all state boards of nursing to convene, discuss, and ensure all state boards work together to provide the appropriate regulation to ensure that public health, safety, and welfare is the primary focus. A key element of NP licensure is understanding the components of Scope of Practice and subsequent practice within the parameters of the educational program completed and appropriate national certification.

To prepare:
  • Consider the differences in certification exams options for your specialty
  • Consider whether primary care NP graduates are qualified to seek employment in acute care settings such as ER, OR, or hospitalist/intensivist
  • Review and select one of the following case studies to research in depth:
    • Case Study One: Selecting the Certification Exam for your specialty.
      Mary is in the last two months of her program of study. She is trying to decide whether to take the American Association of Nurse Practitioner Credentialing Exam or the American Nurses Credentialing Exam.
    • Case Study Two: Obtaining initial licensure post matriculation.
      Amy, FNP-BC has recently graduated from an accredited Family Nurse Practitioner Program. She decides to relocate from her home state of Tennessee to Missouri and practice in a rural area. She is very excited about her new role and new position.

By Day 3

Post the National Certification Exam you plan to take, a brief explanation for why you chose this exam, and an outline of your plan for passing the National Certification Exam you selected. Then, provide an explanation of the professional and/or clinical practice issues the new Nurse Practitioner will need to consider and address with the certification, licensure, credentialing, or relocation process. Compare Scope of Practice between the Acute Care, Family Practice, and Adult Gerontology Primary Care Nurse Practitioner and how practice may differ from state to state. Then, identify and explain at least two types of settings that are appropriate for FNP and AGPCNP graduates to practice.

Read a selection of your colleagues’ responses.

By Day 7

Respond to at least two of your colleagues on three different days in one or more of the ways listed below. Respond to colleagues who selected a different Case Study than you did.

  • Reflect on the differences between certifying bodies that offer credentialing exams for registered nurses.
  • Provide key components a Nurse Practitioner should consider when relocating from one state to another.
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