Regulations And The Barriers That May Impact Nurse Practitioner Practice
Risquat Betara Aliyu
11:36amLocal: Aug 30 at 11:36am<br>Course: Aug 30 at 1:36pm
Certification and Licensure Plan
In this discussion, I will post a summary of my findings on my state, Maryland based on the questions listed. I will then explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Lastly, I will describe what surprised me from the research. Regulations And The Barriers That May Impact Nurse Practitioner Practice
Certification and Licensing Process
Certification and licensing of nurses are required for them to practice in Maryland. To be licensed and certified as an advanced nurse practitioner in Maryland, one must first complete a graduate-level nursing program (American Association of Nurse Practitioners, 2020). The program must be accredited by a recognized accrediting body. After completion, candidates can apply for national certification in their specific APRN role and population focus (American Association of Nurse Practitioners, 2020). It is done through the American Association of Nurse Practitioners (AANP).
Application Process for Certification
In Maryland, a process is followed when applying for certification. It involves applying to the Maryland Board of Nursing (American Association of Nurse Practitioners, 2020). The application typically includes proof of education, documentation of national certification, verification of registered nurse (RN) licensure, and payment of the required fees (American Association of Nurse Practitioners, 2020). Applicants may also need to provide additional documents and undergo a criminal background check.
Maryland Board of Nursing Website
The Maryland Board of Nursing website serves as a valuable resource for APRNs in the state (American Association of Nurse Practitioners, 2020)Regulations And The Barriers That May Impact Nurse Practitioner Practice. It provides information regarding licensing requirements, scope of practice guidelines, renewal processes, and other relevant resources for APRNs practicing in Maryland.
Scope of Practice for Nurse Practitioners
In Maryland, the scope of practice for nurse practitioners is defined by the Nurse Practice Act and regulations set forth by the Maryland Board of Nursing (Buppert, 2021). Nurse practitioners in Maryland are authorized to diagnose and treat common acute and chronic conditions, order and interpret diagnostic tests, initiate and manage treatments, and prescribe medications within their specialty area and population focus.
State Practice Agreement
Maryland requires nurse practitioners to collaborate with a physician through a collaborative practice agreement (CPA). The CPA outlines the parameters of the collaboration between the nurse practitioner and the physician, including communication methods, protocols, and conditions for referral (Buppert, 2021). This agreement is designed to ensure patient safety and provide a framework for collaborative care.
DEA is responsible for prescribing and regulating the distribution of controlled medications such as narcotics and sedatives in the United States (Buppert, 2021). Nurse practitioners need this license to prescribe controlled drugs. To be licensed one has to apply to the Drug Enforcement Administration (DEA) (Buppert, 2021)Regulations And The Barriers That May Impact Nurse Practitioner Practice. If one meets the stated standards he or she is given the license.
The Prescription Monitoring Program
The state has a prescription program known as the Maryland Prescription and Monitoring Program. It monitors and regulates the prescription of drugs (Pardo, 2017). This program collects and monitors data on controlled substance prescriptions to prevent the misuse and diversion of prescription drugs (Pardo, 2017). Nurse practitioners are required to comply with reporting and monitoring regulations outlined by the PDMP.
Controlled-Substance Prescriptive Authority
In Maryland, nurse practitioners have prescriptive authority for controlled substances (Buppert, 2021). The specific drug schedules that nurse practitioners are authorized to prescribe isdetermined by state regulations (Buppert, 2021). These regulations may vary depending on the nurse practitioner’s specialty area and population focus.
There is nothing that surprised me since I have been practicing as a nurse for a long. The knowledge, skills, and experience gained makes me more used to the Maryland Board of Nursing since it is one of the websites that I have been using for licensure and checking updates or changes in nursing practice.
In a nutshell, becoming a certified and licensed APRN in Maryland requires completion of a graduate-level nursing program, national certification, and application to the Maryland Board of Nursing. Nurse practitioners in Maryland have a defined scope of practice, collaborate with physicians through a collaborative practice agreement, and have prescriptive authority for controlled substances.
American Association of Nurse Practitioners. (2020). State practice environment. https://www.aanp.org/advocacy/state/state-practice-environmentLinks to an external site.
Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning
Pardo, B. (2017). Do more robust prescription drug monitoring programs reduce prescription opioid overdose? Addiction, 112(10), 1773-1783.https://doi.org/10.1111/add.13741 Regulations And The Barriers That May Impact Nurse Practitioner Practice