2011 Institute of Medicine Recommendations
In 2011 the Institute of Medicine (IOM) published a study on the future of healthcare titled “The Future of Nursing: Leading Change, Advancing Health”. The study made 8 recommendations two of which apply to the concepts of policy change regarding scope of practice discussed in this paper.
The 1st recommendation is to “Remove scope of practice barriers” (IOM, 2011, p. 8). The study recommends the elimination of strict collaborative contracts between physicians and APRNS. The IOM believes such regulations are barriers to improving the future of health care and should be removed. The IOM recommends that APRNS should be able to function independently. Varied scope of practice is also mentioned as a potential …show more content…
Under the nurse licensure section of the New Mexico State Board of Nursing (2012) the APRN, “makes independent decisions regarding the health care needs of the client and also makes independent decisions in carrying out health care regimens”. APRNs have full prescriptive authority for non-scheduled medications and for schedule II-V medications. To obtain full prescriptive authority for scheduled/controlled medications 400 hours of experience with said medications must be documented. Alternatively an APRN can undergo a minimum of 400 hours of working with controlled medications under a certified APRN or physician …show more content…
The provision also states that an APRN is allowed to perform services outside if the scope of practice provided the appropriate knowledge is obtained prior to performance or supervision is present. In New Mexico the term APRN is used to refer to clinical nurse specialists, certified nurse practitioner and certified registered nurse anesthetist.
Colorado APRN State Policies Colorado’s APRN scope of practice is also considered independent. Full practice authority was granted in 2010 and physician oversight was removed. The main difference in Colorado compared to other independent is that a newly graduated APRN is required to have 1000 hours of supervision from a physician or experienced (has full practice authority) APRN before they may apply for any prescriptive authority (DORA, 2010). Prescriptive authority includes unscheduled medications and scheduled medications II-V. This model provides somewhat of a compromise for states wishing to transition to independent practice but meeting a lot of resistance regarding the safety of APRN independent practice (Nurse Practitioner Scope of Practice: Colorado, 2013).
Conclusion and
In 2011 the Institute of Medicine (IOM) published a study on the future of healthcare titled “The Future of Nursing: Leading Change, Advancing Health”. The study made 8 recommendations two of which apply to the concepts of policy change regarding scope of practice discussed in this paper.
The 1st recommendation is to “Remove scope of practice barriers” (IOM, 2011, p. 8). The study recommends the elimination of strict collaborative contracts between physicians and APRNS. The IOM believes such regulations are barriers to improving the future of health care and should be removed. The IOM recommends that APRNS should be able to function independently. Varied scope of practice is also mentioned as a potential …show more content…
Under the nurse licensure section of the New Mexico State Board of Nursing (2012) the APRN, “makes independent decisions regarding the health care needs of the client and also makes independent decisions in carrying out health care regimens”. APRNs have full prescriptive authority for non-scheduled medications and for schedule II-V medications. To obtain full prescriptive authority for scheduled/controlled medications 400 hours of experience with said medications must be documented. Alternatively an APRN can undergo a minimum of 400 hours of working with controlled medications under a certified APRN or physician …show more content…
The provision also states that an APRN is allowed to perform services outside if the scope of practice provided the appropriate knowledge is obtained prior to performance or supervision is present. In New Mexico the term APRN is used to refer to clinical nurse specialists, certified nurse practitioner and certified registered nurse anesthetist.
Colorado APRN State Policies Colorado’s APRN scope of practice is also considered independent. Full practice authority was granted in 2010 and physician oversight was removed. The main difference in Colorado compared to other independent is that a newly graduated APRN is required to have 1000 hours of supervision from a physician or experienced (has full practice authority) APRN before they may apply for any prescriptive authority (DORA, 2010). Prescriptive authority includes unscheduled medications and scheduled medications II-V. This model provides somewhat of a compromise for states wishing to transition to independent practice but meeting a lot of resistance regarding the safety of APRN independent practice (Nurse Practitioner Scope of Practice: Colorado, 2013).
Conclusion and