NR510 week 6 discussion1
Discussion Part One (graded)
You have completed your nurse practitioner education, likely one of the most
challenging tasks
... [Show More] you have ever undertaken. Several of your graduated colleagues
live in different states, including California, Washington, and Illinois. After a year of
primary care practice in your respective states, you get together for a reunion and
share your practice perspectives. It is apparent that your experiences are not equal.
Discussion Question:
How do licensure, accreditation, certification, and education (LACE) considerations
differ for APN clinical roles for these three states: California, Washington and
Illinois? Provide evidence for your response.
Topic responses
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Jose DelAcruz
Discussion Part One
Hello Dr Duncan and Classmates,
APN Clinical Roles
DeNisco & Barker (2012) asserts that advanced practice nurses (APN) mostly include
nurse midwives, nurse practitioners or clinical nurses among many other types of nurses. APN’s
are usually very crucial when it comes to healthcare and they mostly deal with ensuring that the
general public receives care from the illnesses they may suffer from. Licensure involves giving
license majorly through state agencies to people who have successfully taken the nursing
program so that they are able to practice as nurses. Accreditation is the process through which allthe schools that offer nursing programs must be approved by government officials and
sometimes even the legislature (Sumner, 2013). Certification mostly involves evaluating the
level of understanding and knowledge that the individuals who have undergone the nursing
program have achieved and also evaluating their abilities and all the skills they have acquired,
while education is that process where individuals are imparted the knowledge and skills at their
different educational levels.
How LACE differs for APN Clinical Roles in California, Washington and Illinois
For someone to be registered as an advanced practice nurse in California, the minimum
requirement is a master’s degree at the area of their specialization with only one exemption to
public health nurses whose minimum requirement is just a bachelors’ degree. Anyone willing to
be an APN must also attend one of the schools that have been accredited by the National League
of Nursing (NLN) for their nursing degrees to be recognized by the California state. In
California, only six APN classifications are recognized which include; nurse practitioner, a
public health nurse, psychiatric health nurse, clinical nurse specialist, a nurse midwife and a
nurse anesthetist. Certification of individuals usually happens after individuals undertake a
nursing exam and they pass it (Alleman & Houle (2013). Then all the nursing students who have
passed their exams are supposed to apply for their certificates where it is a must for them to give
their social security numbers during the process.
In Washington, for an individual to become an APN, one must first of all complete the
advanced nursing program one year before they apply for their APN license. The nursing
programs that one wishes to take should be accredited by an agency that is well recognized by
the United States Department of Education (USDE). In a case where, a nursing student got their
degree from outside the U.S, the nursing program that they underwent must be similar to that
offered in Washington for them to be allowed to work in the State. For nursing students to be
certified in Washington, all individuals undertaking the program must undergo an examination
that will test their competences (Alleman & Houle, 2013). The APN categories that are
recognized by the Washington State Department of Health are: Nurse practitioner, certified
nurse-midwife, certified registered nurse anesthetist. Individuals who have been successful in
undertaking the program should then apply for their licenses and it is a must for them to provide
their Taxpayer identification numbers together with their social security numbers.
In Illinois, for one to be able to get an APN license, one must have to finish a graduate
level in any of the APN categories. The nursing school and the program that one undertakes in
Illinois must be accredited by any recognized body in the USDE (Carter et al, 2013). It is a
requirement in Illinois State for one to earn a national certificate way before they are given anAPN license. For one to apply for a license in Illinois, it is a must for one to have the following:
An Illinois registered nurse license number, one should also indicate the APN category that one
is applying for, a copy of the national certification, a transcript that shows that one received a
graduate degree and finally one must also pay some application fees.
Jose
References
Alleman, K., & Houle, K. (2013). Advanced practice registered nurse certification. Nephrology
Nursing Journal, 40(3), 219. Retrieved from
http://search.proquest.com/openview/18874768c2d715e7fadac9a12214b89e/1?pqorigsite=gscholar>
Carter, N., Dobbins, M., Ireland, S., Hoxby, H., Peachey, G., & DiCenso, A. (2013). Knowledge
gaps regarding APN roles: What hospital decision-makers tell us. Nursing Leadership, 26(4), 60-
75. Retrieved from
http://s3.amazonaws.com/academia.edu.documents/44996110/Knowledge_Gaps_Regarding_AP
N_Roles_What_20160422-11514-1u1j7it.pdf?
AWSAccessKeyId=AKIAJ56TQJRTWSMTNPEA&Expires=1467299421&Signature=t9itFXD
V2UzjxS17SuurOg
iogVg%3D&response-contentdisposition=inline%3B%20filename%3DKnowledge_Gaps_Regarding_APN_Roles_What.pdf>
DeNisco, S. M., & Barker, A. M. (2012). Advanced Practice Nursing. Jones & Bartlett
Publishers. Retrieved from
https://books.google.com/books?hl=en&lr=&id=YGSSHUlMTaEC&oi=fnd&pg=PR1&dq=DeN
isco+%26+Barker, +2012) &ots=R1-
RTg3jPp&sig=miLIyDVrZ4Gpi8WyPZH_uQePkkw&redir_esc=y#v=onepage&q=DeNisco%20
%26%20Barker%2C%202012) &f=false>
Sumner, J. (2013). Advanced Nursing Practice in the United States. Advanced Practice in
Healthcare: Skills for Nurses and Allied Health Professionals, 113. Retrieved
fromhttps://scholar.google.com/scholar?as_ylo=2012&q=LACE+in+illinois&hl=en&as_sdt=0,
alifornia, Washington and Illinois? Provide evidence for your
response.
CALIFORNIA WASHINGTON I
LICENSURE Advanced practice nurses include
nurse practitioners (NP), nursemidwives (NMW), clinical nurse
specialists (CNS), and nurse
anesthetists (NA) – and these APRNs
do not require a license for practice,
instead one must possess a Certificate
to Practice as approved by the board.
In order to apply for this certification,
one must hold a valid and active RN
License (California Board of Registered
Nursing [BRN], 2016).
APRN is referred to as an ARNP and
consists of three designations:
CRNA, CNM, and NP – all ARNPs
require an advanced license to
practice, which is granted by the state
board (Washington State Department
of Health, 2009).
APRN is referr
includes: CRN
CNS. All requ
nurse licensur
Department o
Professional R
ACCREDITATION APRNs – do not need to graduate from
an accredited academic/educational
program however, the director or codirector of the educational program
must be a graduate of an accredited
institution (California Board of
Registered Nursing [BRN] NP
Committee, 2013).
ARNPs – one must graduate from an
accredited educational program
(Washington State Legislature, 2016).
APNs – in ord
advanced pra
Illinois, the ed
one has gradu
accredited
(GraduateNur
CERTIFICATION APRNs – national certification NOT
required to practice; however one
must apply for a certificate to practice
in the state of California, and must
hold an active RN license in order to
do so (BRN NP Committee, 2013).
ARNPs – national certification is
required to practice i.e., the American
Academy of Nurse Practitioners,
American Nurses Credentialing
Center, National Certification
Corporation for Obstetric,
Gynecological and Neonatal Nursing,
Pediatric Nursing Certification Board,
American Midwifery Certification
Board, and Council on Certification of
Nurse Anesthetists (Washington State
Department of Health, 2009).
APNs – nation
required to pr
Council of Sta
[NCSBN], 201
EDUCATION APRNs – need at least a Masters
degree in nursing or a clinical field
relating to nursing (BRN, 2016).
ARNPs – need at least a Masters
degree, ―formal graduate education‖
(Washington State Legislature, 2016).
APNs – need
degree (NCSB
References
California Board of Registered Nursing (BRN). (2016). Advanced practice
certification. Retrieved from http://www.rn.ca.gov/applicants/adpract.shtml#cnsCalifornia Board of Registered Nursing (BRN) NP Committee. (2013). Nurse
practitioners: Laws and regulations. Retrieved
from http://www.rn.ca.gov/pdfs/regulations/bp2834-r.pdf
GraduateNursingEDU.org. (2016). Steps to becoming an APN in Illinois.
Retrieved from http://www.graduatenursingedu.org/illinois/#license
Illinois Department of Financial & Professional Regulation (IDFPR).
(2016). Advanced practice nurse (professions code – 209). Retrieved
from https://www.idfpr.com/renewals/apply/forms/rn-apn.pdf
National Council of State Boards of Nursing (NCSBN). (2016). Certification
map. Retrieved from https://www.ncsbn.org/5403.htm
National Council of State Boards of Nursing (NCSBN). (2016). Education
map. Retrieved from https://www.ncsbn.org/5402.htm
Washington State Department of Health. (2009). Advanced registered nurse
practitioners (ARNPs) in Washington state: Frequently asked
questions. Retrieved
from http://www.doh.wa.gov/portals/1/Documents/6000/ARNPFAQs.p
df
Washington State Legislature. (2016). WAC: Title 246, chapter 246-840,
section 246-840-010. Retrieved
from http://apps.leg.wa.gov/WAC/default.aspx?cite=246-840-010
Washington State Legislature. (2016). WAC: Title 246, chapter 246-840,
section 246-840-455. Retrieved
from http://apps.leg.wa.gov/WAC/default.aspx?cite=246-840-455
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Amber Kelly
Discussion Part One
Professor and classThe consensus model for the advanced practice registered nurse regulation states that the APRN is one who has
completed an accredited graduate level nursing program, they will be certified nationally, and have an active RN
license (American Association of Colleges of Nursing [AACN], 2008). The consensus model was developed in the
hopes to improve healthcare across the United States by creating a uniform model of regulations for the APRN
across the country. According to the American Association of Nurse practitioners (n.d.) there are only 25 states in
the US that are full practice. California is a restricted practice state, the California state practice and licensure laws
restrict the APRN the ability to engage in at least one element of practice (AANP, n.d.). According to the AANP
(n.d.) the state of California requires all APRN’s to have an active registered nursing license and a graduate degree.
Washington state is one of the 25 states that are considered full practice states in which state practice laws allows the
APRN to evaluate, diagnose, initiate and manage treatment, order diagnostic test, and prescribe medications (AANP,
n.d.). The licensing requirements for Washington are an active RN license, graduate degree, and national
certification (AANP, n.d.). Illinois is a reduced practice state in which the practice and licensure laws reduce the
ability of the APRN to practice in at least one element (AANP, n.d.). The licensure requirements for Illinois are an
active RN license, graduate degree, and a national certification (AANP, n.d.).
American Association of Colleges of Nursing. (2008). Consensus Model for APRN Regulation: Licensure...
Retrieved from http://www.aacn.nche.edu/education-resources/APRNReport.pdf [Show Less]