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NRNP 6675 WEEK 1 Certification and Licensure Plan

NRNP 6675 WEEK 1 Certification and Licensure Plan

Certification and Licensure Plan

Certification and licensure are important stages of becoming an APRN, as individuals are required to pass the national exams for specific specializations such as PMHP before applying for licensure in the state of residence or state of choice. Even though there have been attempts to standardize the NP regulations nationally, requirements still vary from one state to another. For example, while some states may allow independent practice, others still have restricted or reduced practice (Stewart & Denisco, 2019). The implication is that a Nurse practitioner preparing for certification and licensure should have adequate knowledge regarding the requirements of the state and prepare the right documentation (Willgerodt et al., 2018). For an individual to get certified and licensed as an APRN in Illinois, one must hold unencumbered Illinois RN licensure, earn national certification and apply for the licensure.

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The application process has various requirements and processes. One must indicate the APN category being applied for, pay an application fee of $125, and presents a copy of current national certification and RN license number and official sealed college transcripts (“G.N,” 2020). My state’s board of nursing website is the Illinois State Board of Nursing (https://idfpr.illinois.gov/profs/boards/nursing.html). In Illinois, the scope of practice of a nurse practitioner is defined as reduced practice, with the nurses required to partner with doctors and have restrictions on tasks they can complete without supervision. The state practice agreement in Illinois contains various things such as the provider information, APN certifications, collaborating physicians, and the provider signature.

Getting a DEA license requires an application that must only be done on paper, and the application is paid by check (“G.N,” 2020). Illinois has a prescription monitoring program known as the Illinois Prescription monitoring program, operating as an electronic database that stores, tracks, and collects reported dispensing data. Nurse practitioners’ controlled-substance prescriptive authority is described as prescription and dispensing within the scope of practice of collaborating physicians. The drug schedules that NPs are authorized to prescribe are schedule II drugs. One of the regulations that exist and barriers that may impact nurse practitioner independent practice is the requirement of working with a physician hence restricted practice (Buppert, 2021). One of the things which surprised me from my search is that licensure is given by the Illinois Department of Financial and Professional Regulation.

References

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

G.N. (2020). Steps to Becoming an APN in Illinois. https://www.graduatenursingedu.org/illinois/#:~:text=You%20must%20complete%2050%20contact,of%20your%20national%20certification%20agency.

Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning.

Willgerodt, M. A., Brock, D. M., & Maughan, E. D. (2018). Public school nursing practice in the United States. The Journal of School Nursing, 34(3), 232-244. https://doi.org/10.1177/1059840517752456

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Certification and Licensure Plan

Now that you are in the final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass the national PMHNP certification exam. Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.

Although a movement called the APRN Consensus Model is attempting to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish an independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.

Another important area to consider and plan for is prescriptive authority. The appropriate board, which may be the medical board, state board of pharmacy, or nursing board, grants prescriptive authority under state law for the appropriate state licensure. The federal government grants the authority to write for a controlled substance, and the Drug Enforcement Administration (DEA) verifies this action through by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.
In this Discussion, you will locate and review the practice agreements in the state in which you plan to practice, identify potential collaboration requirements in your state, and understand the certification and licensing process that you will need to follow.

Resources

 

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Learning Resources

Required Readings

  • Links to an external site.. https://www.aanp.org/advocacy/state/state-practice-environment
    • On the map on the webpage, click on your state and review. After you complete the PMHNP Program, pass the certification exam, and get a job, you will need to revisit this website to apply for the privilege to practice as an APRN with your state Board of Nursing.
  • American Psychiatric Association. (2020). Telepsychiatry
  • Links to an external site.. https://www.psychiatry.org/psychiatrists/practice/telepsychiatry
  • Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.
    • Chapter 1, “What Is a Nurse Practitioner?”
    • Chapter 2, “Nurse Practitioner Scope of Practice”
    • Chapter 3, “State Regulation of the Nurse Practitioner Practice”
    • Chapter 4, “Federal Regulation of the Nurse Practitioner Profession”
    • Chapter 5, “Prescribing”
  • Centers for Disease Control and Prevention. (2020). Using telehealth to expand access to essential health services during the COVID-19 pandemic
  • Links to an external site.. https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html
  • Centers for Medicare & Medicaid Services. (2019). National provider identifier standard (NPI)
  • Links to an external site.. https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand
    • The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.
  • Drug Enforcement Administration Diversion Control Division. (2020). Registration
  • Links to an external site.. https://www.deadiversion.usdoj.gov/drugreg/index.html
    • This site contains information about applying for your DEA registration number. This number is required for writing prescriptions.
    • After completing PMHNP Program and passing the PMHNP certification exam, complete the DEA application to request prescriptive privileges. Your DEA number will be renewable every five years.
  • National Panel for Psychiatric Mental Health NP Competencies. (2003). Psychiatric-mental health nurse practitioner competencies
  • Links to an external site.. National Organization of Nurse Practitioner Faculties (NONPF).  https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/imported/PMHNPcomps03.pdf
  • Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning.
    • Chapter 1, “Historical Perspectives: The Art and Science of Nurse Practitionering”
      • Nurse Practitioner Core Competencies
      • Nurse Practitioners’ Unique Role
    • Chapter 13, “Quality, Safety, and Prescriptive Authority”
  • Substance Abuse and Mental Health Services Administration. (2020). Become a buprenorphine waivered practitioner
  • Links to an external site.. https://www.samhsa.gov/medication-assisted-treatment/buprenorphine-waiver-management/apply-for-practitioner-waiver
    • This site contains information about applying for a practitioner waiver to prescribe or dispense buprenorphine under the Drug Addiction Treatment Act of 2000 (DATA 2000).
    • After you obtain a Drug Enforcement Agency (DEA) number and completed 24-hour medication-assisted treatment (MAT) waiver training, you may apply to Substance Abuse and Mental Health Services Administration (SAMSHA) for MAT waiver to be able to prescribe Schedule III, IV, or V opioid drugs for the maintenance and detoxification treatment of opioid use disorders relapse prevention.
  • Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.
    • Chapter 2, “The Role of the Psychiatric-Mental Health Nurse Practitioner: Regulations and Scope of Practice”
    • Chapter 3, “Theoretical Foundations of Care and Nonpharmacological Therapies”

Recommended Resources

Consult these professional organization websites as needed.

To Prepare:

  • Review practice agreements in your state.
  • Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
  • Research the following:
    • How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?
    • What is the application process for certification in your state?
    • What is your state’s board of nursing website?
    • How does your state define the scope of practice of a nurse practitioner?
    • What is included in your state practice agreement?
    • How do you get a DEA license?
    • Does your state have a prescription monitoring program (PMP)?
    • How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

By Day 3 of Week 1

Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

Read a selection of your colleagues’ responses.

By Day 6 of Week 1

Respond to at least two of your colleagues on 2 different days in one or more of the ways listed below.

  • Share an insight from having viewed your colleagues’ posts.
  • Suggest additional actions or perspectives.
  • Share insights after comparing state processes, roles, and limitations.
  • Suggest a way to advocate for the profession.
  • Share resources with those who are in your state.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

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