Practice Environment in Maryland and Delaware Paper

Practice Environment in Maryland and Delaware Paper Practice Environment in Maryland and Delaware Paper What have you done to prepare for your certification? Have you completed the scheduled tasks assigned on your timeline? (Yes) If not, what are your plans to stay on schedule? In many states, nurse practitioners are completely autonomous professionals. In other states, however, NPs have a wide range of “restrictive” practice ranging from requirements for a “supervising” physician to requirements for a “collaborative” agreement with a physician. Practice Environment in Maryland and Delaware Paper wk_10_asgns_6670.docx wk4asg1nguforr.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Checkpoint for Certification Plan Part 1 Learning Objectives Students will: • Evaluate progress on certification plans Report your progress on the Certification Plan completed in Week 1 and submitted in Week 4. • • What have you done to prepare for your certification? Have you completed the scheduled tasks assigned on your timeline? (Yes) If not, what are your plans to stay on schedule? Part 2 State Practice Agreements In many states, nurse practitioners are completely autonomous professionals. In other states, however, NPs have a wide range of “restrictive” practice ranging from requirements for a “supervising” physician to requirements for a “collaborative” agreement with a physician. In this Practicum Journal Assignment, you will examine the requirements of your own state in order to prepare yourself for the realities of practice upon graduation. Learning Objectives Students will: • • • • Analyze state PMHNP practice agreements Analyze physician collaboration issues Analyze barriers to PMHNP independent practice Create plans for addressing state PMHNP practice issues To Prepare for this Practicum Journal: • • Review practice agreements in your state. (Maryland) Identify at least two physician collaboration issues in your state. For this Practicum Journal: • • • • Briefly describe the practice agreements for PMHNPs in your state. (Maryland) Explain the two physician collaboration issues that you identified. Explain what you think are the barriers to PMHNPs practicing independently in your state. Outline a plan for how you might address PMHNP practice issues in your state. Running head: PMHNP CERTIFICATION PLAN Practicum Journal Entry: Certification Plan Nurs 6670 3/24/2019 2 PMHNP CERTIFICATION PLAN Practicum Journal Entry: Certification Plan Outline I. II. Description of the PMHNP practice environment in Maryland Comparison of the PMHNP practice environment in Maryland and Delaware III. Professional issue necessary for a new PMHNP licensure IV. Checklist for passing the national certification exam Certification Plan Individual’s certification plan is a process that involves the assessment of the nurse practitioner’s practice environment in a particular state in the United States while comparing with a different state’s practice environment. Notably, every state of the United States has its Nurse Practice Act among other laws governing the scope of practice among the nurse practitioners. This plan considers Maryland, the home state, while examining the practice environment of Delaware, the neighboring state. The board of nursing is responsible for the licensure of the Advanced Practice Registered Nurses (APRNs) including the Nurse Psychotherapists (APRN/PMH). In the state of Maryland, becoming an independent nurse psychotherapist, the nurse must first complete a master’s degree in Psychiatric Mental Health Nursing or an equally judged master’s degree V (Keltner & Steele, 2018). As per the regulations, the Psychiatric Mental Health Nurse Practitioner (PMHNP) must have the PMH certification from the American Nurses Credentialing Center (ANCC) or any other approved certification. 3 PMHNP CERTIFICATION PLAN The state of Maryland recently joined other states that permit full practice authority among nurse practitioners. As such, in Maryland, nurse practitioners can perform different functions authorized by the law independently and without supervision by any physician. NURS6670 PMHNP Practice Environment in Maryland and Delaware Paper Nurse practitioners in Maryland may therefore conduct patient assessments, carry out diagnosis and order various tests among other functions. Like in several other states, the state of Maryland considers nurse practitioners as primary care givers. Additionally, nurse practitioners in Maryland may prescribe controlled substances from Schedule II-V (Keltner & Steele, 2018). However, within a period of 18 months after the licensure, the state requires that a nurse practitioner must engage in a collaborative relationship either with a full practice authority nurse practitioner or a physician. After the collaborative practice period of 18 months, the nurse practitioner can independently provide health services in his or her line. It is noteworthy that a nurse practitioner with appropriate and sufficient experience or proper training, a nurse practitioner with full practice authority may get a waiver from the federal government to permit the dispensation of products containing buprenorphine while a nurse practice under the collaborative relationship can get a similar waiver having undergone proper training and acquired necessary experience as long as the collaborating physician of the NP is trained, certified or allowed to provide treatment and management among opioid-disorder patients. Nurse practice in the state of Delaware is somewhat similar to that of Maryland with few differences. Firstly, in Delaware, nurse practitioners must practice have a collaborative agreement and practice under a licensed doctor for at least 4,000 hours in two years of collaborative practice. The collaborative agreement must demonstrate the cooperation between the nurse practitioner and the supervising physician, their coordination and areas demanding 4 PMHNP CERTIFICATION PLAN consultancy (Dyess & Sherman, 2015). After the two years of collaborative practice, the NP may apply for prescription authority and independent practice to the state to enable the NP practice without the collaborative agreement. Just like the case of Maryland, NPs in Delaware are considered primary care providers. As such, NPs in Delaware have the authority to prescribe controlled substances from Schedule I-V. After the licensure, a nurse practitioner can only prescribe under a documented collaborative contract with a doctor for a period of two years (Stewart & Dennert, 2016). Upon the completion of the two years of collaborative practice the nurse practitioner can enjoy independent practice. Additionally, with the required training and experience a nurse practitioner may acquire federal waiver for the dispensation of drugs containing buprenorphine. On the other hand, a nurse practitioner prescribing under supervision of a physician in a collaborative practice, he or she may, with sufficient experience and training get a federal waiver if the physician is trained, certified or allowed to give treatment and management among opioiddisorder patients. One of the professional issues cutting across the nurse practitioners in Advanced Practice Registered Nurse and other fields is the leadership and management aspect. It is apparent that failed leadership and management influence non-coordinated structure and failure of the entire practice (Harmon, Clark, Dyck & Moran, 2016). Therefore, it is important for the PMHNP practitioners to understand and practice best management and leadership styles while adhering to professional ethics to ensure effective collaboration with other practitioners. It is notable that all the 50 states use a standardized examination for the licensure, NCLEXRN and thus similar passing code of pass or fail. Both Delaware and Maryland are nurse licensure compact states and thus the examination application is valid from either of the states. As such, it 5 PMHNP CERTIFICATION PLAN will be easier to apply for the examination through the Maryland board of nursing. Before applying for the examination, it is important to undertake various actions as below. • Set adequate time for course and book reviews as well as forming a study group • Conduct a thorough review of books such as Family Nurse Practitioner intensive review by Maria Codina • Online resource reviews and assessments including practical tests • Contacting the Advance Practice Education Associates to access adequate practical tests for not less than 6 months. • In Maryland one has to complete at least one program as per the regulations • Conduct a Fitzgerald Health NP course review • Ensure adequate funds for the purchase of all the course materials and application fee. • In Maryland one need to submit a non-refundable fee of $50. • After a thorough review and financial preparation, the last part is to apply for the examination in Maryland 6 PMHNP CERTIFICATION PLAN References Dyess, S. M., & Sherman, R. O. (2015). The first year of practice: New graduate nurses’ transition and learning needs. The Journal of Continuing Education in Nursing, 40(9), 403-410. Harmon, K. C., Clark, J. A., Dyck, J. M., & Moran, V. (2016). Issues and Trends in Nursing Education. In Nurse Educator’s Guide to Best Teaching Practice (pp. 1-15). Springer, Cham. Keltner, N. L., & Steele, D. (2018). Psychiatric Nursing-eBook. Elsevier Health Sciences. Stewart, J. G., & Dennert, N. (2016). Family Nurse Practitioner Certification Review. Jones & Bartlett Publishers. … Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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