Differentiate the Major Regulatory Restrictions on Nurse Practitioner Practice
Purpose
Nurse Practitioners have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine and reimbursement that may differ depending on your location. There are several sources of restrictions to Nurse Practitioner practice such as state laws and federal regulations which include who may prescribe controlled substances and which substances Nurse Practitioners can prescribe, as well as the various reimbursement agencies. It is essential that the Nurse Practitioner be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. Consequences of practicing outside your scope of practice may be anything from a fine, suspension or revocation of your license, civil lawsuit, or even criminal charges.
Directions
Use the provided template to compare and contrast the three major regulatory practice models for Nurse Practitioners: Supervisory, Collaborative, and Independent. Please keep this assignment in the template format provided. This Assignment requires credible and up to date resources for each category. Include in each model at least one state that represents the scope of practice you are discussing. For example, Florida requires a supervisory relationship with a physician along with a practice agreement, formulary, and protocols. In order to apply and receive a DEA license to prescribe controlled substances, you must be approved by the state of Florida you are practicing in to prescribe these medications.
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Expert Solution Preview
Introduction:
Regulatory restrictions play a crucial role in defining the scope of practice for Nurse Practitioners (NPs). The regulations differ according to state laws, boards of nursing, boards of medicine, and reimbursement criteria, which can affect NP practice. The purpose of this assignment is to differentiate the major regulatory restrictions on NP practice, including state laws, federal regulations, and reimbursement criteria.
Answer:
The three major regulatory practice models for NPs are the Supervisory, Collaborative, and Independent models. In the Supervisory model, an NP works under a physician’s supervision, who oversees the NP’s practice. For example, in Florida, an NP must have a supervisory agreement with a physician and follow a practice agreement, formulary, and protocols. In the Collaborative model, an NP works with a physician collaboratively, where both healthcare professionals make clinical decisions together. For instance, in California, NPs can work collaboratively with physicians to prescribe medications and devices. In the Independent model, an NP works independently without physician supervision or collaboration. For example, in Alaska, NPs can diagnose, treat, and prescribe medications without physician supervision.
In conclusion, NPs must adhere to appropriate regulatory restrictions and stay updated with state laws, federal regulations, and reimbursement criteria. In comparison, the Supervisory, Collaborative, and Independent regulatory models offer different approaches to NP practice, and NPs must determine which model applies to their practice.
