An Advanced Practice Nurses are nurses who has completed graduate level training (masters in nursing or Doctorate in Nursing). They take history, perform physicals, order and interpret diagnostic tests. They treat mental and physical conditions. NPs identify diseases and give treatments, including prescribing medications. They can operate as primary providers and treat patients of different ages, depending on their specialty (pediatrics, adults, geriatric etc). This is a comparison of Pennsylvania and New Jersey rules, regulations and practice environments for advanced practice nurses.
According to the International Council of Nurses, an APN is a “registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which would be determined by the context in which he/she is credentialed to practice” (December 2011). In the United States, the NPs can be nationally certified in areas of practice, but their profession is state regulated, therefore the scope of practice and care provided by NPs varies widely from state to state. Scope of Practice of Advanced Practice Nurse. Minimum requirements. In Pennsylvania, Registered Professional Nurse may become certified in area of specialty as Certified Registered Nurse Practitioner after completing masters or post-masters nurse practitioner program approved by Pennsylvania Board as similar to that certification. The nurse must have a current certification in the area of expertise and have professional liability insurance. A nurse licensed as a nurse practitioner by another states or country can apply for certification by endorsement in PA, but is required to hold a certification in the specialty area in which the nurse is looking to certify in PA State. Certified Registered Nurse Practitioner (CRNP) is a professional licensed in the state of Pennsylvania, certified by the Board in area of specialty and holds a current national certification. Nurse may not practice if the nursing license is inactive, lapsed, expired, revoked or suspended. (The Pennsylvania Code, 2012). New Jersey holds similar requirements within its nursing regulations. APN has to graduate from accredited program and successfully complete examination from a national agency , has to have an RN license and obtain a certification as an Advanced Practice Nurse. The requirements are similar: a master’s degree in nursing or certification program offered as post masters study with focus on an advanced practice and particular specialty. The education has to be completed within two years prior to recording of application. It has to include minimum of 39 hours related to pharmacology with 6 of them connected to controlled medications and addiction prevention. (New jersey Administrative Code Title 13). What is needed to maintain the license?
According to Pennsylvania Code 21, CRNP’s certification and prescriptive authority approval expires along with registered nurse license on biennial basis. The CRNP is required to: pay the required renewal fee, maintain a nursing license and have at least 30 hours of approved ongoing education within the 2 years before renewal date. An hour of continuing education is 50 minutes and it is provided by nursing, medical and pharmaceutical organizations. CRPNs may receive a continuing education credit for correspondence and independent courses, up to 4 hrs for teaching, precepting, and lecturing, and for publishing work in a professional journal. It is noted that the Board can disregard the required continuing education in case of sickness or adversity, but the request for the waiver has to be provided within 90 days before the end of the licensing cycle. Inactive status CRPNs do not have to obtain continuing education hours during the period of inactive status. In order to renew prescriptive authority, CRNP has to...
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Centers for Medicare & Medicaid Services
International Council of Nurses (2011). Nursing matters: Credentialing. Retrieved from:
Joel, L.A. (2009). Advanced practice nursing (2nd ed.). Philadelphia, PA: F.A. Davis Company
New Jersey Administrative Code Title 13 Law and Public Safety Chapter 37: New Jersey Board of Nursing.
New Jersey State Nurses Association (2000). Suggested template. Joint protocols for advanced nurse and
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