Nursing in Michigan and Practice Standards
As Registered Nurses in the United States of America, we have all experienced passing board exams and having to apply for licensure applicable to each of our individual states. The board exams now known as NCLEX or National Council Licensure Examination are universal across the country. However, individual licensing requirements for a renewal or reapplication process differ from state to state. Some states such as Texas have additional testing requirements such as the Texas Nursing Jurisprudence Exam while others do not (http://www.bon.texas.gov/olv/je.html). Each state has an individual scope of practice for nurses and each defines their own licensing requirements. While there are differences in licensure requirements as well as scope of practice, the one thing that every state has in common is that policy, regulation and change are all influenced by professional associations including many professional nursing associations (Public Sector Consultants, 2012, p. 7-11). According to the NCSBN or National Council of State Boards of Nursing, Michigan is one of the few states that does not have a regulation defined as a nurse practice act (https://www.ncsbn.org/Nurse_Practice_Act_by_State.pdf). However, nurses are working as defined as : “The practice of nursing includes the care/treatment and counsel/teaching of patients who (1) are experiencing changes in the normal health processes or (2) require assistance in the maintenance of health and the prevention or management of illness, injury, or disability.
A registered professional nurse (RN) is an individual (1) who is licensed to engage in the practice of nursing and (2) whose scope of practice includes the teaching, direction, and supervision of less skilled people who perform nursing activities. An RN may perform
under the supervision of a physician or dentist, and a physician may delegate in writing to an RN the ordering, receipt, and dispensing of medicines...
References: Huston, C. J. (2010). Professional issues in nursing: challenges and opportunities (2nd ed.). Baltimore MD: Lippincott Williams and Wilkins.
Public Sector Consultants. (2012). Scope of Practice of Health Professionals in the State of Michigan. Retrieved from http://www.msms.org/Co/Advocacy2/ScopeofPractice/ScopePracBook.pdf
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