Assignment: NRNP 6675 Week 1 Certification and Licensure Plan

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.

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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

American Association of Nurse Practitioners. (2020). State practice environment

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

DeNisco, S. M. (2023). Role development for the nurse practitioner (3rd ed.). Jones & Bartlett Learning.

Chapter 1, “Historical Perspectives: The Art and Science of Nurse Practitionering” (pp. 6-16)

“Nurse Practitioner Core Competencies”

“Nurse Practitioners’ Unique Role” (pp. 21-27)

Chapter 2, “Evidence-Based Practice and Dissemination Strategies” (pp. 33-62)

Chapter 8, “Quality, Safety, and Prescriptive Authority” (pp. 215-233)

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.

American Psychiatric Nurse Association

Links to an external site. (APNA) https://www.apna.org

International Society of Psychiatric-Mental Health Nurses

Links to an external site. (ISPN) www.ispn-psych.org

National Alliance on Mental Illness

Links to an external site. (NAMI) https://www.nami.org

National Council for Behavioral Health

Links to an external site. (NCBH) www.thenationalcouncil.org

National Institute of Mental Health

Links to an external site. (NIMH) https://www.nimh.nih.gov/index.shtml

Substance Abuse and Mental Health Services Administration

Links to an external site. (SAMHSA) www.samhsa.gov

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.

Upload a copy of your discussion writing to the draft Turnitin for plagiarism check. Your faculty holds the academic freedom to not accept your work and grade at a zero if your work is not uploaded as a draft submission to Turnitin as instructed.

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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NRNP_6675_Week1_Discussion_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome Main Posting:Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

44 to >39.0 ptsExcellent 90%–100%

Thoroughly responds to the Discussion question(s)… Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources… No less than 75% of post has exceptional depth and breadth… Supported by at least three current credible sources

39 to >34.0 ptsGood 80%–89%

Responds to most of the Discussion question(s)… Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module… 50% of the post has exceptional depth and breadth… Supported by at least three credible references

34 to >30.0 ptsFair 70%–79%

Responds to some of the Discussion question(s)… One to two criteria are not addressed or are superficially addressed… Is somewhat lacking reflection and critical analysis and synthesis… Somewhat represents knowledge gained from the course readings for the module… Post is supported by fewer than two credible references

30 to >0 ptsPoor 0%–69%

Does not respond to the Discussion question(s)… Lacks depth or superficially addresses criteria… Lacks reflection and critical analysis and synthesis… Does not represent knowledge gained from the course readings for the module… Contains only one or no credible references

44 pts

This criterion is linked to a Learning Outcome Main Posting:Writing

6 to >5.0 ptsExcellent 90%–100%

Written clearly and concisely… Contains no grammatical or spelling errors… Adheres to current APA manual writing rules and style

5 to >4.0 ptsGood 80%–89%

Written concisely… May contain one to two grammatical or spelling errors… Adheres to current APA manual writing rules and style with minor errors

4 to >3.0 ptsFair 70%–79%

Written somewhat concisely… May contain more than two spelling or grammatical errors… Contains some APA formatting errors

3 to >0 ptsPoor 0%–69%

Not written clearly or concisely… Contains more than two spelling or grammatical errors… Does not adhere to current APA manual writing rules and style

6 pts

This criterion is linked to a Learning Outcome Main Posting:Timely and full participation

10 to >8.0 ptsExcellent 90%–100%

Meets requirements for timely, full, and active participation… Posts main Discussion by due date

8 to >7.0 ptsGood 80%–89%

Posts main Discussion by due date… Meets requirements for full participation

7 to >6.0 ptsFair 70%–79%

Posts main Discussion by due date

6 to >0 ptsPoor 0%–69%

Does not meet requirements for full participation… Does not post main Discussion by due date

10 pts

This criterion is linked to a Learning Outcome First Response:Post to colleague’s main post that is reflective and justified with credible sources

9 to >8.0 ptsExcellent 90%–100%

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 to >7.0 ptsGood 80%–89%

Response has some depth and may exhibit critical thinking or application to practice setting.

7 to >6.0 ptsFair 70%–79%

Response is on topic, may have some depth.

6 to >0 ptsPoor 0%–69%

Response may not be on topic, lacks depth.

9 pts

This criterion is linked to a Learning Outcome First Response:Writing

6 to >5.0 ptsExcellent 90%–100%

Communication is professional and respectful to colleagues…. Response to faculty questions are fully answered, if posed…. Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in standard, edited English.

5 to >4.0 ptsGood 80%–89%

Communication is mostly professional and respectful to colleagues…. Response to faculty questions are mostly answered, if posed…. Provides opinions and ideas that are supported by few credible sources… Response is written in standard, edited English.

4 to >3.0 ptsFair 70%–79%

Response posted in the Discussion may lack effective professional communication…. Response to faculty questions are somewhat answered, if posed…. Few or no credible sources are cited.

3 to >0 ptsPoor 0%–69%

Responses posted in the Discussion lack effective communication…. Responses to faculty questions are missing…. No credible sources are cited.

6 pts

This criterion is linked to a Learning Outcome First Response:Timely and full participation

5 to >4.0 ptsExcellent 90%–100%

Meets requirements for timely, full, and active participation… Posts by due date

4 to >3.0 ptsGood 80%–89%

Meets requirements for full participation… Posts by due date

3 to >2.0 ptsFair 70%–79%

Posts by due date

2 to >0 ptsPoor 0%–69%

Does not meet requirements for full participation… Does not post by due date

5 pts

This criterion is linked to a Learning Outcome Second Response:Post to colleague’s main post that is reflective and justified with credible sources

9 to >8.0 ptsExcellent 90%–100%

Response exhibits critical thinking and application to practice settings…. Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8 to >7.0 ptsGood 80%–89%

Response has some depth and may exhibit critical thinking or application to practice setting.

7 to >6.0 ptsFair 70%–79%

Response is on topic, may have some depth.

6 to >0 ptsPoor 0%–69%

Response may not be on topic, lacks depth.

9 pts

This criterion is linked to a Learning Outcome Second Response:Writing

6 to >5.0 ptsExcellent 90%–100%

5 to >4.0 ptsGood 80%–89%

4 to >3.0 ptsFair 70%–79%

Response posed in the Discussion may lack effective professional communication…. Response to faculty questions are somewhat answered, if posed…. Few or no credible sources are cited.

3 to >0 ptsPoor 0%–69%

Responses posted in the Discussion lack effective communication…. Responses to faculty questions are missing…. No credible sources are cited.

6 pts

This criterion is linked to a Learning Outcome Second Response:Timely and full participation

5 to >4.0 ptsExcellent 90%–100%

Meets requirements for timely, full, and active participation… Posts by due date

4 to >3.0 ptsGood 80%–89%

Meets requirements for full participation… Posts by due date

3 to >2.0 ptsFair 70%–79%

Posts by due date

2 to >0 ptsPoor 0%–69%

Does not meet requirements for full participation… Does not post by due date

5 pts

Total Points: 100