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Differentiate the Major Regulatory Restrictions on NP Practice
Purpose:
NPs 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 NP practice such as state laws and federal regulations which include who may prescribe controlled substances and which substances NPs can prescribe, as well as the various reimbursement agencies. It is essential that the NP 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 NPs: 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 you are practicing in to prescribe these medications.
Assignment Template
| Topic | Supervisory Practice | Collaborative Practice | Independent Practice |
| List the name of a State that is representative of each regulatory model. | Florida | Alabama | Arizona |
| Evaluate how each model affects the NPs scope of practice? (Include, if applicable, the use of protocols, formulary, written agreements, direct versus indirect supervision, referral policy, patient care, review of medical documentation, and payment reimbursement). | |||
| How does model of practice serve as a barrier to access to care? | |||
| Compare/contrast the prescriptive privileges of each model and example State. | |||
| Compare/ Contrast how each model impacts payer status for the NP. | |||
| Compare/Contrast how these models may impact NP job satisfaction. |
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