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NP Council News September 2011 Dear Fellow NPs:
The new year began with our Annual meeting at the Waterman Grille on September 12 th, sponsored by Covidien, with Dr. Lawrence Kirshenbaum speaking on Pain Management.
We used this opportunity to congratulate and honor Cheryl Fitzgerald, RNP as recipient of the American Academy of Nurse Practitioner (AANP) State Award for Excellence and to Marie Ghazal, RN for the State NP Advocate Award. Cheryl has been an NP for 35 years and has given so much to the profession! Marie has been an advocate of NPs and such a needed voice in community health in Rhode Island. Nominations for this year's awardee and advocate are due by October 24 th. RI has many incredible NPs and advocates who support our role. If there is someone you would like to nominate, go to aanp.org as applications are able to be submitted online.
Members of the NP council committees were introduced with a brief statement of what they do for the Council. The rest of the time was for networking, something we often leave little time for. We need to get to know our colleagues , how we can refer to each other, how new NPs may need help in the maze of a new role, how students fit in to the bigger picture as they move forward, and how we can all make a difference for each other not only on the state level, but also at the federal level.
Our Educational Day is being finalized, with April in Newport being the goal. Mary Cabral has been diligently working on coordinating dates , school vacations, speakers, and sponsors. No easy job for one person working full time and doing this on her “off” hours, so any volunteer help would be greatly appreciated. The topics will be Wound Care or Suturing in the AM and the afternoon will be an update by a Representative of AANP.
Two issues that are currently being followed and discussed at length include the APRN Consensus Model and The IOM Report on the Future of Nursing.
The APRN Consensus Model was presented by Terry Rochon at one of our Council Meetings and was presented in the April-May issue of RI Nurse. This is a national initiative that will affect all NPs, nurse anesthetists, and clinical nurse specialists. RISNA has formed a task force that will study this model and how it will be rolled out in RI. There will be more information on this in the coming year as this will affect us all.
The Institute of Medicine (IOM) and Robert Woods Johnson (RWJ) Report on the Future of Nursing is basically looking at the future of nursing. Important issues include:
The report will have great implications for nurse practitioners and how their roles will improve access to care without increasing cost. The NP Council has formed a committee to author a white paper response to this report as each state may have different processes that need to be followed. We hope to have this white paper response available by the end of the year. As you can see this will be a busy year and will require much communication with all professional committees, AANP and RISNA. Please consider joining our monthly meetings and taking part on one of the committees, or simply come to listen to how the future of nursing is in our hands as well. There are many changes coming and the voices of all will assure that the changes made reflect the needs of RI Nurse Practitioners
•APRN Consensus Model: New National Standards Proposal
•NP Council
•March 7, 2011
•Terry Rochon
•Nurse Practitioner Facts
•158,000 practicing NP’s
–49% Family
–3% Gerontological
–9.1% Women’s Health
–17.9% Adult
–5.3% Acute Care
–2.9% Psych/Mental Health
–9.4% Pediatric
–2.3% Neonatal
–0.8% Oncology
•700 NP’s in RI
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•Nurse Practitioner Facts
•88% NP’s graduate degrees
•92% NP’s national certification
•Average NP is female (94.6%) and 48 yo in practice as an FNP for 10.5 yrs.
•Prescriptive privilege in 50 states
•39% hospital privilege
•13% nursing home privilege
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•APRN Regulatory Model
•4 roles:
–Clinical Registered Nurse Anesthetist
–Clinical Nurse-Midwife
–Clinical Nurse Specialist
–Nurse Practitioner
•New Title: APRN
•Educated in one of the 4 roles AND in one of the 6 population foci
•APRN Regulatory Model
•Licensed as independent practitioners to practice in one of the 4 APRN roles within at least one of the 6 population foci
•Eliminates physician collaboration and supervision
•Education, certification, and licensure of an individual must be congruent in terms of role and population foci
•APRN Regulatory Model
•Coalition
•70 Nursing organizations
–National nursing organizations
–State boards of nursing
–Advanced practice organizations
•Met over 4 years
•Purpose: to develop a model for future APRN regulation
•Reason for the Coalition
•Lack of standardization across states regarding APRN
–Definition and title
–Regulation
–Education
•Proliferation in specialties
•Coalition’s Final Document
•“The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education”
•4 Elements referred to as ‘LACE”
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•Licensure for Each State
•APRN license and RN license
•Regulated by the state board of nursing
•Licensed as Independent practitioners
•Practice in one of the 4 APRN roles
•Identify at least one of the 6 population foci
•Independent practice includes prescriptive authority
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•Accreditation
•Programs must be accredited by a nursing organization recognized by
–US Department of Education
–Council for Higher Education
–Or both
•Must be approved before admitting students
•Graduates must meet the standards of eligibility
–National certification
–State licensure
•Certification
•Graduate from accredited APRN Program
•Certification Exam competencies will assess APRN
–Core
–Role
–At least one population-focus area of practice
–Ongoing competency set by accrediting body
•Education
•Prepares APRN in
–One of 4 roles
–At least one of 6 population foci
•Graduate Degree or Post graduate certificate
•Must offer the 3P’s
–Advanced Physiology/Pathophysiology
–Advanced Physical assessment
–Advanced Pharmacology
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•Specialization
•APRN can specialize
•Cannot be licensed SOLELY within a specialty area
•Example: Nurse Practitioner educated in the Family/Individual Lifespan population foci can specialize in Palliative Care
•Cannot specialize in Palliative Care and without an APRN role or a population foci
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•Title
•Advanced Practice Registered Nurse (APRN)
•May use legally after license has been granted
•May add the role and specialty title
•E.g. Therese Rochon, APRN, CNP, ACHPN
•Implementation
•2015
•Examination of programs
–Board of Nursing
–Schools of Nursing
–Certification Organization
–Accrediting body
•Board of Nursing
•License APRN’s in one of 4 roles with a population focus
•Be solely responsible for licensing
•Only license graduates of accredited graduate programs
•Require successful completion of a national certification examination that assesses APRN core, role and population competencies
•Only license an APRN when education and certification are congruent
•Not issue a temporary license
•Board of Nursing
•License APRN’s as independent practitioners with NO regulatory requirements for collaboration, direction or supervision
•Have at least one APRN representative position on the board and utilize an APRN advisory committee that includes representatives of all 4 APRN roles
•Board of Nursing
•Institute a grandmothering clause that will exempt those APRN’s already practicing in the state from new eligibility requirements
•Have the option for mutual recognition of advanced practice nursing through the APRN Compact
•Summary
•Clarify and standardize APRN definition, titling, certification, accreditation, regulation and education
•Ease move from state to state
•Establish safe guards for consumers
•There will be review of the nurse practice act
•Education programs will have new titles
•New graduates different titles
•References
•MCNP News
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