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An advanced practice nurse (APN) is a nurse with post-graduate education and training in nursing. Nurses practicing at this level may work in either a specialist or generalist capacity. APNs are prepared with advanced didactic and clinical education, knowledge, skills, and scope of practice in nursing. [1]
APRNs must practice within the scope of their own practice through diagnosis and treatment, consulting, collaborating with other health care providers, and coordinating care. They are not necessarily required to have physician supervision, as APRNs can practice under their own independent scopes of practice, but must have a plan for when care ...
In Australia, a nurse practitioner-endorsed registered nurse has an expanded scope of practice, allowing them to practice certain advanced clinical skills within their endorsed field. As a nurse practitioner, they can complete advanced health assessments, diagnose and treat diseases, order diagnostic testing such as imaging and pathology, and ...
Obtaining licensure permits an individual to use the title of nurse practitioner, allowing them to practice within a specific scope of practice, and indicates that the individual has met the minimum required professional competencies. [10] APRNs are first licensed as an RN and obtain a second licensure as an APRN. [1]
The legal scope of practice for mid-level practitioners varies greatly among jurisdictions, with some having a restricted and well-defined scope, while others have a scope similar to that of a physician. Likewise, the training requirement for mid-level practitioners varies greatly between and within different certifications and licensures.
A 2019 study in the Journal of Nursing Regulation looked specifically at the effects of scope-of-practice reforms on Medicaid recipients. They found that outpatient costs were 17% lower and ...
The Consensus Model for APRN Regulation is a model and document created by the National Council of State Boards of Nursing to create consensus on licensure, accreditation, certification, and education for advanced practice registered nurses (APRNs).
In the US, scope of practice is determined by jurisdiction. Each has its own laws, rules, and regulations that describe what nurses with a given qualification may provide. Many jurisdictions have adopted the Model Nursing Practice Act and Model Nursing Administrative Rules created by the National Council of State Nursing Boards (NCSNB). [21]