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In the United States, scope of practice law is determined by the states' legislatures and regulatory boards. [1] [3]According to the National Conference of State Legislatures, non-physician health care providers are providing increasing levels of service to patients, especially in rural and other underserved communities.
By definition, retail clinics offer a more narrow range of services (usually limited to 25 - 30 of the most common diagnoses) than are offered in traditional primary care offices. [9] This limited scope of services is seen in both nurse practitioner and physician-staffed retail clinics, and is an integral part of the retail clinic model. [10]
Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state.
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The scope of practice for a nurse practitioner includes the range of skills, procedures, and processes for which the individual has been educated, trained, and credentialed to perform. [2] Scope of practice for nurse practitioners is defined at four levels: 1) professional, 2) state, 3) institutional, and 4) self-determined. [3]
Advance of American Nursing (3rd ed 1995) ; 4th ed 2003 is titled, American Nursing: A History; Kaufman, Martin, et al. Dictionary of American Nursing Biography (1988) 196 short biographies by scholars, with further reading for each; Reverby, Susan M. Ordered to Care: The Dilemma of American Nursing, 1850–1945 (1987) excerpt and text search
"In the United States, certified nursing assistants typically work in a nursing home or hospital and perform everyday living tasks for the elderly, chronically sick, or rehabilitation patients who cannot care for themselves." [11] Many community colleges offer CNA training in one semester. Other educational programs offer accelerated programs.
A registered nurse (RN) is a nurse who has graduated or successfully passed a nursing program from a recognized nursing school and met the requirements outlined by a country, state, province or similar government-authorized licensing body to obtain a nursing license.