PMHNP Practice Environment

PMHNP Practice Environment Nurse practitioners have a differing scope of practice in every state. Each state has its board of nursing that determines its credentialing process and the extent of practice within the state. This paper compares the practice environment in Arizona and Texas and discusses credentialing issues and the certification process.

PMHNP Practice Environment in Arizona The scope of nursing practice varies with different states in the US. Most nurses covet the state of Arizona as it has the most lenient degree of practice policy. First, nurse practitioners in Arizona can practice independently and not necessarily have to practice under or collaborate with a licensed physician like in other states (Kandrack, Barnes & Martsolf, 2019). Nurse practitioners are expected to refer patients who are beyond their competency to another care provider or consult with them. They are also required to only practice what is within their practice and academic qualifications.

Second, nurse practitioners are allowed to prescribe and dispense drugs as well as medical devices to their population of focus without supervision. This includes prescribing controlled substances, after obtaining DEA number and a prescribing authority from the Arizona Board of Nursing. However, they are not allowed to prescribe controlled substances for themselves or family members.

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Lastly, Arizona recognizes nurse practitioners as primary care providers. They can provide primary healthcare services to their population of focus, as long as they are within their scope of practice. This requires the adherence to their extent of education, qualifications and certification.

Comparison of PMHNP Practice in Arizona and Texas Nursing scope of practise for nurse practitioners in Texas has remarkable differences as compared to that in Arizona. Texas has more restrictive nursing practice policies. For example, a nurse practitioner cannot practice independently in Texas. They are required to collaborate and have written agreement with a supervising physician. The same way, a nurse practitioner cannot prescribe drugs and controlled substances independently, unless under the supervision of a physician (Thomas, 2019). Agreement between the physician and the nurse is used to determine the drugs and devices that the nurse can prescribe. Lastly, nurse practitioners are not recognized as primary care providers, unlike in Arizona.

Clinical Practice Issues for New PMHNPs As part of practice requirements, nurse practitioners are required to go through the credentialing process. The credentialing process often includes licensure, certification, accreditation and education. This process varies with different states as each state has its scope of practice. When moving from one state to another, a nurse has to ensure that they meet the practice requirements of that state. This may require one to undertake certification exams and obtain a practising license for the state (Brom, Salsberry & Graham, 2018).

Checklist for Passing the National Certification Exam

3 The national certification exam is an essential qualification exam for every nurse practitioner. To begin, I would first book for the AANC examination and set up a study plan before the examinations. To prepare, I will utilize both group study and personal study to ensure that I am knowledgeable in all tested areas. After undertaking the exam, I will apply for licensure from the state’s board of nursing.

Conclusion Nurses need to understand their state policies when it comes to their scope of practice.

This dictates the extent to which they can practice, including their prescriptive authority, recognition as primary care providers and independent practice. The knowledge of credentialing and certification process is also essential.

4 References Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018). Leveraging health care reform to accelerate nurse practitioner full practice authority. Journal of the American Association of Nurse Practitioners, 30(3), 120–130. https://doi.org/10.1097/JXX.0000000000000023.

Kandrack, R., Barnes, H., & Martsolf, G. R. (2019). Nurse practitioner scope of practice regulations and nurse practitioner supply. Medical Care Research and Review, 1077558719888424. https://doi.org/10.1177/1077558719888424 Thomas, K. (2019) Texas Board of Nursing: Nursing Peer Review Evaluation of Practicebreakdown (N-PREP). Nursing, 2, 4. https://www.bon.texas.gov/N-PREP/N-PREP.pdf