Running head: NURSING PRACTICE 1
Nursing Practice
Student’s Name:
Institutional Affiliation:
NURSING PRACTICE 2
Nursing Practice
Question One
Nevada state board of nursing plays a substantial role in the control of the nurses
practicing in the state. This board controls and confirms advanced practice nurses in two distinct
groups. The first category is a certified registered nurse anesthetist (CRNA), while the second
category is an advanced practitioner of nursing (APN). For an individual to be approved to
practice as APN in Nevada, one needs to hold an unencumbered Nevada RN license (Heale &
Rieck Buckley, 2015). However, if a graduate nurse does not possess an active RN license in
Nevada, a nurse can obtain one following specific set steps by the Nevada state board of nursing.
The application for licensure can be made applying for the licensure examination, endorsement,
or registered nurse renewal.
If a nurse wishes to work as APRN in the state, a person is required to focus on one of the
following medical or clinical specialties. Clinical nurse specialist, nurse psychotherapist, nurse
practitioner, and nurse-midwife. However, all the APN education programs should incorporate
courses such as pathophysiology, valuation of the wellbeing of patients as well as the training for
a progressive practice nurses (Smolowitz et al., 2015). On the other hand, a nurse who wishes to
work as a certified registered nurse anesthetist (CRNA) in Nevada, one need to complete the
accreditation of nurse anesthesia education program as recognized by the panel. A full
progressive practice registered nurses must belong to specific certifying bodies as documented
by the Nevada state panel of nursing. The state panel of nursing exercising authority over other
certification bodies.
Question Two
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Advanced practice registered nurse usually have specialized education as well as clinical
training, which enable them to offer high levels of care. APRN will also perform different tasks
which cannot be achieved by registered nurses who are not licensed to do. Nurses can complete
the advanced degree program which qualifies them to practice as independent and assume roles
similar to those of a doctor. The first action toward a career as a nurse practice is for an
individual to earn a credential as a registered nurse. There is a long pathway to get to the nursing
practitioner. An aspiring nurse needs to do an associate degree or bachelor's degree from a
certified institution of higher education. Also, one can register as a diploma student in an
approved vocational training program (Smolowitz et al., 2015). However, in recent times. Such
diplomas have continued to be less popular because most of the health care institution is
demanding the clinicians to acquire a college degree. There are specific education trajectories
that combine the process of becoming registered nurses and receive a bachelor's degree at the
same time. Students sometimes choose to acquire the licensed practical nurse (LPN) on their
pathway of becoming a registered nurse. In both local practical nurse and registered nurse
credentials, the graduates of nursing curricula are compulsory to pass a standard state
examination and get a state license to practice as an advanced practice registered nurse (APRN).
Question Three
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Various changes have been initiated in Nevada's advanced practice nursing laws. The
new title has been introduced as an advanced practice registered nurse (APRN). The new
regulations have imposed some additional necessities, which allows the APRNs to offer their
services to the full range of state-recognized scope of practice (Zaccagnini & Pechacek, 2019).
The state has recognized four advanced nursing roles, which are clinical nurses,
nurse’sanesthetist, nurse midwife, as well as the nurse practitioner. A nurse aspiring to practice
at an advanced level needs to earn a degree at the master level or even at the doctor's scale. The
state nursing board declares that such an advanced practice program should be taken at least one
year long and incorporate clinical experiences. The advanced practice program is accredited by a
nationally certified accreditation agency like the accreditation commission of nursing education
(Zaccagnini & Pechacek, 2019). The commission on collegiate nursing education can also
execute such a role. Besides, all institutions offering advanced practice program must include
several courses related to the role and population focus. Currently, the regulations have been
changing. APN is now required to have certification via a nationally recognized certification
organization. A good example cited by the state board of nursing is the American board of
nursing specialists as well as the institutes for credentialing excellence (Zaccagnini & Pechacek,
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2019). Advanced practice registered nurses cannot be directly certified by the national
commission for accreditation bodies. However, it can be approved by an accredited certifying
agency.
Question Four
To be prescribed as an advanced practice registered nurse, their various steps that need to
be followed. Several steps must be undertaken as follows (1) a nurse aspiring to practice as
APRN. The first one needs to get a graduate degree. A student should work towards attaining the
certificate of recognition. Also, a graduate must attend to either clinical nurse's specialist, nurse
midwife, nurse physician, as well as the nurse psychotherapist. The graduate student taking APN
should incorporate advanced courses (Heale & Rieck Buckley, 2015). (2) A nurse graduate
should work to earn national certification. This certification is obtained through completion of an
education program, and a national accreditation body should certify a nurse in respective
advanced practice nursing role. These certification bodies need to be distinguished by the state
panel of nursing. The most popular institutions include the “American nurses credentialing
center” as well as the nationwidepanel of certification. (3) The third step is to apply for a
NURSING PRACTICE 6
recognition certificate. For one to apply for the advanced practice nurse, a graduate nurse need to
complete the advanced practitioner of the nurse's license successfully. Specific items such as
processing fees, completed fingerprints, documentation, a current certificate of recognition,
among other mandatory things (Zaccagnini & Pechacek, 2019). The three steps should be
followed in the prescription process.
Question five
Controlled substance registration is a requirement that a person must meet before he or
she prescribe any controlled substance which is supposed to be followed in a specific order. The
first step is to receive the pending controlled substance registration number. Secondly, a nurse
needs to attain the drug enforcement administration DEA and finally obtain the Nevada
prescription and monitoring program account (Rutledge, Haney, Bordelon, Renaud & Fowler,
2014). Under each step, several steps need to be completed. For instance. A practicing nurse
should complete a specific, attached controlled substance. To complete the first step, one needs
to possess a current Nevada practicing license from the different licensing board and
consequently mailing the completed application along with the required registration fee
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(Zaccagnini & Pechacek, 2019). While seeking to obtain the drug enforcement administration,
one needs to complete an online drug enforcement agency form. And finally, a practicing nurse
receives a drug enforcement agency license from the state board of pharmacy.
References
Heale, R., & Rieck Buckley, C. (2015). An international perspective of advanced practice
nursing regulation. International nursing review, 62(3), 421-429.
Rutledge, C. M., Haney, T., Bordelon, M., Renaud, M., & Fowler, C. (2014). Telehealth:
preparing advanced practice nurses to address healthcare needs in rural and underserved
populations. International Journal of Nursing Education Scholarship, 11(1), 1-9.
Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L.
(2015). Role of the registered nurse in primary health care: meeting health care needs in
the 21st century. Nursing Outlook, 63(2), 130-136.
NURSING PRACTICE 8
Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new
model for advanced practice nursing. Jones & Bartlett Publishers.