NP scope of practice - Science
APA format no reference greater than 5 years old. Scholarly references. Answer the questions on the attached document.Some details of the subject is also in the attached document The Scope of Practice for the Nurse Practitioner in Mi vs Arizona. 300 words or more
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1. Describe the importance of knowing the specific laws in your state Michigan pertaining
to NP prescribing and support your statement with at least 1 scholarly reference*
2. Discuss NP practice in your current home state, being sure to address:
3. Level of NP prescribing autonomy
o Specific laws related to NP prescribing
o Process of obtaining prescriptive authority and requirements for renewal
o Include a reference for your research^
4. Compare and contrast the same criteria as identified in #2 with one other state Arizona
* Textbooks, non-US journals, nursing journals not intended for advanced practice
providers or websites are not considered scholarly. ^ State specific websites from
regulatory boards are acceptable
NURSE PRACTITIONERS FOR THE STATE OF MI (HOME STATE)
Practice Authority
Supervision by a licensed physician is required. Delegation of tasks and functions to the NP
must fall within the NP’s scope of practice. Mich. Comp. Laws §333.16215
Prescriptive Authority
An NP may prescribe nonscheduled drugs without the delegation of a physician. The NP
may prescribe Schedules II-V controlled substances if delegated by the supervising
physician. Mich. Comp. Laws §333.17211a
Nurse Practitioner as a Primary Care Provider
NPs are not explicitly recognized in state policy as primary care providers.
Nurse practitioners (NPs) in Michigan may provide delegated patient services under the direction
of a supervising physician and pursuant to a written agreement. NPs are not explicitly recognized as
primary care providers in Michigan.
https://www.micnp.org/standards-of-practice
http://scopeofpracticepolicy.org/states/mi/
In Michigan, Schedule II-V controlled substances may be prescribed by an NP if delegated by a
supervising physician. A Michigan NP with proper training or appropriate experience can receive a
federal waiver to dispense buprenorphine-containing products, as long as the supervising physician
is certified, trained, or permitted to treat and manage patients with opioid use disorder.
COMPARRISON STATE Arizona Full independent state
Practice Authority
Full independent practice authority. NP’s practice under the licensure authority of the State
Board of Nursing instead of a licensed physician. Ariz. Rev. Stat. Ann. §32-1601(20)
Prescriptive Authority
The Board of Nursing allows an NP to prescribe and dispense drugs and devices within the
NP’s population focus (e.g. family-individual across life span, adult-gerontology primary or
acute care, neonatal). An NP may also prescribe Schedules II-V controlled substances. Ariz.
Admin. Code §4-19-511, Ariz. Admin. Code §5-19-512
Nurse Practitioner as a Primary Care Provider
NPs are recognized in state policy as primary care providers. Nurse practitioners must
practice within one or more population focuses, consistent with their education and
certification. Population focuses include: family-individual across the life span; adultgerontology primary or acute care; neonatal; pediatric primary or acute care; women’s
health-gender related; and psychiatric-mental health. Ariz. Admin. Code §4-19-501(B)
Nurse practitioners (NPs) are registered nurses who have completed specialized advanced nursing
education and training (1). Over the past 20 years, an increase in the numbers of NPs, enactment of
state laws expanding the scope of practice, prescriptive authority and third-party reimbursement, and
national efforts to improve health care access have resulted in expanded roles for NPs in providing
primary care services. However, greater autonomy of NPs has been a point of contention between the
medical and advanced-practice nursing communities. Questions have been raised about the adequacy of
NP training and certification, comparisons drawn by NPs to the care delivered by physicians, quality of
patient outcomes, and perceived intentions to displace or replace primary care physicians. The
American College of Physicians recognizes that NPs and physicians have common goals of providing
high-quality care, improving patient outcomes, and enhancing the health of the U.S. population. In
addition, physicians and NPs share concerns regarding the continuing decline in the primary care
workforce; the need to provide appropriate reimbursement for services, especially related to care
coordination; and the absence, until recently, of new models to deliver primary care, such as the
patient-centered medical home. A high-quality and efficient health care system requires effective
multidisciplinary teams that collaborate to provide patient-centered care
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