Certification and Licensure Plan
A summary of the findings
Nursing practitioners’ (NPs’) certification and licensure are critical processes in their careers because they help to demonstrate their competency and the quality of care they provide to patients and their families. Before a nurse can be admitted as an APRN in my home state of Connecticut https://portal.ct.gov/, they must hold a Registered Nurse (RN) license. If this condition is met, the Connecticut Board of Examiners for Nursing will proceed to determine whether the individual has a master’s degree or higher in their area of specialization. Furthermore, the applicant must be a holder of a specific recognized national examination body and have demonstrated practice as a Nurse Practitioner (NP), Certified Registered Nurse Anesthetist (CRNA), or Clinical Nurse Specialist (CNS) (Phillips, 2017). In addition, the applicant must demonstrate that they have completed 30 hours of pharmacology education for advanced nursing practice, that Professional Liability Insurance covers them, that they have registered for Connecticut Controlled Substances, and that they have maintained a collaborative agreement with a relevant licensed physician. In addition to other required documents, such as recent passport-size photos, the applicant must provide proof of payment of $ 200 to the Connecticut Treasurer.
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Furthermore, I discovered that there is a defined Scope of practice that defines the processes and procedures nurse practitioners must follow to maintain the terms of their professional license. It is constantly reviewed to ensure its effectiveness. A collaborative agreement with a licensed Connecticut practitioner is required for a nurse practitioner. This agreement discusses the scope of consultation and referral between the licensed physician and the methods for reviewing measures, laboratory tests, and treatment.
The document also requires Connecticut nurse practitioners to have professional liability insurance. The cover limit should be a minimum of $ 500 per person per occurrence, with a maximum of $ 1,500,000. (Phillips, 2015). This covers the case where an NP commits malpractice while performing advanced procedures on patients.
Explain the types of regulations in your state and the barriers to independent practice for nurse practitioners.
Various regulations make it difficult for nurse practitioners to practice independently. These rules may differ from one state to the next. A newly licensed Advanced Practice Registered Nurse (APRN) in Connecticut is required to collaborate with a licensed physician. An APRN, on the other hand, can begin practising independently after three years or more and not less than 2,000 hours with a Connecticut licensed physician (Altman et al., 2016). In this case, the APRN must keep the relevant documentation by CGA 20-87a and be able to submit it for inspection within 45 days of a request from the Department of Public Health (DPH).
Connecticut is one of the states that has approved APRNs to be considered primary care providers without a collaborative agreement. This means they can evaluate patients, write prescriptions, administer treatments, make diagnoses, and recommend and interpret diagnostic tests. Allowing NPs Full Practice Authority (FPA) and Prescriptive Authority (PA) allows them to become more efficient and effective members of the patient care team (Dillon et al., 2017). Furthermore, APRNs without a collaborative agreement can prescribe controlled substances from schedules II, III, IV, or V. In contrast, APRNs with a collaborative agreement have prescriptive authority over schedules II and III.
Another requirement is that you have a Controlled Substance Practitioner license issued by the Drug Enforcement Administration (DEA). This enables APRNs and other practitioners to dispense, recommend, conduct research, and administer controlled substances by the Department of Public Health regulations or other relevant governing agencies. A practitioner applying for a DEA license must be registered with the Department of Public Health and have a current registration at the time of application. The initial application fee is forty dollars. To prevent the misuse of drugs and controlled substances, the DPH established the Connecticut Prescription Monitoring and Reporting System (CPMRS), which collects data for use and direction for schedules II through V.
Describe how your research surprised you.
According to my research, certification is granted by national-based organizations, whereas state-based boards of nursing grant licensure. What surprised me was that licensure is divided into three categories: full practice, restricted practice, and reduced practice. This is true state-by-state, so nurses’ prescriptive authorities differ.
All states should allow APRNs to exercise full practice authority after a specified period of service, as this will increase their pay and motivate them to serve the patients. Physicians should not impede this call but strongly support allowing APRNs to participate fully in controlled substance administration and other administrative roles.
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References
Altman, S. H., Butler, A. S., & Shern, L. (Eds.). (2016). Assessing progress on the Institute of Medicine report The Future of Nursing.
Dillon, D., & Gary, F. (2017). Full practice authority for nurse practitioners. Nursing Administration Quarterly, 41(1), 86-93. https://doi.org/10.1097/naq.0000000000000210
Phillips, S. J. (2015). 27th annual APRN legislative update. The Nurse Practitioner, 40(1), 16- 42. https://doi.org/10.1097/01.npr.0000457433.04789.ec
Phillips, S. J. (2017). 29th annual APRN legislative update. The Nurse Practitioner, 42(1), 18- 46. https://doi.org/10.1097/01.npr.0000511006.68348.93
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Question 
Although a movement called the APRN Consensus Model is attempting to standardize NP regulations nationally, it is still the case that requirements vary from state to state. In some states, NPs may establish an independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreements.
Certification and Licensure Plan
Another important area to consider and plan for is prescriptive authority. The appropriate board, the medical board, the state board of pharmacy, or the nursing board, grants prescriptive authority under state law for the appropriate state licensure. The federal government grants the authority to write for a controlled substance, and the Drug Enforcement Administration (DEA) verifies this action to the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.
In this Discussion, you will locate and review the practice agreements in the state where you plan to practice, identify potential collaboration requirements in your state, and understand the certification and licensing process you must follow.