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APRN is a nurse who has accomplished the following: - ANS-1. Completed an accreditted graduate level program preparing for one of the 4 ARNP roles 2. Passed a national certification exam. 3. Educationally prepared to assume responsibility and accountability for health promotion/management, assessment, diagnosis, w/ Rx and non-Rx interventions 4. Obtained clinical experience of sufficient depth and breadth to reflect the intended license. 4 ARNP roles - ANS-Nurse practitioner, CNM, CRNA, CNS What does the ARNP do? - ANS-Primary and/or speciality care providers who practice in ambulatory, acute, and long-term care settings, providing nursing and medical services to individuals, families and groups (AANP, 2007)
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APRN is a nurse who has accomplished the following: - ANS-1. Completed an accreditted graduate level program preparing for one of the 4 ARNP roles
Occurrence - covers event of malpractice that occurred during the policy period without regard to when the claims are reported; provides protections for each policy period indefinitely; broadest protection available. Claims Made - incident must happen and be reported while policy is in force; requires purchase of a tail policy to protect, once policy period ends. Scope of Practice - ANS-Describes practice limits and sets parameters within which the APRN may legally practice. Defines what is legally allowable, what can delegate, and when collaboration is required, based on state laws regulated by the Nurse Practice Act Standards of Practice - ANS-Describes the minimum levels of acceptable performance for a profession or specialty. Evolves from the scope of practice, provides specifications for acceptable levels of care and a mechanism for determining excellence in care, provides the framework for developing competency standards, establishes education preparation for basic practice, provides QA, legal expectations of practice Nurse Practice Act - ANS-Legislative enactments that define the practice of nursing, gives guidance on the scope of practice issues, and sets the standards for practice, passage through state legislatures make these the law under which nursing is practiced in that state. Types of Nurse Practice Acts - ANS-Licensure statutes limit practice to individuals with specific qualifications as determined by law. Registration or certification statutes provide a definition and limit to as to who may use title, without restraint of practice. Credentialling - ANS-The process of assessing and validating the qualifications of a licensed independent practitioner (LIP) to provide member health services in a healthcare network or it's components. Mandates accountability and responsibility for competence. Assures that care is provided by qualified practitioners. Testifies to compliance with federal and state laws regarding nursing and midwifery practice. Acknowledges advanced scope of practice. Privileging - ANS-Authorization granted to a practitioner by the healthcare network or component of the network to provide specific patient care services that must fall within defined limits based upon the LIPs qualifications and current competence. The Joint Commission modified its standards on staff privileges to include nonphysician providers who were LIPs.
State professional boards serve as regulatory bodies defining regulations stemming from the law. Traditional Health Care delivery system - ANS-Emphasizes independent providers Characteristics: providers chosen by patient with little, if any influence from 3rd party payer; provider reimbursement by patient and insurers in fee-for-service arrangement; insurers reimburse according to usual, customary, and reasonable system, permitting greater latitude in provider rate setting.