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The State of APRN Practice 2011 Sue LaMotte, RN, CNM, MS MN NP Group April 30, 2011. Agenda. History Current State Statute Language APRN Data Future State Consensus Model for APRN Regulation IOM Report APRN Coalition. Mission Statement.
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Sue LaMotte, RN, CNM, MS
MN NP Group
April 30, 2011
Consensus Model for APRN Regulation
…to protect the public’s health and safety by providing reasonable assurance that the people who practice nursing are competent, ethical practitioners with the necessary skills appropriate to their title and role
“Advanced practice registered nurse, abbreviated APRN, means an individual licensed as a registered nurse by the board and certified by a national nurse certification organization acceptable to the board to practice as a:
Minnesota statutes, section 148.171, subd 3
The APRN must practice within a health care system that provides for:
collaborative management, and
Minnesota statutes, section 148.171, subd. 13Definition Continued
…means, within the context of collaborative management:
(1) diagnosing, directly managing, and preventing acute and chronic illness and disease; and
(2) promoting wellness, including providing nonpharmacologic treatment.
The NP is certified in a specific field of clinical practice.
Minnesota statutes, section 148.171, subd. 11
…is a mutually agreed upon plan between an APRN and one or more physicians… that designates the scope of collaboration necessary to manage the care of patients.
Minnesota statutes, sections 148.171, subd. 6
Practicing without current certification or failure to notify Board of current certification is subject to payment of a penalty fee:
$200 first month
$100 each subsequent month
Minnesota statutes, section 148.235
An advanced practice registered nurse …….. shall use the appropriate designation:
for personal identification and in documentation of services provided. Identification of educational degrees and specialty fields may be added.
Minnesota statutes, section 148.233 subd 2
Lack of common definitions related to APRN roles
Lack of standardization in programs leading to APRN preparation
Proliferation of specialties and subspecialties
Lack of common legal recognition across jurisdictions
APRN regulation includes:
The granting of authority to practice
Formal review and approval by a recognized agency of certification agencies and APRN education programs
The formal recognition of knowledge, skills and experience demonstrated by the achievement of standards identified by the profession
The formal preparation of APRNs in graduate or post-graduate programs
Implementation target date: 2015
Focus of Practice beyond role and population focus
Linked to health care needs
Examples include but are not limited to: Oncology, Older Adults,
Orthopedics, Nephrology, Palliative care, Critical Care
Licensure at levels of role and population foci
Nurses should practice to the full extent of their education and training.
Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.
Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.
Effective workforce planning and policy making require better data collection and an improved information infrastructure.
The Minnesota APRN Coalition’s vision is that the people of Minnesota have unrestricted access to APRNs who have statutory authority to practice to the fullest extent of their education and training.
The Minnesota APRN Coalition is dedicated to improving patient access to and choice of safe, cost-effective healthcare providers by removing statutory, regulatory and institutional barriers that prevent APRNs from practicing at the highest level of their education and training.
National Council of State Boards of Nursing