Practice Agreements In California

Review the Practice Agreements in the State of California

In this open Discussion, you will locate and review the practice agreements in the state (CALIFORNIA) in which you plan to practice, identify potential collaboration requirements in your state, and understand the certification and licensing process that you will need to follow.

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To Prepare:

· Review practice agreements in your state.

· Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.

· Research the following:

· How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?

· What is the application process for certification in your state?

· What is your state’s board of nursing website?

· How does your state define the scope of practice of a nurse practitioner?

· What is included in your state practice agreement?

· How do you get a DEA license?

· Does your state have a prescription monitoring program (PMP)?

· How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

By Day 3

· Post a summary of your findings on your state based on the questions listed above.

· Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state.

Be specific. Also,

· Describe what surprised you from your research.

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Include at least 3 citations and 3 references.

Required Readings

Texas board of nursing (Nurse Practitioner)

American Association of Nurse Practitioners. (2020). State practice environment. https://www.aanp.org/advocacy/state/state-practice-environment

· On the map on the webpage, click on your state and review. After you complete the PMHNP Program, pass the certification exam, and get a job, you will need to revisit this website to apply for the privilege to practice as an APRN with your state Board of Nursing.

American Psychiatric Association. (2020). Telepsychiatry. https://www.psychiatry.org/psychiatrists/practice/telepsychiatry

American Psychiatric Nurses Association (2020). Psychiatric mental health nurse practitioner competencies. https://www.apna.org/i4a/pages/index.cfm?pageID=3849&activateFull=true

Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.

· Chapter 1, “What Is a Nurse Practitioner?”

· Chapter 2, “Nurse Practitioner Scope of Practice”

· Chapter 3, “State Regulation of the Nurse Practitioner Practice”

· Chapter 4, “Federal Regulation of the Nurse Practitioner Profession”

· Chapter 5, “Prescribing”

Centers for Disease Control and Prevention. (2020). Using telehealth to expand access to essential health services during the COVID-19 pandemic. https://www.cdc.gov/coronavirus/2019-ncov/hcp/telehealth.html

Centers for Medicare & Medicaid Services. (2019). National provider identifier standard (NPI). https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand

· The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.

Drug Enforcement Administration Diversion Control Division. (2020). Registration. https://www.deadiversion.usdoj.gov/drugreg/index.html

· This site contains information about applying for your DEA registration number. This number is required for writing prescriptions.

· After completing PMHNP Program and passing the PMHNP certification exam, complete the DEA application to request prescriptive privileges. Your DEA number will be renewable every five years.

Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning.

· Chapter 1, “Historical Perspectives: The Art and Science of Nurse Practitionering”

· Nurse Practitioner Core Competencies

· Nurse Practitioners’ Unique Role

· Chapter 13, “Quality, Safety, and Prescriptive Authority”

Substance Abuse and Mental Health Services Administration. (2020). Become a buprenorphine waivered practitioner. https://www.samhsa.gov/medication-assisted-treatment/buprenorphine-waiver-management/apply-for-practitioner-waiver

· This site contains information about applying for a practitioner waiver to prescribe or dispense buprenorphine under the Drug Addiction Treatment Act of 2000 (DATA 2000).

· After you obtain a Drug Enforcement Agency (DEA) number and completed 24-hour medication-assisted treatment (MAT) waiver training, you may apply to Substance Abuse and Mental Health Services Administration (SAMSHA) for MAT waiver to be able to prescribe Schedule III, IV, or V opioid drugs for the maintenance and detoxification treatment of opioid use disorders relapse prevention.

Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.

· Chapter 2, “The Role of the Psychiatric-Mental Health Nurse Practitioner: Regulations and Scope of Practice”

· Chapter 3, “Theoretical Foundations of Care and Nonpharmacological Therapies”

Recommended Resources

Consult these professional organization websites as needed.

American Psychiatric Nurse Association (APNA)  https://www.apna.org

International Society of Psychiatric-Mental Health Nurses (ISPN)  www.ispn-psych.org

National Alliance on Mental Illness (NAMI)  https://www.nami.org

National Council for Behavioral Health (NCBH) www.thenationalcouncil.org

National Institute of Mental Health (NIMH) https://www.nimh.nih.gov/index.shtml

Substance Abuse and Mental Health Services Administration (SAMHSA) www.samhsa.gov