The scope of practice for advanced practice

The scope of practice for advanced practice registered nurses (APRNs) is a debatable, intricate, and continually developing topic among healthcare practitioners, legislators, and the community. Scope of practice refers to the qualified actions that every state sanctions nurses or other clinical staff to execute (NCSLSOP, n.d.). Advanced Practice Registered Nurses’ areas of practice extensively differ. I will differentiate the APRNs regulations of two states, Texas and New Mexico. First is the authority to sign Provider orders for life-sustaining treatment (POLST) forms. These medical guidelines summarize emergency interventions for a patient and can be sent to other providers and healthcare facilities. This form is not the same as an advance directive (Texas administrative code, n.d.). They are orders in place of medical providers in case of emergency. They are not the patient’s wishes. New Mexico APRNs can sign this form, while only physicians are authorized to sign in Texas. Second is the authority to prescribe medications. Some states allow APRNs to prescribe medicines independently, while others necessitate an affiliation with a physician that summarizes the nurse practitioner’s prescribing capabilities (Texas administrative code, n.d.). APRNs in New Mexico may autonomously prescribe prescription drugs, and Schedules II-V controlled substances without a doctor’s oversight. The third is the APRN’s ability to practice with or without physician oversight. In Texas. A Written agreement is mandatory between the NP and the overseeing doctor. Both should develop and evaluate the protocols every year. New Mexico APRNs have full autonomous practice authority. Regulating the nursing practice scopes of APRNs have pros and cons. Opponents of giving APRNs full authority to practice claim that the outcome of full access is substandard medical care for patients. As a nurse, going for Family Nurse Practitioner (FNP) enables patients to use APRNs’ services. There are fewer physicians in rural areas, small cities, and the countryside than APRNs. This is because it takes more years and money to become a doctor than to be an APRN. A simple flu illness that requires the proper medication may be prescribed by APRN instead of waiting for a doctor’s appointment, which may take a few days before getting one. As an aspiring APRN, adhering to the state’s regulations is crucial. An APRN must check the state’s current policies, protocols, and rules to be updated and efficient in practicing as APRN. In Texas, APRNs practice under the physician’s supervision; therefore, one must obey the policy and practice under the physician’s license. Summarize the article SCIENCE HEALTH SCIENCE NURSING NURS 330

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