NR 581NP Week 2 Assignment; NP Scope of Practice - State of Practice; New Jersey

lOMoARcPSD|1709022 Prac琀椀ce Environment 1. Iden琀椀fy the state prac琀椀ce environment (full, reduced, or restricted NP prac琀椀ce). The state's prac琀椀ce environment is classi昀椀ed as full NP prac琀椀ce. 2. If the state has reduced or restricted NP prac琀椀ce, specify what supervision or collabora琀椀ve prac琀椀ce agreements are required. (Students who intend to prac琀椀ce in California should also include the use of wri琀琀en standard procedures that guide NP prac琀椀ce in the state and physician supervision ra琀椀os). According to the New Jersey Board of Nursing, the state is a fully independent prac琀椀ce but physician rela琀椀onship may be required to prescribe. Sec琀椀on 13:37-7.9 – notes that in New Jersey an advanced prac琀椀ce nurse (APN) may manage preven琀椀ve care services and diagnose and manage devia琀椀ons from wellness and long-term illnesses, consistent with the needs of the pa琀椀ent and within the scope of prac琀椀ce of the advanced prac琀椀ce nurse, by Ini琀椀a琀椀ng laboratory and other diagnos琀椀c tests; “prescribing or ordering medica琀椀ons and devices, as authorized by subsec琀椀ons b and c of this sec琀椀on; prescribing or ordering treatments, including referrals to other licensed health care professionals and performing speci昀椀c procedures in accordance with the provisions of this subsec琀椀on”. Prescribing Regula琀椀ons 1. Discuss NP prescrip琀椀ve authority in the intended state of prac琀椀ce. Sec琀椀on 13:37-7.9 - Prescrip琀椀ve prac琀椀ce states that Nurse prac琀椀琀椀oners (NPs) and cer琀椀昀椀ed advanced prac琀椀ce nurses (APNs) in New Jersey are authorized to prescribe controlled substances (scheduled II-V). The state does however mandate that before wri琀椀ng a prescrip琀椀on for a drug or medical equipment, NPs must also establish a joint protocol with a licensed physician in New Jersey. The prescrip琀椀ve authority in New Jersey states that an advanced prac琀椀ce nurse has to have completed six contact hours of con琀椀nuing professional educa琀椀on in pharmacology related to controlled substances, including pharmacologic therapy, addic琀椀on preven琀椀on, and management, and issues concerning prescrip琀椀on opioid drugs, including responsible prescribing prac琀椀ces, alterna琀椀ves to opioids for managing and trea琀椀ng pain, and the risks and signs of opioid abuse, addic琀椀on, and diversion, in accordance with regula琀椀ons adopted by the New Jersey Board of Nursing. The six contact hours shall be in addi琀椀on to the New Jersey Board of Nursing pharmacology educa琀椀on requirements for advanced prac琀椀ce nurses related to ini琀椀al cer琀椀昀椀ca琀椀on and recer琀椀昀椀ca琀椀on of an advanced prac琀椀ce nurse 2. Explain regula琀椀ons related to prescribing controlled substances. According to the New Jersey Nursing Board, ANPs can prescribe controlled substances Schedule(II-V). However, the collabora琀椀ng physician and APN shall address in the joint protocols whether prior consulta琀椀on with the collabora琀椀ng physician is required to ini琀椀ate an order for a controlled dangerous substance. Addi琀椀onally, the order is wri琀琀en in accordance with standing orders or joint protocols developed in agreement between a collabora琀椀ng physician and the APN, or pursuant to the speci昀椀c direc琀椀on of a physician 0320 RB/KK lOMoARcPSD|1709022 References NJ. (2024, April 7). New Jersey - Advanced prac琀椀ce nurse cer琀椀昀椀ca琀椀on. h琀琀ps://www.njconsumera昀昀airs.gov/nur/Pages/APN-Cer琀椀昀椀ca琀椀on.aspx 0320 RB/KK