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Respond to the following 2 discussion posts separately with separate reference lists. References to be no older than 5 years.
1. Amanda Polanco posted Sep 1, 2022 1:44 PM
Standardized procedures are a set of protocols for nurse practitioners to utilize in order to perform functions that are considered medical functions (Perris, 2018). Standardized procedures are a legal framework that is set and authorized by each state. Standardized procedures are developed through collaboration with nurses, physicians, and administration in the healthcare system, where they will be utilized by the nurse practitioner (State of California Department of Consumer Affairs, n. d.). The function of standardized procedures is to define the scope of practice for the nurse practitioner clearly. This will help guide the nurse practitioner in their roles and responsibilities.
Nurse practitioners utilize standardized procedures from the healthcare organization where they practice. Since nurse practitioners can work at various locations, the role of standardized procedures is essential. All protocols of the standardized procedure must be in writing and signed by the authorizing personnel. Standardized procedure functions must be clearly stated and should outline when the nurse practitioner needs to consult the physician (State of California Department of Consumer Affairs, n. d.). The standardized procedures guidelines will outline when the nurse practitioner must seek physician consultation when clinically necessary.
Furthermore, the nurse practitioner must have the education, training, and experience set forth by the state where they practice to carry out any standardized procedures. Each state has different regulations for nurse practitioners. I reside in California. Currently, nurse practitioners are restricted in their practice and must work under another health provider, such as a physician. However, starting in January 2023, nurse practitioners will have full practice authority in the State of California due to the passing of the bill AB-890 (American Association of Nurse Practitioners, 2022). For now, the use of standardized procedures in California is necessary for the safety and consistency of care for patients.
American Association of Nurse Practitioners. (2022, April 15). State practice environment. https://www.aanp.org/advocacy/state/state-practice-environment
Perris, K. (2018). Optimizing the RN role in ambulatory care with standardized procedures. AAACN Viewpoint, 40(4), 3-7.
State of California Department of Consumer Affairs. (n.d.). Standardized procedure guidelines. https://www.rn.ca.gov/pdfs/regulations/npr-i-19.pdf
2. Evelyn Montanino posted Aug 30, 2022 9:37 AM
Explain what Standardized Procedures are, their function, and how Nurse Practitioners utilize them in California. Discuss how this practice is different if you live in a state other than California.
The standardized procedures are the Profession Code, Nursing Practice Act (NPA) Section 2725, which is for the California Code of Regulation; within this, it explains that all procedures are the legal mechanism for the nurse practitioners to perform functions, which is considered to be the practice of medicine (An Explanation of Standardized Procedure Requirements for Nurse Practitioner Practice, 2019). With this knowledge, standardized procedures are developed in collaboration between nursing, medicine, and administration in any healthcare organization or healthcare system. These standardized procedures provide interdisciplinary collaboration for the registered nurse practitioner’s development and approval of accountability activities (An Explanation of Standardized Procedure Requirements for Nurse Practitioner Practice, 2019). The nurse in California is granted full practice authority under the standardized procedure and uses nursing skills and knowledge to help manage and care in California. Standardized procedures are the documents that authorize nurse practitioners (NP), consistent with the NP-physician relationship, to treat, diagnose and manage health issues within the nurse practitioner’s scope of practice to the primary patient health care need (An Explanation of Standardized Procedure Requirements for Nurse Practitioner Practice, 2019)The nurse practitioners must also meet the education standards and are certified in preparation to provide care in the primary healthcare setting, and as healthcare provider assumes responsibility and accountability regardless of the presence or absence of disease (An Explanation of Standardized Procedure Requirements for Nurse Practitioner Practice, 2019).
For the state of Pennsylvania, nurse practitioners (NPs) standardized procedures (scope of practice) have the authority to diagnose medical conditions, develop and implement treatment plans, order and perform diagnostic tests, and deliver other health care services with a collaborative agreement with a licensed physician (Pennsylvania coalition of nurse practitioners, 2021). Within this collaborative agreement, there has to be a section to address the availability of the physician to the NP and that the physician will regularly review all charts and records of any patients to whom the Np provided care (Pennsylvania coalition of nurse practitioners, 2021). In Pennsylvania, the Np is recognized as the primary care provider. The Pennsylvania State Board of Nursing recognizes that the NP’s focus of care includes neonatal, pediatrics, family/across the lifespan, adult/gerontology, women’s health/gender-related, and psychiatric/mental health, providing that the NP has met the educational requirements (Pennsylvania coalition of nurse practitioners, 2021).
An explanation of standardized procedure requirements for nurse practitioner practice [PDF]. (2019). State of California department of consumer affairs. https://www.rn.ca.gov/pdfs/regulations/npr-b-20.pdf
Pennsylvania coalition of nurse practitioners. (2021). Scope of practice. https://www.pacnp.org/page/ScopeofPractice