Illinois Case Study Comprehensive Nursing Essay Example
Illinois is a reduced practices state. The state’s licensure and practice law limit the capacity of nurse practitioners to have full authority in nursing practice (America Association of Nurse Practitioners [AANP], 2021). In addition, there is a legal requirement for nurse practitioners to have a regulated collaborative arrangement with separate health providers for nurses to practices according to their scope of qualification.(Illinois Case Study Comprehensive Nursing Essay Example)
Nurse practitioners in Illinois have a limited practice capacity compared to nurses in other states. The need for regulated collaborative practice requirements limits the degree of APRNs’ practice independence. In Illinois, significant paperwork and legal requirements are necessary for an APRN to write prescriptions (Illinois General Assembly, n.d.). For instance, an APRN must acquire a practitioner license through the Illinois Controlled Substances Act to practice with full authority. Besides, an APRN must complete 45 hours of continuing pharmacological education to obtain a schedule II prescriptive authority, allowing them to prescribe those drugs that have a high potential for abuse. Besides, an APRN must apply through the Illinois Division of Professional Regulation for a prescription permit.(Illinois Case Study Comprehensive Nursing Essay Example)
An APRN can only prescribe benzodiazepines or Schedule II narcotic drugs in collaboration with a physician (Illinois General Assembly, n.d.). The collaboration must be logged into the Prescription Monitoring Program (PMP) website and all the consultation records available to the Department upon request. A collaborating physician must specifically delegate an APRN as an advanced nurse practitioner; outline the NP’s specific controlled substances to prescribe, and sign by the physician and the NP. Lastly, an APRN can only prescribe up to 30 days of controlled drugs, while further prescription is given by authorization or approval by a collaborating physician. The collaborating doctor must periodically review the medication orders made by APRNs for accuracy.(Illinois Case Study Comprehensive Nursing Essay Example)
Illinois provides a voluntary and free Prescription Drug Monitoring Program (PMP) as part of the Illinois Department of Human Services. The Illinois PMP collects data on the prescription of controlled substances dispensed within the state (Illinois Department of Human Services, n.d.). The Illinois PMP allows authorized prescribers to navigate a patient’s current and prospective prescription history to help prescribers achieve effective treatment of patients seeking medical care. In addition, the PMP provides information on Schedules II-V controlled substances prescribed for 12 months (Illinois Department of Human Services, n.d.). The PMP data are reported by retail pharmacies dispensing in Illinois, which does not guarantee the absolute accuracy of the information. However, the PMP improves the accuracy of patient-specific data, includes brief intervention forms with links to Substance Abuse and Mental Health Services Centers (SAMHSA). Physicians, pharmacists, dentists, physician assistants, prescribers and dispensers can access the Illinois PMP.(Illinois Case Study Comprehensive Nursing Essay Example)
APRN prescribing capacity in Illinois is barred by the requirement for a collaborating physician (Illinois General Assembly, 2021). Moreover, the APRNs’ can only prescribe and dispense Schedule II drugs prescribed by the collaborating physician. Thus, the legal requirements, including the need for 40hrs of continuing education, limit APRNs’ capacity from prescribing in Illinois.(Illinois Case Study Comprehensive Nursing Essay Example)
Illinois Society for Advanced Practice Nursing (ISAPN), the National Organization of Nurse Practitioner Faculties (NONPF) and the American Nurses Association (ANA). The ISAPAN promotes and advocates for APRNs by supporting continuing education programs and legislation in Illinois (Enpnetwork, n.d.). The NONPF is devoted to promoting high-quality NP educations for encouraging prescription (The National Organization of Nurse Practitioner Faculties, n.d.). The ANA strongly supports the authority of the full practice for APRNs, including prescription capacity across the USA and Illinois (American Nurses Association, 2020).(Illinois Case Study Comprehensive Nursing Essay Example)
References
America Association of Nurse Practitioners (AANP). (April 2021). State Practice Environment.(Illinois Case Study Comprehensive Nursing Essay Example) Retrieved 23 August 2021, from https://www.aanp.org/advocacy/state/state-practice-environment
American Nurses Association. (February 2020). ANA’s Principles for Advanced Practice Registered Nurse (APRN) Full Practice Authority.(Illinois Case Study Comprehensive Nursing Essay Example) Retrieved 23 August 2021, from https://www.nursingworld.org/~49f695/globalassets/docs/ana/ethics/principles-aprnfullpracticeauthority.pdf
Enpnetwork. (n.d.). What is ISAPN? Retrieved 23 August 2021, from https://isapn.enpnetwork.com/page/19141-what-is-isapn
Illinois Department of Human Services. (n.d.). Illinois Prescription Monitoring Program – DHS 4183.(Illinois Case Study Comprehensive Nursing Essay Example) Retrieved 23 August 2021, from https://www.dhs.state.il.us/page.aspx?item=97345
Illinois General Assembly. (January 2021). Written Collaborative Agreement − Prescriptive Authority. (Illinois Case Study Comprehensive Nursing Essay Example)Retrieved 23 August 2021, from https://www.ilga.gov/commission/jcar/admincode/068/068013000D04300R.html
Illinois General Assembly. (n.d.). Illinois Controlled Substances Act(Illinois Case Study Comprehensive Nursing Essay Example). Retrieved 23 August 2021, from https://www.ilga.gov/legislation/ilcs/ilcs4.asp?DocName=072005700HArt%2E+III&ActID=1941&ChapterID=53&SeqStart=2600000&SeqEnd=5000000
National Organization of Nurse Practitioner Faculties (n.d.). About Us. (Illinois Case Study Comprehensive Nursing Essay Example)Retrieved 23 August 2021, from https://www.nonpf.org/default.aspx