Week 6 case study-IL is my state: Determine if your practice state is an independent practice state for APRNs
Instructions
· Please complete the questions listed below in the assignment.
o Provide supporting Documentation and Resource Links.
o This must be at least 2-3 pages paper, APA format.
· Submit to the dropbox by the due date.
Questions
1. Determine if your practice state is an independent practice state for APRNs using the AANP map (Links to an external site.).
2. Look up the APRN prescribing regulations in your state.
3. What are the safe prescribing recommendations for APRNs in your state? This will vary depending on the level of practice authority.
4. Does your state have a Prescriptions Drug Monitoring Program? If so, explain. If not, please describe current legislation regarding this topic.
5. What are the barriers to APRNs prescribing in your state?
6. What local or national organizations are available for you to join to support the cause for advancing practice/prescribing for APRN’s?
Give a minimum of two (2) APA references to support your findings. Be sure to follow APA format.
Rubric
NU670 Unit 6 Assignment – Prescribing Rubric
NU670 Unit 6 Assignment – Prescribing Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome Content of Paper
15 pts
Level 5
Demonstrates a well-articulated understanding of the subject matter in a clear, complex, and informative manner Develops content and theories are well Links content to the paper requirements and practical experience Includes relevant material that fulfills all objectives of the paper Uses scholarly resources that were not provided in the course materials Completes all instruction requirements.
12 pts
Level 3
Demonstrates an understanding of the subject matter Explains and applies knowledge of evidence-based practice, ethics, theory, and/or role Uses a variety of scholarly resources from the course material and some that were not provided in the course materials Includes relevant material that fulfills all objectives of the paper. Completes all instruction requirements.
4 pts
Level 1
Demonstrates a moderate understanding of the subject matter Summarizes content with minimal application to evidence-based practice, theory, or role-development Presents content but is missing depth and or development Uses only scholarly resources that were provided in the course materials Completes most instruction requirements.
0 pts
Level 0
Does not meet the Section
15 pts
This criterion is linked to a Learning Outcome Analysis and Synthesis of Paper Content and Meaning
15 pts
Level 5
Provides critical analysis in an accurate, clear, concise, and complete presentation of the required content Synthesizes information from scholarly resources Provides new information or insight related to the context of the assignment with both supportive and alternative information or viewpoints Completes all instruction requirements
7.6 pts
Level 3
Provides evidence of further synthesis of course content via scholarly resources Synthesizes information to help fulfill paper requirements Supports content with at least one viewpoint. Completes all instruction requirements.
4 pts
Level 1
Lacks clarification or new information Supports content with scholarly reference without adding any new information or insight Provides content that may be confusing or unclear, and the summary may be incomplete Completes most instruction requirements
0 pts
Level 0
Does not meet the Section
15 pts
This criterion is linked to a Learning Outcome Application of Knowledge
10 pts
Level 5
Offers a multidisciplinary approach via scholarly resources Applies practice that is accurate and plausible Supports practice with additional scholarly resources Answers all questions posed within the assignment in a well-developed manner with citations for validation Completes all instruction requirements.
5 pts
Level 3
Presents a summary of the paper’s content, findings, and knowledge gained Indicates how the information will be used within their professional practice Completes all instruction requirements.
2.5 pts
Level 1
Lacks objective Section Applies superficial bridge between the assignment and the broader course content Indicates how they will apply this new knowledge to their clinical practice in a vague manner Completes most instruction requirements.
0 pts
Level 0
Does not meet the Section
10 pts
This criterion is linked to a Learning Outcome Organization
5 pts
Level 5
Provides well-organized content with a clear and complex purpose statement and content argument. Provides concise writing with a logical flow of ideas.
3 pts
Level 3
Provides organized content with an informative purpose statement and supportive content and summary statement. Provides argument content with minimal issues in content flow.
1 pts
Level 1
Provides poor organization, and flow of ideas distract from content. Provides a purpose statement. Provides narrative that is difficult to follow and frequently causes reader to reread work.
0 pts
Level 0
Does not meet the Section
5 pts
This criterion is linked to a Learning Outcome College-level academic writing
5 pts
Level 5
Includes no more than three grammatical, spelling, or punctuation errors that do not interfere with the readability. Meets the assignment length requirements.
3 pts
Level 3
Includes no more than four grammatical, spelling, or punctuation errors that do not interfere with the readability. Meets the length requirements.
1 pts
Level 1
Includes five or more grammatical, spelling, and punctuation errors makes understanding parts of assignment difficult, but does not interfere with readability. Meets the length requirements.
0 pts
Level 0
Does not meet the Section
5 pts
Total Points: 50
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Solution
Case Study: Illinois
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.
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.
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 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.
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 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).
References
America Association of Nurse Practitioners (AANP). (April 2021). State Practice Environment. 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. 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. 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. Retrieved 23 August 2021, from https://www.ilga.gov/commission/jcar/admincode/068/068013000D04300R.html
Illinois General Assembly. (n.d.). Illinois Controlled Substances Act. 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. Retrieved 23 August 2021, from https://www.nonpf.org/default.aspx
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