Question

• You are the Vice President of Nursing at Good Care Medical Center, a large hospital located in New Jersey. The CEO has formed a committee of various clinicians to consider whether the hospital should expand nursing services to include multiple Advanced Practice Registered Nurses (APRNs). You are tasked with briefing the committee that advocates for the expansion effort. You should discuss the scope of practice rules and regulations regarding APRN’s in New Jersey, including data that will inform the committee’s deliberations. Provide at least one example of another state or provider that has successfully expanded nursing services. use 2-3 APA references. Dont use the article thats already been posted because its not right

Answer 1

“APRN” is a specific category of nursing professional as defined by most state practice laws. An APRN is a medical professional with advanced nursing (post-graduate) degree in one of four specialities such as certified registered nurse anaesthetist (CRNA), certified nurse-midwife (CNM), clinical nurse specialist (CNS), and certified nurse practitioner (CNP). Each of these healthcare practitioner categories specializes in the care of at least one population, including family/individual across the lifespan, adult-gerontology, paediatrics, neonatal, women’s health/gender-related, or psychological/mental health. There has been some discussion regarding whether APRNs should complete a residency program for clinical training, and there currently exist several such programs throughout the US. Many institutions conferring APRN degrees carry a credit load which, in other health care degree programs, would be equivalent to a doctoral degree.

New Jersey APRN who was the primary provider for “thousands of patients,” who had to stop providing care when her supervising physician retired. Introduced in 2012 by Assemblywoman Munoz, the New Jersey Consumer Access to Healthcare Act would bring sweeping change to New Jersey scope of practice for APRNs. Specifically, it would entirely eliminate the need for any collaborative agreement between any APRN (all roles) and a physician, and it would also allow full prescriptive privileges for qualifying APRNs. This would bring New Jersey up to almost complete compliance with the Model Rules; the only non-compliant portion is that the proposed act continues to refer to the subject as Advanced Practice Nurses (APN), rather than APRN.

Florida’s bill proposing expansion allows APRNs (in Florida, ARNPs) to practice independently, and to prescribe controlled substances and narcotics, leading the Florida Medical Association to insinuate Florida would “move backwards” in its fight to curb prescription medicine abuse. The Association cited no study supporting the insinuation that expansion would lead to prescription drug abuse, nor is the contention supported elsewhere.

*AJ Barbarito, (2016), The Nurse Will See You Now: Expanding the Scope of Practice for Advanced Practice Registered Nurses", Seton Hall Legislative Journal,

*AJ Barbarito - Seton Hall Legis, (2015), "The Nurse Will See You Now: expanding the Scope of Practice for Advanced Practice Registered Nurses",  HeinOnline