Nr508 Week 4-Midterm Roles And Responsibilities Of Aprn

NR508 Week 4-Midterm Roles and Responsibilities of APRN 1. All states have title protection for NP 2. All but 5 states stat's board of nursing control practice and licensure. 3. Scope of practice determined by individual NP license of licensing jurisdiction.New prescribers must know the rules 4. in 17 states, NPs have independent scope of practice and prescriptive authority. 5.6 states have full autonomous practice and prescriptive authority. Clinical Judgement in prescribing 1. Best therapy 2. Least expensive 3. Least likely to cause ADR 4. Clear indication for drug? 5. Are drugs effective in treating disorder? 6. What is goal of therapy? 7. Under what conditions is it determined that drug is not meeting goal and change should be made? 8. Unnecessary duplications? 9. OTC be just as useful? 10. Cost? Collaboration with other prescribers 1. Physician: can offer insight 2. Pharmacists: pharm knowledge 3. Other APRNs: clinical experience shared and collaboration 4. PAs 5. RNs. Autonomy and prescriptive authority 1. More states are broadening and expanding legal, reimbursement, and prescriptive authority. 2. Gains can be reversed, so address concerns. 3. Some push for physician control. Alpha2Agonists: MOA 1. Activation of central alpha 2 receptors results in inhibition of cardioacceleration