Tuesday, March 16, 2021

In the state (Arkanas) you plan to practice, what are the laws about physician supervision/oversight?

 In the state (Arkanas) you plan to practice, what are the laws about physician supervision/oversight? Where do you go to determine your scope of practice in your state? What is a protocol agreement and what is typically included in these documents? Where are they submitted and how are they approved?


What are CPT codes? What are ICD-10 codes? Why are they important? What is your responsibility as an advanced practice provider with regard to coding on patient charts? What experiences have you had in your practicums with coding? How can you as a provider learn more about these codes? Please share links with your peers for web sites or apps that offer help or training with coding.


What are some of the things you are looking for in a potential advanced practice position? What other benefits in addition to salary would you be sure to include in any negotiation discussions? What are some negotiation tactics to use to ensure you receive the salary/benefits you desire? Are there any “deal breakers” that come to mind when negotiating an employment package? What does the job market look like for FNPs in your area?


Do you have any interest or current plan to pursue the DNP or other doctoral degree? Why or why not? What are the benefits or additional opportunities afforded to those with a doctoral degree in advanced practice or elsewhere? Are there particular things that you would be looking for in a DNP or other doctoral program? What is the current percentage of doctorally-prepared nurses in your area of the country? Do you think it is important that nurses as a whole pursue terminal degrees?


Students will review and report on the process involved in submitting their posters to at least two professional nursing conferences. Students will choose two conferences to submit their poster. Which two conferences did you select to further research with regard to the process for a professional poster submission? Which conference did you select to submit the application packet for and why? What was required for packet submission? Please provide a link to your conference of choice. Now that you are completing this process for your Capstone class, have you considered actual presentation of your poster elsewhere? Provide details if applicable.

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Introduction

            A type of Advanced Practice Registered Nurses (APRN), nurse practitioners provide primary care. However, in the state of Arkansas, regulations limit the ability of APRN to practice independently. The FTC have argued that the scope of practices regulations is meant to enhances the safety of the patient and more often extend towards protectionism(Iglehart, 2013). Many have advocated that by easing the regulatory burden and increasing nurse practitioner’s scope of practice is likely to address the problem of shortage of health care professional since it will attract nurse practitioners. It is mandatory for advanced practice nurses to meet the standards of practice for registered nurses (RNs).

Physician supervision/oversight

            Analysis have showed supervision requirements for nurse practitioners (NP) have been divided into two categories: full practice and collaborative practice. In full practice the state practice and licensure law provide for nurse practitioners to evaluate patients, diagnose, order and interpret diagnostic tests, initiate and manage treatments which include prescribing medications under the exclusive licensure authority of the state board of nursing(Mitchell, et al., 2014). In the case of collaborative practice agreement, a written statement that defines the joint practice of a physician and an NP in a collaborative and complementary working relationship. Most often it includes the responsibilities of both the collaborating physicians and the NP often defines the prescribing authority of a NP.

            In the state of Arkansas, full practice is not applicable since the state allows NP under the collaborative practice agreement and the supervision policy requires that nurse practitioners must have a collaborative practice agreement with a physician who has a similar scope of practice; with the collaborative practice agreement, nurse practitioners are given the mandate to prescribe schedule III, IV, and V medications; and nurse practitioners must have a separate certification to prescribe medicine. 

            Collaborative practice agreement is defined as a “written plan that identifies a physician who agrees to collaborate with an advanced practice nurse in the joint management of the health care of the advanced practice nurse’s patients, and outlines procedures for consultations with or referral to the collaborating physician or other health care professionals …………………………………………………………………………………………………

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In the state (Arkanas) you plan to practice, what are the laws about physician supervision/oversight?

 In the state (Arkanas) you plan to practice, what are the laws about physician supervision/oversight? Where do you go to determine your sc...