In 250-280 words, give a synopsis of the current level of practice and practice climate for APRNs in your state of licensure. Incorporate what you have learned from the Buppert readings, and from investigating your state BRN website. If yours is a full practice state, discuss how your state adopted full practice authority (FPA). If your state is restricted, describe the restrictions to practice and the current political climate surrounding FPA (for example, is there any pending legislation to move to FPA? Are there any eased regulations or expedited licensure due to Covid-19?). Discuss major barriers to FPA in your state. Finally, discuss how you plan to be involved in your state’s governance and/or advocacy for APRNs. Include at least two references from an official state or government website or from the BRN for your state.
State: California
In California, Advanced Practice Registered Nurses (APRNs) have full practice authority (FPA). The state adopted FPA through legislative changes and regulatory updates over the years. The Nurse Practice Act, Business and Professions Code Section 2725, grants APRNs the authority to practice to the full extent of their education and training without physician supervision. This includes prescribing medications, ordering and interpreting diagnostic tests, and providing primary care services.
The California Board of Registered Nursing (BRN) is the regulatory body responsible for overseeing APRN practice in the state. They provide guidelines and regulations for APRNs to follow, ensuring patient safety and quality care delivery. The BRN website serves as a valuable resource for APRNs, offering information on licensing, scope of practice, and continuing education requirements.
While California enjoys FPA, there are still some barriers to practice for APRNs. The major challenge lies in the variability of practice environments across different healthcare settings. Some healthcare organizations may have policies that restrict APRNs from fully utilizing their skills and training. Additionally, there is ongoing work to enhance APRN reimbursement and remove administrative barriers that hinder APRN practice in certain settings.
As a future APRN in California, I plan to be actively involved in the governance and advocacy for APRNs. I will stay informed about legislative developments and engage with professional nursing organizations, such as the California Association for Nurse Practitioners (CANP) and the American Association of Nurse Practitioners (AANP). These organizations provide a platform for APRNs to collaborate, advocate for policy changes, and promote the profession’s interests.
References:
- California Board of Registered Nursing (BRN). (n.d.). Advanced Practice Registered Nurses (APRNs). Retrieved from https://www.rn.ca.gov/advanced-practice/aprn.shtml
- California Association for Nurse Practitioners (CANP). (n.d.). About CANP. Retrieved from https://www.canpweb.org/about-canp