Certification Plan in California
Certification Plan in California
California Board of Registered Nursing is responsible for setting the standards of practice for psychiatric-mental health nurse practitioners. California’s health practice environment is restrictive since it does not grant independent practice to the practitioners, unlike Nevada. The practitioners should stick to the scope of practice outlined by the board. The board of nursing in the state provides the restrictions that govern the practice environment. The certification process starts by taking an exam to graduate from a nurse to a nurse practitioner. The purpose of the essay is to examine the certification plan in California State.
PMHNP Practice Restrictions and Limitations
Psychiatric-mental health nurse practitioners work under the guidelines and certification of the California Board of Registered Nursing. The board provides the scope of work including the restrictions and limitations of their work (Guglielmo & Sullivan, 2018). The practitioners should stick to the scope of practice outlined by the board. Furnishing of drugs is carried out according to standardized procedures. Nurse practitioners can furnish controlled substances under the supervision of a physician. Nurses can dispense medication except for controlled substances (Guglielmo & Sullivan, 2018). PMHNP can provide basic care to patients with the approval of a physician. Nurse practitioners and physicians thrive in a collaborative environment to deliver quality care (Phoenix & Chapman, 2020). The practitioners will start practicing in 2023 under the new law after practicing under supervision for three years.
Comparing Practice Environment with Nevada
The practice environment in California and Nevada is different since Nevada is a progressive state that allows nurse practitioners to practice independently (Phoenix & Chapman, 2020). The practitioners in Nevada will require a license from the Nevada board of pharmacy. One of the similarities with California is that the nurses have to acquire the DEA certification to prescribe controlled substances (Chapman et al., 2019). California does not allow independent practice since the practitioners require the supervision of physicians or surgeons. Nurses in California will require a furnishing number to dispense medication (Chapman et al., 2019). The two states appreciate that nurse practitioners require supervision at the onset of practice before plunging into independent practice. California and Nevada board of nurses have a responsibility to provide certification, renew it, and revoke licenses upon reviewing the conduct of a nurse (Chapman et al., 2019).
Professional and Clinical Practice Issue
A new PMHNP should consider the restrictions of practice in California State. The board of nursing in the state provides the restrictions that govern the practice environment. Nurse practitioners are required to comprehend and comply with the restrictions (McCoy, 2018). New practitioners should understand their scope of practice such as prescription of medication. For instance, nurse practitioners can prescribe medication, but they will require supervision to prescribe controlled substances (McCoy, 2018). Another issue in the practice environment is the agreement protocol with a physician. Nurses should understand the role of a collaborative approach in healthcare delivery. Nurses in California will be placed under supervising physicians (McCoy, 2018). A physician will task a practitioner with various roles. PMHNP should view the restrictions in the clinical practice in a positive light. The focus is to enhance the quality of patient care and safeguard their health (McCoy, 2018). If nurses relocate to other states or shift to California, they will need to align their practice according to the standardized procedures by the nursing board.
Checklist for Passing the National Certification Exam
The certification process starts by taking an exam to graduate from a nurse to a nurse practitioner. Taking an exam in an area of specialization takes between three to six months. Students are required to apply for internships, read the course materials, personal interviews, and studies (Chapman et al., 2019). Nurses will select their specialization and await at least 90 days. A national licensure examination board is responsible for establishing the standards. Students will go to the board’s website to see the checklist. Once an individual is approved for the certification, they will make the payment to cater for their examination fee. The cost for the American College of Nurse Practitioners is $350 while the Association of American Nurses is $280 (Chapman et al., 2019). Non-members will incur an additional fee for the certification process. The national examination board will then provide the examination schedule through their website.
The preparation involves monetary requirements and acquiring the necessary skills to practice. Applicants should make the applications on time and provide all the details required by the board (Phoenix & Chapman, 2020). Applicants who do not meet the threshold will not qualify. Sufficient exposure is essential for nurse practitioners to ensure they practice effectively and meet all the standards.
California is one of the states in the United States that does not provide independent practice to nurse practitioners. Unlike in Nevada, nurse practitioners in California have to stick to their duties and abide by the supervisory duties of a physician. New practitioners should understand their scope of practice such as prescription of medication. Nurse practitioners can prescribe medication, but they will require supervision to prescribe controlled substances. Nurses should prepare for certification by making applications and waiting for at least 90 days. The state board offers the qualifications and standard threshold for the certification process.
Chapman, S. A., Toretsky, C., & Phoenix, B. J. (2019). Enhancing psychiatric mental health nurse practitioner practice: impact of state scope of practice regulations. Journal of Nursing Regulation, 10(1), 35-43.
Guglielmo, B. J., & Sullivan, S. D. (2018). Pharmacists as health care providers: Lessons from California and Washington. Journal of the American College of Clinical Pharmacy, 1(1), 39-44.
McCoy, K. T. (2018). Achieving full scope of practice readiness using evidence for psychotherapy teaching in web and hybrid approaches in psychiatric mental health advanced practice nursing education. Perspectives in psychiatric care, 54(1), 74-83.
Phoenix, B. J., & Chapman, S. A. (2020). Effect of state regulatory environments on advanced psychiatric nursing practice. Archives of Psychiatric Nursing, 34(5), 370-376.