Wk1 Respond To 2 People. essay

Wk1 Respond to 2 people. Beth and Pierre

Remember to add 2 citations and 2 references for Beth

Respond to Beth in one or more of the ways listed below.

· Share an insight from having viewed your colleagues’ posts.

· Suggest additional actions or perspectives.

· Share insights after comparing state processes, roles, and limitations.

· Suggest a way to advocate for the profession.

· Share resources with those who are in your state.

Post by Beth

Certification and Licensure Plan

Arizona does not require nurse practitioners to be supervised by, or collaborate with, a physician. Furthermore, nurse practitioners “shall only provide health care services including prescribing and dispensing within the NP’s population focus and role for which the NP is educationally prepared (Arizona Board of Nursing. (2021).

To become an NP in Arizona you must have a current RN license, complete a graduate degree that is nationally accredited and includes 45 contact hours of coursework in pharmacology, complete 500 hours of clinical practice, take the national ANCC exam, apply for Arizona prescriptive authority, pass a background check with fingerprints, apply for a DEA if you will be prescribing controlled substances (Arizona Board of Nursing. (2021).

Arizona Application Process

Completion of all required courses and required clinical hours per the PMHNP program. Completion of all program requirements per the PMHNP program guide. Submission of the Validation of APRN Education Form for the testing agency. Ordering transcripts. Request for testing. Application to the State Board of Nursing (Arizona Board of Nursing. (2021).

Arizona Board of Nursing Website

AZBN: https://www.azbn.gov

Arizona Scope of Practice for PMHNP

Examine a patient and establish a medical diagnosis by client history, physical examination, and other criteria. For a patient who requires the services of a health care facility, admit the patient to the facility, manage the care the patient receives in the facility, and discharge the patient from the facility. Order and interpret laboratory, radiographic, and other diagnostic tests, and perform those tests that the RNP is qualified to perform. Prescribe, order, administer and dispense therapeutic measures including pharmacologic agents and devices if authorized under R4-19-511, and nonpharmacological interventions including, but not limited to, durable medical equipment, nutrition, home health care, hospice, physical therapy and occupational therapy. Identify, develop, implement, and evaluate a plan of care for a patient to promote, maintain, and restore health. Perform therapeutic procedures that the RNP is qualified to perform. Delegate therapeutic measures to qualified assistive personnel including medical assistants under R4-19-509. Perform additional acts that the RNP is qualified to perform and that are generally recognized as being within the role and population focus of certification. In addition to the scope of practice the role of the PMHNP focuses on individuals across the lifespan (infancy through old age), families, and populations at risk for developing and/or having a diagnosis of psychiatric disorders or mental health problems. The PHMNP provides primary mental health care to patients seeking mental health services in a wide range of settings. Primary mental health care provided by the PMHNP involves relationship-based, continuous, and comprehensive services, necessary for the promotion of optimal mental health, prevention, and treatment of psychiatric disorders and health maintenance. This includes assessment, diagnosis, and management of mental health and psychiatric disorders across the lifespan (The National Organization for Nurse Practitioner Faculties, 2021).

Inclusions of Arizona State Practice Agreement

The practice agreement includes a definition of an NP, scope of practice, acute care practice, age ranges per specialty, transgender patients and hormone therapy, adding skills to your scope of practice, practicing outside of certifications, working as an RN, singing death certificates, use of “doctor” title as a DNP, need for a supervising physical, lab interpretations, authority to do FMLA applications, disability benefits, prescriptive authority, prohibitive prescribing, dispensing, samples, controlled substances, marijuana prescribing, treating substance abuse, prescribing suboxone, registering for a controlled substance monitoring program with a DEA license, registering with the board of pharmacy, prescribing phentermine, prescriptions signatures, calling in prescriptions by office personnel, ordering chemotherapy, writing bridge prescriptions, prescribing refills for schedule controlled substances, prescribing for chronic pain, prescribing across states lines, prescribing off label, prescribing to self, prescribing essential oils, use of ionizing radiation, use of trigger point/intraarticular and facet joint injections, performing acupuncture, performing osteopathic manipulation, surgical first assist, HcG injections, medical esthetics (Arizona Board of Nursing. (2021).

Obtaining a DEA

Complete an application on the U.S. Department of Justice, Drug Enforcement Administration, Diversion Control Division website. A Mid-Level Practitioner application checklist can be found at: https://apps.deadiversion.usdoj.gov/webforms2/spring/main? execution=e1s2

Arizona State Prescription Monitoring Program (PMP)

The Arizona Controlled Substances Prescription Monitoring Program (CSPMP) is the standard of practice and best practice to ensure patients are receiving appropriate and safe medications (Arizona Board of Nursing. (2021).

Controlled-substance Prescriptive Authority

While nurse practitioners have the freedom to prescribe without supervision, Arizona Law includes many prescribing regulations. NPs may prescribe but may not include refills on prescriptions for Schedule II controlled substances. For Schedule III or IV medications, NPs may prescribe a maximum of five refills in six months. Prescriptions for Schedule V drugs may include refills for up to one year. All prescriptions must include the nurse practitioner’s name, address, phone number, population focus, and date. In Arizona, nurse practitioners are prohibited from prescribing controlled substances to themselves or family members. Nurse practitioners practicing in Arizona are allowed to dispense medication samples (Arizona Board of Nursing. (2021).


Arizona as a free practice state for NPs has little to no obstacles for practice. I find the board of nursing website for Arizona to be unorganized, difficult to navigate, and unhelpful for obtaining information rapidly. Few barriers exist, with a possible exception of when the PMHNP engages in treatments that require additional certification.


Arizona Board of Nursing. (2021). Retrieved from: azbn.gov

The National Organization of Nurse Practitioner Faculties. (2021). Retrieved from: nonpf.org

U.S. Department of Justice, Drug Enforcement Administration (2021). Diversion Control Division. Retrieved from: https://apps.deadiversion.usdoj.gov/webforms2/spring/main?execution=e1s2

Remember to add 2 citations and 2 references for Pierre

Respond to Pierre in one or more of the ways listed below.

· Share an insight from having viewed your colleagues’ posts.

· Suggest additional actions or perspectives.

· Share insights after comparing state processes, roles, and limitations.

· Suggest a way to advocate for the profession.

· Share resources with those who are in your state.

Post by Pierre

Psychiatric mental health nurse practitioners (PMHNPs) are assuming increasing clinical responsibilities in the treatment of individuals with mental illness as the shortage of psychiatrists and their maldistribution continues to persist in the United States. Psychiatric mental health nurse practitioners (PMHNPs) are taking on increasing clinical responsibilities when delivering mental health services to individuals with a wide variety of mental illnesses (De Nesnera and Allen,2016). PMPNPs come together with psychiatrists in new jersey to provide safe and quality care.

The practice agreement for New Jersey state requires a jointly written or electronic agreement between a physician and the Nurse practitioner for the practice of the nurse practitioner that address and define a) Practice Authority, that entails Collaboration and a written protocol with a physician, is required when prescribing medications. The protocol must address certain items including consultation when prescribing controlled substances and availability of physician. (b) Prescriptive Authority; that is, Nurse Practitioner must collaborate with a physician for prescriptive authority privileges. The Nurse Practitioner must consult the supervisory physician when prescribing controlled substances and the Nurse Practitioner must complete education in pharmacology related to controlled substances. (NCSL SOP,2021). State of New Jersey confers practice authority and prescriptive authority to Nurse Practitioner. However, those privileges require collaboration with a physician.

According to Kasprak (2008) Under New Jersey law, anyone wishing to practice or represent as a nurse practitioner must be certified by the New Jersey Board of Nursing. Each certification applicant must submit the following to the board: a) proof of current New Jersey RN licensure in good standing; b) a completed application form and application fee; c) proof that he or she has successfully completed certain educational requirements; and d) proof that he or she has successfully completed the examination requirements. The new jersey nursing board is also accessible via its website: www.njconsumeraffairs.gov/nur/Pages/default.aspx

Nurse practitioners may diagnose and treat patients free of physician oversight. Medical documentation created by Nurse Practitioner in the state does not need to be signed by a physician. In New Jersey, nurse practitioners are regulated and licensed by the board of nursing. State law holds nurse practitioners independently responsible ethically and legally for all care provided. Responsibility does not rest with a supervising or collaborating physician. The collaborating physician does not need to practice on site with the NP but can maintain communication through phone or e-mail. A “joint protocol” outlining this collaborative relationship must be maintained and signed each year by the Nurse practitioner and the collaborating physician. Within this collaborative agreement, nurse practitioners may prescribe Schedule II to V controlled substances. (ThriveAP Inc, 2014). Physicians still maintains control on the practice area and Nurse practitioners need to fully and independently able to practice.

If a nurse practitioner wants to prescribe, administer or dispense any controlled substances, he or she must register with the Federal Drug Enforcement and Administration. the application is available online on the US Department of Justice website. Nurse Practitioner may request a physical copy of the form by calling DEA Headquarters Registration Unit toll free number: 800-882-9539(American Association of Nurse Practitioners, 2021).

New Jersey state has a prescription monitoring program. It is an initiative of New Jersey division of consumers’ affairs aiming at halting the diversion and the abuse of prescription drug. New Jersey prescription monitoring program is a statewide database that collects prescription data on Controlled Dangerous Substances, Human Growth Hormone, and gabapentin dispensed in outpatient settings in New Jersey, and by out-of-State pharmacies dispensing into New Jersey. Pharmacies are required to report information to the NJPMP daily. Prescriptions must be reported to the database no more than one (1) business day after the date the prescription was dispensed. (The New Jersey State, 2017).

The New Jersey state grants some privileges to Nurse Practitioner when it comes to practicing and prescriptive authority. However, there exist more works to do by the state legislature to grant full and independent practice authority Nurse Practitioners.


AANP (2021) How to Get Information About Obtaining a DEA Number. Retrieved from https://www.aanp.org/practice/practice-management/business-resources-for-nurse-practitioners/how-to-order-a-dea-number

According to Kasprak (2008) HIGHER EDUCATION; MEDICAL PERSONNEL; OCCUPATIONAL LICENSING; STATE BOARDS AND COMMISSIONS; MENTAL HEALTH. Retrieved from https://www.cga.ct.gov/2008/rpt/2008-R-0043.htm

De Nesnera. A & Allen.E.D (2016) Expanding the Role of Psychiatric Mental Health Nurse Practitioners in a State Psychiatric System: The New Hampshire Experience. Retrieved from https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201500486

NCSL SOP,2021 (2021) State Overview: New Jersey. Retrieved from https://scopeofpracticepolicy.org/states/nj/

The New Jersey State (2017). NJ Prescription Monitoring Program. Retrieved from https://www.njconsumeraffairs.gov/pmp

ThriveAP Inc (2014) Nurse Practitioner Scope of Practice: New Jersey. Retrieved from https://thriveap.com/blog/nurse-practitioner-scope-practice-new-jersey
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