American Sentinel N521 Advanced Pharmacology Assignment 1

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Assignment 1

Using peer-reviewed journal articles or evidence-based practice websites locate policy or regulatory position statements or campaigns that support changes in APRN prescribing practices at the state or national level.

In a paper not to exceed six double-spaced pages, excluding title and reference pages, analyze these statements by assessing their alignment with the American Association of Nurse Practitioners (AANP)’s Nurse Practitioner Prescriptive Privilege statement (see AANP Position Statement & Papers). Use the Assignment 1 Rubric below to guide you in completing this assignment. American Sentinel N521 Advanced Pharmacology Assignment 1

Assignment 1 Rubric – American Sentinel N521 Advanced Pharmacology Assignment 1

Competency	30 points	27 points	25 points	0 points	Points Earned
Policies, regulator position statements, campaigns	Locates multiple policies or regulator position statements or campaigns that support changes in APRN prescribing practices at state and at national level	Locates several state or national level policy or regulator position statement, but not both	Locates only one policy or position statement	Does not locate policies or position statements	/30
peer reviewed journals and evidence-based practice	Applies multiple peer reviewed journals and evidence-based practice websites to the assignment	Applies several peer reviewed journals or evidence-based practice websites to the assignment, but not both	Applies one peer reviewed journals or evidence-based practice websites to the assignment	Does not use peer reviewed journals or evidence-based practice websites in the assignment	/30
Analyzes regulatory position statements by assessing their alignment with the American Association of Nurse Practitioners (AANP)’s Nurse Practitioner Prescriptive Privilege statement. Discusses teamwork and collaboration as it relates to regulatory requirements	Evidence of analysis of regulatory statements and alignment of AANP statements. Discusses teamwork and collaboration as it relates to regulatory requirements	Evidence of analysis of regulatory statements and alignment of AANP statements. Discusses teamwork and collaboration as it relates to regulatory requirements	Minimal evidence of analysis of regulatory statements and alignment of AANP statements. Discusses teamwork and collaboration as it relates to regulatory requirements	No evidence of analysis of regulatory statements and alignment of AANP statements. No discussion of teamwork and collaboration as it relates to regulatory requirements	/30
Competency	5 points	4 points	3 points	0 points	Points Earned
Grammar, spelling, and punctuation	There are no errors in grammar, spelling, and punctuation. American Sentinel N521 Advanced Pharmacology Assignment 1	There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning	There are major errors in grammar, spelling, and punctuation that do not reflect scholarly writing	NA	/5
APA Compliance	The paper meets APA format guidelines	There are minor APA format errors	There are significant errors in format	NA	/5
Total Points					/100

Discussion 1

Locate your state’s nurse practice act (NPA) and associated regulations governing prescribing by advanced practice nurses (CNPs, CRNAs, CNMs, CNSs). Answer and discuss the following in this forum:

Does your NPA require the APRN to have a collaborative agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a collaborative agreement, and explain why/why not.
Does your NPA require the APRN to have a prescribing agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a prescribing agreement, and explain why/why not.
Does your NPA permit APRNs to prescribe all classes (schedules) of medications? Discuss whether you think the NPA should or should not permit APRNs to prescribe all classes of medications, and explain why/why not.
Describe collaborative approaches to treating rashes across the lifespan. Should the CNP treat without a collaborator or consultant? Support your statements based upon evidence.

Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria.

Example Discussion Solution Approach

In the state of Rhode Island, APRNs are not required to have a collaborative agreement with a physician. APRNs are licensed by the State Board of Nursing and they are authorized to practice their profession independently. In state policy, APRNs are acknowledged as primary care providers. According to § 5-34-3, Advanced practice registered nurses have the autonomy and a broad scope of nursing practice that enables them to serve a population focus that is approved by the board of nurse registration and nursing education allowing them to perform an advanced assessment, diagnosing, prescribing, and ordering (NCSLSOP, 2021). I believe APRNs should be able to practice fully without a collaborative agreement with an MD, as long as they are fully licensed to do so. The APRNs have both the specialized advanced education and clinical skills required to provide medical care to a diverse population in different areas of primary care settings.

APRNs are able to prescribe any medications that an MD can prescribe in the state of Rhode Island. “Prescriptive privileges for the certified nurse practitioner shall include all the authority under the APRN license including Prescription of legend medications and prescription of controlled substances from Schedules II, III, IV, and V that are established in regulation..” (NCSLSOP, 2021). APRNs are certified registered nurse practitioners and advanced practice nurses who have acquired adequate knowledge of physical assessment and management of healthcare and illnesses, and therefore should have the same prescriptive privileges as the physician. APRNs receive their prescribing privileges upon completion of pathophysiology, pharmacology, and physical assessment, as long as it is within the population domain of their practice (NCSLSOP, 2021). American Sentinel N521 Advanced Pharmacology Assignment 1

In Rhode, APRNs can prescribe all classes of medication that an MD is able to prescribe. Per Rhode Island law, APRNs have full authority to prescribe “legend drugs and Schedules II – V controlled substances if within the APRNs role and population focus”(NCSLSOP, 2021). I believe APRNs have the advanced knowledge and clinical competence required to proscribe all classes of medications within their scope of practice.

The goals of the treatment regimen for rashes across the continuum include replacing the original integrity of the outer layer of the skin, treating skin irritation, and managing the itch. The treatment of choice are corticosteroids. If the rash is diffuse, systemic corticosteroids are recommended, and antihistamines are usually the treatment of choice for extreme itch management. If the rashes are mild to moderate, topical corticosteroids are normally utilized two times a day for a period of two weeks (Arcangelo, et al., 2017). “As a rule, short-term therapy with more potent topical corticosteroids is preferred to long-term therapy with less potent corticosteroids.” So, If symptoms persist after 2 weeks of the above treatment regimen, then CNP can collaborate with other consultants for more potent effective treatment options.

References

Arcangelo, V. P., Peterson, A. M., Wilbur, V. F., & Reinhold, J. A. (2017). Pharmacotherapeutics for advanced practice: A practice approach (4th ed). Wolters Klumer

NCSLSOP, (2021). Scope of Practice Policy: Rhode Island

https://scopeofpracticepolicy.org/states/ri