Disability forms must be signed by physician.
x
x x x x x
x
Unable to bill for EKGs, so these have to be sent to collaborating MD.
Unable to order hospice.
x
x
Unable to order cardiac rehabilitation.
Unable to obtain informed consent for procedure. Unable to order skilled care/visiting nursing.
x
Unable to perform sports physicals.
x
Unable to practice telemedicine outside of state (New Hampshire).
x x
Unable to sign birth certificate. Unable to sign DNR document.
x x x
x
Unable to sign “return to play” after concussion. Unable to sign for pulmonary rehabilitation.
x
(Kleinpell, et al.,2020)
Conclusion 3. Making changes to licensing restrictions requires continued organized political action by professional nursing organizations and other stakeholders. Making changes to organizational restrictions requires internal and external pressures to change. All nurses, whether APRNs or not, should be aware of the restrictions in institutions with which they are associated and work to use their influence to make changes to improve the work life of APRN colleagues, as well as the effectiveness and efficiency of patient care. References 4. Carthon M.B., Brom H., Nikpour J., Todd B., Aiken L., Poghosyan L. (2020) Supportive practice environments are associated with higher quality ratings among nurse practitioners working in underserved areas. Journal of Nursing Regulation. 2020;13(1):5–12 Green S.B. (2022) Inside the Beltway. National Association of Pediatric Nurse Practitioners February. Transition to practice. https://www.napnap.org/inside-the-beltway-february-2022/ Accessed 2023. Kleinpell, R., Myers, C., Schorn, M., (2023) Addressing barriers to APRN practice: Policy and regulatory implications during COVID-19. Journal of Nursing Regulation. 14(1) 13-20. April 5th. Kleinpell R., Myers C.R., Schorn M.N., Likes W. (2021) Impact of COVID-19 pandemic on APRN practice: Results from a national survey. Nursing Outlook. 2021;69(5):783–792. Kleinpell, R., Myers, C., Likes, W, Schorn, M., (2020) Breaking down institutional barriers to advanced practice registered nurse practice. Nursing Administration Quarterly 46(2) 137-143, April/June 20. Martin, B., Buck, M., Zhong, E. (2023) Evaluating the impact of executive orders lifting restrictions on Advanced Practice Registered Nurses during the COVID_19 Pandemic. Journal of Nursing Regulation. 14(1) 50-58. April 5th.
© F.A. Davis
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