California NP's - page 6

by juan de la cruz Guide | 11,010 Views | 59 Comments

Join the California Association for Nurse Practitioners in garnering support for SB 491 (Hernandez), if passed, this is a substantial piece of legislation that would make our state part of the progressive group of states that... Read More


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    Thanks juan. Your designation "guide" is well deserved.
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    It's the old and tired rhetoric of rationalizing less training and risk to patient safety in an era when there are already independent practice state for NP's in at least 1/3 of the US. It boils down to turf protection and in a politically-charged issue, you can't expect AMA (or CMA) to do anything less.

    The issue is out there and more mainstream media outlets are bringing it in the open:
    Bracing for Obamacare: Nurse practitioners fill doc shortage gap - NBC News.com
    NYCGuy86 likes this.
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    California SB 491 has officially been voted out of legislation until at least next year, as of yesterday. Sigh.... :P
    juan de la cruz likes this.
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    Will they allow that widened scope of practice still without having to be Certified? I learned in my review course that three states still did not require certification but that it was hard to get hired without it. California was one of those along with Kansas and New York. Would this law include those who are not certified? If so, seems like liability would be an immense issue!
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    Quote from Barinbass
    Will they allow that widened scope of practice still without having to be Certified? I learned in my review course that three states still did not require certification but that it was hard to get hired without it. California was one of those along with Kansas and New York. Would this law include those who are not certified? If so, seems like liability would be an immense issue!
    The bill actually proposes national certification for all NP's in California. While the state does not require national certification currently, many employers include national certification as a qualification for candidates.
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    ...another thing I'd like to point out is that NY and CA only grants NP licenses without national certification to applicants who attended state-approved NP programs. The Boards of Nursing in both states have a list of all the state approved programs (there are 22 approved NP programs in CA, 13 are in state universities). While there is arguably some variability in the quality of these approved programs, all approved programs in California are based in California. Graduates of out of state programs must take the national boards and pass it to receive a license as an NP.
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    Thought some may be interested to know that a bill in California was recently signed by the governor giving pharmacists the status of healthcare provider, as well as the "Advanced Practice Pharmacist" role.

    California provider status bill becomes law | American Pharmacists Association
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    Why am I not surprised?
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    This whole process has been beyond bleak. I would rather just go practice in an independent state then fight the money and power of AMA. Our political network was weak compared to this organization. I am grateful for Senator Hernandez. We are lucky to have somebody like him on our side. This senator seems to really understand our healthcare system. Wish we had more like him who did.


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