New York NP's

  1. 5 New York becomes the newest state to introduce a bill that will allow Nurse Practitioners to practice without a written collaborative agreement with a physician after 3,600 hours of professional practice.

    http://www.legislativegazette.com/Articles-Top-Stories-c-2013-04-15-83416.113122-Bill-gives-nurse-practitioners-more-responsibility-in-patient-care.html

    http://assembly.state.ny.us/leg/?bn=A04846&term=2013

    http://thenpa.org/displaycommon.cfm?...articlenbr=483
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  3. Visit  juan de la cruz} profile page

    About juan de la cruz, MSN, RN, NP

    juan de la cruz has '20+' year(s) of experience and specializes in 'APRN, Adult Critical Care'. From 'California'; 45 Years Old; Joined Nov '06; Posts: 2,996; Likes: 2,887.

    13 Comments so far...

  4. Visit  SycamoreGuy} profile page
    2
    I actually like the idea of requiring a set number of supervised practice hours and/or years before allowing independent practice. It could be viewed as an informal residency of sorts.

    I think it would be better though if the supervision could be done by physician OR another NP.
    PRICHARILLAisMISSED and Alexis33 like this.
  5. Visit  Alexis33} profile page
    0
    That's great. Making new waves in the nurse practitioner field with this. NY was my old stomping ground and I still miss NY. This is good to know. I may be making my way back there to work if my son chooses to go to college in NY. Thanks for sharing.
  6. Visit  myelin} profile page
    0
    Cool. It seems like these bills are spreading like wildfire... NY, CA, NV, MI... anyone know of any other states with similar legislation being proposed? I wonder how many will pass.
  7. Visit  PatMac10,RN} profile page
    0
    Quote from SycamoreStudent
    I actually like the idea of requiring a set number of supervised practice hours and/or years before allowing independent practice. It could be viewed as an informal residency of sorts.

    I think it would be better though if the supervision could be done by physician OR another NP.
    I like that idea too. Wish NC would jump on board.
  8. Visit  PRICHARILLAisMISSED} profile page
    0
    Hi guys. I hate to intrude on the APRN thread, (I'm still a just a Pre req Nursing student) but after reading this thread I have a question. Can anyone tell me of any good websites that can tell me things like which states allow how much autonomy for APRN's? (Please don't suggest me checking all 50 state's BON websites...) I'm really exited that NY is introducing a Bill (though the AMA has a lot of lobbying money, so NP's aren't out of the woods yet) like this, as I'm from Brooklyn myself and this could provide the push for me to someday "go back home!"

    Also, what do you guys think about the mandatory 3 years and 3600 hours experience requirement? I'm currently an HVAC tech, and fresh out of school it did help to ride with a more seasoned tech for a summer before going out on my own...Not saying HVAC is as complicated as the human body lol, but the analogy is sound-to me anyway. Do you think it is necessary? from my angle I don't see how it could hurt, but again, I'm not an NP so it isn't my place to say.
  9. Visit  juan de la cruz} profile page
    3
    Quote from PRICHARILLAisMISSED
    Hi guys. I hate to intrude on the APRN thread, (I'm still a just a Pre req Nursing student) but after reading this thread I have a question. Can anyone tell me of any good websites that can tell me things like which states allow how much autonomy for APRN's? (Please don't suggest me checking all 50 state's BON websites...) I'm really exited that NY is introducing a Bill (though the AMA has a lot of lobbying money, so NP's aren't out of the woods yet) like this, as I'm from Brooklyn myself and this could provide the push for me to someday "go back home!"

    Also, what do you guys think about the mandatory 3 years and 3600 hours experience requirement? I'm currently an HVAC tech, and fresh out of school it did help to ride with a more seasoned tech for a summer before going out on my own...Not saying HVAC is as complicated as the human body lol, but the analogy is sound-to me anyway. Do you think it is necessary? from my angle I don't see how it could hurt, but again, I'm not an NP so it isn't my place to say.
    AANP has the most current map of NP practice environments across the 50 states. The green states have autonomous NP practice, the yellow states require written collaborative agreements with physicians, the red states require protocols that outline either delegation of advanced practice roles to an NP by physicians or supervision by a physician. The site also has quick links to state by state summary and quick access to the specific state's nurse practice act. Follow this link.

    NCSBN also has a similar map in their website's campaign for licensure and regulatory consensus among all the member BON's in the 50 states. Their map breaks down the practice environment for all APRN's (NP, CNS, CNM, CRNA) and distinguishes states with independent practice but not independent prescribing with those with full independent practice including independent prescribing. Follow this link.

    I also like the idea of having 3600 hours of practice prior to gaining independence. New NP's regardless of years of RN experience come out as novices. A supportive and mentoring relationship from an experienced provider makes a difference in role transition to a confident provider. The bill is calling for a physician to fill the role during that transition period.
  10. Visit  PRICHARILLAisMISSED} profile page
    0
    I appreciate the information, OP. Thank you. I'll go through both sites today when I get home from classes.
  11. Visit  juan de la cruz} profile page
    0
    Quote from myelin
    Cool. It seems like these bills are spreading like wildfire... NY, CA, NV, MI... anyone know of any other states with similar legislation being proposed? I wonder how many will pass.
    Yeah, I'm trying to understand that proposed bill in Michigan (SB2) which defines the scope of Advanced Practice Registered Nursing in that state. I know Michigan currently does not have a defined scope of practice and this would be a sweeping legislation that is a leap from what they have now. Does it eliminate the requirement for a written physician collaboration?

    Their NP association is a bit vague: MICNP
  12. Visit  edmia} profile page
    0
    Thank you Juan de la Cruz! That's great news. This has to spread nationwide.

    Sent from my iPhone using allnurses.com
  13. Visit  Psychcns} profile page
    0
    The MI bill appears to allow the CNS (like me) prescriptive authority as an APRN. The NY bill still does not allow the CNS prescriptive authority since it does not acknowledge CNS at all ..maybe later ..
  14. Visit  juan de la cruz} profile page
    0
    Quote from Psychcns
    The MI bill appears to allow the CNS (like me) prescriptive authority as an APRN. The NY bill still does not allow the CNS prescriptive authority since it does not acknowledge CNS at all ..maybe later ..
    Right, that's what I got from reading that bill in MI (though I do know a lot of APRN's in MI with whom I could get info easily).

    It seems like there are two paths being forged separately right now. One, the issue of primary care in the face of the Affordable Care Act; and two, the quest for uniformity in APRN practice through the Consensus Model. I think the CNS field is perhaps safeguarded by the Consensus Model. However, their lobby for inclusion in primary care has not been as strong as the NP's.
    Last edit by juan de la cruz on Apr 28, '13
  15. Visit  AnnaN5} profile page
    0
    Yes SB2 would get rid of the collaborating physician requirement


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