NPs in California

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Hi all,

I read a lot of "scope of practice" discussions about NPs in Texas, and how their BON is really cracking down on FNPs in the hospital. What about California? Can anyone speak to the situation there, and how likely it is that FNPs will be pushed out of the hospital there as well?

Thanks!

Kens

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Hmm, perhaps this is why I never read anything on California, LOL. Anyone, anyone? :)

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Hi all,

I read a lot of "scope of practice" discussions about NPs in Texas, and how their BON is really cracking down on FNPs in the hospital. What about California? Can anyone speak to the situation there, and how likely it is that FNPs will be pushed out of the hospital there as well?

Thanks!

Kens

I would go to the "California Board of Nursing" website to get this information. You might also want to try e-mailing professors at NP programs in California. It's been my experience that professors are great about responding to your e-mails.

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Specializes in ACNP-BC, Adult Critical Care, Cardiology.

... or maybe also try the California Association for Nurse Practitioners at http://www.canpweb.org/.

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Well in Ca there is no seperate scope of practicve for us NPs. We must operate under standardized procedures for any medical function. The BRN provides guidlines on the requirements for standardized procedures but to the best of my awarness FNPs are not having problems in my area with hospital credentialing.

Jeremy

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Well in Ca there is no seperate scope of practicve for us NPs. We must operate under standardized procedures for any medical function. The BRN provides guidlines on the requirements for standardized procedures but to the best of my awarness FNPs are not having problems in my area with hospital credentialing.

Jeremy

Here is AB 1436. This is a two year bill and 1/2 way through the cycle. The portion of the amended bill that is relevant (my bold):

"This bill would provide that a nurse practitioner is authorized to

perform comprehensive health care services, as specified, for which he

or she is educationally prepared and competent to perform,"

The entire bill can be found here:

http://info.sen.ca.gov/pub/07-08/bill/asm/ab_1401-1450/ab_1436_bill_20080610_amended_sen_v93.pdf

The CNA in their analysis states this defines the scope of practice for NPs.

David Carpenter, PA-C

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Specializes in mostly in the basement.

Sometimes I find when one doesn't like the answer or an opinion regarding the question asked that the response given can be needlessly negative thereby greatly reducing the chances of an informed member with relevant information offering up such answers or opinions in the event that further help is solicited.

I'm just sayin'.....

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Here is AB 1436. This is a two year bill and 1/2 way through the cycle. The portion of the amended bill that is relevant (my bold):

"This bill would provide that a nurse practitioner is authorized to

perform comprehensive health care services, as specified, for which he

or she is educationally prepared and competent to perform,"

The entire bill can be found here:

http://info.sen.ca.gov/pub/07-08/bill/asm/ab_1401-1450/ab_1436_bill_20080610_amended_sen_v93.pdf

The CNA in their analysis states this defines the scope of practice for NPs.

David Carpenter, PA-C

I talked to a NP professor and we discussed the fact that the TX BON is so strict about requiring NP's to practice within their certification, i.e. primary care, acute care, psych, etc. She told me that several states are jumping on board and mandating the same requirements. Obviously, this is the case in California.

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The proposed regulation is similar to what is already in place concerning education of NPs:

2836. Establishment of categories and standards

(a) The board shall establish categories of nurse practitioners and standards for nurses to hold themselves out as nurse practitioners in each category. Such standards shall take into account the types of advanced levels of nursing practice which are or may be performed and the clinical and didactic education, experience, or both needed to practice safely at those levels. In setting such standards, the board shall consult with nurse practitioners, physicians and surgeons with expertise in the nurse practitioner field, and health care organizations utilizing nurse practitioners. Established standards shall apply to persons without regard to the date of meeting such standards. If the board sets standards for use of nurse practitioner titles which include completion of an academically affiliated program, it shall provide equivalent standards for registered nurses who have not completed such a program.

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Thanks you guys, I appreciate the info. I'm gathering, basically, that California is following suit, and that scope of practice is becoming much more narrowly defined and mandated. If I have that wrong, let me know.

Thanks again!

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Specializes in ER; CCT.
Here is AB 1436. This is a two year bill and 1/2 way through the cycle. The portion of the amended bill that is relevant (my bold):

"This bill would provide that a nurse practitioner is authorized to

perform comprehensive health care services, as specified, for which he

or she is educationally prepared and competent to perform,"

The entire bill can be found here:

http://info.sen.ca.gov/pub/07-08/bill/asm/ab_1401-1450/ab_1436_bill_20080610_amended_sen_v93.pdf

The CNA in their analysis states this defines the scope of practice for NPs.

David Carpenter, PA-C

Thanks so much for the link. And for those nurses who think we are in the "medical" field, here's something curious on the CMA's website:

CMA-Opposed Legislation

AB 1436 (Hernandez) - Nurse Practitioners

This bill significantly expands the scope of practice of a nurse practitioner. The bill attempts to recognize nurses as independent practitioners and would authorize them to provide comprehensive healthcare including making diagnoses and initiating emergency procedures. Though this proposal constitutes the practice of medicine for NP’s, AB 1436 gives the board of Registered Nursing the sole authority to interpret the practice of nurse practitioners and divests the Medical Board from the authority of any oversight. Status: Senate Business and Professions Committee.

Link:

http://www.cmanet.org/news/hotlist.asp

It's a good thing that our fellow brothers in medicine are looking out for APN's. Although a complete misrepresentation of the bill, this does underscore the notion that medicine now and forever wants to maintain a strangle hold on what is medicine and what is advance nursing practice.

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This bill significantly expands the scope of practice of a nurse practitioner. The bill attempts to recognize nurses as independent practitioners and would authorize them to provide comprehensive healthcare including making diagnoses and initiating emergency procedures.

I've been diagnosing and providing comprehensive healthcare for a few years now.

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