Psychiatric mental health nurse practitioners (PMHNPs) are licensed providers who practice in long-term, acute and ambulatory care settings as care providers to patients with mental health problems. According to AMA(2017), a registered nurse practitioner is a registered nurse how has received certification from Arizona state board of nursing, has finished a nurse practitioner education program recognized or approved by the board and has nationally being certified as a nurse practitioner by an accrediting body recognizable by the board. The scope of practice of nurse practitioners is defined by the American Academy of nurse practitioners, but state laws regulates nursing practice, with nurses being required to be holders of individual license or certificate to practice within their state of practice Psychiatric mental health nurse practitioners for Arizona.
In Arizona, nurse practice laws permits registered nurse to practice independently or to fully practice. The full practice provision permits practitioners to evaluate, diagnose, deduce diagnostic tests, as well as prescribe drugs autonomously. This implies that a collaborative practice agreement is not required and PMHNPs can diagnose and prescribe without the involvement of a physician. However, nurse practitioners are required to refer patients to a medical doctor if the recommendation will safeguard patients’ welfare and health and hold consultations with a medical doctor if a situation arises in a patient that surpasses the experience or knowledge of the nurse practitioner (AMA, 2017) Psychiatric mental health nurse practitioners for Arizona.
Although PMHNPs are trained and educated to fully practice to their level of training and education to offer a wide range of health care, their practice is limited by federal and state regulations and lack of interprofessional barriers. Peterson (2017) nurse practitioners are permitted to bill for services and can get one hundred percent compensation y services to incident, they can’t do this autonomously, which prevents them from forming autonomous practices and health care delivery. In addition, majority of physicians usually rebuff nurse practitioners full practice citing that they cannot deliver safe and quality care independently (Peterson, 2017)Psychiatric mental health nurse practitioners for Arizona.
A comparison of PMHNP practice environment in Arizona versus Illinois
Compared to Arizona where PMHNPs are allowed to practice independently, PMHNPs in Illinois must collaborate with physicians in diagnosis and treatment of patients with mental problems. AMA (2017) notes that physician involvement is needed but not when PMHNPs are practicing in an acute care setting or hospital. In addition, PMHNPs require a written agreement on collaborative practice for every clinical practice, except when they are practicing in an ambulatory setting or hospital. Consultation may take electronically or in person. In Illinois, nurse practitioners are acknowledged as primary caregivers Psychiatric mental health nurse practitioners for Arizona.
The written agreement defines the working relationship between the collaborating physician and the nurse practitioner and consents the forms of treatment, procedures and care that a nurse practitioner can perform. The collaborative agreement does not necessarily offer a description of the precise steps to be taken by the nurse practitioner in regard to every specified symptom, disease or condition, but it specifies the authorized procedure that requires the nurse practitioner to collaborate with a physician. A physician might give prescriptive authority to a nurse practitioner as a portion of a collaborative pact for medications along with schedules three to five controlled substances (AMA, 2017)Psychiatric mental health nurse practitioners for Arizona.
A professional/clinical practice issue a new PMHNP will need to address
Anew PMHNP should understand that the process of credentialing, licensure and certification is a fundamental practice that gives nurse practitioners full usage of scope of practice. The credentialing process entails verification of the needed education. According to ANCC (2018), the American national credentialing center PMHNP board certification exam is an exam based on competency that offers a reliable and valid evaluation of the level of entry of clinical skills and know-how of nurse practitioners. The certification aligns with accreditation, education and licensure Psychiatric mental health nurse practitioners for Arizona
According to NursingLicensure.org.(2018), so as to be credentialed as an advanced practice registered nurse, one must be licensed as a registered nurse in Arizona or another state. Mostly, advanced practice nurses should possess a graduate nursing degree and also a national certification pertinent to
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