Write a 2- to 3-page paper in which you do the following: • Describe the PMHNP practice environment for your home state, highlighting restrictions or limitations for practice. • Compare the PMHNP practice environment in your home state with a neighboring state or a state in which you would like to practice. • Describe a professional and/or clinical practice issue a new PMHNP will need to consider and address with the certification, licensure, credentialing, or relocation process.

Certification plan

PMHNP practice environment for California State

The practice environment for the PMHNP is regulated by the state scope of practice laws. PMHNPs in California practice under a restrictive environment where state law mandates that the PMHNPs collaborate with a physician for them to practice. The PMHNP and the collaborating physician must possess a written protocol that covers all major aspects of care. The protocol is jointly developed by the physician and nurse practitioner.  As indicated by Barton Associates (2020), nurse practitioners in California have the authority to prescribe medications, including schedule two to five controlled drugs but only under supervision by a physician.  A nurse practitioner in California can refer patients for physical therapy but only if it is outlined in the collaborative agreement. A PMHP is restricted from signing death certificates Practicum Journal Entry: Certification Plan.

Comparing the PMHNP practice environment in California State with the state in which I would like to practice (Maryland)

There are notable differences between the practice environment for PMHNP in California and those in Maryland State. Compared to California where state laws restrict the ability of PMHNPs to practice independently, Maryland state laws allow nurses PMHNPs to practice independently without the requirement for physician supervision. According to Barton Associates (2020), nurse practitioners in Maryland can diagnose, treat and prescribe without the involvement of a physician. Additionally, they are authorized to refer patients for physical therapy and to sign death certificates.

Professional and clinical practice issues a new PMHNP will need to consider and address with the certification, licensure, credentialing, or relocation process.

There are several professional and clinical issues that a new PMHNP needs to put into consideration and tackle with the process of licensure, certification, credentialing and relocation. To offer patient care, a new PMHNP needs to get licensure as well as certification. Halter (2017) claims that licensure enables the nurse practitioner to practice in psychiatric mental nursing while certification is a demonstration that one is proficient in psychiatric nursing. PMHNP receives state licensure from the Board of Nursing.Practicum Journal Entry: Certification Plan.  Licensure requirements include the completion of a degree program from an accredited institution and completion of the NCLEX examination.  After getting state licensure, a PMHNP can receive certification.

National certification is the process by which the PMHNP demonstrates he or she has competencies in psychiatric mental health nursing.   To receive national certification   A PMHNP must sit and pass the ANCC PMHNP board certification examination. According to Halter (2017), for a PMHNP to certification offers nurse practitioners a sense of accomplishment and mastery, recognizes them as competent care providers. To take the ANCC examination, the PMHNP have complete a master’s program,  must have worked for two years as a full time registered nurse, attained two thousand hours in clinical hours within a psychiatric setting as well as thirty hours of continuing education in psychiatric mental health nursing. After a PMHNP takes the ANCC certification examination and passes, one is rewarded a board-certified credential and given the title PMHNP-Board Certified. Practicum Journal Entry: Certification Plan.

Credentialing is by the process by which healthcare agencies use to ensure that PMHNPs meet all the essential requirements and are properly qualified to provide safe and high-quality care to patients.  According to Stewart and DeNisco (2018), the process of credentialing involves authentication of education, licensure, along with reference checks. The process is utilized by numerous institutions, organizations and agencies to officially provide authority to selected healthcare professionals to practice as licensed providers in the health care delivery scheme.

When a PMHNP want to relocate to and practice in a different state, the first step in relocating licensure involves the PMHNP determining the licensure requirements in his current state and the state one wants to relocate, one should find out if his future home state is part of the nurse licensure compact Practicum Journal Entry: Certification Plan.  Roux and Halstead (2017) assert that the compact allows a licensed nurse who lives in a state that participates in the compact to practice in another state that participates in the compact without the requirement to obtain another practice license. If the PMHNP is relocating from the state that does not participate in the NLC, one should apply for licensure via endorsement fro

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