Posted: March 16th, 2022

Assignment help – Discussion: Professional Nursing and State-Level Regulations

Assignment help – Discussion: Professional Nursing and State-Level Regulations
Each state body outlines a scope of practice for nurse practitioners for their own state. In the State of Michigan, nurse practitioners must work under physician orders and do not have autonomy in the state. I choose prescriptive authority and practice authority as my two regulations for this discussion.

In the State of Michigan, “nurse practitioners are only allowed to write for prescriptions of non-scheduled prescription drugs, controlled substances 2-5 must be written and signed by both physician and nurse practitioner “(Michigan Legislature – Section 333.17211a, n.d.). Practitioners here usually work in hospitals or in doctors’ offices working under a physician supervision. “Nurse practitioners in this state must work under a physician directive that falls withing their scope of practice” (Michigan Legislature – Section 333.16215, n.d.). I feel that this is part of the reason why there is a shortage of practitioners in the state. All this education and we still must be supervised by a physician.

In contrast, the State of Florida allows full autonomy to their nurse practitioners. “a nurse practitioner may prescribe all medications, including controlled substances, if they are practicing autonomously” (Florida Scope of Practice Policy – State Profile, n.d.). I read this as if you open your own practice, you do not need a physician to write any prescriptions. Whereas in a hospital setting, you would still have to have a physician signature. “Nurse practitioners may practice autonomously in primary care settings including family medicine, general pediatrics, and general internal medicine” (Florida Scope of Practice Policy – State Profile, n.d.). The State of Florida is a much better state if you want full autonomy. However, it costs money to open your own practice and hire staff to operate it, so there are advantages and disadvantages to full autonomy.

References

Michigan Legislature – Section 333.17211a. (n.d.). Michigan Legislature. Retrieved March 29, 2021, from http://www.legislature.mi.gov/(S(2s1hyab0wsrofw4hejdqlwgg))/mileg.aspx?page=getObject&objectName=mcl-333-17211a

Michigan Legislature – Section 333.16215. (n.d.). Michigan Legislature. Retrieved March 29, 2021, from http://www.legislature.mi.gov/(S(ubl4ehvh1x3c54rpie1dkeoh))/mileg.aspx?page=getObject&objectName=mcl-333-16215

Florida Scope of Practice Policy – State Profile. (n.d.). Scope of Practice Policy. Retrieved March 29, 2021, from https://scopeofpracticepolicy.org/states/fl/

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Professional Nursing and State-Level Regulations are being discussed.
Each state authority establishes a scope of practice for nurse practitioners in their respective states. Nurse practitioners in the state of Michigan are required to work under physician directions and do not have any autonomy. For this discussion, I’ve chosen prescriptive authority and practice authority as my two regulations.

“Nurse practitioners are only allowed to write for prescriptions of non-scheduled prescription medications, controlled substances 2-5 must be written and signed by both physician and nurse practitioner,” according to the state of Michigan (Michigan Legislature – Section 333.17211a, n.d.). Practitioners in this country typically work in hospitals or doctor’s offices under the supervision of a physician. “In this state, nurse practitioners must work under a medical direction that is within their scope of practice.”

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