Licensing and Certification Plan APRN New Jersey

In New Jersey it is required to have a graduate advanced practice degree or MSN and postmaster in advanced practice role. Also, it is required (3) three semester hours of pharmacology or forty-five hours of integrated pharmacology. Along with continuing education credits in their field of study (Nursing Licensure, n.d.). In New Jersey the APRN is required to have an agreement to work with another provider to deliver patient care as New Jersey is a reduced practice state (American Association of Nurse Practitioners, n.d.). In NJ, APNs do not work under the supervision of a physician: they are independent professionals who are required to have a joint protocol with a collaborating physician for prescribing purposes only (American Association of Nurse Practitioners, n.d.).

Prospective APNs may request application materials from the Board. The request may be sent by email at ‘apn at dca.lps.state.nj.us’. The applicant will identify the type of application needed (initial, endorsement, or reinstatement) and provide other pertinent information such as contact information, degree, and specialty (http://www.njconsumeraffairs.gov/nur/Pages/applications.aspx).

The New Jersey applicant should arrange to have official transcripts sent directly to the licensing agency. The licensing agency will also require primary source verification of national certification. The application fee is $100; a separate certification fee will be assessed later.

Nurses are directed to read advanced practice regulations before submitting their applications. The New Jersey Board will accept advanced practice certifications issued by certifying agencies that hold accreditation through American Board of Nursing Specialties (http://nursingcertification.org/absnc/programs) or the National Commission for Certifying Agencies (http://www.credentialingexcellence.org). The Board stipulates that the certification be the highest examination available in the nurse’s specialty area. Information about nurse practitioner certification is available from the New Jersey Board of Nursing (http://www.njconsumeraffairs.gov/nur). The New Jersey Board can be reached by telephone at (973) 504-6430.

The DEA license cost $888.00 for three years. To obtain a DEA license one can apply online at the U.S. Department of Justice website or by calling the DEA Headquarters Registration Unit at (800) 882-9539 (American Association of Nurse Practitioners, n.d.).

In New Jersey’s collaborative agreement, nurse practitioners may prescribe Schedule II to V controlled substances. New Jersey’s Prescription Monitoring Program (NJPMP) is an important component of the New Jersey Division of Consumer Affairs’ initiative to halt the abuse and diversion of prescription drugs. Established pursuant to N.J.S.A. 45:1-45 et. seq. (New Jersey Division of Consumer Affairs, n.d.).

What surprised me was the $888.00 fee for the DEA license.

References

Advanced Practice Registered Nursing (n.d.): Nurse Practitioner retrieved from            https://www.nursinglicensure.org/np-state/new-jersey-nurse-practitioner/  

American Association of Nurse Practitioners (n.d.) retrieved from https://aanp.org

American Board for Specialty Nursing Certification (ABSNC). Retrieved from            https://nursinglicensemap.com/resources/specialty-nursing-certification-approved programs/

New Jersey Division of Consumer Affairs (n.d.). New Jersey Prescription Monitoring Program            https://www.njconsumeraffairs.gov/pmp

Scope of Practice Policy (n.d.). Nurse Practitioners Overview. Retrieved from            http://scopeofpracticepolicy.org/states/nj

As you have mentioned in your post, NJ is among those States which is not a full practice authority states and APN is required to have joint protocol with a collaborating physician to prescribe any medication  or medical advice( NJ division of consumer affairs, 2020).  APNs dont work under direct supervision under physician and APNs are independent professional but required to have joint protocol with collaborating  physician for prescription purposes only. The collaborating agreement between the physician and APNs restrict the APN’s ability to practice in full extent of their education and licensure. Joint protocol requirement for APN is restricting access to care and a barrier to the APN providing care especially in rural areas where there is shortage of physicians. Full practice authority allows APNs to evaluate patients, diagnose, order and interpret diagnostic test and initiate treatment and prescribe medication under exclusive licensure authority of State Board of Nursing without collaborating agreement or joint protocol with physician( NJSNA, 2019).New Jersey law makers have considered legislation that allows nurse to prescribe independently but such legislation has not passed yet.  

References: 

NJSNA (2019). NJ Nurses fight for full practice authority to increase patient access to care. Retrieved from www.njsna.org

New Jersey division of consumer affairs (2021). Advanced Practice Nurse Certification. Retrieved from www.njconsumeraffairs.gov

My main interest is about how to be qualified for a DEA license in New Jersey. As I was reviewing their application form for Advance Practice Nurse Certification in New Jersey, they had question that pertains to previous illegal use of controlled dangerous substances which is concern to me and I quote:

Illegal Use of Controlled Dangerous Substances

The question below pertains to the illegal use of controlled dangerous substances. Please read the definitions carefully. Your responses will be treated confidentially and retained separately. Please be aware that you have the right to elect not to answer this question if you have reasonable cause to believe that answering may expose you to the possibility of criminal prosecution. In that event, you may assert the Fifth Amendment privilege against self-incrimination. Any claim of Fifth Amendment privilege must be made in good faith (The New Jersey State, 2017). My concern is, applicant’s previous history of misuse of controlled substance can go in a long way to affect their future qualification as prescribers (AANP, 2021). I am concerned about this portion of the application because I have encountered health care workers who have had drug problems, being to rehabs, recovered and pursuing courses like this so to advance in their carrier. If at the end of their courses and they encounter such clauses in their application, I am afraid what their fate would be.

References

The New Jersey State (2017). NJ Application for Advanced Practice Nurse Certification. Retrieved from https://www.njconsumeraffairs.gov/pmp

AANP (2021) How to Get Information About Obtaining a DEA Number. Retrieved from https://www.aanp.org/practice/practice-management/business-resources-for-nurse-practitioners/how-to-order-a-dea-number

When looking at the different states requirements for the nurse practitioner I found New Jersey to be interesting. In researching the regulations for prescriptive authority I found two interesting points. The first, is ” an advanced practice nurse may dispense narcotic drugs for maintenance treatment or detoxification treatment if the advanced practice nurse has met the training and registration requirements set forth in subsection (g) of 21 U.S.C. s.823. An advanced practice nurse who is authorized to dispense such drugs may do so regardless of whether the advanced practice nurse’s collaborating physician has met the training and registration requirements set forth in subsection (g) of 21 U.S.C. s.823, provided that the joint protocol established by the advanced practice nurse and the collaborating physician include the collaborating physician’s written approval for the advanced practice nurse to dispense the drugs” (https://www.njconsumeraffairs.gov/statutes/nursinglaw.pdf). Yes, there is physician collaboration with the nurse practitioner but what is interesting is that the NP can prescribe certain narcotics or a detox treatment even though the collaborating physician doesn’t have the same training. A lot of other information applies to inpatient scenarios I didn’t find a lot of private practice collaborations between NP and MD. Do you plan to work for a hospital system or hope to get into a private practice?

The second point is that there is a New Jersey prescriptive pad. “The advanced nurse practitioner writes the prescription on a New Jersey Prescription Blank pursuant to P.L.2003, c.280(C.45:14-40 et seq.), signs the nurse’s own name to the prescription and prints the nurse’s name and certification number”(Buppert, p.120). 

Thank you for your post.

References:

Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.

 New Jersey Board of Nursing. (2021). https://www.nursinglicensure.org/np-state/new-jersey-nurse-practitioner/  

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