Despite the efforts by APRN Consensus Model to standardize Nurse Practitioner regulations nationally, there are still variations depending on one’s state of practice. I intend to work in New Jersey (NJ) upon licensure; therefore, I had to research the certification process, NP regulations, the scope of practice while noting the potential collaboration requirements. The discussion will also look into the state practice agreement, obtaining Drug Enforcement Administration (DEA) license, and the availability of a prescription monitoring program (PMP).
Throughout my research, it was evident that NJ state has some restrictions that limit an NP’s autonomy. For instance, the state has a Joint Protocol (NJAC 13:37-6.3), describing specific drugs NPs can prescribe independently. The NP needs to sign a contract with a physician licensed to practice in NJ for other significant tasks. Therefore, we can term the practice in my state restricted. However, as a primary provider, an NP can work independently and not require physical collaboration with a doctor to write and modify prescriptions for their patients (Cadmus et al., 2020). APRNs can technically diagnose and treat patients without physician oversight.
To apply for certification as an APRN in NJ, one ought to have proof of current registered professional nurse license for the state in good standing. A non-refundable fee of USD 100 is also payable to the NJ licensing board. Furthermore, one’s original official transcripts obtained from school should be submitted to confirm the board’s education requirements, having completed the Master’s level for the specialty of choice (Cimiotti et al., 2019). There is the education requirement to complete a graduate-level 3-credit course in pharmacology with at least 45 hours of integrated pharmacology into the Master’s program in an accredited institution. Individuals whose level 3-credit was done more than five years before applying should provide proof of their previous course or undertake a continuing education program with 30 contact hours. One has to have proof of passing the highest level national Advanced Practice Nurse Examination in the area of clinical specialty. Other advanced nursing practice certifications held in the past must be in good standing too.
The official website to obtain pertinent information on registration and licensure in the state is NCSBN. The Prescriptive Authority for NPs in New Jersey is available on the website, and it is the one describing the Joint Protocol with a collaborating physician. Regarding Drug Enforcement Administration (DEA) and Controlled Dangerous Substances (CDS), Streeks-Wooden (2021) posits that an NP in New Jersey state needs to obtain CDS registration from their website or contact the Drug Control Unit and DEA certification first. Finally, the state has Prescription Monitoring Program (PMP). The New Jersey Division of Consumer Affairs initiated the program to limit the abuse and diversion of prescription drugs.
Cadmus, E., de Cordova, P. B., Weaver, S., & Ravichandran, A. (2020). Access to Care in New Jersey: Making the Case for Modernizing Legislation. Journal of Nursing Regulation, 11(1)
Cimiotti, J. P., Li, Y., Sloane, D. M., Barnes, H., Brom, H. M., & Aiken, L. H. (2019). Regulation of the nurse practitioner workforce: implications for care across settings. Journal of nursing regulation, 10(2), 31-37., 36-41.
Streeks-Wooden, N. (2021). Licenses, Credentials, and Privileges. In A Pediatrician’s Path (pp. 163-170). Springer, Cham.
I enjoyed reading your post. I live in California and I am curious about how other states’ rules and policies. I read one article regarding New Jersey Board of Nursing and it is very similar to California. The New Jersey Board of Nursing will accept advanced practice certification issued by agencies that have been approved by an accrediting body for continuing education in nursing. The Board’s goal is to provide the highest possible examination for nurses in their specialty area. This level of certification should be offered to nurses who specialize in advanced practice nursing. While working under temporary authorization, an individual may make up to three attempts at the certification exam (NursingLicensure.org, 2021). During this time period, he or she may have a limited scope of practice. If your state has the same educational requirements, then you may be endorsed to practice in New Jersey. However, in order to be considered, you must meet the requirements of the national certification program. The materials will include information about the applicant’s educational background and experience. To secure a licensing agency, the applicant should submit both the transcript from their master’s and the one from their post-master. In cases where coursework is not included in the program, the director or dean will complete a certification form. In order to maintain the highest level of licensing, an individual will need to have the necessary documents in place to prove his or her national certification. (NursingLicensure.org, 2021)
NursingLicensure.org. (2021). New Jersey APN License Requirements | Become a Nurse Practitioner in NJ – NursingLicensure.org. NursingLicensure.Org – A More Efficient Way to Find Nursing License Requirements in Your State. Retrieved November 30, 2021, from https://www.nursinglicensure.org/np-state/new-jersey-nurse-practitioner/#education
I noticed the state you plan to practice in has similar restrictions to Ohio. In Ohio we can own the company but require physician collaboration. If we want to prescribe schedule 2 medications the a physician has to own all or a fraction of the business. No matter which direction we go, a physician has some hand in the company. With collaborating, they do not have a say in how the company is ran but with that said, they could pull their collaboration if they don’t agree with certain guidelines. How do you feel about restricted states such as yours and Ohio?
According to rule 4723-9-03 the state of Ohio, we must complete an advanced pharmacology course within 5 years of certification (Ohio Laws, 2021). The requirements of that course sound familiar with the one you posted about. Ohio and New Jersey are both listed as a reduced practice state according to the American Association of Nurse Practitioners (AANP). I am interested in seeing the various states restrictions between independent, reduced, and restricted laws.
Chapter 4723-9: Prescriptive Authority. Chapter 4723-9 – Ohio Administrative Code | Ohio Laws. (n.d.). Retrieved December 5, 2021, from https://codes.ohio.gov/ohio-administrative-code/chapter-4723-9.
Ohio Information and Resources. (n.d.). Retrieved December 5, 2021 from https://www.aanp.org/advocacy/ohio.
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