New Mexico Advanced Practice Registered Nurse (APRN) Licensing and Certification

How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?

To become certified and licensed as an APRN in the state of New Mexico you must hold a valid New Mexico RN license. You must apply online for APRN licensure, request transcripts directly from school, complete a verification of APRN education form, and have proof of current national certification (NMBON, 2021).  A graduate permit may be requested if needed.

Application Process for Certification in NM and NM Nursing Website

To apply and sit for PMHNP exam in the state of New Mexico the individual must have an active NM RN license. The RN must also have official transcripts requested and received directly from the university the individual attended. They must also have proof of current national certification. The individual applying for APRN licensure must provide a completed verification of APRN education form received directly from the educational institute (NMBON, 2021). The nursing website for the state of New Mexico is https://nmbon.sks.com/. The website includes license verification, application process, complaints, and discipline and more.

How Does Your State Define the Scope of Practice of a Nurse Practitioner?

New Mexico state defines the scope of practice of a nurse practitioner as a full independent practice authority. It states that an NP is licensed by the State Board of Nursing-N.M. Nursing Practice Act §61-3-23.2(B)(2) (NCSL, 2021). The scope of practice also states that NPs may independently prescribe prescription drugs and schedule II-V controlled substances  N.M. Nursing Practice Act §61-3-23.2(B)(2) (NCSL, 2021).

What is included in your state practice agreement?

In the state of New Mexico, a Certified Nurse Practitioner who has fulfilled the requirements for prescriptive authority may prescribe in accordance with rules, regulations, guidelines and formularies. The CNP may distribute to their patients’ dangerous drugs and controlled substances. The CNP may perform an advanced practice that is beyond the scope of RN. They may practice independently and make decisions regarding health care needs of the individual (NMBON, 2021).

How Do You Get a DEA License?

In order to get a DEA license the individual must have completed and passed your state certification exam. The DEA application requires you to complete 8 sections. These eight sections include application identification, business activity, drug schedules (Schedule II, Schedule III, Schedule IV, and Schedule V), state licenses, liability, certification of exemption, method of payment, and applicants’ signature (US Department of Justice, n.d.). As a Nurse practitioner you will choose the form 224 for Mid-level Practitioner.

Does your state have a prescription monitoring program (PMP)?

New Mexico has a prescription drug monitoring program. This program is web-based electronic database that helps in collecting and reporting of dispensed controlled substance prescriptions (Pharmacy, n.d.). This program is New Mexico Prescription Monitoring Program or NM PMP. It monitors “all dispensers providing controlled substances in quantities greater than 12-dosage units of a Schedule II–V controlled substance within a 72-hour period to an individual patient” (Pharmacy, n.d.).

How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

New Mexico states that CNPs who have fulfilled requirements for prescriptive authority may distribute to their patients’ dangerous drugs and controlled substances including schedule II through V of the controlled substance act (NMBON, 2021). The DEA states that NM CNP are able to prescribe Schedule II-V, testosterone, prescribe procure and dispense (US Department of Justice, n.d.).

References

NCSL. (2021). Retrieved from NCSL Scope of Practice Policy: https://scopeofpracticepolicy.org/states/nm/

NMBON. (2021). New Mexico Board of Nursing. Retrieved from APRN Initial Application: https://nmbon.sks.com/advanced-practice-registered-nurse.aspx

Pharmacy, N. M. (n.d.). Health Services Advisory Group. Retrieved from New Mexico’s Prescription Drug Monitoring Program (PDMP) : https://www.hsag.com/contentassets/d1483fc74ad34b60b14cc1116e8cb14c/nmsurspdmpworkflow508.pdf

US Department of Justice. (n.d.). Retrieved from Diversion Control Division: https://www.deadiversion.usdoj.gov/drugreg/reg_apps/224/224_instruct.htm

It is interesting that in your state you may practice independently.  As a nurse practitioner (NP), I find that to be somewhat concerning. The educational difference and the amount of experience required by some practitioner programs is vastly different than physicians. If practitioners are allowed to practice independently then I think there should be stronger regulations in those states such as increased work experience, increased educational requirements, and more. Cabbabe (2016) published an article that listed some of the differences in education and training between physicians and NP’s, the article noted on average a 13,000 difference by the time both practices reached licensure (Cabbabe, 2016).

              The American Association of Nurse Practitioners (AANP) supports Full Practice Authority (FPA) and they noted several reasons why such as offering healthcare to more rural locations than physicians, decreases healthcare costs, and it helps alleviate the physician shortage (AANP, 2021). While I do support the growth of the NP practice, practicing independently should have higher standards and regulations than those states where shared collaboration is required.

Issues at a glance: Full Practice Authority. American Association of Nurse Practitioners. (n.d.). Retrieved December 3, 2021, from https://www.aanp.org/advocacy/advocacy-resource/policy-briefs/issues-full-practice-brief.

Cabbabe S. (2016). Should Nurse Practitioners Be Allowed to Practice Independently? Missouri medicine113(6), 436–437.

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