How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?
The clinician must apply for initial Certification and pass the ANCC Board Certification Examination to be eligible to practice in the state of New Mexico. Once the clinician has passed the certification exam. He or she may apply to the Board of Nursing for a CNP license to practice.
What is the application process for certification in your state?
The NP graduate must apply to the ANCC website within 90 days before testing. There are local sites that the graduate can test through Prometric as well as the option to test via remote proctor. Clinicians who have received an authorization to test (ATT) notice may self-schedule their test at a Prometric Testing Center here: https://www.prometric.com/ancc.
As part of the application to test, the clinician must submit education verification documents. Initially an unofficial transcript may be used, but an official transcript must be mailed or electrically sent by the institution for the clinician to receive certification. The official transcript must come directly from the school, and the degree conferral and date of degree/post-graduate certificate awarded is listed on the transcript. It is strongly recommended by ANA that the clinician download General testing & renewal handbook and read it carefully.
What is your state’s board of nursing website?
How does your state define the scope of practice of a nurse practitioner?
The NM BON uses the guidelines from the Nurse Practice Act plus guidelines addressing the opioid crisis and prescribing, ordering, administering, or dispensing controlled substances (CS) to meet chronic non-cancer pain management (NCPM) needs is appropriate if in compliance with 8 elements of care. These eight elements are: The NP must complete a history and physical, must uses screening tools for pain, (considering an integrative approach in pain management) there must be a written treatment plan, there must be an evaluation for tapering, provider patient education explaining the risk and benefit of such medications, the NP must maintain a complete record of care and prescribing, and the NP must monitor non cancer pain, periodically reviewing course of action. There are additional key factors to consider, and the rules are updated periodically. I have listed to the Nursing Board meetings and one factor that is kept in mind when changing rules, is to ensure that NP remain as independent practice providers. One key addition to the NP guidelines, the NP can now supervise psychologists for a specific number of hours allowing psychologists to become prescribers, thereby increasing access to mental health services.
What is included in your state practice agreement?
The Nursing Practice Act (NPA) and the accompanying New Mexico Board of Nursing (NMBON) Rules and Regulations govern nursing practice in New Mexico. This includes nurse practitioners as well. The rules also include guidelines for CE requirements for APRNs with DEA registration and controlled substance license as follows: 30 hours for RN re-licensure, 20 additional hours for APRN re-licensure, 5 hours related to the APRN’s practice, 10 hours of pharmacology related to the APRN’s practice, 5 hours related to non-cancer pain management.
How do you get a DEA license?
The clinician must apply to the pharmacy Board for a DEA license.
Does your state have a prescription monitoring program (PMP)?
Yes, the NM BON participates in the prescription monitoring program, which is a web-based electronic database that aids in the reporting of dispensed controlled substance prescriptions.
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?
The NP has no medication restrictions as long as the NP completes the required education. For example, there is specific training for Clozaril, and Buprenorphine. As well NPs may provide medication assisted treatment (MAT) for up to 30 patients with opioid use disorder (OUD) without a full waiver. Additional guidelines for Benzodiazepine must be followed.
The NP has full practice in NM. State practice and licensure laws permit all NPs to evaluate patients; diagnose, order, and interpret diagnostic tests; and initiate and manage treatments, including prescribing medications and controlled substances, under the exclusive licensure authority of the state board of nursing. This is the model recommended by the National Academy of Medicine, formerly called the Institute of Medicine, and the National Council of State Boards of Nursing.
You asked to identify what surprised the student NP. Not much here, because of the current position that I work. As well, my preceptors follow the NP rules and regulations literally.
AANP forum. (2019). The Journal for Nurse Practitioners, 15(3), A10-A13. doi:http://dx.doi.org/10.1016/j.nurpra.2019.02.008
Buppert, C. (2016). 3 ways to protect your career. The Journal for Nurse Practitioners, 12(8), 575-576. doi:http://dx.doi.org/10.1016/j.nurpra.2016.06.010
Lin, C.,M.S.N.R.N., Siao, S.,M.S.N.R.N., Tung, H.,PhD.R.N., Chung, K., PhD., & Shun, S.,PhD.R.N. (2021). The gaps of healthcare service quality in nurse practitioner practice and its associated factors from the patients’ perspective. Journal of Nursing Scholarship, 53(3),
Retrieved from :https://www.nursingworld.org/our-certifications
New Mexico stands as one of the pioneers in APRN independent practice. You also gave ample details about certifying and maintaining licensure in the state. Your post highlights the range of differences between state regulations for nurse practitioners. In Massachusetts, the independent practice became active on January 1st. COVID-19 contributed to the deciding factors. Currently, an NP with two years of supervised practice may now practice without the supervision of a physician. Conversely, nurse practitioners who have had two years of supervised practice are authorized to amend their Massachusetts Controlled Substances Registration (MCSR) to remove supervision by signing an attestation. Similarly to your state, when applying for initial licensure, the applicant must provide proof of current registered nurse (RN) licensure. He or she must have an official final transcript from the school showing proof of graduate courses such as pathophysiology, advanced physical assessment, and pharmacotherapeutics. Once board certified, the APRN can then apply for prescriptive Authority, DEA, and register in the Massachusetts prescription monitoring program (Board of Registration in Nursing, 2021). Reference Board of Registration in Nursing (2021). Apply for APRN prescriptive authority. Retrieved from https://www.mass.gov/how-to/apply-for-aprn-prescriptive-authority
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