The barriers with the State of Ohio that I have run into so far happen to be with my preceptor who is a PMHNP and owns her own practice. She does not currently prescribe schedule II medications which allows her to own 100% of her business. If she were to prescribe that particular classification of drugs, a physician would have to own all or part of her company. This creates a barrier for those patients who want a drug like Adderall. She is not able to prescribe that so she refers them to another PMHNP who is able to.
There are some states where practitioners may practice independently, but Ohio is not one of them. She currently has 6 practitioners in her practice, and she must have enough collaborating physicians to cover all practitioners. One physician may have up to five nurse practitioners under their license as collaborators. These physicians do not own part of her company, but they do charge a fee for allowing the practitioners to utilize their license.
American Nurses Credentialing Center
Ohio Board of Nursing
Ohio Laws and Administrative Rules: Legislative Service Commission
You have covered all the questions in the prompts precisely. It is clear from your post that Ohio state is a restricted practice state for advanced practice nurses, just like New Jersey, where I plan to practice upon licensure. Most of the requirements such as the prescriptive authority are similar in our states as it is amust to
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) (Streeks-Wooden, 2021). The New Jersey Division of Consumer Affairs initiated the program to limit the abuse and diversion of prescription drugs.
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
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.
With the state of healthcare in the country, I am always surprised by the states that do not allow APRNs full authority to practice. Even in Massachusetts where I currently live, APRNs could not practice independently until recently and only in response to the pandemic (Commonwealth of Massachusetts, 2021c).
I was completely shocked when you mentioned the barriers with preceptors. It was dishearten to read that in order to prescribe schedule II medications, the NPs would have to give up partial or full ownership of their practice to a physician. Hopefully, the laws and regulations will change in Ohio and allow for independent practice.
Commonwealth of Massachusetts. (2021c). Learn about advanced practice registered nurses (APRN): Information about APRN practice and clinical categories. https://www.mass.gov/service-details/learn-about-advanced-practice-registered-nursesaprn.
It is very interesting reading through all the regulations in place for NP practices. The barriers created with these regulations at times do not encourage some nurses to further their education in becoming NP. Hence, shortage of NPs in most of the states. In addition to your post, with practice authority in Ohio, Nurse Practitioners are required to establish a collaborative agreement with a physician in order to provide preventive and primary care services, provide services for acute illness and evaluate and promote patient wellness within the nurses specialty (Med source, 2018). great job on your post
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