Wisconsin nursing practice Certification and Licensure

Summarize nurse practitioner certification and licensure processes

Certification of a nurse practitioner (NP) includes applying for an exam with the American Academy of Nurse Practitioners Certification Board (AANPCB) or the American Nurses Credentialing Center (ANCC) by graduating from an accredited master’s, postgraduate, or doctorate degree program and possessing an active registered nurse (RN) license (Leik, 2021). NP licensure is governed by the state of residence or practice and information can be quite difficult to find. In Wisconsin, you must submit an application and fee, provide evidence of current registered nurse licensure, current NP certification by a certifying body, master’s or doctoral degree, and completion of 45 contact hours in clinical pharmacology (Wisconsin Department of Safety and Professional Services, 2021).

Explain state-specific scope of practice for family practice nurse practitioners and restrictions or limitations for practice

Wisconsin NPs do not have a separate scope of practice from RNs and LPNs. Wisconsin NPs must have a collaboration with a medical doctor or doctor of osteopathic medicine to practice and prescribe no more than schedule II drugs. A Wisconsin NP can never practice independently and never be named a primary care provider (NCLS, n.d.).

Explain nurse practitioner prescriptive authority and DEA registration processes

As stated above the prescriptive authority of a Wisconsin NP is limited to schedule II drugs. Any NP that prescribes controlled substances needs a Drug Enforcement Administration (DEA) number. To apply for a number an NP must either apply online, call DEA Headquarters, or mail DEA Form 222a (American Associated of Nurse Practitioners, n.d.).

Explain legislative and advocacy activities related to nurse practitioner practice

For several years NPs have been fighting for updating legislation in Wisconsin including independent practice, being labeled advanced practice registered nurses (APRN), and providing a definition and scope of practice (Wisconsin Nurses Association, 2021). Hearings are currently being held in Wisconsin legislation.

Identify key concepts of professional issues related to nurse practitioner practice

A few issues related to nurse practitioner practice includes the presumed lack of education, experience, and knowledge to care for patients. However, studies show that NPs provide holistic, safe, and cost-effective care and when complex patients arise an NP utilizes resources to assist with the needed care (Buttaro et al., 2021; Moldestad et al., 2020).

References

American Association of Nurse Practitioners. (n.d.). How to get information about obtaining a DEA number. Retrieved August 31, 2021, from https://www.aanp.org/practice/practice-management/business-resources-for-nurse-practitioners/how-to-order-a-dea-number

Buttaro, T. M., Polgar-Bailey, P., Sandberg-Cook, J., & Trybulski, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). Elsevier.

Leik, M. T. C. (2021). Adult-gerontology nurse practitioner certification: Intensive review (4th ed.). Springer Publishing Company

Moldestad, M., Greene, P. A., Sayre, G. G., Neely, E. L., Sulc, C. A., Sales, A. E., Reddy, A., Wong, E. S., & Liu, C. (2020). Comparable, but distinct: Perceptions of primary care provided by physicians and nurse practitioners in full and restricted practice authority states. Journal of Advanced Nursing, 76(11), 3092–3103. https://doi-org.ezp.waldenulibrary.org/10.1111/jan.14501

NCSL. (n.d.) State overview: Wisconsin. Retrieved August 31, 2021, from https://scopeofpracticepolicy.org/states/wi/

Wisconsin Department of Safety and Professional Services. (July 2021). Board of nursing. Retrieved August 31, 2021 from https://dsps.wi.gov/Credentialing/Health/fm2124.pdf

Wisconsin Nurses Association. (August 2021). APRN modernization act 2021. Retrieved August 31, 2021, from https://www.wisconsinnurses.org/aprn-modernization-act-2021/

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