Overview of Advanced Registered Nurse Practitioner Roles in Iowa
The presentation explores the roles and responsibilities of Advanced Registered Nurse Practitioners (ARNPs) in Iowa, focusing on the granting of practice authority by the Iowa Board of Nursing, independent practice within recognized specialties, prescription authority, and certification requirements. It also delves into the specific roles of various ARNP specializations such as Certified Registered Nurse Anesthetists (CRNA), Clinical Nurse Specialists (CNS), Certified Nurse Midwives (CNM), and Certified Nurse Practitioners (CNP). The content emphasizes the educational requirements, certification processes, and scope of practice for each specialization within the ARNP field.
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Presentation Transcript
Institute of Medicine Advanced Practice Task Force of Iowa Fall, 2014 [Speaker name and title] [Venue/Audience] [Date] [Speaker name and title]
Iowa - ARNPs Advanced Registered Nurse Practitioner [Venue/Audience] [Date] [Speaker name and title]
Iowa ARNPs The Iowa Board of Nursing grants ARNPs authority to practice and regulates their practice through administrative rules Authorized to practice independently within their recognized specialty Collaborative practice agreements are not required by the Board of Nursing, but may be required by the employer May hold hospital clinical privileges Granted full, independent prescriptive authority within their specialty, schedule II-V controlled substances Requires current RN license and certification by a national certifying body to practice [Venue/Audience] [Date] [Speaker name and title]
ARNP Roles (4) CRNA - Certified Registered Nurse Anesthetist Midlevel provider/physician extender are inappropriate references Minimum education is a Master s degree Core education is the Registered Nurse Required to perform extensive clinical practicum in specialty area Pass National Certification Exam Maintain certification through ongoing education CNS - Clinical Nurse Specialist CNM - Certified Nurse Midwife CNP - Certified Nurse Practitioner [Venue/Audience] [Date] [Speaker name and title]
ARNP Advanced Registered Nurse Practitioner CNS Certified Clinical Nurse Specialist CNP Certified Nurse Practitioner CRNA Certified Registered Nurse Anesthetist CNM Certified Nurse Midwife [Venue/Audience] [Date] [Speaker name and title]
Certified Registered Nurse Anesthetist (CRNA) Perform all methods of general and regional anesthesia techniques, place invasive lines, & provide pain relief for laboring mothers. Continuously monitor patients undergoing anesthesia or sedation for surgical procedures. Provide acute, chronic, & regional pain management in every setting where these services are offered. Practice settings: hospitals, ambulatory surgery centers, clinics & offices, wherever anesthesia or sedation services may be required. [Venue/Audience] [Date] [Speaker name and title]
Certified Nurse Midwife (CNM) Provide a full range of primary health care services to women throughout the lifespan Gynecological care Family planning Prenatal and postpartum care Childbirth Care of newborn through 12 months Practice settings include home, hospitals, birth centers, ambulatory care settings [Venue/Audience] [Date] [Speaker name and title]
Certified Nurse Practitioner (CNP) Provide health care services to individuals, families, and groups Diagnose and manage acute episodic illnesses and chronic disease, in addition to a focus on health promotion, disease prevention, health education, and counseling Practice in primary, acute, chronic, and long term care settings Education varies based on subspecialty: Adult, Family, Neonatal, Pediatric, Psych-Mental Health, Women s Health, Acute Care, and Geriatric [Venue/Audience] [Date] [Speaker name and title]
Clinical Nurse Specialist (CNS) Primary goal is integration of evidence based practice into nursing care to improve patient outcomes across the health system Practice includes acute and chronic care settings Across U.S. specialize in: Adult/Geriatrics, Pediatrics, Women s Health, & Mental Health [Venue/Audience] [Date] [Speaker name and title]
Comparison Table ARNP Type Basic Education Educated/Trained Maintained BSN (equivalent); Licensed as RN. At least one year experience in critical care area. MSN/DNP, to include CRNA track; 600-1000+ clinical hours. Pass certification exam as CRNA. State licensure / registration as ARNP in specialty. 40 contact hours every 2 years to maintain. Licensed to practice independently in Iowa. CRNA BSN (equivalent); Licensed as RN MSN/DNP; to include CNM track, 600-1000+ clinical hours. Pass certification exam as midwife. State licensure / registration as ARNP in specialty. 45 contact hours every 3 years to maintain. Licensed to practice independently in Iowa. CNM (midwife) BSN (equivalent); Licensed as RN MSN/DNP, to include NP track; 600-1000+ clinical hours. Pass certification exam in specialty area. State licensure / registration as ARNP in specialty. 45 contact hours every 3 years to maintain. Licensed to practice independently in Iowa. CNP BSN (equivalent); Licensed as RN MSN, includes specialty area, 500+ clinical hours. Pass certification exam in specialty area. State licensure as ARNP; Certification exam; 45 contact hours every 3 years to maintain. Licensed to practice independently in Iowa. CNS [Venue/Audience] [Date] [Speaker name and title]
Purpose and Goals of ARNP Councils Purpose to coordinate all matters for ARNPs Goals may include: Work with physician colleagues to identify roles and expectations of ARNPs Serve as clearing house for communication to understand organizational issues pertinent to ARNPs Assist with the development of HR policies relevant to ARNPs Recruit the most appropriate and qualified applicants Establish an onboarding program Create a mentorship program Identify metrics for OPPE/FPPE Evaluate the ongoing contributions and effectiveness of ARNPs [Venue/Audience] [Date] [Speaker name and title]
ARNP Task Force with the Iowa Action Coalition Q&A document about the role of advanced practice registered nurses to educate the public Power point presentations using consistent language targeted toward administration and boards of directors to educate about advanced practice registered nurses A toolkit for changing hospital by-laws that incorporates correct and consistent terminology Editorials for local newspapers about the role of advanced practice registered nurses [Venue/Audience] [Date] [Speaker name and title]
Iowa ARNPs Thank you! Questions? [Venue/Audience] [Date] [Speaker name and title]
