N521 Advanced Pharmacology Assignment 1 Paper

N521 Advanced Pharmacology Assignment 1 Paper N521 Advanced Pharmacology Assignment 1 Paper Permalink: https://nursingpaperessays.com/ n521-advanced-ph…signment-1-paper / Assignment 1 Using peer-reviewed journal articles or evidence-based practice websites locate policy or regulatory position statements or campaigns that support changes in APRN prescribing practices at the state or national level. In a paper not to exceed six double-spaced pages, excluding title and reference pages, analyze these statements by assessing their alignment with the American Association of Nurse Practitioners (AANP)’s Nurse Practitioner Prescriptive Privilege statement (see AANP Position Statement & Papers ). Use the Assignment 1 Rubric below to guide you in completing this assignment. Assignment 1 Rubric – N521 Advanced Pharmacology Assignment 1 Paper Competency 30 points 27 points 25 points 0 points Points Earned Policies, regulator position statements, campaigns Locates multiple policies or regulator position statements or campaigns that support changes in APRN prescribing practices at state and at national level Locates several state or national level policy or regulator position statement, but not both Locates only one policy or position statement Does not locate policies or position statements /30 peer reviewed journals and evidence-based practice Applies multiple peer reviewed journals and evidence-based practice websites to the assignment. N521 Advanced Pharmacology Assignment 1 Paper Applies several peer reviewed journals or evidence-based practice websites to the assignment, but not both Applies one peer reviewed journals or evidence-based practice websites to the assignment Does not use peer reviewed journals or evidence-based practice websites in the assignment /30 Analyzes regulatory position statements by assessing their alignment with the American Association of Nurse Practitioners (AANP)’s Nurse Practitioner Prescriptive Privilege statement. Discusses teamwork and collaboration as it relates to regulatory requirements Evidence of analysis of regulatory statements and alignment of AANP statements. Discusses teamwork and collaboration as it relates to regulatory requirements, N521 Advanced Pharmacology Assignment 1 Paper Evidence of analysis of regulatory statements and alignment of AANP statements. Discusses teamwork and collaboration as it relates to regulatory requirements Minimal evidence of analysis of regulatory statements and alignment of AANP statements. Discusses teamwork and collaboration as it relates to regulatory requirements No evidence of analysis of regulatory statements and alignment of AANP statements. No discussion of teamwork and collaboration as it relates to regulatory requirements /30 Competency 5 points 4 points 3 points 0 points Points Earned Grammar, spelling, and punctuation There are no errors in grammar, spelling, and punctuation There are a few minor errors in grammar, spelling, and punctuation that do not detract from the meaning There are major errors in grammar, spelling, and punctuation that do not reflect scholarly writing NA /5 APA Compliance The paper meets APA format guidelines There are minor APA format errors There are significant errors in format NA /5 Total Points /100 Discussion 1 Locate your state’s nurse practice act (NPA) and associated regulations governing prescribing by advanced practice nurses (CNPs, CRNAs, CNMs, CNSs). Answer and discuss the following in this forum: Does your NPA require the APRN to have a collaborative agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a collaborative agreement, and explain why/why not. Does your NPA require the APRN to have a prescribing agreement with a physician? Discuss whether you think the NPA should or should not require the APRN to have a prescribing agreement, and explain why/why not. Does your NPA permit APRNs to prescribe all classes (schedules) of medications? Discuss whether you think the NPA should or should not permit APRNs to prescribe all classes of medications, and explain why/why not. Describe collaborative approaches to treating rashes across the lifespan. Should the CNP treat without a collaborator or consultant? Support your statements based upon evidence. Remember to respond to at least two of your peers. Please see the Course Syllabus for Discussion Participation Requirements and Grading Criteria. Sample Discussion 1 Approach 1. Does your NPA require the APRN to have a collaborative agreement with a physician? In the state of Virginia, “Every nurse practitioner other than a nurse practitioner licensed by the Boards of Medicine and Nursing as a certified nurse midwife or a certified registered nurse anesthetist or a nurse practitioner who meets the requirements of subsection I shall maintain appropriate collaboration and consultation, as evidenced in a written or electronic practice agreement, with at least one patient care team physician” (§ 54.1-2957. Licensure and practice of nurse practitioners, 2021). I feel as though NPs should have to collaborate with a physician because a physician will be able to perform the same roles as the NP, however they are educated in a greater detail than the NP. It is no difference than a CNA working with a RN. The CNA is able to do some of the tasks that a RN can perform. However, we are trained at a higher level and the explanation as to the “why” is taught. 2. Does your NPA require the APRN to have a prescribing agreement with a physician? In Virginia, NPs who do not have at least 5 years of full time clinical hours must have an agreement with a physician to prescribe medications. NPs in Virginia, must have over 1,000 hours of experience to 30 credit education hours to prescribe medications. I feel that NPs should have an agreement with a physician in order to prescribe medications to a patient. I believe it depends on the viewpoint that you are looking at. I do not think that it should be considered as if we do not know what we are doing. I look at it as a safety check for the patient. This way, you will have someone with more education and knowledge that you can use as a resource for the well being of the patient. N521 Advanced Pharmacology Assignment 1 Paper 3. Does your NPA permit APRNs to prescribe all classes (schedules) of medications? In Virginia, Code § 54.1-2957.01. states that “Such nurse practitioner shall provide to the Boards of Medicine and Nursing such evidence as the Boards may jointly require that the nurse practitioner has entered into and is, at the time of writing a prescription, a party to a written or electronic practice agreement with a patient care team physician that clearly states the prescriptive practices of the nurse practitioner. Such written or electronic practice agreements shall include the controlled substances the nurse practitioner is or is not authorized to prescribe and may restrict such prescriptive authority as described in the practice agreement. Evidence of a practice agreement shall be maintained by a nurse practitioner pursuant to § 54.1-2957. Practice agreements authorizing a nurse practitioner to prescribe controlled substances or devices pursuant to this section either shall be signed by the patient care team physician or shall clearly state the name of the patient care team physician who has entered into the practice agreement with the nurse practitioner”. With the opioid epidemic, I feel that there could not be enough checks and balances to help defeat this issue. I feel as though, we as practitioners could possibly become skewed with our viewpoint of a patient with a chronic illness. Having a physician to discuss a patient’s case and when or if their medications have reached a therapeutic level and if they should need to be adjusted at that point would benefit the patient. I am of the opinion that there can never be too many checks for safety. 4. Describe collaborative approaches to treating rashes across the lifespan. Should the CNP treat without a collaborator or consultant? Collaborating with a dermatologist on treating rashes would benefit the patient. There are several reasons that a rash could come about. In my opinion, it would be better to consult a specialist versus running unnecessary tests or prescribing unnecessary medications that may not work. In the long run, that may be costing the patient more out of pocket costs. Since Covid, several of my colleagues as well as myself have developed skin issues due to the consistent use of mask wearing and other PPE. “Moreover, skin problems related to personal protective equipment (PPE) have been reported in health care workers; thought to be caused by the hyper-hydration effect of PPE, friction, epidermal barrier breakdown, and contact reactions. Aggravation of previous dermatitis has been noted in the wearers and also skin lesions ranging from contact and pressure urticaria or contact dermatitis, after prolonged contact with masks and goggles” (Jagadeesan & Sarkar, 2020). Mask-ne is a real thing. Hopefully, we will be able to decrease the usage of constant mask wearing soon. References: Jagadeesan, S., Sarkar, R., 2020. Covid-19 and the dermatologist: finding calm in the chaos. Pigment International (7)1 1-4 Law.lis.virginia.gov. 2021. § 54.1-2957. Licensure and practice of nurse practitioners. [online] Available at: < https://law.lis.virginia.gov/vacode/title54.1/chapter29/section54.1-2957/ > [Accessed 15 March 2021]. Dhp.virginia.gov.2021 [online] Available at: < http://www.dhp.virginia.gov/media/dhpweb/docs/laws-regs/Drug_laws_pract.pdf > [Accessed 15 March 2021]. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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