Fall 2014 Speaker name and title Iowa ARNPs Advanced Registered Nurse Practitioner Iowa ARNPs The Iowa Board of Nursing grants ARNPs authority to practice and regulates their practice through administrative rules ID: 910428
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Slide1
Institute of Medicine
Advanced Practice Task Force of Iowa
Fall, 2014
[Speaker name and title]
Slide2Iowa - ARNPs
Advanced Registered Nurse Practitioner
Slide3Iowa 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 privilegesGranted full, independent prescriptive authority within their specialty, schedule II-V controlled substancesRequires
current RN license and certification by a national certifying body to practice
Slide4ARNP Roles (4)
CRNA -
Certified Registered Nurse Anesthetist
CNS - Clinical Nurse Specialist CNM - Certified Nurse Midwife
CNP - Certified Nurse Practitioner
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
Slide5ARNP
Advanced Registered Nurse Practitioner
CNM
Certified Nurse
Midwife
CNS
Certified
Clinical Nurse
Specialist
CRNA
Certified Registered Nurse Anesthetist
CNP
Certified
Nurse
Practitioner
Slide6Certified 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.
Slide7Certified Nurse Midwife (CNM)
Provide a full range of primary health care services to women throughout the lifespan
Gynecological careFamily planningPrenatal and postpartum careChildbirthCare of newborn through 12 months
Practice settings include home, hospitals, birth centers, ambulatory care settings
Slide8Certified 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 counselingPractice 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
Slide9Clinical 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
Slide10Comparison Table
ARNP Type
Basic Education
Educated/Trained
Maintained
CRNA
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.
CNM (midwife)BSN (equivalent); Licensed as RNMSN/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.
CNPBSN (equivalent); Licensed as RNMSN/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.CNSBSN (equivalent); Licensed as RNMSN,
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.
Slide11Purpose 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 ARNPsServe as clearing house for communication to understand organizational issues pertinent to ARNPs
Assist with the development of HR policies relevant to ARNPsRecruit the most appropriate and qualified applicantsEstablish an onboarding programCreate a mentorship program
Identify metrics for OPPE/FPPE
Evaluate the ongoing contributions and effectiveness of ARNPs
Slide12ARNP 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 nursesA toolkit for changing hospital by-laws that incorporates correct and consistent
terminologyEditorials for local newspapers about the role of advanced practice registered nurses
Slide13Iowa ARNPs
Thank you!
Questions?