Legal Issues: The Basics


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Legal Issues: The Basics

  1. 1. Session Three Legal Issues: The Basics
  2. 2. Accreditation <ul><li>A process by which an agency or organization evaluates and recognizes an institution or program of study as meeting certain predetermined criteria or standards. </li></ul><ul><li>It is a voluntary process based upon the concept of self-regulation </li></ul>
  3. 3. Licensure <ul><li>The process by which an agency of the government grants permission to persons to engage in a given profession or occupation by certifying that those licensed have attained a minimum degree of competency necessary to ensure that the public health, safety and welfare will be reasonably well protected. </li></ul>
  4. 4. Nurse Practice Acts <ul><li>Govern entry-level nursing </li></ul><ul><li>Since January 1997 all states regulate APN </li></ul><ul><li>Title protection in all states except Tn. </li></ul><ul><li>NCSBN opposed ANA’s proposal for second licensure for APNs. </li></ul><ul><li>Multistate Licensure </li></ul><ul><li>Registration </li></ul>
  5. 5. Certification <ul><li>Process by which a non-governmental agency or voluntary association grants recognition to an individual who has met certain predetermined qualifications specified by that agency or association. </li></ul>
  6. 6. Major Certifying Organizations <ul><li>American Nurses Credentialing Center </li></ul><ul><li>American Academy of Nurse Practitioners </li></ul><ul><li>National Certification Corporation for the Obstetric, Gynecological and Neonatal Nursing Specialties </li></ul><ul><li>National Certification Board of Pediatric Nurse Practitioners/Nurses </li></ul>
  7. 7. ANCC Facts: Requirements Certification valid for five years Sylvan Learning Center test site 500 hours of supervised practice Preparation as NP in MSN or post-MSN program Copy of official transcript Completed application and fee 1-800-234-2378 www. nursing Active registered nurse license Master’s Degree in Nursing
  8. 8. Prescriptive Authority <ul><li>The legal right to prescribe medications as governed by different rules and regulations or laws in each state. </li></ul><ul><li>Can use formularies, protocols developed jointly by MD and APN, or APN prescriptive authority </li></ul><ul><li>Since 1999 APNs have had independent/dependent statutory or regulatory prescriptive authority </li></ul>
  9. 9. Prescriptive Authority <ul><li>DEA registration numbers allow you to dispense controlled substances (Schedule II-V) as allowed by state law </li></ul><ul><li>DEA phone: 615-736-2559 </li></ul><ul><li>Certificate of Fitness: RN license, MSN,NP program of studies, 3 quarter hours of pharmacology, national certification in specialty area </li></ul>
  10. 10. Temporary Certificate of Fitness <ul><li>Issued only once and valid until the results of the certification exam are known </li></ul><ul><li>If applicant fails permit must be returned to TBON </li></ul><ul><li>Must work under RN with COF or MD </li></ul>
  11. 11. Steps for NPs entering practice: <ul><li>Obtain all forms from Board of Nursing, Board of Medical Examiners, and Board of Pharmacy </li></ul><ul><li>Apply for national certification </li></ul><ul><li>Adopt protocols </li></ul><ul><li>File for additional approvals </li></ul>
  12. 12. Contact Information <ul><li> </li></ul><ul><li> </li></ul><ul><li> </li></ul><ul><li>Tn: 1-888-310-4650 </li></ul><ul><li>Va: 1-804-662-9909 </li></ul><ul><li>Nc: 1-919-782-3211 </li></ul>
  13. 13. Negotiating a Contract The Essentials
  14. 14. Do your homework <ul><li>Know “going rates” </li></ul><ul><li>Assess your needs </li></ul><ul><li>Never assume compensation has been decided </li></ul><ul><li>Consider all aspects of compensation </li></ul><ul><li>Put it in writing </li></ul><ul><li>Keep compensation confidential </li></ul>