Clinical hours are one on one supervised one on one residency in different populations such as pediatrics womens health Family practice etc.
This development builds on the Registered nurses previous experience of assessing and treating patients.
Wouldn’t use the word limited, would probably use “specific to education” When speaking add that Renewal requires 1000 minimum practice hours, along with 24 h for the RN renewal and 6 hours of pharmacy CE
Service: add health management - expound on diagnostic tests “such as xray and blood test” Add “current” to scope of practice
Emphasis the research is country wide and from other disciplines and organizations as well as nursing research
Add the number of years we have had a shortage Add regarding RESTRICTIVE practice environment Add a third sub bullet and state the number of NPs in the state has not significantly grown over the past three years desspite graduation hundreds from the nursing schools in the state due to the attrition
May want to state collaborative practice is limited to the equivalent of 3 full time NPs per Physician and qualify that collaboration is required with only with only 10% of our patients.
Creating reimbursement issues and restraint of trade Chart audits are beneficial if the physician and NP are utilizing them to improve quality - (maybe just place 10% on site rule and then discuss it, wouldn’t want this to get taken out of context later
Discuss our training, undergraduate pharmacology and incorporated into every diagnosis State when bill passes, rules and regulations would require and additional course on current medication scheduled prescribing pit-falls and updates.
Explain Schedule 2 medications are specifically needed for pediatric patients (ADD) so they can pay attention and do well in school and for end of life medications for pain relief for terminally ill patients History includes 4 years of attempting to have legislators at the least hold a fair public hearing to look at these issues> These items were all reference in Dr. Bentley Task for report from 2004 which recommended increased of nurse practitioners to provide primary care to decrease chronic illness
WE ARE Not: Asking to be physicians Asking to practice without collaboration Asking for privileges we have not been trained and nationally certified in WE ARE Asking to remove restrictive barriers that prevent access to care, Asking to decrease the amount of time our patients are in pain Promoting wellness and addressing preventative care Certified, Educated and trained to provide primary care The patients of Alabama deserve access to care, the best care we can give
Chapter 42015Healthto 5 p.m., Monday through Friday, official state holidays excluded.(2)Composition of the Board. The Medical Association of the State of Alabama is the State Board of Health. The Board functions through the State Committee of Public Health as constituted by Code of Ala. 1975, §2224, which is composed of12 members of the Medical Association of the State of Alabama and the chairman of each of four councils provided for by statute. The 16 members function under the leadership of a chairman and a vice chairman elected by the membership for a term of four (4) years.
Nurse Practitioner Alliance of Alabama Addressing the Health Care Crisis
Coffey Study completed in Florida in (2009-2010) found that in a week approximately 4 hours per NP was wasted seeking physician signatures for controlled substances prescriptions (equals 12-16 pt visits/wk)
Decrease treatment delays and avoid unnecessary pain and suffering
Assist treatment of patients with ADHD (drugs are schedule II—requires written script—cannot call in)
Examples are lomotil (diarrhea), cough suppressants & pain medications (pneumonia, bronchitis, injuries/fractures, and Concerta (ADHD)
+ ▲ ▲ ▲ + + ▲ States with Nurse Practitioner Regulations Controlled by Board of Nursing States with Nurse Practitioner Regulations Controlled by Board of Nursing and Board of Medicine States with Separate Advanced Practice Board Prescription Only Under Joint Authority of Board of Nursing and Board of Medicine State Education Department Source: State Nurse Practice Acts American Academy of Nurse Practitioners, 2009