NR 506 WEEK 6

Week 6



Discuss your state NP community in terms of scope of practice. Include your state’s scope of practice
for NPs including:

Level of independence of practice

According AANP’s interactive State Practice Environmental map, Nevada has full practice, which means
permission to diagnose, order and interpret diagnostic tests, and manage treatments (State Practice
Environment, n.d.).

Prescribing authority

According to Nevada Scope of Practice Policy (n.d.), “the NP must pass an exam administered by the
State Board of Nursing and must receive certification from State Board of Pharmacy. (Nev. Admin. Code
§632.259, Nev. Admin. Code §632.2595)”. Any prescriptive substances that include in a scope of practice
is allowed to be prescribed by nurse practitioner. For NP, to be able prescribe Scheduled II controlled
substance prescriptions, NP need to have 2000 hours or two years working under physician experience.

Any limitations of practice

As mentioned above, Nevada has full practice authority, which is great, but it creates other obstacles.
Having full practice authority NP’s are blamed for malpractice from unhappy patients. Malpractice or
civil lawsuits are time consuming, costly, and stressful. Additional malpractice insurance is highly
recommended.

Sadly, but another limitation is physician old views and believes. There are still some physicians that are
sexiest and against females, LBGTQIAs, or color nurse practitioners.

Process for obtaining licensure in your state

According to graduateNursingEDU.org, process for obtaining APN license as follow:

 Required to complete a master’s or doctorate degree
o Education program must include
 Assessment of health o patients
 Pathophysiology
 Preparation for practice as APN
 Get certified through a national certifying body
o The Nevada State Board of Nursing recognized the following certifying bodies:
 American Nurses Credentialing Center (ANCC):
 Acute Care Nurse Practitioner (ACNP)
 Adult Nurse Practitioner (ANP)
 Family Nurse Practitioner (FNP)
 Geriatric Nurse Practitioner (GNP)
 Pediatric Nurse Practitioner (PNP)
 Psychiatric Mental Health Nurse Practitioner (PMHNP)