Psychiatric mental health nurse practitioners for Arizona

Describe the PMHNP practice environment for Arizona, highlighting restrictions or limitations for practice. Compare the PMHNP practice environment in Arizona vs. I llinois. Describe a professional and/or clinical practice issue a new PMHNP will need to consider and address with the certification, licensure, credentialing, or relocation process. Develop a checklist for passing the national certification exam, including a detailed timeline that includes academic preparation (study plan), registration, financial preparation, etc. References must be within the last 5 years Psychiatric mental health nurse practitioners for Arizona

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Psychiatric mental health nurse practitioners (PMHNPs) are licensed providers who practice in long-term, acute and ambulatory care settings as care providers to patients with mental health problems. According to AMA(2017), a registered nurse practitioner is a registered nurse how has received certification from  Arizona state board of nursing, has finished a nurse practitioner education program recognized or approved by the board and has nationally being certified as a nurse practitioner by an accrediting body recognizable by the board.  The scope of practice of nurse practitioners is defined by the American Academy of nurse practitioners, but state laws regulates nursing practice, with nurses being required to be holders of individual license or certificate to practice within their state of practice Psychiatric mental health nurse practitioners for Arizona.

In Arizona, nurse practice laws permits registered nurse to practice independently or to fully practice. The full practice provision permits practitioners to evaluate, diagnose, deduce diagnostic tests, as well as prescribe drugs autonomously. This implies that a collaborative practice agreement is not required and PMHNPs can diagnose and prescribe without the involvement of a physician.  However, nurse practitioners are required to refer patients to a medical doctor if the recommendation will safeguard patients’ welfare and health and hold consultations with a medical doctor if a situation arises in a patient that surpasses the experience or knowledge of the nurse practitioner (AMA, 2017) Psychiatric mental health nurse practitioners for Arizona.

Although PMHNPs are trained and educated to fully practice to their level of training and education to offer a wide range of health care, their practice is limited by federal and state regulations and lack of interprofessional barriers. Peterson (2017) nurse practitioners are permitted to bill for services and can get one hundred percent compensation y services to incident, they can’t do this autonomously, which prevents them from forming autonomous practices and health care delivery. In addition, majority of physicians usually rebuff nurse practitioners full practice citing that they cannot deliver safe and quality care independently (Peterson, 2017)Psychiatric mental health nurse practitioners for Arizona.

A comparison of PMHNP practice environment in Arizona versus Illinois

Compared to Arizona where PMHNPs are allowed to practice independently, PMHNPs in Illinois must collaborate with physicians in diagnosis and treatment of patients with mental problems. AMA (2017) notes that physician involvement is needed but not when PMHNPs are practicing in an acute care setting or hospital. In addition, PMHNPs require a written agreement on collaborative practice for every clinical practice, except when they are practicing in an ambulatory setting or hospital. Consultation may take electronically or in person. In Illinois, nurse practitioners are acknowledged as primary caregivers Psychiatric mental health nurse practitioners for Arizona.

The written agreement defines the working relationship between the collaborating physician and the nurse practitioner and consents the forms of treatment, procedures and care that a nurse practitioner can perform. The collaborative agreement does not necessarily offer a description of the precise steps to be taken by the nurse practitioner in regard to every specified symptom, disease or condition, but it specifies the authorized procedure that requires the nurse practitioner to collaborate with a physician. A physician might give prescriptive authority to a nurse practitioner as a portion of a collaborative pact for medications along with schedules three to five controlled substances (AMA, 2017)Psychiatric mental health nurse practitioners for Arizona.

A professional/clinical practice issue a new PMHNP will need to address

Anew PMHNP should understand that the process of credentialing, licensure and certification is a fundamental practice that gives nurse practitioners full usage of scope of practice. The credentialing process entails verification of the needed education. According to ANCC (2018), the American national credentialing center PMHNP board certification exam is an exam based on competency that offers a reliable and valid evaluation of the level of entry of clinical skills and know-how of nurse practitioners. The certification aligns with accreditation, education and licensure Psychiatric mental health nurse practitioners for Arizona

According to NursingLicensure.org.(2018), so as to be credentialed as an advanced practice registered nurse, one must be licensed as a registered nurse in Arizona or another state. Mostly, advanced practice nurses should possess a graduate nursing degree and also a national certification pertinent to mental health care. Future nurse practitioners must have nurse majors at the degree level. There are numerous certifying agencies and each state selects the certifications and organizations that are acceptable. In Arizona, American nurses credentialing center and American Academy of nurse practitioners certifications are accepted for PMHNPs (NursingLicensure.org, 2018) Psychiatric mental health nurse practitioners for Arizona.

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States have other negligible requirements that should be completed prior to licensure. For instance, some states need background checks which are fingerprint-based even when one has previously cleared the checks at registered nurse level. Arizona state requires submission of fingerprints unless the applicants had submitted the fingerprints to Arizona board of nursing during the past two years (Nursing Licensure.org., 2018). When a new PMHNP is eligible for taking the certification exam and passes the exam successfully, one is given the PMHNP- Board Certified credential. The validity of the credential is five years and the nurse practitioner can continue using the credential by maintaining the license at the period of certification renewal (ANCC, 2018) Psychiatric mental health nurse practitioners for Arizona.

A checklist from preparing and passing the certification exam

I will start preparing for the national certification exam by plotting a schedule of a study plan approximately six months before the exam to group study or self-study applying the outline for the test content for the board certification exam located at the American nurses credentialing center website. I will set aside time each week to study the areas that i will identify in the outline of the test content.

I will review the exam content information and list areas where my knowhow and skills is adequate and where i will need to just review study materials for knowledge refreshment. In addition, I will make another list identifying topics and areas when greater concentration of the review will be needed.  Having knowledge of the areas I need to concentrate on will assist me to know the amount of time I will alot my study time Psychiatric mental health nurse practitioners for Arizona.

Prior to plotting a study plan, I will look for the registration requirements to ensure proper financial and academic preparation. NP Exam Secrets Test Prep Team (2016) notes that to be qualified to sit the PMHNP certification examination, one must hold a registered nurse license master’s or graduate degree from a PMHNP academic program with approximately five hundred clinical hours.  The application process entails submitting the application via mail or online. Official transcripts should be submitted together with the application and the exam taken within ninety days after receiving authorization.

The time required for preparing for the certification exam is distinct t to every candidate and the most common pitfall in preparation is failure to set aside adequate time to study. I will map out my time demands in the first weeks after completion of the nurse practitioner program, entailing working hours as well as professional, personal and family commitments. This will be followed by setting up of a study time schedule time, allocating more time to areas of study that I am deficit in knowledge and less time to study areas which requires reviewing Psychiatric mental health nurse practitioners for Arizona.

References

American Medical Association, AMA. (2017). State law chart: Nurse Practitioner Practice Authority. Available at https://www.ama-assn.org/sites/default/files/media-browser/specialty%20group/arc/ama-chart-np-practice-authority.pdf

American Nurses Credentialing Center, ANCC. (2018). Psychiatric-Mental Health Nurse Practitioner (Across the Lifespan) Certification. Available at https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/

NursingLicensure.org. (2018).  Nurse Practitioner Requirements in Arizona. Available at https://www.nursinglicensure.org/np-state/arizona-nurse-practitioner.html

Peterson, M. (2017). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. Journal of Advanced Practitioner in Oncology, 8(1): 74-81.

NP Exam Secrets Test Prep Team. (2016). Psychiatric-Mental Health Nurse Practitioner Exam Secrets Study Guide: NP Test Review for the Nurse Practitioner Exam. Beaumont, Texas: Mometrix Media LLC Psychiatric mental health nurse practitioners for Arizona