Beyond competence, determining a nurse's legal scope of practice
related to a specific activity or procedure can be challenging because the Nursing Practice Act (NPA) and Board rules are written broadly.
This means ENs can't work to their full scope of practice
Expanding pharmacists' scope of practice
and authorizing their payment for certain services has been a goal of the entire retail pharmacy industry for years.
Our unique scope of practice
and work is complemented by other members of the health team.
These two committees have general authority over passage of most health-related policy within Georgia, including regulations related to nurse licensure, scope of practice
, health care access, and protecting patient safety (Georgia House of Representatives Committees, 2018; Georgia State Senate Committees, 2018).
In bivariate analysis, elements of scope of practice
associated with higher burnout rates included providing more procedures/clinical content areas (mean procedures/clinical areas: 7.49 versus 7.02) and working in more settings than the principal practice site (one or more additional settings: 57.6 versus 48.4 percent), specifically, in the hospital (31.4 versus 24.2 percent) and patient homes (3.3 versus 1.5 percent).
At various times, the Institute of Medicine, the National Health Policy Forum, the Federal Trade Commission, and others have examined the issue and determined that expanding the scope of practice
for APRNs would not lower the quality of care--and, in certain areas, might even improve it.
The law removed the requirement that a physician must always be present and allowed the physician assistant to work with a physician to define his or her personal scope of practice
. Maryland and Nebraska passed legislation in 2015 to allow nurse practitioners to practice without physician oversight.
Areas of clinical expertise under new Scope of Practice
and Clinical Responsibilities regulations:
The concept of professional scope of practice
is a profession's description of the services its members are trained and competent to perform; it also relates back to the concept of certification.