“There is a fear that they will start with independence in roles for which they are not necessarily trained, such as emergency or emergency care. There are family nurses moving into these roles in other states where this has been successful, where they don`t have much training in these specialties,” Johnson said. Caitlin Krouse is a doctor of nursing and assistant professor of nursing at Saint-Francis. It worked with state legislators to pass this law. Indiana is one of the few states where nurses do not need to be certified nationally. However, most PRs who practice in the state obtain a national certification. Medicare and other health insurers typically require national certification for certification and reimbursement, which means that PRs who practice without certification may not be eligible for payment from these institutions. Current Indiana law states that ARPNs, also known as Nurse Practitioners, must have an office contract with an attending physician. Advanced practice nurses in Indiana are licensed as RNs.
They must meet state standards in order to practice. However, you can perform some advanced exercises under the authority of their RN license. In some cases, but not in all cases, it is necessary to obtain additional information issued by the State. Most of the laws that govern nursing practice in Indiana focus on prescribing. PRs must work with a physician to prescribe. Under this agreement, state law allows nurses to prescribe controlled substances from List II to V. The cooperation agreement stipulates that 5% of the nurse`s diagrams in which a drug has been prescribed must be checked within seven days of the patient`s visit with the cooperating doctor. PRs must also submit a prescription application for controlled substances by the State of Indiana.
A cooperation agreement is needed to define how the NP and the medical practitioner cooperate, coordinate and consult patients` healthcare. The provisions shall include the type of cooperation and the timely review of prescribing practices. 848 IAC §5-1-1(7) To maintain prescribed privileges, Nursing practitioners in Indiana must receive at least 30 hours of continuing education credit, including 8 hours in pharmacology, per extension period. The Indiana Board recognizes three advanced practical roles: Clinical Nurse Specialist, Nursing Practitioner, and Nursing Midwife. A nursing midwife must be admitted simultaneously as a limited midwife. Nurses should only apply for an additional ID card from the Indiana Professional Licensing Agency (PLA) if they are applying for mandatory authority. (A nurse midwife applying for prescriptive authority will file separate applications for a midwife`s license and a prescriptive authority.) An advanced practice nurse who prescribes controlled substances also needs a Controlled Substances Registration (CSR) and a registration from the Federal Drug Enforcement Administration. Johnson said, “You have times when you can rely on your skills and training to save someone`s life, and that training doesn`t currently exist for nurses.” Nurse midwives and nurse anesthetists qualify on the basis of training and certification. In most cases, clinicians and nurses are not required to be certified. This goes against the national standard. A dental hygienic can practice in any environment or organization that is documented in the dental hygienist`s access practice contract.
Ind. Code §25-13-1-10 An NP may prescribe prescription drugs and substances controlled by Schedules II-V if this is described in the written cooperation contract and certain requirements are met. 848 IAC §5-1-1 Advanced nurse practitioners with the required authority work under collaborative practice agreements. .
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