The NCSBN APRN Maps Project; Outlining Progression in Adopting ConsensusStephanie Fullmer and Maureen Cahill

Comparison and Mapping Project Process

Reviewed each jurisdiction’s act and rules Compared current law with components of

the Consensus Model Sent each BON a comparison report Compiled maps based on reports and BON

feedback

APRN Requirements Consensus Model

Title Advanced practice registered nurse (APRN)

Roles Recognized Certified registered nurse anesthetist (CRNA)Certified nurse-midwife (CNM)Clinical nurse specialist (CNS)Certified nurse practitioner (CNP)

Education Graduate degree or post-graduate certificate

Certification National Certification

Licensure State grants APRN “license” separate from RN license

Practice Autonomy Independent

Prescriptive Authority Independent: pharmacologic and non-pharmacologic

Definitions

Independent - no requirement for a written collaborative agreement, no supervision, no conditions for practice

Collaborative - a written agreement exists which specifies scope of practice and medical acts allowed with or without a general supervision requirement by a MD, DO, DDS, podiatrist

Supervised - direct supervision required in the presence of a licensed, MD, DO, DDS, podiatrist with or without a written practice agreement

Let’s see the maps!

Maps

//www.ncsbn.org/aprn.htm

2012 APRN Maps; Outlining Progression in Adopting Consensus

Consensus is definitely not a sprint, but, if this were the marathon, we would already be at mile 17!