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Slide Notes for PowerPointSlide 2:
LACE Model:
The model identifies the essential elements of APRN regulation as licensure, accreditation,
certification, & education (LACE). Licensure refers to the authority to practice as an independent
practitioner. The APRN education program must be accredited. The APRN must be certified in
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the APRN role by a national board.
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The LACE Model defines advanced practice nursing (APRN) & delineates four roles: clinical
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nurse specialist (CNS), certified nurse practitioner (CNP), certified registered nurse anesthetist
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(CRNA), & certified nurse midwife (CNM).
Advanced education builds on the pre-licensure preparation for RNs & occurs at the role &
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population level, which then prepares the individual for initial certification. The LACE Model
specifies educational program requirements & the program is accredited accordingly.
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Slide 3:
The APRN Consensus Model:
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The APRN Consensus Model was authored by a number of national professional advanced
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practice nursing organizations & was created to provide guidance for states to adopt uniformity
in the regulation of advanced practice registered nurse roles. This model makes a clear
distinction between acute care & primary care practice preparation, noting that acute care
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focused, & primary care focused Nurse Practitioner programs have distinct competencies based
on the consensus model as well as specific certification processes.
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All c&idates must first earn a Master of Science in nursing or doctoral degree from an accredited
nursing education program in the United States. While the length of the program varies across
APRN roles & specialties, a minimum 2-year full-time course of study should be expected. The
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typical APRN curriculum includes health promotion &/or health maintenance; advanced health
assessment, physiology/pathophysiology, & pharmacology; & research, ethics, policy, finance, &
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organization of health care delivery. APRN students also must successfully complete extensive
clinical practicum learning experiences.
Following degree conferral, the graduate obtains national certification by passing an examination
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administered by a recognized certifying body, such as the American Nurses Credentialing Center.
After becoming certified, the APRN follows the procedure in his or her state to become
authorized for APRN practice. No uniformity in the nurse practice act exists across the United
States.
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, Slide 4:
California Licensure Considerations:
California's advanced practice nurses are under the jurisdiction of the California Board of
Registered Nursing (BRN). In order to be certified as an advanced practice nurse, a practitioner
must also be licensed as a registered nurse.
The Board recognizes the following graduate-level advanced specialty areas:
Nurse Anesthetist (NA)
Nurse Practitioner (NP)
Nurse-Midwife (NMW)
Clinical Nurse Specialist (CNS)
Psychiatric/ Mental Health Nurse (PMH)
A nurse can become an NP by
1) completing an in-state program recognized by the Board as meeting st&ards
2) earning certification through an accepted organization or
3) completing an equivalent program.
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In order to be certified by equivalency, a nurse will need to verify clinical experience & clinical
competency in provision of primary care services. Clinical competency will be verified by both a
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licensed physician & a licensed nurse practitioner.
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Slide 5:
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Washington Licensure Considerations:
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Washington State’s Advanced Registered Nurse Practitioners (ARNPs) are regulated by the
Nursing Care Quality Assurance Commission, a part of the Washington Department of Health
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(DOH). ARNP is a broad license category that includes three advanced nursing roles: Nurse
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Practitioner (NP), Certified Nurse Midwife (CNM), & Certified Registered Nurse Anesthetist
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(CRNA). Of these, NP is the most common specialty.
Applicants that are educated in a commission approved Washington state nursing education
program & applying for initial licensure must first:
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(1) Successfully complete a commission approved nursing education program. For applicants
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from a commission approved registered nurse program who are applying for a practical nurse
license:
(a) Complete all course work required of commission approved practical programs
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(2) Required courses not included in the registered nurse program may be accepted if the courses
were obtained through a commission approved program.
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(b) Be deemed as capable to safely practice within the scope of practice of a practical nurse by
the nurse administrator of the c&idate's program.
(2) Complete seven clock hours of AIDS education as required
(3) Successfully pass the commission approved licensure examination
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Slide 6:
Illinois Licensure Considerations:
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https://www.coursehero.com/file/52770583/NR-510-Week-7-Assignment-Recorded-LACE-PowerPoint-Slide-Notesdocx/
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