Week 7 Practicum Journal: Checkpoint for Certification Plan
Evaluate progress on certification plans
Report your progress on the Certification Plan completed in Week 1 and submitted in Week 4.
What have you done to prepare for your certification?
Have you completed the scheduled tasks assigned on your timeline? If not, what are your plans to stay on schedule?
This is my last semester PMHNP program will be ended on 05/12/19.
This is what I wrote on week 4:
Practicum Journal Entry: Certification Plan
A nurse practitioner is an advanced registered nurse licensed by the board to practice after completing an advanced educational program. The nurse practitioner is trained to assess the needs of patients, interpret lab tests and diagnostic tests, make a diagnosis, perform medication prescription, as well as developing treatment plans for the patients (Rudner, 2016).
The PMHNP Practice Environment in the State of Texas
A nurse practitioner is restricted to specialize in one area and therefore a PMHNP is restricted to practice in mental health. The Board of Nursing also regulates the practice of PHMNPs in Texas and the PMHNPs are supposed to acquire certification from American Nurses Credentialing Center’s Adult PMHNP examination in order to practice. As per the American Association of Nurse Practitioners (AANP), PMHNPs in Texas are restricted to engage in only one aspect of Nurse practitioner practice. The supervision by supervisory physicians restricts the practice of PMHNPs in Texas (American Psychiatric Association, 2016).
According to the current laws, an advanced nurse practitioner does not require a delegating physician during practice. Nonetheless, an advanced nurse practitioner is ethically and legally expected to form a safe environment to make sure that there is a setting for consultation and referral. The delegating physician has the responsibility to devise and enforce an accounting system to monitor prescriptions issued by the nurse practitioner. The nurse practitioner can only prescribe medications and devices authorized by the supervising physician (Peterson, 2017).
In Texas, the Practice Act, prescriptive authority, and the supervisory body are very essential for PMHNPs. The prescriptive authority stipulates the procedure and ethical and legal practice guiding principle (Peterson, 2017). This consists of the supervisory procedure, control, and management of prescriptions, as well as management and control of controlled substances. The Practice Act guides the supervisory body of TX in Texas for the practice of PMHNPs (Rudner & Kung, 2017).
Basically, the TX Board is the legal Board of Nursing responsible for supervising the admission process for the potential PMHNPs. The board plays the role of ensuring that the nurses interested in the enrollment fulfill the course requirements for admission. The TX Practice Act guides the PMHNP and stipulates the practice scope as well as the ethical and legal requirements that bind successful PMHNPs (Rudner & Kung, 2017).
Comparing the PMHNP Practice Environment in Texas with Maryland
In Maryland, a nurse practitioner can prescribe within all fifty states and D.C to practice. Nurse practitioners have the authority to prescribe controlled substances within 49 states without any supervision. Additionally, NPs within Maryland can practice within diverse settings and perform substance abuse screening and treatment for mental health disorders. An NP in Maryland can prescribe and provide treatment that includes initiating medication and managing mental health disorders without supervision from a supervising physician (Gadbois et al, 2015). This is different from the state of Texas where NPs are allowed to prescribe under the supervision of a delegating physician.
Professional and/or Clinical Practice Issues for a New PMHNP
For the practice of new PMHNP, the credentialing system is used to authenticate and verify whether a PMHNP has fulfilled the required professional and practice certifications. The credentialing process involves verifying if the PMHNP has undergone the required education, has been licensed, has passed the certification examination and reference examinations as well (Gadbois et al, 2015). A PMHNP should be credentialed to qualify to bill government organizations and insurance companies. A PMHNP should, therefore, file documents such as license confirmation, DEA certificate, educational documents and professional references with every organization for practice. After the credentials are verified, a PMHNP can start practicing (Gadbois et al, 2015).
In Texas, the American Nurses Credentialing Center’s Adult PMHNP examination is responsible for issuing certification exams and issuing certification. PMHNPs are required to have a Board certification from the American Nurses Credentialing Center in order to be issued with a license to practice within Texas (Gadbois et al, 2015).
The Checklist for Passing the National Certification Exam
In order to pass the national certification exam, one is supposed to meet the following prerequisites:
Complete a Master’s degree program in the specific field and also complete a review course. My preferred review course is Advanced Practice Education Associates. I also plan to attend the Fitzgerald review course that is available online and thus is very flexible for me.
I plan to thoroughly read the review books allied to Psychiatric-Mental Health Nurse
I will also use online resources such as the relevant test questions that deal with evidence-based practice in mental health
Finally, I plan to use online practice tests to further prepare for the certification exams. I plan to study my flash cards, memorize mnemonics, and then practice test questions. I will use Board Vitals for online practice. I believe Board Vitals will prepare me fully for the certification exams.
American Psychiatric Association. (2016). Practice guidelines for the psychiatric evaluation of adults. Retrieved from http://psychiatryonline.org/doi/pdf/10.1176/appi.books.9780890426760.
Gadbois E, Miller E, Tyler D & Orna I. (2015). Trends in State Regulation of Nurse Practitioners and Physician Assistants, 2001 to 2010. Med Care Res Rev. 72(2), 200–219.
Peterson M. (2017). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. J Adv Pract Oncol. 8(1), 74–81.
Rudner N. (2016). Full Practice Authority for Advanced Practice Registered Nurses is a Gender Issue. OJIN: The Online Journal of Issues in Nursing. 21(2).
Rudner N & Kung Y. (2017). An Assessment of Physician Supervision of Nurse Practitioners. Journal of Nursing Regulation. 7(4), 22-29.