Page 29 - Part 1 Collaborating with Advanced Practice Providers - An Overview of State Rules

SVMIC Collaborating with Advanced Practice Providers

customized team function. As teams decide on clinical roles in a
practice, the needs of patients and the education, experience and

preferences of the team members shape these roles. Within each

type of medical setting, from family practice clinics to surgical

facilities, the practice is able to plan for PA use in a manner that is

consistent with the PA’s abilities, the team’s practice style and the
patients’ needs.
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Nurse Practitioner Scope of Practice Overview

Most state boards of nursing have a scope of practice decision

tree chart providing guidance to nurses in determining whether a

selected act is within an individual nurse's scope of practice. The

American Nurses Association (ANA) suggests considering the

following five elements in determining scope of practice for
APRNs : scope and standard of practice; state law and regulation;
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institutional policies and procedures; self-determination; and

professional liability and risk management concerns.

States have enacted laws allowing for the delegation of medical

services to nurse practitioners and physician assistants in an effort

to address the shortage and geographic maldistribution of

healthcare services and to more efficiently use the skills of

physicians. Although the statutory scheme recognizing advanced
practice nurses and physician assistants has been effective in

broadening access to healthcare, it has also imposed certain risks

and responsibilities upon physicians who choose to participate in

21 American Academy of Physician Assistants, www.aapa.org
22 http://www.nursingworld.org

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