Get to know the different types of intravenous solutions or IV fluids in this guide. Differentiate isotonic, hypertonic, and hypotonic IV solutions and the nursing interventions and management for each.
Pharmacology Notes: Nursing Implications for Clinical Practice is intended to organize pharmacological information in a meaningful manner that draws from prior learning (i.e. anatomy & physiology and pathophysiology), in order to reveal and reinforce relevant nursing implications. These notes utilize the framework, A-T-A-T, to assist in understanding nursing implications related to medication administration.
The clinical nurse specialist is a BRN certified RN who is an advanced practice nurse providing expert clinical practice, research, education, consultation and clinical leadership with an identified patient population. The scope of clinical nurse specialist practice includes patients, nursing personnel and organization systems. Clinical nurse specialists work in direct patient care and indirect patient care activities that affect a broad range of patients.
If you applied through the combination NMW and NMWF application and the requirements were met as part of the advanced pharmacology course content, the Schedule II will be granted on approval of your nurse midwife certification and a separate request for the ability to furnish will not be required. A schedule II designation may also be granted at this time.
In order to furnish Schedule II controlled substances, nurse midwives must complete the required pharmacological content including the risks of addiction associated with their use and neonatal abstinence syndrome associated with the use of opioids, in an advanced pharmacology course associated with a nurse midwife/APRN academic program and shall register with the United States Drug Enforcement Administration (DEA).
If you applied through the combination NMW and NMWF application or separate NMWF application and the requirements were met as part of the advanced pharmacology course content, this will be granted on approval of your NMWF number, and a separate request for the ability to furnish Schedule II controlled substances will not be required.
Continuing education courses will not be accepted to obtain Schedule II initially; therefore, you will need to take an advanced pharmacology course that includes the risks of addiction associated with their use and neonatal abstinence syndrome associated with the use of opioids, in an advanced pharmacology course associated with a nurse midwife/APRN academic program. If you need to find a course, you may contact a California Board-approved nurse-midwifery program or contact other nurse-midwifery program(s) by searching the American College of Nurse-Midwives.
If you applied through the combination NP and NPF application and the requirements were met as part of the advanced pharmacology course content, the Schedule II will be granted on approval of your nurse practitioner certification and a separate request for the ability to furnish will not be required. A Schedule II designation may also be granted at this time.
If you applied through the combination NP and NPF application or separate NPF application and the requirements were met as part of the advanced pharmacology course content, this will be granted on approval of your nurse practitioner furnishing number, and a separate request for the ability to furnish Schedule II controlled substances will not be required.
Continuing education courses will not be accepted to obtain Schedule II initially; therefore, you will need to take an advanced pharmacology course that includes the risks of addiction associated with a nurse practitioner program. If you need to find a course, you may contact a California Board-approved nurse practitioner program or contact other NP programs by utilizing the NP program search via the American Association of Nurse Practitioners, NP Program Search.
Pursuant to Insurance Code Section 10176, the BRN maintains a listing of registered nurses who possess a master's degree in psychiatric/mental health nursing plus two years of supervised experience providing services as a psychiatric/mental health nurse and who have applied to the BRN to be listed. This voluntary listing enables the certificate holder to receive direct reimbursement from insurance carriers for counseling services.
Must provide evidence of holding a current license to practice as a professional nurse in this state or has a current license to practice professional nursing in another state which has adopted the nurse licensure compact.
For applicants who receive national certification as a nurse practitioner, certified nurse-midwife, certified registered nurse anesthetist or clinical nurse specialist after July 1, 1998, the registered nurse must hold a master's or doctoral degree in nursing or a related health field granted by a college or university accredited by a regional accrediting agency approved by the board of education in the state in which the college or university is located. See Form 2923 for Board-Approved Certifying Bodies.
An applicant must complete and submit proof of at least 45 contact hours in clinical pharmacology/therapeutics. Continuing education certificates must include the title of course, number of pharmacology hours per course, and date of completion. A transcript that contains a 3 credit pharmacology/therapeutics course is also acceptable. Proof of contact hours in pharmacology must be completed within 5 years preceding the date of APNP application. If needed, a list of possible online programs to assist in the completion of pharmacology hours is provided below.
Qualifying for the licensure examination based on prior education and experience, often referred to as "the equivalency method", requires the applicant to provide documentation of a minimum of 51 months of paid general duty inpatient bedside nursing experience in a clinical facility and completion of a 54-theory-hour pharmacology course. If the applicant has successfully completed additional formal nursing education, that education may be substituted for some of the required bedside nursing experience.
The equivalency method permits unlicensed individuals who have had extensive inpatient bedside nursing care experience, plus a limited amount of formal education, to demonstrate that they have acquired sufficient basic nursing knowledge to be eligible for the licensure examination.
Please note that achieving licensure via the equivalency method may limit the licensee's ability to be hired as a licensed vocational nurse or psychiatric technician. No other state accepts licensees who have been licensed via this method. In addition to licensure, some health care facilities within California require that their potential employees be graduates of approved nursing or psychiatric technician programs. Such facilities will not hire licensees who have achieved licensure via the equivalency method. If you have questions about licensure in another state, please contact that state's board of nursing. If you have questions about the hiring practice of a particular health care facility in California, please contact that facility.
Pursuant to the California Code of Regulations section 2516(b), the 51 months of paid general duty inpatient bedside nursing experience must include a minimum of each of the following:
The majority of the paid bedside nursing experience must have occurred in a inpatient clinical facility providing the types of patient care that will prepare the applicant for the content topics covered in the licensure examination. It is required that all experience must have occurred within the past ten years, with half of the required experience occurring in the past five years. The experience must have been recent enough that the applicant is knowledgeable regarding current types of patient care equipment, policies and procedures.
When calculating work experience, the applicant can substitute up to a maximum of eight months of the required medical-surgical clinical experience with experience obtained outside of the acute care setting; however, a minimum of 40 months of medical-surgical experience must have occurred in an acute care facility. Paid work experience in the following areas will be applicable toward the eight months that can be substituted for acute medical-surgical experience:
In the application packet, an Employment Verification form is provided. The applicant must provide a copy of this form to all employers. On the verification form, all paid bedside nursing experience must be verified by the applicant's employer(s) indicating specific dates of employment and the number of hours worked in each area. The employment verification form must be mailed directly to the Board by the employer in an official business envelope.
Applicants who have acquired additional formal nursing education from an approved vocational nursing, practical nursing or registered nursing program may submit official transcripts for evaluation for possible credit in lieu of paid bedside nursing experience. The transcripts must be submitted to the Board directly from the school where the courses were taken and must show theory and clinical hours completed, as well as the grades for each course. Applicants must achieve a C or better in the course in order to be given equivalency credit for the course. Credit will only be granted for those courses taken in approved vocational nursing, practical nursing, psychiatric technician or registered nursing programs.
The pharmacology requirement may be satisfied by completion of 54 theory hours of pharmacology in a Board approved vocational nursing or psychiatric technician program or 54 theory hours of pharmacology offered as part of an approved registered nursing program.In some cases, applicants attended an approved psychiatric technician, vocational nursing or registered nursing program but did not complete the program. In order to receive credit for pharmacology content that was offered in that program, documentation provided by the program must clearly delineate that the applicant successfully completed 54 hours of actual pharmacology content, which included the 4 content areas described above.
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