Julie Sabo PhD(c), APRN, CNS Advanced Practice Nurse Specialist - - PowerPoint PPT Presentation

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Julie Sabo PhD(c), APRN, CNS Advanced Practice Nurse Specialist - - PowerPoint PPT Presentation

Jan 14, 2023 46 likes •331 views

Julie Sabo PhD(c), APRN, CNS Advanced Practice Nurse Specialist Background 2008 Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education Uniform model for regulation of APRNS Advanced Practice

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Julie Sabo PhD(c), APRN, CNS Advanced Practice Nurse Specialist

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Background

  • 2008 Consensus Model for APRN Regulation:

Licensure, Accreditation, Certification & Education

  • Uniform model for regulation of APRNS
  • Advanced Practice Nursing Consensus Work

Group & the National Council of State Boards

  • f Nursing
  • Endorsed by 48 professional nursing
  • rganizations
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Essential Elements

  • Licensure
  • Accreditation
  • Certification
  • Education
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APRN Licensure Requirements

  • Current Minnesota RN license
  • Unencumbered RN license with no active action

in any state or jurisdiction

  • Completion a graduate level APRN program in
  • ne of 4 roles and of 6 populations
  • Current certification from a national nursing

certification organization acceptable to the board

  • Licensees will hold both RN and APRN license
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SLIDE 6

Grandfather Provision

  • License will be issued to an applicant who does

not meet educational requirements and who was recognized by the board to practice as an APRN in Minnesota on July 1, 2014 OR

  • Applicant may be eligible if currently

appropriately certified and in compliance with the educational requirements in effect in Minnesota at the time of graduation

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4 APRN Roles

  • Certified Clinical Nurse Specialist
  • Certified Registered Nurse

Anesthetist

  • Certified Nurse Midwife
  • Certified Nurse Practitioner
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SLIDE 8

6 Populations

  • Family & Individual Across the

Lifespan

  • Adult-Gerontology
  • Neonatal
  • Pediatrics
  • Women’s & Gender-Related
  • Psychiatric and Mental Health
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Post Graduate Practice

  • Clinical Nurse Specialist and Certified Nurse

Practitioner only

  • 2080 hours of practice within the context of

a collaborative agreement, within a hospital

  • r integrated clinical setting where APRNs

and physicians practice together

  • Collaborative agreement and verification of

completion may be with a licensed Minnesota APRN or physician

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CRNA Practice of Pain Management

  • Certified Registered Nurse Anesthetist may perform

non-surgical pain management of acute and chronic pain symptoms

  • Upon referral and in collaboration with a licensed

Minnesota physician. The CRNA must perform the therapies at the same licensed health care facility as the physician.

  • For the purposes of performing non-surgical therapies

for chronic pain symptoms with a written prescribing agreement with a licensed Minnesota physician.

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Credentials

  • APRN, CNP
  • APRN, CNS
  • APRN, CRNA
  • APRN, CNM
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APRN Advisory Council

  • 7 members
  • 4 APRNs, 2 physicians, 1 public member
  • Meetings quarterly and open to the public
  • Advise the Board on APRN licensure,

practice standards, emerging practice trends, aggregate prescribing trends, related issues, and overlap of scope of practice with medicine

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APRN Statistics

Oct. 19 Oct. 26 Nov. 2 Nov. 9 Nov. 16 Nov. 23 Nov. 30 Dec. 7 Dec. 14 Dec. 21 Dec. 28 Jan. 4 Jan. 11 Jan. 18 Jan. 25 Feb. 1 Feb. 8 Applications Received 28 231 173 634 822 1348 615 922 616 349 148 210 53 31 24 25 22 Licenses Issued 69 32 682 1996 1446 596 304 405 209 109 130 42 200 400 600 800 1000 1200 1400 1600 1800 2000

APRN Applications for Licensure Received and Licenses Issued by week October 2014 - February 2015

5/18/2015

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APRN Statistics

47% 2% 7% 2% 8% 3% 19% 9% 3%

Applications for APRN Licensure

Metro Northwest Northeast West Central Central Southwest Southern Border states Other

5/18/2015

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Region Definitions

Metro Scott, Hennepin, Carver, Washington, Ramsey, Dakota NW Clearwater, Kittson, Roseau, Pennington, Redlake, Beltrami, Lake of the Woods, Pol, Mahnomen, Marshall, Norman NE Aitkin, Itasca, Koochiching, St Louis, Carlton, Lake, Cook W Central Travers, Pope, Douglas, Wilkin, Ottertail, Grant, Becker, Clay, Stevens Central Pine Isanti, Cass, Stearns, Chisago, Wright, Wadena, Sherburne, Benton, Morrison, Crow Wing, Kanabec, Todd SW Lincoln, Yellow Medicine, Pipestone, Murray, Rock, Cottonwood, Nobles, Jackson, Kandiyohi, Chippewa, Meeker, Big Stone, Lyon, Redwood, Renville, McLeod, Lac Qui Parle, Swift Southern Winona, Freeborn, Dodge, Watonwan, Rice, Brown, Blue Earth, Waseca, Le Sueur, Wabasha, Goodhue, Faribault, Olmsted, Martin, Mower, Fillmore, Steele, Sibley, Nicollet, Houston 5/18/2015

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Total APRNs Licensed

  • Licenses issued (5-15-15)

6360 –Number of CNP licenses issued: 3883 –Number of CNS licenses issued: 459 –Number of CRNA licenses issued: 1753 –Number of CNM licenses issued: 265

  • Last number of APRNs on registry

~6700

5/18/2015

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APRN Statistics

3867 459 1749 264

APRN Licenses Issued

CNP CNS CRNA CNM

5/18/2015

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APRN Statistics

1059 1841 187 428 176 282

CNPs by Population Focus

Adult-Gerontology Family and Individual Neonatal Pediatric Psychiatric/Mental Health Women and Gender Related

5/18/2015

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APRN Statistics

261 3 6 17 173

CNSs by Population Focus

Adult-Gerontology Family and Individual Neonatal Pediatric Psychiatric/Mental Health

5/18/2015

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APRN Statistics

88% 12%

CNPs with Post Graduate Practice Complete

Complete Not Complete 97% 3%

CNSs with Post Graduate Practice Complete

Complete Not Complete

5/18/2015

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APRN Statistics

3% 85% 0% 12%

CNPs by Level of Education

Dr of NP Masters Degree Other 1% 94% 5%

CNSs by Level of Education

Dr of NP Masters Other

5/18/2015

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APRN Statistics

1% 82% 17%

CRNAs by Level of Education

Dr of NP Masters Other 4% 87% 9%

CNMs by Level of Education

Dr of NP Masters Other

5/18/2015

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APRN Statistics

47% 2% 7% 2% 8% 3% 19% 9% 3%

Licensed APRNs by home address

Twin Cities Northwest Northeast West Central Central Southwest Southern Border states Other 47% 1% 7% 2% 7% 3% 18% 6% 4% 5%

Licensed APRNs by Business Address

Twin Cities Northwest Northeast West Central Central Southwest Southern Border states Other No Business Address

5/18/2015

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APRN Statistics

46% 2% 7% 2% 7% 2% 17% 7% 4% 6%

CNPs by business address

Twin Cities Northwest Northeast West Central Central Southwest Southern Border states Other No Business Address 46% 1% 7% 1% 7% 2% 24% 4% 3% 5%

CNSs by business address

Twin Cities Northwest Northeast West Central Central Southwest Southern Border states Other No Business Address

5/18/2015

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APRN Statistics

62% 0% 2% 3% 3% 2% 6% 4% 10% 8%

CNMs by business address

Twin Cities Northwest Northeast West Central Central Southwest Southern Border states Other No Business Address 46% 1% 7% 2% 7% 3% 21% 6% 4% 3%

CRNAs by business address

1 2 3 4 5 6 7 8 9 10

5/18/2015

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APRN Statistics

Hutchinson, 5 Park Rapids, 3 Thief River Falls, 3 Slayton, 2 Moose Lake, 2 Morris, 1 Wheaton, 1 Willmar, 1

CRNA Pain Management

Hutchinson Park Rapids Thief River Falls Slayton Moose Lake Morris Wheaton Willmar

5/18/2015

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Issues & Trends

  • APRN Advisory Council
  • Credentialing and privileging of APRNS
  • Tele-health
  • Family NP combined with Mental Health NP
  • Nurse run clinics

5/18/2015

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Projections

  • April

63 new applications

  • May

18 new applications

  • Projected 30 % increase in CNPs nationally

between 2010-2020*

* Projecting the Supply and Demand for Primary Care practitioners Through 2020, November 2013, HRSA

5/18/2015