Nurse practitioners' job satisfaction and intent to leave current positions, the nursing profession, and the nurse practitioner role as a direct care provider. Virginia gives nurse practitioners a moderate amount of freedom allowing for loose collaboration . These strategies include involving APRNs in the credentialing and privileging process within the organization; creating an APRN practice committee or formal structure to support APRN hiring, orientation and onboarding, and competency assessment; ensuring tests or medications ordered or assessments conducted within the APRN scope of practice do not require a physician oversight or cosignature; developing institutional support for billing and reimbursement to capture optimal APRN revenue, continued practice development, and involvement in key organizational committees or workgroups; and APRN outcome assessment. 11. Unless otherwise specified by state legislation or facility standards, independent services do not require physician involvement (e.g., patient care plan implementation, physician-patient encounter, physician presence on patient floors or units). In addition, co-signature of notes and orders is usually mandated. . According to data from the U.S. Bureau of Labor Statistics, California is the highest paying state for nurse practitioners. (See the Application Instructions for more information). NPs must have a written agreement with a supervising physician in order to admit patients. Your ResponsibilitiesA nurse practitioners responsibilities in an acute-care setting include an admission history and physical examination. Kleinpell R, Myers CR, Schorn MN, Likes W. Impact of COVID-19 pandemic on APRN practice: results from a national survey. In order for nurses to provide safe and effective patient care, they must adhere to these guidelines. 0000023397 00000 n Drive performance improvement using our new business intelligence tools. 138 138 577 139 139 986 140 140 457 141 Patients have been admitted to hospitals without incident in the past by primary care physicians. 0000046198 00000 n We can make a difference on your journey to provide consistently excellent care for each and every patient. Doctors have a duty to obtain consent from patients before performing any medical procedure in order for them to provide them with accurate information about the treatment they are about to undergo. 2 0 obj Nature and scope of certified nurse-midwifery practice: a workforce study. HWW:Lo "EK>dZ MYI[ An RN is a type of clinical nurse who treats injuries and illnesses in addition to assisting patients with disease prevention. Get fresh tips and insights emailed to you, This content was produced in its entirety for ADVANCE Healthcare Network (1985-2019, now Elite Healthcare) and features original contributions from a qualified and experienced editorial team or was provided to ADVANCE by credible industry experts or qualified healthcare professional(s). While I am a strong proponent of nurse practitioners being credentialed to provide hospital care, not all nurse practitioners need hospital privileges. Wolters Kluwer Health, Inc. and/or its subsidiaries. 0000015971 00000 n 38-2321. /N 10 17 1440 18 18 1443 19 19 1096 20 20 Occ. The remaining 11 states are classified as restricted (Figure). stream A recent UnitedHealth report on primary care and NP scope of practice laws identified that if all states were to allow NPs to practice to the full extent of their advanced training and national certification, the number of US residents living with a primary care shortage would decline from 44 million to fewer than 30 million (70% reduction).17, A national survey was launched in July 2020 to describe state practice barriers prior to the COVID-19 pandemic, determine the effects of COVID-19 pandemic-related suspension of practice restrictions or waiver of select practice agreement requirements in states with reduced or restricted practice, and explore the effects of the COVID-19 pandemic on APRN practice.18 A total of 7467 APRNs responded from all 50 states, including NPs (n = 6478; 86.8%), CRNAs (n = 592; 7.9%), CNMs (n = 278; 3.7%), and CNSs (n = 242; 3.2%). state does not track the number of state controlled substance registrations that are issued to NPs. endobj /BaseFont /HPYIKG+Wingdings-Regular 13. Organizational requirements. 0000004016 00000 n Consider involvement in state and national organizations positioned to make policy changes impacting APRN practice. 4 0 obj >> modify the keyword list to augment your search. The hospital may require a fee of $100 to $500 to process your application for privileges. Because of advances in technology and a growing number of healthcare areas, nurse practitioners are now able to provide care in a broader range of settings. According to the National Nurse Practitioner Association, nurse practitioners demand is expected to rise by more than 20% by 2025. To obtain a license, an APRN or PA must be licensed by the Texas Board of Nurse Practitioner. The hospital may require a fee of $100 to $500 to process your application for privileges. They would order tests, prescribe medications, and schedule . Nurse practitioner autonomy and relationships with leadership affect team work in primary care practices: a cross-sectional survey. The law stated that nurse practitioners were subject to the credentialing hospitals bylaws and that a hospital could limit the scope of practice, require monitoring by physicians or require that nurse practitioners co-admit with a physician. Addressing the nation's primary care shortage: advanced practice clinicians and innovative care delivery models. 71-1704. 0000001738 00000 n Bosse J, Simmonds K, Hanson C, et al. The Board of Nursing defines APRN scope of practice as follows in Rule 221.12. Illinois Yes, a collaborative agreement for practice outside of a hospital or ASC. The APRN Consensus Model outlines that APRN education, certification, and licensure must be congruent in terms of role and population foci.19 Nurse leaders can help ensure that APRNs who are hired into the health care system are practicing based on the APRN Consensus Modelfor example, that an APRN with education and certification as an adult gerontology acute care nurse practitioner is not hired to work in an outpatient primary care clinic. However, typically, a patient must be seen by a doctor who then determines if they need to be admitted to the hospital. stream American Association of Colleges of Nursing & National Organization of Nurse Practitioner Faculties. /L 74397 Have insurance required by state law to practice and prescribe in the state where services are provided, or be eligible for such insurance requirements to be . The first advanced practices nurses to obtain hospital credentialing were Oregon nurse midwives in the 1970s. 199 200 891 201 204 775 205 206 1067 207 Barriers to practice and the impact on healthcare: a nurse practitioner focus. Specifically, nurse practitioners: Record health histories. >> Each privilege describes minimum requirements for fulfillment as well as documentation requirements. The emergency room doctor makes the decision whether or not to admit a patient to the hospital based on the severity of the illness. 16. Advanced Practice Registered Nurses Alcohol and Drug Counselors Audiologists Chiropractic Physicians Clinical Pastoral Therapists Dentists Dietitian/Nutritionists Dispensing Opticians Electrologists Licensed Registered Respiratory Therapists Licensed Certified Respiratory Therapists Licensed Laboratory Personnel Marital & Family Therapists NPs are required to follow the supervision of a physician in order to practice. The procedure to obtain alternative privileges is set forth in the regulation. In the event of admission, the hospitalist will coordinate with other doctors and hospital staff to ensure that you receive the best possible treatment. << You will also be required to furnish an updated malpractice certificate (obtained by calling your malpractice company) and updated licenses, DEA numbers and certifications as they are renewed. Advance the NP role. To change the FavoriteName, edit this category:share. The nurse practitioner can provide compassionate, quality patient care in a variety of settings. J Nurs Regul. >> Some state laws require career-long regulated collaborative agreements with other health providers for APRNs to provide care, or 1 or more elements of APRN practice are limited.1 Currently, 15 US states are classified as reduced practice states (Figure). 2018;27(21/22):40004017. /O 33 advanced practice nurse (APN) throughout the Nurse Practice Act. /ImageC 'j+hrE?Y845=Lf/D>NP7?~uNL0#fi?N4|jMdOfszd(x,Yx;b} ICU+|Der|TWw:6o$u(3:RhICy;341CG49IW#\f iL-gNmU/5Yl:2)=o6]Ku|#w HK Keep learning with our Hospital Breakfast Briefings Webinar Series. States by Nurse Practitioner Practice Authority Each state establishes its own NP practice authority regulations. More than 36,000 new NPs completed their academic programs in 2020-2021. rIvy "$1HE'-"T*|"VU4D,"`%0ddFU]=(dtdd,r6y"&ZzqD*+XC[,^xL=WPW/#xf=H*lxbgb2_mlO9{Ud~i]W yr'QI4NbQt@"(IC7?a duWbLq_VJU-^.axpQ|9Y SJmO GuVJLQk!jF9@8pVMrnC2o_.G+7 Y ER Zr4f#q0vI{ka0Fy:d]+TIXkgmQa ^~t-Dt5}zqy]J^NyH} }KudQ`\1uUu#Cr;!NZ7l? Nurse practitioners typically work under the supervision of a doctor, but this may not always be the case. 0000004685 00000 n Get a deep dive into our standards, chapter-by-chapter, individually or as a team. 2 American Association of Colleges of Nursing (AACN). 830 0 obj <> endobj Nurse practitioners, who are licensed physicians in addition to receiving training and education, have the same authority as physicians to prescribe medications and diagnose patients. Nurse practitioner roles are expanding in a variety of healthcare settings, and with increased access to technology, they can provide care across a broader range of settings. During the credentialing process, a group of physicians in the department of medicine reviews your qualifications and decides whether to grant privileges. They are also capable of providing healthcare in a variety of settings, including hospitals, clinics, and home health care facilities. 312 131 131 457 132 132 746 133 137 891 /Outlines 25 0 R It is reasonable to negotiate for a higher base salary or for a percentage of collected hospital revenue. Once this letter is received, an application is sent to the nurse practitioner. To initiate the process, call the medical staff affairs office where you are seeking privileges. Verification of education or training will also be required. 38-2324. This type of care is not available to nurses, surgical assistants, or physicians. Their ability to provide compassionate and high-quality care to patients is demonstrated by the wide range of settings where they are available. There is no one answer to this question as the admitting process can vary depending on the hospital, the patients insurance, and the severity of the patients condition. Charting Nurs Future. It must include the details of the prescribed medication such as the intended patient population, the treatment duration, and the dosage. trailer In most facilities, two levels of privileges exist. Consensus Model for APRN Regulation: Licensure, Accreditation, Certification & Education. endobj 0000051734 00000 n The Edmund F. Ball Medical Education Center offers the largest physician-teaching program in Indiana outside of Indianapolis, with three residency programs. 0000004862 00000 n The nurse practitioners have hospital admitting privileges, a move Pear-son acknowledges is "cutting edge." . In 2021, the median base salary for full-time NPs was $113,000. /Fabc40 42 0 R your express consent. All states Nurse Practice Acts regulate how a Nurse Practitioner prescribe medications. Keep us informed at the Report Now page. 36 0 obj 0000013050 00000 n You may be trying to access this site from a secured browser on the server. 208 891 209 212 872 213 214 891 215 216 /W [ 1 1 0 2 2 750 4 4 1030 5 under 11 percent of all nurse practitioners, patients ages 85 and over are more than half of their patient population. >> Sources: 1 AANP National Nurse Practitioner Database, 2022. 2. 4. As states temporarily suspend or waive existing collaboration, supervision and protocol requirements this page will be updated. Peterson ME. Yes (30-day supply). Published September 2011. Use the grid below to find, review, and request privileges. 21.366. Some common duties of nurse practitioners include: Performing physical examinations and observations Ordering and analyzing diagnostic tests Consulting with other health professionals and referring patients to other medical or counseling options Administering medications Monitoring and administering medical treatment 0000003032 00000 n 28 1078 29 29 939 30 33 891 34 35 Correspondence: Ruth Kleinpell, PhD, RN, FAAN, FAANP, Vanderbilt University School of Nursing, 461 21st Ave S, 407 GH, Nashville, TN 37240 ([emailprotected]). msn or dnp required Certification required NPs provide clinical care for patients and are authorized to diagnose health conditions, order tests, and prescribe medications. NPs are in high demand in a variety of fields within the healthcare sector. 8. Issues and Answers: Medicare, Money and More. From these same 22 FPA states, 352 respondents identified restricted hospital admitting privileges as a barrier to practice. Nursing Administration Quarterly46(2):137-143, April/June 2022. 0000051617 00000 n 9. A resume or curriculum vitae, a copy of a DEA certificate (where allowed by state law), malpractice certificate and life support certifications are also required. Other reported barriers even in FPA states included a physician signature was required for certain medications, APRNs were restricted from ordering rehabilitation services postdischarge, inability to order do-not-resuscitate orders, among others, based on institutional regulations rather than state regulations (Table 2).18, Understanding the context for advanced practice nurses is important for nurse leaders to ensure that all individuals are practicing at the top of their license. Its essential that NPs and policy makers have a clear understanding of how their state laws and regulations impact their practice. The American Association of Nurse Practitioners (AANP) classifies state laws and regulations impacting APRN practice and identifies the practice environment within the state as full, restricted, or reduced.1 In full practice authority (FPA) states, licensure laws permit APRNs to (1) evaluate patients, (2) diagnose patient problems, (3) order and interpret diagnostic tests, and (4) initiate and manage treatments including prescribing medications and controlled substances under the licensure authority of a state board of nursing.1 Half of the 50 US states (n = 25) are classified as FPA (Figure). Palliative Care Nurse Practitioner - Hospital. Identify existing institutional barriers to APRN practice; Actively support and target the removal of institutional barriers to APRN practice; Understand and implement the APRN Consensus Model in the regulation of APRNs in their respective institutions; Be knowledgeable about APRN practice restrictions within their state; and. gY{.?HOj{wc&5+SQL=MuD`d\5>Ls*4}=mr;njcnShMh9b}jIm << Ideally, the sponsoring physician works with you in practice. Hastings-Tolsma M, Foster SW, Brucker MC, et al. Hain D, Fleck LM. The advanced practice registered nurse provides a broad range of health services, the scope of which shall be based upon educational preparation, continued advanced practice experience and the accepted scope of professional practice of the particular specialty area. In this case, the treating doctor is responsible for performing the duties. More than 88 percent of family nurse practitioners and adult nurse practitioners accept Medicare patients, and more than 80 percent of both groups accept Medicaid patients. As of January 1, 2023, NPs who hold an active certification issued by the BRN pursuant to Business and Professions Code Section 2837.104 will be able to perform the functions specified above without standardized procedures outside of a clinic, acute care hospital, state hospital, medical group practice and other limited settings. Please try again soon. endobj /97ce11a3e859fdafcea741cd92e8a83b 28 0 R All claims must include a national provider identifier (NPI) as part of the claim requirements. An advanced practice registered nurse is a registered nurse licensed by the Board to practice as an APRN on the basis of completion of an advanced educational program. Reflects new or updated requirements: Changes represent new or revised requirements. Conversely, if you are employed in a setting where nurse practitioners are not supported or rewarded for the additional skills necessary for the management of hospitalized patients, privileges may not be necessary. Hospital privileges improve the continuity of care for patients by allowing you to actively participate in their inpatient care. Optimizing full scope of practice for nurse practitioners in primary care: a proposed conceptual model. << trailer The Texas Nurse Practitioner strongly supports allowing APRNs to practice at the full extent of their clinical ability without the use of ANY arbitrary barriers. All childhood and adult immunizations must be up to date and records provided. the burden of producing information deemed adequate by the hospital for a proper evaluation of current competence, current clinical activity, and other qualifications, and for . 0000194677 00000 n Regardless, the concept of admitting privileges is that your doctor would be able to admit you with some paperwork and a quick phone call. The salaries by state listed above represent an average across all types of nurses. Registrants for the in-person conference will also receive access to the on-demand package at no extra charge! Train your staff with a tool to quickly and efficiently assess standards compliance with our Hospital Compliance Assessment Workbook. Highlight selected keywords in the article text. endobj 66 66 891 67 67 895 68 68 891 69 /0aa297bb91187717e83457a03db20e03 28 0 R This must be performed and dictated within 24 hours of admission. /FontBBox [ 0 -210 1358 898 ] 0000003082 00000 n Discharge summaries, like the admission history and physical examination, must be dictated within 24 hours of discharge. >> As identified in the Future of Nursing 2020-2030 report, until all APRNs are permitted to practice to the full extent of their education and training, significant and preventable gaps in access to care will continue.16. How does a Nurse Practitioner get hospital privileges?? Complete and submit the Autonomous Practice Application for Nurse Practitioner to: (225 ILCS 65/65-40). 0000005028 00000 n Some nurse practitioners may work independently in clinics or hospitals without doctor supervision. Credentialing and Privileging - Requirements for Physician Assistants and Advanced Practice Registered Nurses. The rules of any hospital in this state may grant privileges to nurse practitioners and physician assistants for purposes of patient care. Position Summary. Learn how working with the Joint Commission benefits your organization and community. State practice and licensure laws permit all NPs to evaluate patients; diagnose, order and interpret diagnostic tests; and initiate and manage treatments, including prescribing medications and controlled substances, under the exclusive licensure authority of the state board of nursing. Was this article helpful? /13ce7441f0cb9bb10ecc1a4924d4eff9 28 0 R 0000003308 00000 n /FontDescriptor 36 0 R If no, please comment on how we could improve this response. Despite their training, medical doctors typically supervise them in California. History of CredentialingObtaining hospital privileges is referred to as credentialing. NPs have been in practice an average of 9 years. 12. Such collaboration increased my knowledge and improved my skills immensely. 7. /e0d94883a27b514364790c92381ab135 28 0 R 0000005372 00000 n 0000024987 00000 n Since that time, many states have enacted similar legislation. /12733094ab32dcca2364aebe5a7375d9 28 0 R This form needs to be completed and signed by one or two physicians. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. >> American Association of Nurse Practitioners National Nurse Practitioners sample survey: Update on acute care nurse practitioner practice. /Fabc108 35 0 R The ability of nurse practitioners to provide high-quality patient care without the interference of a physician is an important step forward in the delivery of patient care. This list provides the latest nurse practitioner scope of practice by state or territory. Are Instagram Influencers Creating A Toxic Fitness Culture? Physical therapists are legally allowed to evaluate and treat patients without a prescription for up to 10 business days in Texas. 0 DISCLAIMER: The material contained in this is offered as information only and not as practice, financial, accounting, legal or other professional advice. A designatedNPP can submit Medicare Part B claims for services provided in an inpatient or outpatient setting as of July 1998 under the 1998 Improvement to Medicare Part B. (423) 443-4525 info@nationalcredentialing.com. /Source (WeJXFxNO4fJduyUMetTcP9+oaONfINN4+d7JkdepJGYv1GjCAXXZLJA5HEtThBppB9khgm8VtCFmyd8gIrwOjQRAIjPsWhM4vgMCV\ Nurse Practitioner - Hospital: Nurse Practitioner - Neonatal: Podiatry: Medical Specialties A-M. Allergy and Immunology . Your decision about whether to obtain privileges depends on the location of your practice, your type of practice, and your level of comfort around hospital-based care. Nurse leaders should also support lobbying efforts within their state to remove unnecessary barriers to APRN practice. 1 In full practice authority (FPA) states, licensure laws permit APRNs to (1) evaluate patients, (2) diagnose patient problems, (3) order and J Adv Pract Oncol. In many states, the nurse practitioner's prescriptive authority includes a collaborative or reduced approach. endobj annual review). Easy access to healthcare can be an in issue throughout the United States. Click here for complete information about license restrictions by state. (3) Rules must be in writing and may include, but need not be limited to: (a) Limitations on the scope of privileges; (b) There are additional responsibilities for the nurse practitioner with hospital privileges that may include overnight calls and additional work hours, particularly at the beginning or end of the day to make rounds on patients. This includes initiation, alteration and cessation of prescription drugs. /Subtype /Type1 This section cited in 49 Pa. Code 21.363 (relating to approval process); and 49 Pa. Code 21.367 (relating to approval process). See how our expertise and rigorous standards can help organizations like yours. . To understand credentialing and privileging, it is helpful to first look at the genesis of such requirements and examine how laws, regulations, agency policies, and common law affect whether or not a nurse practitioner (NP) is able to practice in a specific setting and under what conditions (Fig. They are authorized to diagnose, order and interpret diagnostic tests, and prescribe medication and other treatment. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. It is important for nurse leaders to understand the state laws regarding APRN licensure and scope of practice. Provide diagnostic and treatment services to patients who have acute, chronic, or intermittent illnesses, whether independently or as part of a healthcare team. H\n@{b/ 8N Ea|JZ9kXLn6iha6opnS1>vRI79\iH?1IOml~&=O~6lLNLl{|7+c0i6\ SCRe1[|mv<5)xqrwX}qu%;;23CIeYe]`.-EfAfiYpZ:-vE~a~Alp You may search for similar articles that contain these same keywords or you may 2. Nurse practitioners rarely obtain such privileges. /Encoding /WinAnsiEncoding 2018;30(3 . 34 0 obj 47 843 48 48 1110 49 49 660 50 50 Kleinpell R, Cook ML, Padden DL. Even though you have your license, your . | 6. 0000038275 00000 n 25 25 602 26 26 1072 27 27 947 28 /Type /Font /ItalicAngle 0 Currently, 22 states and the District of Columbia have approved "full practice" status for nurse practitioners, a provision that allows them to assess, diagnose, interpret diagnostic tests, and prescribe medications independently. Let AANP know! /b375cd9339af2bb12856853d3d172057 28 0 R <<7FDC303F19327345BB923EC94941E706>]/Prev 323822/XRefStm 1540>> doi:10.1016/j.outlook.2021.05.002. 15. Nurse practitioners (NPs) are registered nurses who have completed additional education to prepare them to deliver a broad range of services including the diagnosis and treatment of acute and chronic illnesses. 88.0% of NPs are certified in an area of primary care, and 70.3% of all NPs deliver primary care. 0000013877 00000 n Nurse leaders should: As outlined in Table 2, these barriers might include requiring health care professionals to send consultative or procedural notes to the provider who referred the patient, including APRNs, or eliminating the option to decline accepting a referral based on the referring health care provider type. 122 746 123 127 891 128 129 952 130 130 hA 048F}\GcC~` A physician who has been appointed by the student to supervise their practice is the only person who can practice to the fullest extent of their education and training. m& m& m& m& m& m The next step is usually a mandatory interview of approximately 1 hour in length. Anen T, McElroy D. Infrastructure to optimize APRN practice. Learn about the development and implementation of standardized performance measures. 1).This article provides a brief overview of federal, state, and local laws that impact NP . Position statement: full practice authority for advanced practice registered nurses in necessary to transform primary care. startxref 2021;69(5):783792. /289a552e0d4400188146c4b0372efb63 28 0 R A majority of respondents (n = 5228; 70.9%) were employed 5 or more years. Their medical skills allow them to diagnose and treat illnesses, prescribe medication, and perform other tasks that a regular registered nurse cannot perform. KS H 2179 : Licensure Of Dental Therapists - Provides for . Removing barriers to advanced practice registered nurse care: Hospital privileges. With your AANP membership, you can access quick reference guides on your state to inform yourself and your patients. This year, survey respondents were asked to respond to a question re-garding state statutory authority to order home health services. While varying from facility to facility, clinicians with associate privileges must admit a patient to a collaborating or supervising physician, not to the nurse practitioner herself. IU Health Ball Memorial Hospital, the region's main campus, is both a teaching hospital and regional tertiary referral center. AARP Public Policy Institute. Washington, DC: American Association of Colleges of Nursing & National Organization of Nurse Practitioner Faculties; 2008. No changes to content. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. In both 2009 and 2011, nursing organizations attempted to change these laws, but were unsuccessful due to protests from physicians. A nurse practitioner must have a masters degree in nursing (MSN) or higher, and they are typically licensed and independent health care professionals. >> 5. Nurse leaders can play a significant role in reducing outdated and unnecessary health system practice barriers for APRNs. In the remaining states, NPs still have more authority than RNs, but they need a medical doctor to sign off on certain patient care decisions. It may be conducted by the chair of the department of medicine and other physicians from the department. Make a prescription for medication. advanced practice nursing; advanced practice registered nurse; barriers to practice; institutional practice barriers; nurse leaders. Scope of practice guidelines for advanced nursing professions vary by state. /Parent 27 0 R Devi, S. (2011). 0 0000004316 00000 n Nurse practitioners have full practice authority in 25 states, meaning that they do not have to work under the supervision of a doctor. Nurses are now able to provide care in a variety of settings due to technological advances. . writing orders, directing care, etc) is required to be granted privileges prior to providing care, treatment or services. Reach her at [emailprotected]. Even if the nurse practitioner is not a physician attending to patients, she is still considered an attending physician, and the patient must be enrolled in that plan. J Nurs Adm. 2017;47(9):465469. You need to know all the details about NP practice in your statefrom signature authority to the number of CE hours required for licensure and beyond. For additional information on this or related content, please email, Sexual Assault Nurse Examiner (SANE) Core Course, Immunization Awareness and Adult Vaccinations, COVID Fatigue, FAQs, and Vaccine Hesitancy. This page was last updated on November 23, 2022. endstream endobj 831 0 obj <>/Metadata 37 0 R/Pages 36 0 R/StructTreeRoot 39 0 R/Type/Catalog/ViewerPreferences<>>> endobj 832 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 833 0 obj <> endobj 834 0 obj [/Indexed/DeviceRGB 232 858 0 R] endobj 835 0 obj <> endobj 836 0 obj <> endobj 837 0 obj <> endobj 838 0 obj <> endobj 839 0 obj <>stream Provide complete physical examinations. xref Full Practice Authority States/Territories Alaska Board of Nursing Nursing Statutes and Regulations Arizona Board of Nursing 5. Can Nurse Practitioners See Patients In The Hospital, The Role Of Nurse Practitioners In Patient Admission, 8 Useful Organic Remedies Worth Considering For An Energy Boost, The Rise of Autism: How Parents Are Coping.