LACE response

Read post below and reply with addition information. 2 references need, within 5 years. apa format

In 2008, with the collaboration of the Advanced Practice Nursing Consensus Work Group and the National Council of State Boards of Nursing (NCSBN) APRN Committee came with Consensus Model for Advanced Practice Registered Nurse (APRN) which regulates APRN specifically with regards to LACE or licensure, accreditation, certification, and education (Ward,2015). This is important as it gives uniformity to the scope of practice of APRNs and decreases the barriers for fulfilling their practice in totality, as sine states have their own set of rules such as with regards to having full autonomy and not having supervising physician when performing their duties.

The main advantage of the Consensus Model for APRN: LACE is it increases the patients’ access to health care. The expanded payment coverage of CNS services by the Centers for Medicare & Medicaid Services created by the ACA increases access to health care by offering another provider option (Ward, 2015). This is significant as there are really times that it is so hard to schedule an appointment with primary doctors as their schedule is always full. Having nurse practitioners around is an option especially if they are as capable anyways. And sometimes, they actually spend more time with the patient compared to the doctors.

Another issue that the Consensus Model tackled is with regards to autonomy. Some NPs get frustrated with barriers such as they can prescribe medication in some states that allows them for full authority but when they are in a different state that does not have that autonomy, they cannot even prescribe a narcotic even though NPs have the training for such (Increasing Access to Health Care by Implementing a Consensus Model for Advanced Practice Registered Nurse Practice, 2018). This really limits the capacity of an NP. This is understandable especially if the nurse practitioner, let us say, from Alaska who has full practice authority there and comes here in California to volunteer for a short while to help out with NP or MD shortage due to a calamity or pandemic, they will not be able to fulfill their full capacity as an NP or as how they are accustomed to. As we know, California, at least before 2023, has restrictions with nurse practitioners. And of course an NP, especially if he or she is working in a hospital or an urgent care, for example, cannot really know ahead of time what kind of procedure a patient will need. What if that supervising doctor is not available right at this minute due to an emergent situation with his own patient? The NP and his patient will have to wait until that supervising doctor is available, which delays care. The patients who are receiving care also will be confused with the role of the nurse practitioner as to why he is even seeing a nurse practitioner instead of a doctor who can provide orders that he needs. Overall, Consensus Model for APRN: LACE is really important both for APRNs involve and the community they service.

References:

Increasing Access to Health Care by Implementing a Consensus Model for Advanced Practice Registered Nurse Practice. (2018). The Journal for Nurse Practitioners, 14(5), 419-424. http://dx.doi.org/10.1016/j.nurpra.2018.02.008

Ward, Cynthia W, DNP, RNBC,C.M.S.R.N., A.C.N.S.B.C. (2015). It’s Time to Recognize APRN Practice Nationally. Medsurg Nursing, 24(4), 210-211. https://search.proquest.com/docview/1705664118?accountid=100141

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