In 1993, the Missouri Legislature and the Governor of Advanced Nursing granted legal legitimacy with House Bill 564. The Missouri State Board of Nursing Rule, 20 CSR 2200-4 100 Advanced Practice Nurse, which further defined this Act, 335,016(2), RSMo, and introduced an advanced practice nurse application process, came into effect on June 30, 1996 with a modest amendment effective October 30, 1997. It should be noted that the requirements inherent in the above state laws and rules regarding advanced practice of registered nursing and collaborative practice may need to be combined with the requirements of other relevant state or federal laws and rules. It is imperative that nurses with advanced practice understand their scope of practice and standards with respect to care responsibilities and responsibilities, and that they secure and use all primary source data and documents that are relevant to their practice, environment, patients, their repayment options, etc. The Collaborative Practice Rule states that the Missouri State Board of Nursing has the right and duty to discipline advanced nurses for “violation of state or federal laws, rules, or regulations, regardless of the licensee`s participation in a collaborative practice agreement” [see (4)(G) of the Rule]. Confirming whether a registered professional nurse has the current status of registered nurse can be done by contacting the Missouri State Board of Nursing. There are grounds to investigate and discipline the licenses granted to registered nurses to designate, designate or represent themselves or practice as registered nurses in advanced practice in Missouri if the recognition of senior nurses has never been sought, or if the recognition has expired because the requirements for continuous recognition are not met before the expiration date of their “recognition document”. Were. Call, title, represent or registered nurse as a nurse in a particular area of clinical nursing (e.B. Family, women`s health, medical-surgical, pediatrics, etc.) and role (i.e. nurse anesthetist, nurse midwife, nurse practitioner or clinical nurse specialist), a nurse must be registered as a registered professional nurse in the state of Missouri and must have a “recognition document” from the Missouri State Board of Nursing. The “Recognition Document” is not a separate licence.
Rather, the “recognition document” specifies the specific title of the advanced practice nurse to be used by the individual and determines the legal scope of advanced nursing. As part of the rule, 20 CSR 2200-4 200 Collaborative Practice, there are several required collaborative practice entries that the Council of Nursing sciences or healing arts would look for in the written agreements of cooperating professionals: To perform advanced practices, nurse delegates medical actions that would be specified in a written collaborative practice agreement with a physician, Meeting the requirements of the Practice the Registered Nurse Rule and therefore obtaining a “recognition document” is a necessary precursor. There are reasons to investigate and discipline the licences granted to registered nurses and medical professional physicians to participate in written collaborative practice agreements when delegations are directed to the Registered Registered Nurse as an Advanced Practice If the nurse in question is not registered as an Advanced Practice Nurse in an area of clinical care or role is recognized. Although collaborative practice agreements are defined in section 334.104.2, RSMo, as written agreements, jointly agreed written protocols, or written standing orders for the provision of health care services, advanced practice nurses often obtain written agreements with cooperating physicians. Other relevant collaborative practice modalities specified in the Collaborative Practice Rule that should be considered particularly important to cooperating professionals in terms of the design, implementation, and defensible documentation of their practice include: In 1993, the Missouri Legislature and the Governor under House Bill 564 and the Registered Professional Nurses who were advanced nurses, the legal powers granted to participate in written collaborative practice agreements. .