THIS IS A SCREEN SHOT OF THE CURRENT ADVANCED PRACTICE ENA E-LEARNING SITE. IT IS A LITTLE LEAN AT THE MOMENT AS IT ONLY OFFERS ONE COURSE BUT HOPEFULLY IT WILL BE GROWING AND EXPANDING.
Indiana House Bill HB 1474
Advanced Practice Nurses:
I am hopeful you are aware that legislation has been introduced in the Indiana Legislature this month to retire the collaborative practice agreement. The legislation was introduced by CAPNI in collaboration with many other groups. Our lobbyist at Barnes and Thornburg is working hard with the health committee members to educate them on our role and why the change is needed. If you are a CAPNI member, you have been seeing a lot of email about this important issue. We anticipate some pushback from the medical community and maybe a few others. Presenting a united front will be crucial. Please consider being a part of this very important moment of history in our state!! If you have questions about any of this, please reach out to me. Thanks for your support!
Below is a template letter to send to your legislator in support of this bill.
(Insert name of senator/representative)
City, State, Zip code
Dear (insert title-Senator or Representative) (insert last NAME),
My name is (insert name). I am an advanced practice registered nurse (APRN), (insert role) in (county) Indiana. I am writing to request your support for HB 1474.
APRNs include the roles of nurse practitioners (NP), certified nurse midwives (CNM), and clinical nurse specialists (CNS). APRNs are a highly valued and integral part of the healthcare system. APRNs have the necessary knowledge and skills to care for patients, impact the healthcare system, and can tremendously improve access to health care in rural and underserved areas of Indiana.
Passage of HB 1474 provides for the adoption of language which will:
· Establish graduate level nursing education as the minimum level of academic requirement for APRN practice. Graduate level education requires advanced courses in many areas, including pharmacology, as well as extensive clinical practice hours.
· Require professional certification, or equivalent, for APRN prescriptive authority. It is proposed that graduates of nursing programs be required to take and pass a certification examination, or equivalent, in their area of APRN specialty before being granted prescriptive authority. This requirement helps establish entry-level competency. APRNs are held to professional standards established by the certifying body, in addition to the nurse practice act.
· Improve the public’s understanding of who is providing their care. Currently, Indiana refers to APRNs by a different title, which is Advanced Practice Nurse (APN). This can cause confusion if patients have moved from another state where the APRN title is used. The goal is for the title advanced practice registered nurse (APRN) to be adopted by every state to provide an easily recognized professional designation in all jurisdictions. APRNs will be required to legally represent themselves as APRNs, followed by their specialty role (CNP, CNM, or CNS).
· Allow APRNs to practice to the full scope of their education and licensure. Current Indiana law requires APRNs that prescribe to sign collaborative practice agreements with a physician. This entails a retrospective review of 5% of patient charts weekly. Numerous studies published over the past 50 years have shown that APRNs in states without collaborative practice agreements provide safe, high quality care.
I ask you to support HB 1474 to enhance the provision of health care to the citizens of Indiana. Please contact me with any questions you may have.
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