Nurse Practitioner Have Their Own Practice – Beginning July 1, 2020, Advanced Practice Registered Nurses (“APRNs”) will be able to register their independent practices throughout Florida with the passage of House Bill 607. APRNs are no longer required to provide patient care under an established protocol system. with a treating doctor if they are properly registered. If the APRN is not registered an established protocol will still be required. The term health care provider is redefined to mean a physician, osteopath, podiatrist, or APRN registered under Florida Statute §464.0123.
Independent practice means advanced nursing practice performed by a registered nurse in accordance with Florida Statute §464.0123 and which is not subject to physician supervision or monitoring protocols. As an independent process to be registered by the Order of Nurses, an APRN must demonstrate the following:
Contents
- 1 Nurse Practitioner Have Their Own Practice
- 2 Barton Associates: Np Scope Of Practice Vs. Independent Practice: What’s The Difference?
- 3 Facing Doctor Shortage, Will California Give Nurse Practitioners More Authority To Treat Patients?
- 4 Day In The Life Of A Psychiatric Nurse Practitioner In Private Practice
Nurse Practitioner Have Their Own Practice
After receiving a certificate of registration, an APRN must renew the registration every two years, which must coincide with the APRN’s mutual license renewal period. To renew registration, an APRN must complete a minimum of 10 hours of continuing education, in addition to the 30 hours of regular continuing education requirements.
Barton Associates: Np Scope Of Practice Vs. Independent Practice: What’s The Difference?
An APRN must be registered to maintain an independent practice so that he or she is financially responsible for paying claims and expenses that may arise from providing care, treatment or services. APRNs can demonstrate this in two ways:
These financial obligations do not apply to: (1) registered APRNs practicing exclusively for the federal government or a state; (2) inactive APRNs; (3) APRNs who practice only in teaching settings at an accredited college or teaching hospital; and (4) a registered APRN but not in independent practice.
A registered APRN can only establish a stand-alone practice in primary care, including family medicine, general pediatrics, and general internal medicine. APRNs who are certified as nurse practitioners may practice midwifery in accordance with Florida Statute §464.012(4)(c). APRNs who are engaged in independent practice must provide written information to a new patient about his or her qualifications and the nature of independent practice before or during the initial patient encounter.
A registered APRN may also (1) admit a patient to a health care facility; (2) manage the care the patient receives in the facility: and (3) discharge the patient from the facility, unless prohibited by federal law. The ARPN may provide a signature, certification, stamp, etc., which is otherwise required by law to be provided by a physician unless the APRN issues a medical certification.
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Registered APRNs must report adverse events to the health department in writing within 15 days if the adverse event occurred while the patient was under the APRN’s direct care. If not under the APRN’s direct supervision, the report must be postmarked within 15 days of the APRN’s discovery or discovery of the adverse event. An adverse event occurs when a patient: (a) is transferred from the APRN study site to the hospital; (b) suffer permanent bodily injury; and/or (c) dies.
There are several other requirements that an APRN must meet in order to legally establish and operate their own self-employed practice in Florida. As more APRNs register, I believe that additional laws and/or regulations will be created to further regulate the practice area. It is important to hire a health care attorney who has the experience, knowledge and training to help you navigate the laws.
It should be noted that I am not your attorney (unless you currently retain my services through an employment contract). This post is not intended as legal advice, is purely educational and informational, and reading it will not create an attorney-client relationship. Please consult your attorney for legal advice. If you do not have one and would like to retain my legal services, please contact me using the contact information above.
All information and references to laws, rules, regulations and advisory opinions were correct under the law as it existed at the time, but laws are constantly changing. Contact me to make sure the laws that govern your business are up to date. thank you.
Facing Doctor Shortage, Will California Give Nurse Practitioners More Authority To Treat Patients?
This article is written by Jamal R. Written by Jones, Esquire (Partner) Jones Health Law, P.A. Where we provide “on-call legal services to healthcare professionals.” For more information contact us at (305) 877-5054; Email us at JRJ@ or visit our website Ask a Nurse: What are my options as an NP if I don’t want to open my own practice?
Charmaine Robinson has been a nurse for over 10 years. She has a background in medical-surgical nursing and nursing education. Her combined years of nursing experience, education, and writing skills have guided her in the field of nursing writing. …
In our Ask a Nurse series, experienced nurses provide an inside look at the nursing profession by answering your questions about nursing careers, degrees and resources.
Q: What are my options as a nurse practitioner if I don’t want to open my own practice?
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NPs have many options for career paths, many of which do not involve entrepreneurship. Learn more about alternatives to opening your own practice.
Many nurse practitioners (NPs) choose to open their own practices. Depending on their status, they serve as primary care providers with little or no practice authority. However, NPs have many options for career paths, many of which do not involve entrepreneurship.
Michelle Broadway, MSN, NP-BC, APRN, acute care hospital NP, decided not to open her own practice. He initially had difficulty finding work in his first specialty, gerontology.
“Everyone I interviewed wanted someone who could see all adults and not just geriatrics,” she says. Broadway was already practicing as an RN at a hospital and decided to stay in the ICU because she only cares for patients in this environment.
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Facing the challenge of opening a practice. Choosing an alternative path can be beneficial because “…you can just practice without worrying about “running the business”. There’s no clientele to build.”
There are many career paths for NPs in both inpatient and outpatient settings. NPs can serve in clinical, educational, and administrative roles at any level. Here are eight alternatives to opening your own studio:
Many NPs work alongside doctors and other health care providers in acute and urgent care settings. They may work as hospital NPs specializing in internal medicine or as physicians on specialty floors.
Working in this role can help you achieve a better work-life balance. “I’m done until my next shift. I don’t take home with work. Different hospitals don’t have midnight calls or shifts,” says Broadway.
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Work flow in outpatient settings is often slower than in hospitals and sub-acute care facilities. NPs can work as physicians in specialty clinics along with other health care providers. Working in an outpatient facility can feel like having your own practice, but without the responsibilities.
It’s also important to consider that you may have to take a pay cut, especially if you’re currently working in intensive care. Broadway remembers when he first started looking for work as an NP. “Geriatric clinics didn’t offer a salary comparable to [my] RN salary,” she says.
Occupational health NPs provide care to the employees of a facility. They can perform health screenings, physical exams, prescribe treatments and administer vaccines. NPs in this role must know workers’ compensation laws so they can provide assistance to employees who have been injured on the job.
If you want to see the same patients regularly without opening a practice, home care may be an option. Specialties include pediatric respite care, geriatrics, wound care and palliative/hospice care.
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For example, geriatric NPs may make home visits for residents in senior living communities or skilled nursing facilities. Duties include implementing preventive care, care planning and patient education.
Nursing schools are in dire need of teachers. NPs can serve as clinical instructors, lecturers, and visiting professors for both undergraduate and graduate courses. Your degree and clinical experience qualify you to teach, and many entry-level positions require little or no teaching or teaching experience.
NPs can serve rural communities by providing screenings and other care services through a mobile health clinic. Many mobile clinics serve patients from a van or RV, which you can find through the Mobile Health Map, the largest database of mobile health clinics in the United States.
You can also get medical screenings on truck drivers at truck stops through companies like UrgentCareTravel or through health screening programs like the New Mexico Mobile Screening Program.
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Health coaches provide support and guidance to help patients achieve their health goals. They identify barriers to better health for patients and serve as accountability partners. As a health coach, you can work in a variety of subspecialty areas (such as diabetes education).
Correctional NPs manage the care of inmates in correctional facilities (eg prisons, jails, group homes, and juvenile detention centers). Duties may include health screenings, education and developing treatment plans. the worker
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