Scope of Practice
Discuss your Iowa NP community in terms of scope of practice. Include the your Iowa’s scope of practice for NPs including:
Level of independence of practice
Any limitations of practice
Process for obtaining licensure in your state
Certification and education requirements for licensure.
If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?
How does access to NPs impacts any healthcare disparities?
A scholarly resource (less than 5 years old) must be used
Scope of Practice
Level of Independence of Practice
In Iowa, nurse practitioners are allowed to practice independently without any form of supervision from physicians. Although Iowa allows nurse practitioners to have collaborative practice agreements with physicians if it’s needed in their practice, NPs don’t need to hold such an agreement. Iowa recognizes nurse practitioners as primary care providers who have the power and the privilege to admit patients to healthcare facilities. Iowa can therefore be regarded as a truly independent practice state for nurse practitioners (NCSL, 2019).
In Iowa, nurse practitioners are allowed to prescribe any form of medication independently. Nurse practitioners in Iowa can prescribe schedule II to V substances without any consultation or supervision with physicians. The Iowa state laws do not require collaboration or physician supervision for NPs to prescribe medications (Siglin, 2020).
Any Limitations of Practice
The state of Iowa is a truly independent practice state with no limitations of practice for NPs. Nurse Practitioners in Iowa can practice with no collaborative agreements or any form of supervision from physicians and also prescribe schedule II to V substances. Therefore, the lack of limitations of practice for NPs in Iowa makes them be viewed as primary care providers who also have the privilege of admitting patients to healthcare facilities and signing handicap parking permits and death certificates (Kandrack et al., 2019). The lack of limitations of practice in the state of Iowa allows NPs to practice to the full extent of their knowledge and qualifications.
Process for Obtaining Licensure in your State
The process of obtaining licensure for nurse practitioners in Iowa State includes first obtaining a graduate degree. For an individual to qualify for nurse practitioner registration in Iowa, one must hold at least a master’s degree specific to their clinical specialty and has adequate clinical experience. The second step in obtaining licensure as a nurse practitioner in Iowa is earning national certification. Nurse practitioners are required to earn national certification in the specialty of their intended practice (Siglin, 2020). The third and final step of obtaining licensure as a nurse practitioner in Iowa is applying for registration. NPs who have earned their degrees and obtained their national certification are allowed to complete the advanced registered nurse practitioner applications, which includes a registration fee of $81. Therefore, such nurses must submit copies of registered nurse licenses and their national certification course and certificate college transcripts, and any other documents to receive their license (Siglin, 2020).
Certification and Education Requirements for Licensure
Obtaining a graduate degree is one of the licensure requirements in Iowa. For an individual to qualify for nurse practitioner registration in Iowa, one must hold at least a master’s degree specific to their clinical specialty and has adequate clinical experience. Nurse practitioners also have to obtain national certification in their category of intended practice, including certified nurse practitioner certified family nurse practitioner, among others. The Iowa board of nursing accepts nurse practitioner certification programs administered by various organizations, including the American Nurses Credentialing Center (ANCC), the American Academy of Nurse Practitioners (AANP), the National Certification Corporation (NCC), and others (NCSL, 2019).
If you live in a Full Practice, how has Independent Practice of the APN Resulted in Improved Patient Access to Healthcare?
Independent practice for the advanced practice nurses has significantly boosted access to healthcare in the Iowa population which is mainly rural. The largely rural population in Iowa has enjoyed many benefits of independent practice, including easy access to healthcare services because nurse practitioners are more likely to work in rural areas compared to physicians (Kandrack et al., 2019).
How does Access to NPs Impacts any Healthcare Disparities?
Access to nurse practitioners helps to reduce healthcare disparities in Iowa and other states because allowing NPs to practice the full extent of their knowledge and abilities increases access to affordable care among underserved communities (Lofgren et al., 2017).
Kandrack, R., Barnes, H., & Martsolf, G. R. (2019). Nurse Practitioner Scope of Practice Regulations and Nurse Practitioner Supply. Medical Care Research and Review, 78(3), 208–217. https://doi.org/10.1177/1077558719888424
Lofgren, M. A., Berends, S. K., Reyes, J., Wycoff, C., Kinnetz, M., Frohling, A., Baker, L., Whitty, S., Dirks, M., & O’Brien, M. (2017). Scope of Practice Barriers for Advanced Practice Registered Nurses. JONA: The Journal of Nursing Administration, 47(9), 465–469. https://doi.org/10.1097/nna.0000000000000515
National Conference of State Legislatures (NCSL). (2019). Iowa Scope of Practice Policy – State Profile. Scope of Practice Policy. Retrieved February 8, 2022, from https://scopeofpracticepolicy.org/states/ia/
Siglin, R. (2020). Iowa Board of Nursing Releases Revised Scope of Practice Rules. Leadingageiowa.Org. Retrieved February 8, 2022, from https://www.leadingageiowa.org/iowa-board-of-nursing-releases-revised-scope-of-practice-rules