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The project team created an ongoing working group that described practitioners' scopes of practice, developed referral protocol, created reporting and communication mechanisms and supported a patient-centered, evidence based approach to care delivery[ 23].
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Fifty jurisdictions and the District of Columbia have laws pertaining to nurse practitioners' scope of practice.
Nurse Practitioners' scope of practice is not limited to assisting physicians.
State laws that define nurse practitioners' "scope of practice" vary, but in general they perform many of the tasks that primary care doctors do: they diagnose and treat illness, order tests, prescribe drugs and make referrals to specialists.
This had to comply with: a) a set of rules based on legislation, regulation and registration issues; e.g. what was within a particular health practitioners' scope of practice or legal working hours; and b) a set budget (an approximation of the community's current health and social care budget).
To explore the legislative and regulatory constraints that defines nurse practitioner scope of practice within the Australian context.
The Policy Surveillance Program staff has recently updated the Nurse Practitioner Scope of Practice Dataset on LawAtlas.org to include laws through May 2016.
States can also consider relaxing scope-of-practice restrictions on nurse practitioners and physician assistants, so that doctors can devote their attention and time to the most serious cases.
It is widely recognized that there is significant state-level variation in scope-of-practice regulations (SSoPRs) for nurse practitioners (NPs).
Others, particularly at the state level, have argued for relaxing "scope-of-practice" rules to allow nurse practitioners and physician assistants to assume many of the functions that have historically been the sole province of doctors.
Bipartisan support for providing direct access is also building across the country in state capitals to change state scope-of-practice laws that often prevent nurse practitioners from providing certain care without a doctor's supervision.
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