Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.

Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.

Board of Nursing

The Board of registered nursing (BRN) is a state government agency established to protect the public by regulating the practice of registered nurses. It is responsible for implementing and enforcing the Nursing Practice ACT, a law related to nursing education, licensure, training, and discipline of Nurses.

The California Board of registered nursing (CBRN), just like the Nevada Board of registered nursing, issues a new registered nurse license for two birthdays. The license requires renewal every two years in addition to 30 hours of continuing education which is needed before license renewal for both states. However, the CBRN requires an application three months before the license expires. In comparison, the Nevada license renewal application can be sent two months before the expiration of the nursing license (ndc, 2022).

APRNs Practicing and Regulations

Advanced Practice Registered Nurses (APRNs) are highly skilled and specialized nurses with advanced education and clinical training beyond a registered nurse (RN) level. APRNs are often primary care providers and are at the forefront of providing preventive care services to the public (ANA, 2017).

The BRN certifies APRNs and provides guidelines to ensure competency, proper qualification, and standard of practice for APRNs. The BRN ensures that the APRNs pass through an accredited nursing and advanced practice school before being certified. For example, any individual to be certified as an APRN must have a registered nurse license first, in addition to possessing additional qualifications from the appropriate school, and this is applicable in both California and Nevada Boards of Registered Nursing.

The CBRN differs in some ways from the Nevada Board of registered nurses NBRN based on their policy. With the CBRN, a Nurse Practitioner (NP) can practice the full scope of their education but with limitations (Clarke, 2023). It means an NP must work under the supervision of a physician. There is, however, a recent change. In September 2020, a new Assembly bill was signed by the California government, creating two new categories of practice for Nurse practitioners, which are 103 NP and 104 NP (Nursing, 2020). 103 NP works in a group setting under the supervision of at least one physician and surgeon within the focus of their National Certification. In contrast, 104 NP can work independently within the scope of their National Certification. However, an NP must work as a 103 NP in good standing for at least three years before becoming a 104 NP in California. The board will be able to certify for 104 by 2026.

However, in Nevada, NPs can practice independently to the full extent of their education and training, allowing NPs to act without the supervision of a physician or collaboration (Clarke, 2023) while prescribing drugs, assessing and diagnosing patients, and making referrals to specialists. However, they need up to 2,000 hours of clinical experience or two years before they can prescribe Schedule II- control substances (Nevada nursing board,2023).  

Reference

Advanced practice registered nurses (APRN): American Nurses Association. ANA. (2017, October 19). https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/