1. The NCSBN APRN Maps Project; Outlining Progression in Adopting Consensus Stephanie Fullmer and Maureen Cahill

2. Comparison and Mapping Project Process Reviewed each jurisdictions act and rules Compared current law with components of the Consensus Model Sent each BON a comparison report Compiled maps based on reports and BON feedback

3. APRN RequirementsConsensus Model TitleAdvanced practice registered nurse (APRN) Roles RecognizedCertified registered nurse anesthetist (CRNA) Certified nurse-midwife (CNM) Clinical nurse specialist (CNS) Certified nurse practitioner (CNP) EducationGraduate degree or post-graduate certificate CertificationNational Certification LicensureState grants APRN license separate from RN license Practice AutonomyIndependent Prescriptive AuthorityIndependent: pharmacologic and non- pharmacologic

4. Definitions Independent - no requirement for a written collaborative agreement, no supervision, no conditions for practice Collaborative - a written agreement exists which specifies scope of practice and medical acts allowed with or without a general supervision requirement by a MD, DO, DDS, podiatrist Supervised - direct supervision required in the presence of a licensed, MD, DO, DDS, podiatrist with or without a written practice agreement

5. Lets see the maps! Maps //www.ncsbn.org/aprn.htm

6. 2012 APRN Maps; Outlining Progression in Adopting Consensus

7. Consensus is definitely not a sprint, but, if this were the marathon, we would already be at mile 17!