Advanced Practice Registered Nurse (APRN) in Georgia

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State regulations and requirements for advanced practice nursing vary widely. You will need to be aware of the regulations and requirements for the state in which you intend to practice. This assignment is intended to make sure you are ready to meet all legal, certification, and licensure requirements when you complete your education. In addition, this assignment is designed for you to begin shaping a personal practice philosophy that will enable you to create a fulfilling and successful APRN practice. This assignment is to be completed individually. It will require you to do some research. Review your State Board of Nursing website, national certification associations, State Board of Pharmacy, and any pertinent legislative records necessary to determine the regulations for advanced practice nurse licensure and practice in your state (Georgia). You will need to consider the various clinical and non-clinical roles discussed in this course. Some of these may be dictated by your state regulations. Are you required to have a collaborative relationship with a physician? If so, what is your plan for establishing and maintaining this connection? How do you intend to stay current in your continuing education requirements? If you will be an employee, does your employer cover the costs associated ​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​with continuing education? Other aspects will be determined by the type of practice you’re envisioning. Do you intend to be an independent contractor? If so, develop a “mock contract” that describes your practice as you would like it to be. Your passions and talents will determine other aspects you’ll want to address. For example, if you intend to start a private practice, what is your plan for developing the necessary business knowledge and skills? Consider the roles that all APRNs fill to one extent or another, such as educator, researcher, and advocate. Are there certain areas where you’ll need additional skills? If so, what is your plan for developing these skills? Do you have a mentor in mind? What is your game plan for establishing this relationship? Write a paper outlining the legal, scope of practice, prescriptive authority, certification, and licensure requirements in your anticipated state of practice (Georgia). Include a plan for how you intend to meet requirements upon completion of your education.

 

Sample Solution

In Georgia, advanced practice nurses (APNs) must be licensed with the State Board of Nursing. According to state regulations, APNs must complete at least 30 hours of continuing education every two years as a condition for renewal of licensure and must have a collaborative relationship with a physician in order to practice (“Advanced Practice Nurse Licensure Requirements, 2020). This relationship must include written protocols or guidelines that establish the scope and responsibilities of each party in regards to patient care. Additionally, APNs are required to provide their collaborating physician with all relevant information regarding patient progress on a regular basis.

In order to ensure I meet all requirements for licensure and practice in my state, I plan on establishing and maintaining connections with multiple physicians in my area by attending conferences and networking events held by local medical associations. I will also seek out opportunities to set up informational interviews with current practitioners who can provide advice on how best to develop collaborative relationships. Additionally, staying current on continuing education requirements is essential; therefore I will make sure that all activities are approved by the American Nurses Credentialing Center or another nationally recognized accreditation organization so that they count towards continued professional development.

Overall, it is clear that there are certain tasks required for APNs practicing in Georgia such as establishing collaborative agreements , attending CEU programs ,and providing progress reports . By taking steps such as those outlined above these goals can be accomplished successfully .

 

NAc get dopamine (DA) projections from the ventral tegmental region (VTA) (Björklund and Dunnett, 2007, Ikemoto, 2007, Spirits and Margolis, 2017) and this pathway assume a significant part in roused ways of behaving, support learning and prize handling (Hamid et al., 2016; Salamone and Correa, 2012; Schultz, 2016; Watabe-Uchida et al., 2017). Like whatever other cycle, there are negative input pathways to adjust the projections and forestall overexpression of DA. This emerge from different designs (Matsui et al., 2014) however late investigations show that NAc is the primary wellspring of this inhibitory info (GABAergic input) (Beier et al., 2015; Watabe-Uchida et al., 2012). There were not many clashing outcomes on this with studies proposing inputs from NAc to VTA to be disinhibiting (Bocklisch et al., 2013; Chuhma et al., 2011; Xia et al., 2011) and a new report tending to that NAc neurotransmitter onto VTA GABA as well as DA neurons through GABA-A receptor (GABAAR) and GABA-B receptor (GABABR) separately (Edward et al., 2017). This, notwithstanding, likewise projects an alternate outcome contrasted with the review done by Paladini in 1999 where inhibitory reactions from the striatum to DA neurons were obstructed by GABA-A main bad guy indicating pathway interceded by GABA-An all things being equal.

In this specific concentrate by Hongbin et al. in 2017, the shell part of the NAc is additionally partitioned into average shell (NAcMed) and sidelong shell (NAcLat). D1-MSN in the NAcMed is found restraining NAcMed-projecting DA neurons by means of GABAAR while NAcLat-projecting DA neurons through GABABR. D1-MSNs in the NAcLat, then again, projects onto VTA GABA to bring about disinhibition of NAcLat-projecting DA neurons (Figure 3).

Figure 3. Criticism Circles between Sub-locales of Core Accumbens and Dopamine Neurons in the Ventral Tegmental Region (Hongbin et al., 2018)

This gives an obvious sign of explicit sub-locale and its job in restraint recommending that past disputable examinations might be because of nonappearance of sub-district particularity. VTA GABAAR actuation will make an expansion in DA transmission NAcLat because of disinhibition of NAcLat-projecting DA neurons as well as decline in projections to NAcMed because of direct concealment which concurs with Edward et al. (2017) where he expressed NAc restraint of VTA GABA and DA neurons by means of GABAAR and GABABR separately. Thusly, NAc assumes a significant part in evacuation of tonic restraint of DA neurons from VTA GABA which could then bring about enactment of the prizes pathway (Paladini and Roeper, 2014, Watabe-Uchida et al., 2017). Yet again further examination additionally shows projections from NAc shell to VTA to be backslide elevating while projections to sidelong nerve center to be termination advancing (Gibson et al., 2018) featuring the significance of this pathway in fixation and the chance of forestalling backslide in later medicines.

Inhibitory Job of Glycinergic Transmission in Core Accumbens
GABAergic transmission is well known as the really inhibitory transmission synapse particularly in the focal sensory system. That carries us to the significant job it plays in the remunerating pathway explicitly in the NAc. Ongoing review (Muñoz et al., 2018), notwithstanding, has tracked down presence of synaptic and non-synaptic glycinergic transmission in the NAc and is remembered to play an inhibitory part in the prizes framework because of its inhibitory job in other mind areas creating issues in tactile handling (Buckwalter et al., 199

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