Let’s compare the scope of practice for Advanced Practice Nurses (APNs) in California with Florida.

California

California is known for having a relatively autonomous scope of practice for APNs. Here’s a breakdown of some key areas:

• Autonomy: California allows for full practice authority for APNs who meet specific qualifications, including having a Doctor of Nursing Practice (DNP) degree, having a national certification in their specialty area, and completing 3,000 hours of practice under a physician’s supervision.
• Supervision: Once qualified, APNs can practice independently without the need for a formal collaborative agreement with a physician. However, some settings (e.g., hospitals) may have their own internal policies requiring physician oversight for certain procedures.
• Prescriptive Authority: California APNs with full practice authority can prescribe all medications, including Schedule II controlled substances.
• Specialty Areas: California recognizes various APN specialty areas like Family Practice, Adult-Gerontology, and Neonatal.

Florida

Florida has a more restrictive scope of practice for APNs compared to California. Here’s a breakdown:

• Autonomy: Florida requires APNs to have a collaborative agreement with a physician to practice. This agreement outlines the scope of practice and supervision requirements.
• Supervision: The specific level of supervision can vary depending on the APN’s experience and the complexity of the case.
• Prescriptive Authority: Florida APNs can prescribe most medications, but there may be limitations on Schedule II controlled substances.
• Specialty Areas: Florida recognizes various APN specialty areas similar to California.

Comparison:

• Autonomy: California offers significantly more autonomy for APNs with full practice authority.
• Supervision: Florida requires a collaborative agreement, whereas California allows for independent practice under specific conditions.
• Prescriptive Authority: Both states allow APNs to prescribe most medications, but California has fewer restrictions.

Additional Resources:

• California Board of Registered Nursing: https://www.rn.ca.gov/
• Florida Board of Nursing: https://floridasnursing.gov/licensing/
• American Association of Nurse Practitioners (AANP): https://www.aanpcert.org/

Remember: This is a general comparison. Specific details of the scope of practice can vary within each state, so it’s important to consult the official resources for the most current information.