Monday, April 21, 2014
Posted by: Leila Faucette
Santa, world famous for knowing who has been bad or good, no longer seems to hold the market share for “naughty and nice” lists. Why, just today, I was confronted with several such lists with my name on them (all on the nice list, I assure you). One of them was called “Quarterly Results: Press-Ganey Survey of Patient Satisfaction,” one was titled “Non-Negotiable Provider Goals Report,” and another, the “Annual Summary of Provider Prescribing.” Then I opened my mailbox to find the latest KBN Connection with even more lists. There was a contact list, a “Nursing Approval Status” list, an article about controlled substances prescribing with a “tips” list, a list of board actions, and a FAQ list about compliance with nursing laws. Near the back there was also a potentially career-ending, reoccurring segment the KBN dubs “Disciplinary Actions.” Let’s just call it That List—and in case you had to ask—definitely naughty!
I don’t like reading That List, but I do. I try not to look at the names or where the offenders reside. I merely glance over the page and say a little prayer that my name never inks its pages. For some of us who are lousy at lying, offenses like “falsifying a licensing application” are the least of our worries; for others, drug or alcohol offenses may never cross your minds. Many of you may believe that failure to complete CEUs will never be your downfall. But for some APRNs, landing on this list could result from something you never thought twice about doing in your practice. However, KBN or your certifying body deemed that this “something” was not within your scope.
Familiarizing yourself with the requirements of initial and on-going certification can also help you avoid pitfalls, like failing to work within your population focus. This gets especially tricky for those of us with an FNP credential if we are not working with a broad age range of patients with a variety of conditions, or if we are working exclusively in one specialty area or in a facility where our focus is limited. For example, if I—as an FNP—am working in a skilled nursing facility during my entire recertification period, and my clientele consists entirely of octogenarians, I have not met the requirements of certification that specify a practice with patients across the lifespan. Perhaps I have to consider if during my employment as a hospital-based practitioner, (assuming licensure and competence, of course) I am truly performing FNP skills that I was educated and certified to do within the inpatient setting, or if I am “stretching” into another advanced practice role’s population.
You may find the Consensus Model adopted by the KBN, advisory and opinion statements, and the Scope of Practice Decision Tree (available on the KBN website under Forms/Publications) helpful in guiding your decisions, as well as national standards and scopes of practice. Remember, the Consensus Model states that all three conditions (education, certification, and licensure) must be congruent AND that your skills are being utilized WITHIN your population focus. For a great read, and to keep yourself off That List, brush up on your consensus model knowledge. Download the APRN Consensus Model on our website, www.kcnpnm.org: under Member Resources select Knowledge Base, then Regulations and Statutes. (http://www.kcnpnm.org/?page=kb_regs_statutes)