Nursing Regulations

Nursing Regulations

  • Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
  • Consider how key regulations may impact nursing practice.
  • Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.



A Comparison of two APRN Boards of Nursing Regulations in Illinois with those of California

The nursing profession is highly regulated and there are very regulations that are implemented by the boards of nursing and the nursing associations. The role of these bodies is to regulate inform as well as promote the nursing practice.  Although Boards of nursing (BONs) and associations have differences, they are both essential to the nursing profession. The Advanced Practice Registered Nurse (APRN) practice has its definition and scope provided by the Nurse Practice Act and implemented by the board of nursing alongside other boards. Different states may have different regulations being regulated by various boards.

For advanced practice in Illinois, the nurse must be licensed. The license to practice is provided by the Illinois Department of Financial and Professional Regulation (IDPR). According to the association ANA, APRNs that are acknowledged include the Certified Nurse Practitioners (NPs), Certified Registered Nurse Anesthetists (CRNAs), Clinical Nurse Specialists (CNS), and Certified Nurse-Midwives (CNMs). In Illinois, the above-mentioned nurse categories are also recognized by the state and it is required that the nurse holds RN as well as APN licensing. According to the National Council for State Boards of Nursing, Illinois has been listed as a state that has pending nurse compact legislature.  It is however required that the nurse holds the primary RN licensure.


The APRNs in Illinois need to have collaborative agreements as long as they are working in the state unless in some cases where there is an exemption that is provided. In the state, there is a collaborative agreement that is provided by the Illinois Prescriptive authority. It is a licensing agency that establishes a distinction between the drugs that have been established to be legal and the other drug substances that are under control. However, in Illinois, there are no separate applications for the different categories of drugs. The collaborative agreement is expected to be signed by the physician. In the year 2017, the governor of the Illinois state signed into law a change in APRN licensure regarding collaboration. Therefore, in this state, APRNs who work outside the hospital and the affiliated settings will provide advanced practice nursing care without the career-long written collaborative agreement. Also, concerning the medication, drugs such as Benzodiazepines and some other scheduled agents will be used under an existing relationship between the nurse practitioner and the physician as a condition of prescribing authority.

A similarity exists between the regulation and that of California and in both states, it is required that a license and collaboration be provided. California’s advanced practice nurses are overseen by the California Board of Registered Nursing (BRN). Also, it is required that the nurse be licensed and registered. However, differences exist in the requirements for collaboration. A nurse practitioner in California must be able to practice under standardized procedures that are established through collaboration. The law of the state, however, does not have any specifications regarding the required level of supervision among its nurses with regards to the provision of drugs and devices

In both states, the Health Care Quality Improvement Act applies and this is an act that encourages hospitals, state licensing boards, and professional societies to identify and take corrective action for health care workers who may be found by peer review to be engaged in negligent or unprofessional encourages the peers to work in accordance with the specified rules of conduct and provide quality care.


How the regulations apply to Advanced Practice Registered Nurses (APRNs) who have the legal authority to practice within the full scope of their education and experience

The action by the Illinois government to have the APRNs have a pathway to provide advanced practice nursing care without the career-long written collaborative agreement goes a long way in removing the barriers of practice for these APRNs. Consequently, nurses can practice efficiently and under Full practice authority. This means that they can utilize the knowledge that they have as well as skills and judgment that is useful to practice to a full extent. This is in line with the national call to remove barriers to full practice authority from various organizations, something that has been in progress with the ANA as well as the State Nurses Associations.

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Example of how APRNs may adhere to the Regulations

To adhere to the regulations provided, nurses will have to ensure that they are licensed before they engage in practice in Illinois. One action that they can get involved in is to ensure that they engage in professional conduct and ensure that they are not negligent in their activities. This means that they will adhere to the nursing scope of practice as stipulated by the nursing associations at different levels and specifically in the state. This is because, according to the health Care Quality Improvement Act, the hospital, or the licensing broads as well as the professional societies to take corrective or disciplinary actions on the APRN nurses that may be found to engage in negligent or unprofessional conduct. Therefore, they should try at all times to abide by the rules and regulations provide. For licensing, they should ensure that they are licensed and that the license is updated whenever it is required. In conclusion, the Nursing profession is a very highly regulated profession as evidenced by the existence of numerous boards of nursing and nursing associations across the United States of America. Regulations are carried out by the BONs and the nursing Associations. Their existence helps regulate, inform, and promote the nursing profession. Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice and there are different regulations in different states.


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Arifkhanova, A. (2017). The Impact of Nurse Practitioner Scope-of-Practice Regulations in

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O’Herrin, J. K., Fost, N., & Kudsk, K. A. (2004). Health Insurance Portability Accountability

Act (HIPAA) regulations: effect on medical record research. Annals of surgery, 239(6), 772.

National Council of State Boards of Nursing (NCSBN).  (2019). Illinois Illinois Board of

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