Can Florida Psychiatric Nurse Practitioners Register their Autonomous Practice for Primary Care Services?
Recently, the Board of Nursing voted to approve the following revised language for adoption by rule as the definition of “primary care practice”:
“Includes physical and mental health promotion, assessment, evaluation, disease prevention, health maintenance, counseling, patient education, diagnosis and treatment of acute and chronic illnesses, inclusive of behavioral and mental health conditions”.
This definition would be read in conjunction with Section 464.0123(3), Florida Statutes.
The Board also voted to accept the recommendation, also for adoption by rule, from the Council on APRN Autonomous Practice for “standards of practice” as:
“Advanced practice registered nurses who are registered pursuant to Section 464.0123, F.S., shall engage in autonomous practice only in a manner that meets the General Standard of Practice. The General Standard of Practice shall be that standard of practice, care, skill, and treatment which, in light of all relevant surrounding circumstances, is recognized as acceptable and appropriate by reasonably prudent similarly situated health care providers.”
They don’t mention psychiatric nurse practitioners by name but the revised definition’s inclusion of words like “Mental health promotion, assessment, evaluation” and “treatment of….behavioral and mental health conditions” implies that this is inclusive of the services that a psychiatric NP would provide in a primary care setting.
We are awaiting further comment form the Board of Nursing with additional direction for the scope of services that psychiatric nurse practitioners can provide under this revised definition. I would argue that if the Board of Nursing approves your autonomous practice registration based on your description of providing psychiatric services that the BON is in turn permitting your to engage in autonomous practice for the provision of psychiatric nursing services in a primary care setting.
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