American Academy of Family Physicians @AAFP Errs on Website Criticizing #Nurses @NCSBN

The American Association of Family Physicians website had a glaringly obvious spelling goof in their headline criticizing Board Certified Advanced Practice Registered Nurses.

In a strangely ironic, even cruel twist, the American Academy of Family Physicians (AAFP) authored a letter dated 10 May 2018 criticizing the efforts of the National Council of State Boards of Nursing (NCSBN) to encourage states to expand their Nursing Scope of Practice laws to more accurately reflect uniformity of standards, and allow professionally Board Certified Advanced Practice Registered Nurses (APRN-BC) with ability, education, and training to practice to the fullest extent of their license for the benefit of patients and Public Health. News of the AAFP’s letter was published on their website 16 May.

However, since that news item’s publication, the website contained an obviously glaring spelling error, which negatively reflects upon the physicians’ professional organization, and has neither been noticed, nor corrected as of the date of publication of this entry – Saturday, 26 May 2018.

The ostensible purpose of the AAFP letter, which also carried the endorsement of 80+ professional physician organizations, was to

Best & Worst States to Practice Nursing in 2014

To be certain, there’s plenty of misunderstanding about what exactly Nurses do, and who exactly Nurses are.

So, to clear the air, let’s set the record straight, and get a quick backgrounder before diving into the deep end.

In whatever state they choose to practice, all 50 states requires all Nurses to be licensed before they begin practice. Licensed Vocational Nurses (LNVs) are considered technicians, while Registered Nurses (RNs) are professionals.

The LPN (Licensed Practical Nurse), which in some states is called LVN (Licensed Vocational Nurse), most often has earned a certificate in less than a year, and has a significantly different educational track than a Registered Nurse (RN), even when the RN has an ADN (Associate Degree Nursing). The RN utilizes critical thinking skills, and the responsibilities the RN has are more complex, and therefore always supervisory in nature over the LVN/LPN. Because of the complexities and advances in healthcare, and patient care, LVNs are NOT permitted by license to do the same things as a RN. Pay, of course, comes along for the ride, and RNs are paid more.

Registered Nurses may begin practice by earning an Associate’s Degree Nursing (a two-year degree) typically at a Junior or Community College, or by earning a Bachelor of Science Nursing (BSN), a four-year degree most often earned from a University. Both the ADN & BSN must pass the NCLEX – the National Council Licensure Examination – before they can practice Registered Nursing.

Advanced Practice Nurses (APNs) are BSN-prepared RNs whom have obtained additional education and training, typically a Master of Science Nursing (MSN) in a specialty area of Nursing practice such as Gerontology (specialized care for the elderly), Family Nurse Practitioner (FNP), Acute Care Nurse Practitioner (ACNP), Pediatric Nurse Practitioner (PNP), Certified Registered Nurse Anesthetist (CRNA), etc. Frequently, following earning their MSNs, APNs have also obtained National Certification in their area of specialty, and many have prescriptive authority, depending upon the laws of the state in which they practice. Because they have more education, more experience, and more responsibility, they are also paid more. APNs may also continue education and training to the doctoral and post-doctoral levels.

In some states, APNs are allowed independent practice, and are not required by law to be supervised by a physician. Other states have laws that limit practice of APNs – even though they may be Board Certified – and require physicians to collaborate with them, or in some cases, to oversee their work. Alaska, Arizona, Colorado, Hawaii, Idaho, Iowa, Maine, Montana, New Mexico, Nevada, New Hampshire, North Dakota, Rhode Island, Oregon, Vermont, Washington, Wyoming, and the District of Columbia all allow APNs to practice independently. Alabama is one such state which does not allow Board Certified Advanced Practice Nurses independent practice. According to the American Association of Colleges of Nursing, “in at least 45 states, advanced practice nurses can prescribe medications, while 16 states have granted APNs authority to practice independently without physician collaboration or supervision.”

There’s an entirely different can of worms when comparing the practice of APNs and physicians. One of the ways they differ, are that

Which are the BEST & WORST States for Nursing Practice?

The nursing industry – like most segments of the economy – is in a state of significant transition under the weight of major overarching socioeconomic dynamics, from the aging U.S. population and the Affordable Care Act to the student loan crisis and concerns about the future of key entitlement programs. It’s therefore understandable if recent nursing school grads aren’t sure where to turn once they receive their diploma.

That concern is not unique among recent graduates, regardless of industry, but both the magnitude of the issue – the nursing industry is expected to grow far faster than the average occupation through 2022 – and the various day-to-day demands placed on nursing professionals – from overstaffing and mandatory overtime to unionization and allegations of systematic disrespect – are indeed profession-specific. With that in mind, WalletHub decided to take stock of the nursing industry in order to help nurses, particularly the newly minted of the bunch, lay down roots in areas that are conducive to both personal and professional success.

We compared the 50 states and the District of Columbia in terms of 15 key metrics that collectively speak to the job opportunities that exist for nurses in each market, how much competition there is for each position, differences in the workplace environment, and projections for the future. You can check out our findings as well as

MDs abandon Family Care, NPs step up to Care

A long-term trend in medicine in the United States has been that medical school students continue to abandon Family Care and Rural Practice.

The corollary trend among Advance Practice Nurses & Nurse Practitioners – many whom must also pass National Board Certifications in their area of practice – has been to fill the void formed in the delivery of healthcare by physician abandonment. Typically, the argument given for such abandonment is pecuniary. That is, by the time the medical student graduates from medical school & residency to assume full and independent practice, their debt load is not merely burdensome or impractical, but almost wholly impossible to repay.

More recently, however, medical schools and public health authorities have acknowledged the error of allowing that deterioration and abandonment to occur, and have begun to promote Primary & Family Care among medical schools and their students. Such strategies include not merely the promotion of community and the advantages of rural independent practice, but include full-ride scholarships while in medical school.

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Nurse practitioners look to fill gap with expected spike in demand for health services

By Sarah Kliff, Published: May 12

President Obama’s health-care law is expected to expand health insurance to 32 million Americans over the next decade. Health policy experts anticipate that