Full Answer Section

Specific Examples

Here are some specific examples of how the scope of practice differs between California and Texas:

In California, APRNs can prescribe medications without physician oversight. In Texas, APRNs must have a collaborative practice agreement (CPA) with a physician in order to prescribe medications.
In California, APRNs can diagnose and treat patients without physician oversight. In Texas, APRNs must have a CPA with a physician in order to diagnose and treat patients.
In California, APRNs can order and interpret tests without physician oversight. In Texas, APRNs must have a CPA with a physician in order to order and interpret tests.
Applicability to APRNs with Full Practice Authority

APRNs with full practice authority, such as those in California, are still subject to the regulations of the Board of Nursing. However, they have more flexibility in how they practice.

For example, APRNs with full practice authority can open their own practices and hire their own staff. They can also collaborate with physicians on a case-by-case basis, rather than having to have a CPA with a physician.

Example of How APRNs Can Adhere to Regulations

One example of how APRNs can adhere to the regulations in both California and Texas is by keeping their records up-to-date and accurate. APRNs should also make sure that they are familiar with the latest regulations and guidelines for their practice.

Another way that APRNs can adhere to the regulations is by collaborating with physicians. Even though APRNs with full practice authority do not need to have a CPA with a physician, they may still find it beneficial to collaborate with physicians on complex cases or when they need additional expertise.

Conclusion

The regulations for APRNs vary from state to state. APRNs should be familiar with the regulations in the states where they practice. APRNs with full practice authority still have some obligations to the Board of Nursing, but they have more flexibility in how they practice. APRNs can adhere to the regulations by keeping their records up-to-date, being familiar with the latest regulations, and collaborating with physicians.