Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including: . Be sure that you carefully address each part of the assigned discussion, in full, with cited scholarly sources to support your statements. at least two paragraph each     My state is Maryland

Level of independence of practice
Prescribing authority
Any limitations of practice
Process for obtaining licensure in your state
Certification and education requirements for licensure.

If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?
How does access to NPs impacts any healthcare disparities?

Consider how patient care has been impacted in your local community by these practice barriers.

For instance, is the ED used for primary care?
Are the EDs overcrowded with long wait times?
Are there urgent care clinics readily available?
Is there adequate access to primary care?
Are your rural communities adequately served?
What healthcare limitations are present in your communities?

Consider how unrestricted, independent practice of the APRN resulted in improved patient access to healthcare?
Include in your discussion how access to NPs impacts any healthcare disparities.

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