Center to Advance Palliative Care

Each state has rules and laws governing and guiding practice of professionals in that state. I would encourage you to seek the source of the information that has been provided and then validate it with the appropriate state board such as medicine or nursing or state agency. I would also encourage you to review with the surveying organization your plan to have it blessed as being within the rules of that organization/state. You will also want to establish requiremnts of the state Nurse Practice act. The Michigan State Nurses Association web site sumarizes the laws governing the practice of APN's. You will also be subject to the medical staff by-laws of your institution. Some states have a requirement for a "Standard of Care" agreement between the physician and the mid-level provider as well. Sharol Herr, RN, BSN, MSEd, CHPN; Nurse Clinician/Education Coordinator; Mount Carmel Health Palliative Care Leadership Center; Columbus, Ohio.