With the passage of AB 890 the Nurse Practitioner may be able to practice independently once certain provisions have been met. All Nurse Practitioners will not meet the provisions outlined within AB 890 by January 1, 2023. Until those conditions are met, the Nurse Practitioner will continue to operate using Standardized Procedures, the mechanism for Nurse Practitioners to perform functions which would be considered the practice of medicine.
Per the statutory requirement in Business and Professions Code (BPC) section 2837.103 (a)(1)(D), the transition to practice must include a minimum of three (3) full-time equivalent years of practice or 4600 hours. Upon completion of the transition to practice, a nurse practitioner may practice in limited settings or organizations in which one or more physicians and surgeons practice with the nurse practitioner without standardized procedures.
Additionally, in order for a nurse practitioner to expand their practice outside of those settings, a nurse practitioner must practice within the limits of their knowledge, experience, and national certification and have practiced in good standing for at least three (3) years after meeting the requirements to transition to practice. Furthermore, a nurse practitioner who is practicing outside of the limited settings outlined in BPC section 2837.103 shall consult and collaborate with other healing arts providers based on the clinical condition of the patient to whom health care is provided and establish a plan for referral of complex medical cases and emergencies to a physician and surgeon or other appropriate healing arts providers.
The Board is interested in moving forward with its duties to implement the bill efficiently and thoughtfully. Though the exact timeframes are not certain nor guaranteed, the Board expects that it will be able to take the necessary steps required by the legislature for implementation of AB 890 on or before January 1, 2023.
Re: “One Day in the Parallel Universe of a London I.C.U.” NY Times Feb 2nd, 2022
Nurses in the U.S. and the U.K. are experiencing a “parallel universe” both inside overcrowded and understaffed hospital wards as well as underfunded and embattled public health systems. Both the American Hospital Association and the U.K. government have promulgated the fiction that regulated safe staffing levels are unnecessary and deny “flexibility” to nurses. At least in the U.K. there is the universal healthcare of the National Health Service that has saved proportionately more lives from the COVID 19 pandemic than the U.S. In my work as an advice nurse during the pandemic, I regularly hear desperately ill COVID 19 patients express reluctance to call 911 for fear of the ensuing bill. Nurses such as myself on both sides of the Atlantic are indeed becoming burned out, not by running out of compassion, but literally sick and tired of being sick and tired while their colleagues, families and patients continue to sicken and die.
Sasha Cuttler RN PhD
RN Chair of Service Employees International Union Local 1021
215 29th Street, San Francisco, CA 94131
mobile phone 1-415-307-3035
This is a 1 hour course that will provide 1 CEU
The course is designed so that it can be viewed all at once or broken up into segments or what we call chapters. The On-demand Education Library website features an abundance of resource material available in printable format.
Learning objectives:
This free 1 CEU course is presented by the Nurse Alliance of SEIU California and open to all SEIU licensed nurse members. Provider approved by the California Board of Registered Nursing – CA Provider Number 3413.
For questions email: hughesk@seiunaca.org
To register for the Education Library: tinyurl.com/SEIUNACAregister
This is a 2 hour course that will provide 2 CEUs
The course is designed so that it can be viewed all at once or broken up into segments or what we call chapters. The On-demand Education Library website features an abundance of resource material available in printable format.
Nurses will learn and understand the patient handling injury statistics, history of Safe Patient Handling (SPH) and the requirements of Cal/OSHA’s “Health Care Worker Back and Musculoskeletal Injury Prevention,” which became effective in 2014, and implemented as law passed in 2011. Nurses will learn about studies that have assessed the effect of the law and regulation, early successes and challenges and new challenges posed by the COVID-19 surge in health care.
This free 2 CEU course is presented by the Nurse Alliance of SEIU California and open to all SEIU licensed nurse members. Provider approved by the California Board of Registered Nursing – CA Provider Number 3413.
For questions email: hughesk@seiunaca.org
To register: tinyurl.com/SEIUNACAregister
