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- Advanced Practice Registered Nurse (APRN) refers to a nurse with advanced education, typically at least a master's degree, and certification by a national certifying program. The APRN provides specialized and multifaceted care and are able to do 60 to 80 percent of preventative and primary care done by physicians. Minnesota Statutes section 148.171, subd. 3 states that in Minnesota, APRN "means an individual licensed as a registered nurse by the board, and certified by a national nurse certification organization acceptable to the board to practice as a clinical nurse specialist, nurse anesthetist, nurse midwife, or nurse practitionerr". By passing The Advanced Practice Nurse Act of 1999, The Minnesota Nurses Association (MNA) specified the following nurses as APRNs: Clinical Nurse Specialist (CNS), Nurse Practitioner (NP), Certified Registered Nurse Anesthetist (CRNA), and Certified Nurse‐Midwife (CNM). APRNs must practice within the scope of their own practice through diagnosis and treatment, consulting, collaborating with other health care providers, and coordinating care. They are not necessarily required to have physician supervision, as APRNs can practice under their own independent scopes of practice, but must have a plan for when care or patient concerns exceed the scope of his or her knowledge. Employers may also place additional restrictions on their employed APRNs, as long as they do not conflict with the Minnesota state law. In 2009, leaders from every APRN organization met to discuss the many legislative, regulatory, and institutional barriers that were preventing Minnesota citizens from having full access to high quality, cost-effective health care services provided by APRNs. The MN APRN Coalition represents the following APRN groups; Association of Southeastern Minnesota Nurse Practitioners, Minnesota Association of Nurse Anesthetists, Minnesota Affiliate of the American College of Nurse Midwives, Minnesota Affiliate of the National Association of Clinical Nurse Specialists, Minnesota Chapter of National Association of Pediatric Nurse Practitioners, Minnesota Nurses Association APRN Task Force, Minnesota Nurse Practitioners, Northern Nurse Practitioner Association, Third District Nurses of the Minnesota Nurses Association – NP Task Force. The mission of the MN APRN Coalition is to improve patient access to, and choice of, safe, cost-effective healthcare providers by removing statutory, regulatory, and institutional barriers that prevent APRNs from practicing at the highest level of their education. On May 13, 2014, Governor Mark Dayton signed Minnesota’s Senate Bill 511 into law, which increased consumer access to health care and reduced unnecessary healthcare costs by giving full practice authority (FPA) to all APRNs in Minnesota. In January 2015, new legislation went into effect which allows an APRN to practice independently after one year of practice with a collaborative agreement with a physician. The Minnesota Medical Association (2014) states that the APRN must undergo 2080 hours of integrative practice with a physician prior to being able to practice independently. This will allow much more coverage of rural and underserved areas where there may be a lack of primary care physicians In addition to this legislation, an advisory board was developed, composed of APRNs and physicians, to provide oversight and guidance of APRNs. Minnesota marks the 20th state allowing APRNs to practice independently. The one exception to this independent practice involves the CRNA who treats acute and chronic pain. The CRNA must have a collaboration plan and a prescriptive agreement with a physician in the same practice. According to the Minnesota Medical Association (2014), "This bill is not what physician groups wanted but the final version did include a number of changes that the MMA requested." The Office of Rural Health and Primary Care at the Minnesota Department of Health has stressed that APRNs have enhanced cost-effectiveness by expanding the scope of services available to the patients in education, counseling, and disease prevention. (en)
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- Advanced Practice Registered Nurse (APRN) refers to a nurse with advanced education, typically at least a master's degree, and certification by a national certifying program. The APRN provides specialized and multifaceted care and are able to do 60 to 80 percent of preventative and primary care done by physicians. Minnesota Statutes section 148.171, subd. 3 states that in Minnesota, APRN "means an individual licensed as a registered nurse by the board, and certified by a national nurse certification organization acceptable to the board to practice as a clinical nurse specialist, nurse anesthetist, nurse midwife, or nurse practitionerr". (en)
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