What primarily dictates the scope of practice for APRNs?

The scope of practice for Advanced Practice Registered Nurses (APRNs) is primarily dictated by state laws and professional regulations. Each state has its own Nurse Practice Act, which outlines the legal parameters within which APRNs operate. This legislation addresses various aspects such as the education required, the types of services APRNs can provide, and the level of independence they can practice with, which varies significantly from state to state.

While federal laws and guidelines can influence certain aspects of healthcare practice, it is the individual states that grant licensure and define what an APRN can and cannot do within their jurisdictions. This localized approach allows state boards of nursing to account for regional needs and healthcare demands, ensuring that regulations are tailored to the specific demographics and conditions of the population served.

Hospital policies and protocols may establish additional guidelines for APRNs practicing within those facilities, but they cannot supersede state laws. Similarly, while recommendations from professional organizations may provide valuable guidance on best practices and standards of care, they do not dictate the legal scope of practice. Therefore, state laws and professional regulations are the definitive source for understanding the scope of practice for APRNs.