Assignment: Credentialing and Privileging
Credentialing and Privileging Credentialing is the process of obtaining, verifying, and assess- ing the qualifications of a practitioner to provide care or services (Joint Commission, n.d.). Documentation of credentials includes verification of licensure, education, certification(s), and clinical experience to function in a role. In addition, clinical privileging is a process by which organization(s) authorize NPs to perform a specific scope of services based on the evaluation of skills and competence to perform said skills. NPs may apply for privileges within their scope of practice defined by their state practice act. Privileges, such as writing orders for chemotherapy and perform- ing oncology-related procedures, such as bone marrow biopsy, may require direct or indirect supervision by the physician,
pending scope of practice at the state and institutional levels. In addition to the period of focused professional practice (obser- vation of competent performance), privileges require ongoing evaluation of competence (Holley, 2016).
ONPs may practice in a variety of inpatient and outpatient oncology settings. Clearly delineated privileges are necessary to define the practice parameters of the NP and should encompass all potential practice settings for those ONPs who practice across sites within an organization. Beyond validating qualifications and evaluating competency of the NP, credentialing and privi- leging help to promote the provision of safe care for the patient (Kleinpell, Hravnak, Hinch, & Llewellyn, 2008).
Professional Growth and Development The importance of lifelong learning continues as treatment options and technology evolve. ONS conducted a member survey of NPs in 2017, with 491 respondents. The survey revealed chang- ing practice needs and challenges related to professional practice. Results showed that CE was obtained by attending conferences, reading journals and online activities, participating in tumor boards/grand rounds, and enrolling in academic courses (ONS, 2017). Respondents recommended including more NP-focused
APRN CONSENSUS MODEL
APRN—advanced practice RN Note. From “Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, and Education,” by the National Council of State Boards of Nursing, 2008, p. 10. Retrieved from https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf. Copyright 2008 by National Council of State Boards of Nursing. Reprinted with permission.
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