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Position Statement on APRN Practice

Over time, the NH Board of Nursing has received many questions regarding APRN scope of practice in specific specialty areas of practice.  The position statement provided below mirrors the main tenets of the Consensus Model for APRN practice.For further information regarding the Consensus Model, please reference

An APRN shall treat all clients within his or her scope of practice as determined by the APRN’s  educational preparation, national certification and demonstrated competencies.  (NH Board of Nursing Advisory 12/17/10)

It is the responsibility of the APRN to determine appropriate age related scope of practice based upon the above statement.

APRN age related scope of practice may vary among APRNs holding the same national certification as all three of the above requirements must be congruent.

Below are examples of questions and answers about APRN practice as related congruent educational preparation, national certification and competencies:

Can an APRN, certified as an Adult Psychiatric /Mental Health Nurse Practitioner administer botox injections?

The administration of botox injections would not be within the educational preparation, certification or scope of practice of a Psychiatric/Mental Health NP.

If board certification is not available in a specialty area, can specific education that addresses the specialty be obtained in lieu of certification?  This speaks to the oncology arena and writing chemotherapeutic orders.

The APRN needs to be certified in either family or adult and have further education through workshops, etc., to specialize in oncology.  There would not be a certification exam for every possible specialty, but the NP must have certification in a broad educational background that would allow for the population foci that would be encompassed by the specialty.

Can an Adult Nurse Practitioner treat children?

An adult nurse practitioner has training, certification and competency to treat adults.  Pediatric training is not included in this NP tract.

New Hampshire Board of Nursing
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