The state defines the APRN scope of practice as the “who, what, where, when, why and how
of nursing practice.” It involves the needs of the patients with regards to their assessment and
treatment, which includes the services that are paid for by the members of the public to gain
access to the healthcare activities. For instance, a nurse can order for the laboratory diagnosis
then prescribe medicines to a range of sicknesses. However, there are some cases where the
nurses cannot prescribe the drugs because the conditions are very sensitive. The nurses may,
at time, collect the needed samples and present in the laboratory for diagnosis. The nursing
practice has a wide range of skills that enable him or her to provide specialised services to the
patients as well as handling some of the cases that cannot be handled by the regular nurses.
The Standardized Procedures required for APRNs to practice are put in place as a way of
guiding the APRNs in how they are supposed to perform their tasks in society. The healthcare
industry is very sensitive because it deals with the lives of the people directly. There is,
therefore, a need to ensure that the standard procedures are followed as a way of bringing
sanity in the nursing field and to ensure that the people are treated accordingly. The standard
procedures guide how the medical procedures are supposed to be handled for the benefit of
The Standardized Procedures safeguard the APRNs from any case of negligence because they
will be doing the right thing at the right time and they will be providing the correct service at
the right time hence improving the healthcare outcomes. The standard procedures also protect
the nurses from injuries in the workplace because they will be having the guidelines on how
they are supposed to perform their tasks in the workplace in the correct manner. The fact that
the standardised procedure maximises the performance of the nurses, they will reduce the
cases of underperformance and errors in the workplace since the degree of accuracy will have
been increased for the benefit of the patients and the nurses as well.
The standardised procedures should contain information on the furnishing of the drugs and
devices because that is the best way to show the nurses the devices and the drugs that are
available and how they are supposed to be used and in so doing the cases of errors will be
eliminated. The standardised procedures make it easier for the nurses to understand the role
that they are supposed to play in the hospital as a way of improving the health outcomes. The
sensitivity of medical devices and drugs is very critical; hence, it calls for the nurses to
understand what they stand for and how they are supposed to be used by the patients.
There are three patient scenarios where I have to collaborate with the supervising physician.
One of them is the case where the patient cannot pass out urine in the normal way, and no
catheter is fitting the opening of the bladder. The supervisor physician may be required to
provide a solution. The other case is where there is an injury; we are trying to stop the
bleeding to no avail the supervisor situation may be called urgently to provide a way forward.
The third case is where the patient has breathing problems, but the additional oxygen is not
satisfying the patient. The supervisor physician will be called up to provide a solution to the
breathing problems. The collaboration with the supervising physician is therefore, very
Dougherty, L. (Ed.). (2015). The Royal Marsden Manual of clinical nursing procedures. John
Wiley & Sons.