State Beat  |   June 2016
The APRN Compact: APRN Independent Practice Imposed on All Adopting States
Author Affiliations
  • Jeffrey S. Plagenhoef, M.D.
    ASA President-Elect
Article Information
State Beat
State Beat   |   June 2016
The APRN Compact: APRN Independent Practice Imposed on All Adopting States
ASA Monitor 06 2016, Vol.80, 64-65.
ASA Monitor 06 2016, Vol.80, 64-65.
Those of us who are involved in state advocacy have witnessed numerous advocacy attempts by nurse anesthetists and advanced practice registered nurses (APRNs) in general to eliminate existing requirements for patient-centered, physician-led care. Many times, legislation or proposed regulatory language is obvious in its attempt to abandon the care team model, but sometimes … well, sometimes an incremental approach takes such a long time to implement, the last steps in the process can be downright shocking. This is the case with the so-called APRN Compact.
We have been aware of the APRN Consensus Model for several years and have tried to inform ASA members about this dangerous trend. In a nutshell, the APRN Consensus Model is 2008 draft state legislative language developed by the National Council of State Boards of Nursing (NCSBN) that gives the APRN title to four roles of advanced practice nurses: nurse anesthetists, nurse practitioners, nurse specialists, and nurse midwives. Although it is usually touted by APRNs as simple name change legislation, nothing could be further from the truth. If you Google “APRN Consensus Model,” you can read the draft language yourself; the language increases scope of practice for APRNs – including nurse anesthetists – and makes them independent practitioners. The Consensus Model toolkit on the NCSBN website clearly states that APRNs are to be licensed as “independent practitioners with no regulatory requirements for collaboration, direction or supervision.1 
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