Ep 147: APRN Regulation and Independent Practice with Ronald Castaldo, Ph.D, MBA, MS, CRNA, APRN

One positive that’s emerged from the pandemic is the reality that nurses are extremely good at their job and can thrive in an independent setting. The hope is that this will help APRNs and CRNAs move closer to a career where they can practice to the full extent of their training and education without statutory barriers. Today we’ve invited Ronald Castaldo, PhD, MBA, MS, CRNA, APRN, onto the show to discuss the pro-APRN wins in recent years and to help all CNRAs understand the importance of the state boards of nursing. He also provides a detailed background and breakdown of the APRN Consensus Model and the APRN Compact.

Click the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

The nursing profession has always been limited by statutory barriers and other obstacles at the local facility level, but advocates for CRNAs and APRNs continue to push for full practice authority.

One of those people is Ronald Castaldo, PhD, MBA, MS, CRAN, APRN. A friend of the show, Castaldo has served in many different capacities, including three terms as president of the Delaware Association of Nurse Anesthetists. He joins the podcast to discuss some of the pro-APRN wins in recent years and what work is being done to continue that positive momentum moving forward.

As he explains on the show, all nurses should possess a basic understanding of their state nurse practice acts, including the mission and role of state boards of nursing. This episode is a step in that direction.

As you get started on the episode, keep an ear out for these topics:

  • Background on Ron and his career
  • The main mission for the state board of nursing.
  • The different levels of discipline and what records are stored.
  • Can you lose your nursing license because of a DWI?
  • Explanation of the APRN Consensus Model and how it was created.
  • Strategies for CRNAs that want to practice independently.
  • How to get your legislators to work for CRNAs in your state.
  • What is the APRN compact?
  • How the pandemic has provided a silver lining for CRNAs.
  • Ron takes us through the process of how to change states and what happens with licensing.

Check it out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

[2:59] – Welcome in Ron

[6:37] – State board of nursing

[8:35] – Different levels of discipline

[12:57] – What gets reported to the national practitioner databank

[16:09] – Losing your nursing license

[21:12] – What is the APRN Consensus Model

[26:29] – CRNAs working independently

[32:13] – APRN compact

[39:37] – Pandemic silver lining

[40:32] – What’s the process to move states?

[42:17] – Opponents to this

[45:12] – Final thoughts

[48:48] – Lightning round

 


“It’s leading those above you, influencing those above you to make changes for the good of the organization. And it’s about getting others to follow you out of respect and commitment rather than fear and compliance.”

-Shawn Collins, PhD, DNP, CRNA

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