I am replying to a peer’s post on Prescriptive Authority: State Regulations

Week 6 Discussion: Prescriptive Authority: State Regulations

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  4. Week 6: Prescriptive Authority: State and Federal Regulations
  5. Week 6 Discussion: Prescriptive Authority: State Regulations

Completion requirements

To do: Make forum posts: 2

Value: 100 points

Due: In an effort to facilitate scholarly discourse, create your initial post by Day 3, and reply to two of your classmates by Day 7.

Grading Category: Discussions

Initial Post

To get started, review the Nurse Practitioner Interactive Map.

In your initial post, please identify the prescriptive authority regulations in the state where you are going to practice. Are there any restrictions, supervision, or collaboration required from a physician? If so, please explain. If you will be practicing in multiple states, do the regulations in those states differ? If you are in a clinical placement, please ask your preceptors about the prescriptive regulations and if an agreement is needed. If so, ask to see a copy of the agreement so that you can review what will be required when you begin to practice. Share with one another on the discussion board what you have found. If you are precepting at more than one facility, discuss whether these agreements differ at all, what your thoughts are about any differences, and which agreements you like best.

Reply Posts

Reply to at least one of your classmates. In your reply post, compare and contrast the state regulatory requirements of the state in your initial post with a different state. Discuss with your colleague rationales behind these differences and how the difference affects healthcare access, quality and cost.

Please refer to the Grading Rubric for details on how this activity will be graded and incorporate these guidelines in your discussion.   

 

This is the peer’s post

Re: Week 6 Discussion: Prescriptive Authority: State Regulations

by Kayla Gilmore – Wednesday, 4 October 2023, 6:07 PM

Advanced Practice Registered Nurses (APRNs) have prescriptive rights in all 50 states but those rights differ from one state to another in what is required to obtain these rights and the limitations within practice (Joel, 2022). A number of states require the APRN to prescribe under a physician while others allow for the APRN to hold full prescriptive rights and practice independently (Buppert, 2021). Currently in the state of Colorado there are separate applications for prescriptive authority. Appling for advanced practice registration is a separate application than the application and requirements and application for prescriptive authority. In addition to this application there is a requirement for 750 hours of mentorship prior to being eligible for the application. This mentorship is to be completed with a physician or advanced practice nurse who holds full prescriptive authority. The person seeking prescriptive rights must also hold personal liability insurance not less than $500,000 per claim (dpo.colorado.gov, n.d.).  It is also a requirement to have held an active Registered Nurse License for 3 years and to have graduated from an accredited college for an advanced practice nurse and hold a APRN license (dpo.colorado.gov, n.d.). Following completion of these steps and approval of the application the APRN will have full prescriptive rights and hold their own DEA number to prescribe controlled substances (dpo.colorado.gov, n.d.). The APRN also can only practice and prescribe within their population focus as defined in their license i.e. family nurse practitioner, psychiatry, etc. (Bubert, 2021). 

References:

Board of Nursing: Advanced Practice Applications and Forms Documents | Division of Professions and Occupations. (n.d.). Dpo.colorado.gov. https://dpo.colorado.gov/Nursing/APNApplications

Buppert, C. (2021). Nurse Practitioner’s Business Practice and Legal Guide. (7th Ed.) Jones and Bartlett Publishing.

Joel, L. A. (2022). Advanced practice nursing: Essentials for role development (5th ed). F.A. Davis Company.

State Board of Pharmacy: Prescriptive/Drug Procurement Authority Table | Division of Professions and Occupations. (n.d.). Dpo.colorado.gov. Retrieved October 4, 2023, from State Board of Pharmacy: Prescriptive/Drug Procurement Authority Table | Division of Professions and Occupations.

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