Prescriptive Authority: State Regulations

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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.  

Iam replying to my peer’s post. I live in Massachusetts and I am practicing here as a PMHNP

Re: Week 6 Discussion: Prescriptive Authority: State Regulations

by Jaymee Barthe – Wednesday, 4 October 2023, 4:26 PM

The prescriptive authority for mid-level providers and providers in the state of Florida is the Drug Enforcement Administration (DEA) (Floridasnursing.gov, 2023). The DEA helps to enforce regulation of prescriptions drugs to patients, particularly paying attention to the regulations of controlled substances. The DEA is a component of the Department of Justice in the United States of America. The DEA enforces the regulations of the federal Controlled Substance Act (CSA) (AANP, 2021). The purpose is to ensure that all prescription drugs are for legitimate medical use whether it be for patients or for research. This is done while preventing illicit use for these drugs. A license with the DEA is required as a provider in Florida to prescribe all drugs in a clinic or hospital setting (Floridasnursing.gov, 2023). After becoming board certified as an APRN in Florida, an APRN can apply to jobs who can assist in attaining a DEA license as well. APRNS can prescribe controlled substances from schedule II through schedule V drugs. There are limitations do dosage and duration that APRNS are required to abide by. APRNs in the state of Florida can complete a collaborative agreement with physicians (AANP, 2021). This agreement is to help establish and maintain a healthcare model to be used I practice. When a collaboration is completed, the level of supervision is determined by experience of the APRN.ReferencesAmerican Association of Nurse Practitioners. (2021). State practice environment. https://www.aanp.org/advocacy/state/state-practice-environmentFloridasnursing.gov (2023) Updated Standard for Protocols; Physcian and APRNs https://floridasnursing.gov/standards-for-protocols-physicians-and-arnps/

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Instructions

After passing your certification exam, the next step is to obtain your Nurse Practitioner license. Then you should apply for prescriptive authority in the state in which you plan to practice. In some states, this requires a collaborating/ supervising physician; in some states, there are restrictions for NP prescribing. After you obtain a state prescriptive license, you must apply for a federal drug enforcement administration (DEA) certificate so that you can prescribe controlled substances. Use the following resources to complete this week’s IPPD assignment

• Nurse Practitioner Interactive Map
• Drug Enforcement Administration (DEA)
• DEA Forms and Applications

Using the document you started in Week 1 Assignment 2: Individual Professional Practice Document: NP Title, Definition, and Consensus Model and added to in Week 5 Assignment 1: Individual Professional Practice Document: Scope of Practice, please add the following information to the Week 6 area. Using the Nurse Practitioner Interactive Map, select the state or states where you plan to practice and become familiar with each state’s regulations related to NP prescriptive authority. In some states, prescriptive authority is explained in the Board of Nursing (BON) and the Department of Public Health (DPH), so you might have to search the DPH website as well. You must also meet the federal DEA regulations for your state to be licensed to prescribe controlled substances.

• What are the prescriptive authority requirements for the state in which you intend to practice? Is there a MD collaborative or supervisory regulation related to non-controlled substances or controlled substances? Are there any restrictions for NP prescriptive practice? Does the state utilize a system-wide drug monitoring program to assist with the prevention of overprescribing?
• Include a hyperlink to the state prescriptive authority regulations.
• Does the state allow DEA licensure? What are the requirements to obtain a DEA certificate? Are there any MD collaborative/ supervisory regulations related to controlled substance prescribing? Are there any restrictions to prescribing controlled substances, including opioids and naloxone authority?
• Include the federal DEA hyperlink.

Please refer to the Grading Rubric for details on how this activity will be graded.

In order for this assignment to be considered complete, you will need to address all the prompts including details about the prescriptive authority in your state, regulation of controlled substance prescribing, and the DEA requirements by Day 7. Remember that this assignment is complete at 100 points, so make sure you review all requirements and complete the assignment in its entirety. If the assignment is not complete, it is considered incomplete and will result in a 0.