Pharmacology > A Level Question Paper > NR565 NR 565 Advanced Pharmacology Fundamental (All)
• Which schedule drugs can APRNs prescribe? o APRNs can prescribe Schedule II-V drugs, but whether APRNs possess full prescriptive authority depends on their legal right to prescribe without super... visory or collaborative requirements. o Some state laws require that they practice in collaboration with or under supervision of a physician. ▪ Some physicians limit the types of drugs that the APRN can prescribe. ▪ State laws may place additional restrictions with regard to controlled drugs. • Who determines and regulates prescriptive authority? o Prescriptive authority is determined by state law. ▪ Advanced practice providers may have full prescriptive authority in some states yet face significant restrictions in other states. o The regulation of prescriptive authority is under the jurisdiction of a health professional board. ▪ State Board of Nursing ▪ The State Board of Medicine ▪ The State Board of Pharmacy • As determined by each state. o Although the federal government controls drug regulation, it has no control over prescriptive authority. • How doeslimited prescriptive authority impact patients within the healthcare system? o Limited prescriptive authority creates numerous barriersto quality, affordable, and accessible patient care. ▪ Restrictions on the distance of the APRN or PA from the physician providing supervision or collaboration may prevent outreach to areas of greatest need. ▪ A requirement to obtain the physician’s co-signature on prescriptions can increase patient waits. o By 2025, the shortage of physicians will range between 46,100 and 90,400. In primary care alone, a 12,500 to 31,100 physician shortage is anticipated. o As the Affordable Care Act is fully implemented, the demand for provider coverage will increase. ▪ Full utilization of nurse practitioners and Pas can reduce the physician shortage. ▪ To adequately meet the demands for future health care needs, APRNs and Pas will need broader practice privileges than some states currently allow. • This includes an imperative to afford full prescriptive authority. • What are the key responsibilities of prescribing? o The ability to prescribe medications is both a privilege and a burden. o It requires adherence to ethical guidelines to ensure that patients are safeguarded from harm. ▪ Ethical prescribing starts with being well-informed about medications. • Mechanisms of action, effic o Prescription writing requires prudent and deliberate decision-making process to maintain patient safety and reduce liability. ▪ Documentation of provider-patient relationship for the recipient of the prescribed medications. ▪ Documentation of a thorough history and physical examination for the recipient. ▪ Documentation of discussionsregarding risk factors, side effects, or therapy options. ▪ Documentation of drug monitoring or titration plan, if applicable. ▪ Documentation of consultations, if any. ▪ Avoidance of prescribing medicationsforself, family, or friends [Show More]
Last updated: 4 months ago
Preview 1 out of 23 pages
Buy this document to get the full access instantly
Instant Download Access after purchase
Add to cartInstant download
We Accept:
Connected school, study & course
About the document
Uploaded On
Feb 02, 2024
Number of pages
23
Written in
This document has been written for:
Uploaded
Feb 02, 2024
Downloads
0
Views
7
In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.
We're available through e-mail, Twitter, Facebook, and live chat.
FAQ
Questions? Leave a message!
Copyright © Browsegrades · High quality services·