NUR 635 Topic 1 DQ 1

Sample Answer for NUR 635 Topic 1 DQ 1 Included After Question

Depending on the board of nursing in your state, there may be additional requirements to become a prescriber after you complete your APRN program. For example, those who are licensed/practicing in California are required to take an additional 3-hour pharmacology course for prescribing privileges. Describe the necessary steps required by your state in order to become a prescriber. Hypothetically, after you have completed these steps, you decide to celebrate on a family vacation in a different state. Your sister asks you to refill her levothyroxine because she forgot to pack her medication. What are the legal and ethical implications in your state as a new prescriber? Describe the requirements necessary of an APRN to prescribe medications.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 1.2, 2.2, 2.5. 4.2, 6.4, 9.2

A Sample Answer For the Assignment: NUR 635 Topic 1 DQ 1

Title: NUR 635 Topic 1 DQ 1

For a new advanced practice provider, or an NP new to California, the first step to prescribing in the state is to apply for an advanced practice license. Along with this application, you will have to submit a furnishing number application. A furnishing number is required for nurse practitioners to prescribe in California. The second portion of the Furnishing Number Application must be completed by the NP program, verifying the pharmacology content of education. If you attended a nurse practitioner program in California, chances are that the pharmacology component of your NP program curriculum meets state requirements for prescribing Schedule II drugs (3 hours of Schedule II pharmacology content). If you did not attend a nurse practitioner program in California, or your program does not meet the education requirements for prescribing Schedule II drugs in the state, you’ll need to proceed with getting a DEA number, completing an approved continuing education prescribing course, then apply for a schedule II furnishing license (Tolbert, 2022). 

In most states it is technically legal but not encouraged to treat and prescribe for friends and family.  However many states have caveats to this treatment.  In some states providers can prescribe to these individuals only in emergency situations.  In others a written record of an exam and treatment is required.  Federal law requires that to prescribe controlled substances, there must be a bona fide provider-patient relationship including a written record (Tolbert, 2022). 

References:

Erin Tolbert, M. (2022, May 5). 4 steps to full prescribing as a California nurse practitioner. ThriveAP. https://www.thriveap.com/blog/4-steps-full-prescribing-california-nurse-practitioner

Erin Tolbert, M. (2022b, May 5). Should providers treat their friends and family?. ThriveAP. https://www.thriveap.com/blog/should-providers-treat-their-friends-and-family

A Sample Answer 2 For the Assignment: NUR 635 Topic 1 DQ 1

Title: NUR 635 Topic 1 DQ 1

The state of California allows advanced practice registered nurses (APRNs) to prescribe medications under the supervision of a physician (Rosenthal & Burchum, 2020).  However, they must first go through the appropriate application and licensing process.  The California Board of Registered Nursing (CBRN) requirements for prescriptive authority include submitting a nurse practitioner (NP) application and the Nurse Practitioner Furnishing Number application (California Board of Registered Nursing [CBRN], 2019).  To obtain an NP furnishing number, the applicant must verify an advanced pharmacology course completed within the previous five years (CBRN, 2019).  The next step is to apply for a DEA number if the applicant wishes to prescribe controlled substances (Tolbert, 2017). 

If the pharmacology course meets the California requirements for prescribers, then there are no further steps necessary.  However, if the applicant’s advanced pharmacology course does not meet California’s requirements for prescribing schedule II drugs, the applicant must complete a minimum three-hour approved continuing education (CE) prescribing course (Tolbert, 2017).  This course is offered through the California Association for Nurse Practitioners (Tolbert, 2017).  After completing the prescribing CE course, the applicant may apply for a schedule II furnishing license through the CBRN (Tolbert, 2017).  Once complete, an APRN can prescribe schedule II-IV class drugs (Rosenthal & Burchum, 2020). 

Just because a provider is licensed and granted prescriptive authority, one must follow certain legal and ethical guidelines.  In order to prescribe medications to an individual, there should be an established and documented provider-patient relationship (Rosenthal & Burchum, 2020).  Providers should not prescribe medications for friends and family (Rosenthal & Burchum, 2020).  California has no specific law prohibiting treating or prescribing medications for family members; however, it is highly frowned upon. Similarly, licensing authority does not transfer to other states.  So, if the NP does not have a license in the state they traveled to, they may be unable to prescribe medications and send the prescription to a local pharmacy. 

References

California Board of Registered Nursing. (2019, March). General instructions for applying for nurse practitioner (NP) certification. California Board of Registered Nursing. https://www.rn.ca.gov/pdfs/applicants/np-instruct.pdf

Rosenthal, L. D., & Burchum, J. R. (2020). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants – e-book (2nd ed.). Elsevier Health Sciences.

Tolbert, E. (2017, January 24). 4 steps to full prescribing as a California nurse practitioner. ThriveAP. https://www.thriveap.com/blog/4-steps-full-prescribing-california-nurse-practitioner