Regulation

Regulations for Prescribing Controlled Substances Comparison

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Advanced Practice Registered Nurses (APRNs) are certified nationally but their state laws determine their extent of practicing independently. Texas Board of Nursing (BON) allow APRNs who hold full licensure and a valid prescription authorization number to order and prescribe certain categories of CS. In Texas, APRNs can prescribe Schedules III, IV or V, Controlled Substances. Furthermore, they require a physician consultation before prescribing any CS for children under 2 years. They are allowed to prescribe CS in Schedule II only to patients admitted to a hospital emergency department. Like Texas, New Jersey BON regulations also allow administration of schedule II-V CS. However, unlike with Texas, New Jersey APRNs are not as restricted when prescribing schedule II CS.

On the other hand, in my state Connecticut, there is the Department of Public Health (DPH) who licensed nurse practitioners as advanced practice registered nurses (APRNs) ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"aZ51IV7l","properties":{"formattedCitation":"(Kasprak, 2009)","plainCitation":"(Kasprak, 2009)","noteIndex":0},"citationItems":[{"id":2365,"uris":["http://zotero.org/users/local/KZl8ZL3A/items/UJVXNSGW"],"uri":["http://zotero.org/users/local/KZl8ZL3A/items/UJVXNSGW"],"itemData":{"id":2365,"type":"webpage","title":"NURSE PRACTITIONERS (APRNS)","URL":"https://www.cga.ct.gov/2009/rpt/2009-R-0301.htm","author":[{"family":"Kasprak","given":"John"}],"issued":{"date-parts":[["2009"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Kasprak, 2009). These are the primary care providers in this state and they are required to work in collaboration with a physician. Thus, by working in collaboration with a physician they can recommend, allot and administer medications ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"oygumeZ0","properties":{"formattedCitation":"(A. Stokowski, 2018)","plainCitation":"(A. Stokowski, 2018)","noteIndex":0},"citationItems":[{"id":2368,"uris":["http://zotero.org/users/local/KZl8ZL3A/items/HXSHJZZD"],"uri":["http://zotero.org/users/local/KZl8ZL3A/items/HXSHJZZD"],"itemData":{"id":2368,"type":"webpage","title":"APRN Prescribing Law: A State-by-State Summary","author":[{"family":"A. Stokowski","given":"Laura"}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (A. Stokowski, 2018). Included in these medications are also Schedule II to V controlled substances. APRNs are required to include these items in their prescriptions (1) the name and address of the patient, or the name and address of the owner of an animal and the species of the animal, (2) specific age of patient (3) the amount of the drug (4) directions for use (5) prescribing practitioner’s name and address (6) issuance date and (7) practitioner’s the Federal Registry number ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"QO438Dsm","properties":{"formattedCitation":"(\\uc0\\u8220{}Requirements for Writing Prescriptions for Controlled Substances,\\uc0\\u8221{} n.d.)","plainCitation":"(“Requirements for Writing Prescriptions for Controlled Substances,” n.d.)","noteIndex":0},"citationItems":[{"id":2369,"uris":["http://zotero.org/users/local/KZl8ZL3A/items/CTDS8EPM"],"uri":["http://zotero.org/users/local/KZl8ZL3A/items/CTDS8EPM"],"itemData":{"id":2369,"type":"webpage","title":"Requirements for Writing Prescriptions for Controlled Substances","URL":"https://ctvet.org/about/news/requirements-writing-prescriptions-controlled-substances"}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (“Requirements for Writing Prescriptions for Controlled Substances,” n.d.). Moreover, Connecticut is also running “Connecticut Prescription Monitoring Program” which is a web-based application that assists prescribers in providing better care to its patients as well as to decrease addiction and overdose. SB 302 is a New Connecticut Law, SB 302 that permits the telemedicine prescribing of controlled substances ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"uGY0TQyv","properties":{"formattedCitation":"(M. Lacktman, 2018)","plainCitation":"(M. Lacktman, 2018)","noteIndex":0},"citationItems":[{"id":2367,"uris":["http://zotero.org/users/local/KZl8ZL3A/items/CAUS5NF9"],"uri":["http://zotero.org/users/local/KZl8ZL3A/items/CAUS5NF9"],"itemData":{"id":2367,"type":"webpage","title":"New Connecticut Law Allows Telemedicine Prescribing of Controlled Substances","URL":"https://www.foley.com/en/insights/publications/2018/06/new-connecticut-law-allows-telemedicine-prescribin","author":[{"family":"M. Lacktman","given":""}],"issued":{"date-parts":[["2018"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (M. Lacktman, 2018).

References

ADDIN ZOTERO_BIBL {"uncited":[],"omitted":[],"custom":[]} CSL_BIBLIOGRAPHY A. Stokowski, L. (2018). APRN Prescribing Law: A State-by-State Summary.

Kasprak, J. (2009). NURSE PRACTITIONERS (APRNs). Retrieved from https://www.cga.ct.gov/2009/rpt/2009-R-0301.htm

M. Lacktman, N. (2018). New Connecticut Law Allows Telemedicine Prescribing of Controlled Substances. Retrieved from https://www.foley.com/en/insights/publications/2018/06/new-connecticut-law-allows-telemedicine-prescribin

Requirements for Writing Prescriptions for Controlled Substances. (n.d.). Retrieved from https://ctvet.org/about/news/requirements-writing-prescriptions-controlled-substances