NR565 Week 2: State Specific Guidelines for Prescribing Controlled Substances & Medical Devices 2

Student Name: Type your name here

State of Planned NP Clinical Practice: Type your state here

Complete the following table with information specific to the state where you plan to practice as a nurse practitioner. Please refer to the rubric in the course to identify how much each prompt is worth. Most are worth 5 or 6 points with one question being worth 10 points. The 10 point question is noted in the table.

· Sources should be obtained directly from the state’s regulatory organization(s) and must be cited appropriately.

· It is recommended that you keep a copy of this paper to provide to potential employers or your Board of Nursing in order to demonstrate your knowledge of your state laws.

Guidelines and recommendations for your state:

In response to the opioid epidemic, individual states have developed and adopted voluntary guidelines or recommendations for the treatment of acute and chronic non-cancer pain. Based on research done on the state where you will practice clinically, include the following:

Provide the name of your practicing state’s organization, group or task force that created guidelines or recommendations for pain management therapies and education.

Organization, group, or task force name

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Where you found this information (weblink):

Paste the link here

Briefly describe an overview of its development and include a web address where this information can be found. If your state does not have guidelines, discuss a federal guideline. (Note: you may need to contact your state’s board of nursing, pharmacy, or medicine if you cannot locate it on your own).

Overview of your state’s guideline development with web address.

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Locate federal guidelines and provide a link to federal guidelines you could use in practice as a NP

Paste the link here

Some states have multiple organizations or initiatives (ex: Ohio) in place to combat the opioid epidemic and advocate for safer opioid prescribing. Explore whether your state has other resources, groups or organizations where prescribers can reference best practices for pain management treatment. If applicable, provide a brief overview of the group’s recommendations or initiatives. If your state does not have another state-specific resource, discuss the guidelines published by the American Pain Society OR Centers for Disease Control and Prevention.

Provide a brief overview of the group’s recommendations or initiatives (provide link to where you found information).

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Provide a brief overview of the guidelines published by the American Pain Society OR Centers for Disease Control and Prevention (provide link to where you found information).

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Discuss when the use of opioids is appropriate and for what duration should they be prescribed? Provide a reference for your response. (This question is worth 10 points. 4 points for when opioids are appropriate, 4 points for a safe duration of use, and 2 points for a current edition APA formatted reference.)

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State specific laws on controlled substance prescribing for the nurse practitioner:

Research your state laws on advanced practice nurses’ authority to prescribe controlled substances. Based on research done on the state where you will practice clinically, include the following:

Identify the law, rule, code, or statute that describes the advanced practice nurse’s authority to prescribe controlled substances in your state.

Link to where you found law, rule, code, or statute for your state.

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What does the law, rule, code, or statute say?

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Discuss the provisions of the law, rule, code, or statute regarding the following:

Conditions or limits on prescribing schedule I-V controlled substances.

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Requirements (if any) in documentation for treating acute and chronic pain. If your state has no requirements for this, confirm with a link of where you found this information.

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Are there specific requirements for advanced practice nurses to reference the state’s prescription drug monitoring database before prescribing a controlled substance?

Yes or No

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If yes, what are they? If not, how would they be helpful?

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State Prescription Drug Monitoring Program (PDMP): Research your state’s PDMP* and provide the following information:

Name of the state’s program.

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Website for the state PMDP.

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Discuss the registration requirements and process.

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Discuss the standards and procedures for the access and review of database information.

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State specific laws on medical devices prescribing for the nurse practitioner:

Research your state laws on advanced practice nurses’ authority to prescribe medical devices. These are also called Durable Medical Equipment (DME). Based on research done on the state where you will practice clinically, include the following:

Identify the law, rule, code, or statute that describes the advanced practice nurse’s authority to prescribe medical devices or DME in your state.

Link to where you found law, rule, code, or statute for your state regarding prescribing DME in your state.

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What does the law, rule, code, or statute say regarding prescribing DME in your state?

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Discuss the provisions of the law, rule, code, or statute regarding the following:

Conditions or limits on prescribing medical devices or DME.

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Requirements (if any) in documentation needed to support order of medical devices or DME.

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