Week 1: Discussion- Foundation of the Role of the Nurse Practitioner as Prescriber Legal and Professional Issues in Prescribing
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Week 1: Discussion- Foundation of the Role of the Nurse Practitioner as Prescriber Legal and Professional Issues in Prescribing
• Describe NP practice in your state.
• Tell the class what your state laws are related to nurse practitioner prescribing.
• Include how many continuing educati...
week 1 discussion foundation of the role of the nurse practitioner as prescriber legal and professional issues in prescribing
week 1 discussion foundation of the role of the nurse practitioner as
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Week 1: Discussion- Foundation of the
Role of the Nurse Practitioner as
Prescriber Legal and Professional Issues
in Prescribing
Describe NP practice in your state.
Tell the class what your state laws are related to nurse practitioner prescribing.
Include how many continuing education hours are required for your state.
Describe the importance of knowing the specific laws in your state pertaining to Nurse
Practitioners prescribing medications.
Good afternoon Class and Professor Paalberg,
Nurse practitioners are considered restricted in the State of Florida. They are able to
make diagnoses, prescribe medications, and order labs and necessary diagnostics all
under the supervision of a practicing physician. Nurse practitioners are seen in multiple
settings including primary care clinics, hospitals, and specialty clinics across the
country. They are capable of independent diagnosis and prescribing other states, but it
ultimately depends on the legislature as well as the progressiveness of the state.
Nurse practitioners must hold a registered nursing license and apply for a program. The
program must be accredited not only in their state, but should be accredited nationally in
case he/she were to move into another state. they must also complete a master's
degree in order to practice.
When working in a group setting with other medical doctors, nurses and other ancillary
staff. A nurse practitioner “must enter into a supervisory protocol with at least one
physician within the physician group practice," according to the Florida Senate.gov
(2018). This has benefits and consequences. This maybe be extremely beneficial to a
new graduate NP that is starting off in her career. Having a safety net can be reassuring
especially when diagnosing more challenging patients in their practice. While later
on this may also be a limiting factor, since nurse practitioners were created to practice
independently of a doctor due to shortages and unwillingness to practice in a rural parts
of the country. Nurse Practitioners may even find this restrictive and somewhat what
limiting of their capabilities and may even consider changing their careers.
, Nurse practitioners in the state of Florida according to the Florida Senate (2018) are
capable of:
(a) Monitor and alter drug therapies.
(b) Initiate appropriate therapies for certain conditions.
(c) Perform additional functions as may be determined by rule in accordance with s.
464.003(2).
(d) Order diagnostic tests and physical and occupational therapy.
(4) In addition to the general functions specified in subsection (3), an advanced
registered nurse practitioner may perform the following acts within his or her specialty:
1. Manage selected medical problems.
2. Order physical and occupational therapy.
3. Initiate, monitor, or alter therapies for certain uncomplicated acute illnesses.
4. Monitor and manage patients with stable chronic diseases.
5. Establish behavioral problems and diagnosis and make treatment
recommendations.
Nurse Practitioners in the State of Florida are required to complete 24 hours of
continuing education during each renewal period. Two of those hours must be related to
prevention of medical errors and two (2) hours in Laws and Rules in Nursing
(floridanursing.gov, 2018). Every third renewal requires an additional 2 hour course on
domestic violence and abuse, for a total of 26 hours.
Nurse practitioners are given the right to prescribe controlled substances, under the
approval/supervision of a physician and their predetermined protocols. Starting July 1,
2018, Florida recently updated this statute due to the ongoing narcotic crisis; requiring
NP’s to complete a specified board-approved continuing education course to prescribe
controlled substances. This course also requires health care practitioners to check the
prescription drug monitoring program (PDMP) database prior to prescribing or
dispensing a controlled substance (New Legislation Impacting Your Profession, 2018).
It is ultimately the responsibility of the Nurse practitioner to be up to date with the laws
and regulatory changes within his/her state. Np’s are considered sole, independent
practitioners in some states, and no matter where you are, you should practice with that
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