Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the Medical Board, State Board of Pharmacy, or Nursing Board for the appropriate state licensure is being pursued. The authority to write for a controlled substance is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board.

Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the Medical Board, State Board of Pharmacy, or Nursing Board for the appropriate state licensure is being pursued. The authority to write for a controlled substance is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board.

Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.

Each state has different laws regarding the role of the Nurse Practitioner that may significantly impact the NPs’ practice. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a Nurse Practitioner.

Remaining current regarding state law is essential. In the Week 4 Discussion, as you may recall, we introduced the recent change regarding the classification of hydrocodone-containing drugs at the federal level from a Schedule III drug to a Schedule II drug. For states that allow for Nurse Practitioners to write Schedule III-V drugs, these NPs are now unable to write for hydrocodone-containing medications, which significantly impacts their ability to provide care for their patients. However, there are states that do not grant NPs prescriptive authority and/or do not allow NPs to write for controlled substances. Over the last 55 years, Nurse Practitioners have made great strides in obtaining prescriptive authority to prescribe both non-controlled and controlled drugs.

This week students will explore the prescriptive authority application process for their state. Additionally, the DEA Registration Application process will be reviewed.

Learning Objectives

By the end of this week, students will:

· Analyze appropriate prescriptive authority and DEA registration processes

· Analyze safe prescribing practices

· Evaluate professional strengths and weaknesses

· Evaluate mastery of NP clinical skills

Discussion: Safe Prescribing
In 1915, the Drug Enforcement Administration was formed, known then as the Bureau of Internal Revenue. Recognizing the variance in state laws and the process for completing applications for prescriptive authority and DEA registration is essential to the role of the NP as a prescriber. Within the last decade, safe prescribing of opioids has also become a national concern. For this Discussion, you will focus on the process for obtaining prescriptive authority after successfully completing your program of study and passing a National Certification Exam. You also will explore safe prescribing.

Explanation & Answer

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