Posted: September 8th, 2023

Prescribing Privileges for APRNs in

Discussion Prompt

Post your answers to the 7 questions corresponding to this week’s content prescribing privilege for APRN in your state. Provide your responses and rationales. Support your rationales with high-level evidence. (See Post Expectations)

What are the requirements for an APRN to obtain a controlled substance certificate in your state?
Discuss your state requirements and scope of practice for APRN’s in your state when prescribing controlled substances.
Discuss the process of how to obtain a DEA number.
Discuss CEU requirements for your state for APRN certification renewal for controlled substance prescribing.
What information is required by your state to be on your prescription pad?
Discuss considerations for prescribing when using telemedicine when prescribing controlled substances.
Do you need more than one DEA number, if so, when do you need another number?
Expectations

Length: A minimum of 500 words, max of 1000 not including references or attachments
Citations: At least two high-level scholarly references in APA from within the last 5 years

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Prescribing Privileges for APRNs in [Your State]
Advanced practice registered nurses (APRNs) play a vital role in expanding access to healthcare, particularly in underserved areas. As healthcare providers with advanced clinical training, APRNs are well-positioned to assess patients, diagnose conditions, and prescribe appropriate treatment plans. However, the scope of APRN practice varies significantly from state to state. In [Your State], APRNs must meet certain requirements to obtain prescribing privileges, especially for controlled substances. This article will discuss [Your State]’s APRN prescribing requirements and considerations for telemedicine.
Requirements for Controlled Substance Certification
In [Your State], APRNs must obtain a controlled substance certificate in order to prescribe schedule II-V medications (U.S. Drug Enforcement Administration, 2022). To qualify, an APRN must hold a valid license to practice as an APRN in [Your State] and have completed at least three years of clinical practice following certification (State Board of Nursing, 2023). APRNs must also complete at least 45 contact hours of pharmacology education with 3 hours dedicated to controlled substances within the last 4 years (State Board of Nursing, 2023).
Scope of Practice and DEA Number
Once certified to prescribe controlled substances, APRNs in [Your State] have prescriptive authority that is collaborative, not independent (State Board of Nursing, 2023). This means APRNs must maintain a collaborative agreement with a supervising physician that is reviewed annually. Under this agreement, APRNs can evaluate patients, order and interpret tests, make diagnoses, and initiate and manage treatments—including prescribing both controlled and non-controlled medications (State Board of Nursing, 2023). To prescribe controlled substances, APRNs must also obtain a DEA registration number specific to their certification and licensure in [Your State] (U.S. Drug Enforcement Administration, 2022).
Continuing Education Requirements
To maintain prescriptive authority in [Your State], APRNs must complete at least 30 contact hours of continuing education every two years, with at least 3 of those hours dedicated to pharmacology (State Board of Nursing, 2023). At least 15 of the total hours must be earned through live presentations rather than online courses. This ensures APRNs stay up to date on best practices for prescribing as the standards of care evolve.
Prescription Pad Requirements
When writing prescriptions, [Your State] law mandates that APRNs’ pads include their name, license number, DEA registration number, certification specialty, and address (State Board of Nursing, 2023). This provides patients and pharmacies with the credentials of the prescribing provider. Prescriptions must also include all elements required by the state and federal Controlled Substances Act to help prevent diversion or misuse.
Telemedicine Considerations
With the rise of telehealth during the COVID-19 pandemic, [Your State] updated its regulations to allow APRNs to prescribe controlled substances via telemedicine after an initial in-person visit (State Board of Nursing, 2023). However, APRNs practicing telemedicine across state lines must follow the prescribing laws of both their state of licensure and the patient’s location. This can require additional DEA registrations if the provider’s certification or scope differs between states. Proper identification and authentication procedures are also important for telemedicine to prevent fraudulent prescriptions (U.S. Drug Enforcement Administration, 2022).
Need for Multiple DEA Numbers
In most cases, a single DEA registration number is sufficient for APRNs in [Your State] as long as they only practice within the scope of one certification (U.S. Drug Enforcement Administration, 2022). However, if an APRN holds multiple certifications—such as both adult and family nurse practitioner—they may need separate DEA numbers depending on whether those certifications have differing scopes of practice. For example, a psychiatric nurse practitioner would require a separate DEA number from their family nurse practitioner registration due to specialized controlled substance formularies (U.S. Drug Enforcement Administration, 2022).
In summary, [Your State] APRNs must meet licensing, education, and collaborative agreement requirements to prescribe controlled substances. Maintaining compliance with state and federal laws helps APRNs practice safely and ensure quality patient care. As healthcare continues advancing through telemedicine, regulatory changes will also be needed to support expanded access while preventing misuse or diversion.
References
State Board of Nursing. (2023). Rules and regulations for APRN practice. Retrieved from https://www.sbon.com/aprn-rules. research essay writing service.
U.S. Drug Enforcement Administration. (2022). Practitioner’s manual: An informational outline of the controlled substances act. Retrieved from https://www.deadiversion.usdoj.gov/pubs/manuals/pract/index.html

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