- Drug Schedules
I- Substances or Chemicals are defined as drugs with no currently accepted Medical use and a high potiental for abuse- Heroin , LSD,
... [Show More] Weed,
II- Substances or chemicals are defined as drugs with a high potiental for abuse with use potientially leading to severe psuchological or physical dependices – Vicodine, cocaine, meth, methadone, diluadid
III- Substances or chemicals are definded as drugs with moderate to low potiental for physical and psychological dependence. ( Less than 90 mg of codeine Katamine, anabolic steroids testosterone
IV- Substances or chemicals are defined with low potiental for abuse and low risk of dependence. ( Xanax, Valium Ativan Talwin Darvocet
V- Substances or chemicals are defined as lower potiental for abuse. Lomotil, lurica
o Which ones can and can not be prescribed by nurse practitioners Schedule I
- Prescriptive Authority
o Understand what prescriptive authority is and who mandates it.
Prescriptive authority is the legal right to prescribe drugs. Full prescriptive authority affords the legal right to prescribe independently and without limitation. Physicians have full prescriptive authority. For nonphysician providers, the degree of prescriptive authority varies. Some have full prescriptive authority; however, for many, prescriptive authority is restricted. Limitations are generally tied to oversight by a doctor of medicine (MD) or doctor of osteopathy (DO) as part of the provider's scope of practice
Mandiated by Board of Nursing, State Board of Medicine and State Board of pharmacy determinded by the state
Recall that there are two components of prescriptive authority: (1) the right to prescribe independently and (2) the right to prescribe without limitation
o What problems arise when it is limited?
Limited prescriptive authority creates numerous barriers to quality, affordable, and accessible patient care. restrictions on the distance of the APRN or PA from the physician providing supervision or collaboration may prevent outreach to areas of greatest need.
• Know the responsibilities of prescribing
o The best way to keep your patients (and yourself) safe is to be prudent and deliberate in your decision-making process. Have a documented provider–patient relationship with the person for whom you are prescribing. Do not prescribe medications for family or friends or for yourself. Document a thorough history and physical examination in your records. Include any discussions you have with the patient regarding risk factors, side effects, or therapy options. Have a documented plan regarding drug monitoring or titration, if applicable. If you consult additional providers, note that you did so. Finally, use the references provided in the following box to assist in safely and rationally choosing one medication over another.
• - Know patient reasons for medication non-adherence
o Forgertfullness
o Lack of Planning
o Cost
o Dissatisfaction
o Altered Dosing
• - Know how what type of evidence prescribers should use to make treatment [Show Less]