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

COURSE  

NR565 Advanced Pharmacology Fundamentals

Requirements:

  1. 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:

    1. Provide the name of your practicing state’s organization, group or task force that created guidelines or recommendations for pain management therapies and education.
    2. 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).
    3. 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.
    4. 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 13 points. 5 points for when opioids are appropriate, 5 points for a safe duration of use, and 3 points for a current edition APA formatted reference.)
  2. 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:

    1. Identify the law, rule, code, or statute that describes the advanced practice nurse’s authority to prescribe controlled substances in your state.
    2. Discuss the provisions of the law, rule, code, or statute with regard to the following:
      1. Conditions or limits on prescribing schedule I-V controlled substances.
      2. Requirements (if any) in documentation for treating acute and chronic pain.
      3. Are there specific requirements for advanced practice nurses to reference the state’s prescription drug monitoring database before prescribing a controlled substance? If so, what are they?
  3. State Prescription Drug Monitoring Program (PDMP):
    Research your state’s PDMP* and provide the following information:

    1. Name of the state’s program.
    2. Website for the state PMDP.
    3. Discuss the registration requirements and process.
    4. Discuss the standards and procedures for the access and review of database information.
  4. 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:

    1. Identify the law, rule, code, or statute that describes the advanced practice nurse’s authority to prescribe medical devices or DME in your state.
    2. Discuss the provisions of the law, rule, code, or statute regarding the following:
      1. Conditions or limits on prescribing medical devices or DME.
      2. Requirements (if any) in documentation needed to support order of medical devices or DME.

 

SOLTION  

Student Name:

                                                                              

State of Planned NP Clinical Practice:    California.

 

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

California Department of Public Health (CDPH). Specifically, the California State Board of Pharmacy and the Medical Board of California. Furthermore, the California Health Care Foundation (CHCF) has been active in supporting initiatives and research to improve opioid prescribing practices.

 Where you found this information (weblink):

California Department of Public Health (CDPH): https://www.cdph.ca.gov/

Medical Board of California: http://www.mbc.ca.gov/

California State Board of Pharmacy: https://www.pharmacy.ca.gov/

California Health Care Foundation (CHCF): https://www.chcf.org/
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.

In California, the guidelines for pain management and prescribing of controlled substances resulted from the joint effort of several state agencies such as the Office of Medical Health, the Department of Health Care Services, and California medical societies among others. This framework intends to ensure that patients receive effective pain management with curbing of the misuse and opioid addiction as a response to the current national opioid drug crisis. A general understanding of the procedures for opioid treatment programs may include reviewing existing evidence-based practices….

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

http://www.mbc.ca.gov/Licensees/Prescribing/Pain_Guidelines.aspx