Week 2 Advanced Practice Nursing in Safe Prescribing Discussion

Week 2 Advanced Practice Nursing in Safe Prescribing Discussion

Week 2 Advanced Practice Nursing in Safe Prescribing Discussion

Based on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.

Important Links:

• https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424
• http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html
• https://floridasnursing.gov/new-legislation-impacting-your-profession/
• https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege

Discuss the role of advanced practice nursing in safe prescribing and 3 prescribing barriers for APRNs:

1. You need 1 initial post, and 2 replies to 2 different students.

2. A minimum of 2 paragraphs is required for all posts (initials and replies).

3. Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years).

4. All posts are to be written in APA 6th edition format as required by the university.

Pharmacology Discussion

Based on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly.

Discuss the role of advanced practice nursing in safe prescribing and mentioned Three (3) prescribing barriers for APRNs.

Book: Pharmacotherapeutics for Advanced Practice Nurse Prescribers

Authors: Teri Moser Woo RN PhD CPNP-PC FAANP; Marylou V. Robinson PhD FNP-C
Edition: 4
Binding: Hardcover
Publisher: F.A. Davis Company
Published: August 2015

Important Links:

https://www.flsenate.gov/Committees/BillSummaries/…

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html

https://floridasnursing.gov/new-legislation-impacting-your-profession/

https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege

APA Format , double spaces 1-2 pages.

References: Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years).

Week 2 Advanced Practice Nursing in Safe Prescribing Discussion Solved

The Role of Advanced Practice Nursing in Safe Prescribing

As per the regulatory framework outlined in the s. 893.03 Florida Statutes, Advanced Practice Registered Nurses (APRNs) are required to adhere to the prescribed supervisory standards while prescribing controlled substances. According to the Florida Board of Nursing (2016), professionals are required to participate in training sessions lasting three hours, which focus on the safe prescribing of medication and the successful implementation of associated strategies. Advanced practice registered nurses (APRNs) are required to assess and delineate the health conditions of their patients in order to provide appropriate medication recommendations. Pigman et al. (2016) suggest that patients should be provided with pertinent information regarding drug warnings and proper administration of prescribed medication. Furthermore, healthcare professionals conduct routine monitoring of patients to ensure that they are receiving the intended therapeutic effects of the prescribed medications. As per the stipulations of the state regulations, Advanced Practice Registered Nurse (APRN) practitioners are obligated to adhere to identical prescription standards as physicians.

Prescribing Barriers for APRNs

There exist multiple barriers that impede the ability of APRN practitioners to effectively fulfill their prescription responsibilities. The limitations imposed by state licensure hinder Advanced Practice Registered Nurses (APRNs) from fully utilizing their educational qualifications in their professional practice. The nurse practitioners are restricted to practicing within a single NP role as per the terms of their collaborative agreements. Moreover, APRN educational programs may fall short in providing learners with the necessary advanced competencies to effectively administer top-notch healthcare services. According to Jun, Kovner, and Stimpfel (2016), practitioners may face challenges in fulfilling their prescription roles due to negative perceptions of the current working conditions and insufficient knowledge. Furthermore, specific payer policies discourage Advanced Practice Registered Nurses (APRNs) from participating in healthcare delivery activities that align with their complete training and licensure. As an illustration, certain policies pertaining to the scope of practice impose limitations on practitioners with regards to their designated roles. Challenges related to job satisfaction can impede healthcare professionals from fulfilling their prescription responsibilities, which can have a notable impact on patient outcomes. Certain professionals encounter unfavorable working conditions that can diminish their productivity.

Peer 2

Advanced Registered Nurse Practitioners (ARNPs) bear a significant level of accountability in medication prescription. The level of accountability is contingent upon the APRN’s ability to administer medications in accordance with the regulations established by the state pertaining to the prescriptive privileges granted to them. According to Teri and Marylou (2015), there exist twenty-one states where nurse practitioners are authorized to engage in independent prescribing. The ultimate determination regarding the selection and administration of medication is contingent upon the Advanced Practice Registered Nurse (APRN) prescriber. Assuming a higher level of legal responsibility is imperative for advanced practice registered nurses (APRNs) to enhance their prescriptive safety. Moreover, the comprehension of medical science and pharmacology is essential in identifying the diagnosis for which a pharmaceutical agent will be prescribed, selecting the suitable medication, overseeing the resultant effects, and instructing the patient on the medication and its potential adverse reactions.

Although there have been notable advancements in the scope of practice for Advanced Practice Registered Nurses (APRNs), such as providing healthcare services to diverse and underserved populations in an aging society across various healthcare settings, there remain several obstacles that demand further consideration. The act of prescribing medications is a fundamental aspect of the Advanced Practice Registered Nurse (APRN) profession and is deemed indispensable to their clinical practice. Prescriptive authority limitations are a significant obstacle that impedes Nurse Practitioners’ capacity to deliver comprehensive healthcare services. The American Association of Nurse Practitioners (AANP) advocates for the regulation of nurse practitioner (NP) prescribing authority to be exclusively overseen by state boards of nursing, in alignment with the NP’s role, education, and certification. The nursing board’s exclusive responsibility for licensing and regulation is intended to enhance public safety and ensure proficient practice, as noted by Hain and Fleck (2014).

As per the regulations set forth by the Florida Board of Nursing, Advanced Registered Nurse Practitioners (ARNPs) are authorized to prescribe or dispense controlled substances, as defined in s. 893.03 Florida Statutes, solely on the condition that they have completed a master’s or doctoral degree program in a clinical nursing specialty area that includes specialized practitioner skills training. Nevertheless, it is mandatory for all Advanced Registered Nurse Practitioners (ARNPs) and Physician Assistants (PAs) to fulfill a minimum of three hours of ongoing education regarding the secure and efficient prescription of regulated substances. According to the new legislation, the ability of an Advanced Registered Nurse Practitioner (ARNP) to prescribe controlled substances categorized under Schedule II is restricted to a maximum of seven days’ supply. Furthermore, the ARNP is not authorized to prescribe psychotropic medications to minors under the age of 18, unless the ARNP is a Psychiatric Nurse. As per the Florida Board of Nursing (2016), the aforementioned legislation specifies that exclusively allopathic physicians licensed under chapter 458, Florida Statutes, or osteopathic physicians licensed under chapter 459 Florida Statutes are authorized to dispense medications or prescribe controlled substances within a registered pain management clinic.Furthermore, it is imperative that any individual who prescribes controlled substances completes the registration process and acquires a unique registration number from the United States Drug Enforcement Administration. Additionally, it is imperative that they uphold the responsibility of maintaining precise documentation of controlled substances procured, disseminated, administered, and dispensed for a duration of no less than two years. Teri and Marylou (2015) authored the cited work.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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