Why should APRNs have full prescriptive authority? Who would benefit from this? - ANSWER To inc pt
care, accessibility, quality, and affordability.
Pts benefit, especially underprivileged, rural communities. Could also improve wait times and lower hc
costs for pts and hc systems by reducing reliance on more expensive providers. APRNs could benefit
because they could practice to the full extent of their abilities
Schedule I Drugs - ANSWER No medical use in the US
Heroin
Marijuana
LSD
MDMA
Schedule II Drugs - ANSWER High abuse potential w/ psych/physical dependence
Stimulants and depressants
Opium
Morphine
Codeine
Dilaudid
Methadone
Demerol
Hydrocodone
Schedule III Drugs - ANSWER High abuse potential but less than I and II
Contains compounds w/ limited amounts of certain drugs
Products containing no more than 90mg of Codeine per dosage unit
,Tylenol w/ codeine
Buprenorphine (Suboxone)
Schedule IV Drugs - ANSWER Abuse potential less than I, II, and III
Barbital
Phenobarbital
Chloral Hydrate
Dorazepate (Tranxene)
Alprazolam (Xanax)
Quazepam (Dormalin)
Schedule V Drugs - ANSWER Abuse potential less than I-IV
Preparations w/ limitis amounts of certain narcs/stims used for diarrhea, cough, and pain
Buprenorphine
Propylhexedrine
What components are necessary when writing a prescription? - ANSWER Prescriber name, license #,
contact info
Prescriber DEA # (if applicable)
NPI #
Pt name/ DOB
Name of med
Indication for med
Med concentration if liquid prep
Dose, route, freq
# of tab/cap to dispense
# of refills
,If ok to use generic
What factors should the APRN consider when prescribing medications? - ANSWER Cost
Drug interactions
Liver/ Renal function
Guidelines
SEs
Monitoring Parameters (Coumadin, thyroid, lithium)
Availability
Allergies
Special populations (OB, BF, PED, GERI)
What factors should the APRN consider when refilling medications? Especially narcotics - ANSWER New
med for pt?
Changing dose/freq?
Adding new meds?
Undesired SEs
When will I follow-up?
When was pt seen last?
Do they need to be seen again before refill?
Is this a schedule II med?
Considerations with telephone, written, E-prescribing meds - ANSWER Phone- can have specified
designee call in to pharmacy but cannot call in Sch II
Written- never presign, write in ink, avoid abbrev, use tamper resistant scripts
E-prescribing- CMS incentivizes using EMR to prescribe.
"Meaningful Use" with intent to inc pt safety/ improve outcomes. Requires 2 factor authentication
software to prescribe scheduled meds
, What is the benefit of collaboration during drug selection and prescription writing? - ANSWER Develop a
relationship with pharmacist and infectious disease Pharmacist can help with additional
information regarding drug interactions. They have firsthand knowledge of formulary. They can
assist with dosing.
What information should be included in patient education material? - ANSWER Name of med
Purpose of med
Dose
Admin
AEs
Storage
Lab testing (what, why,when, where, how)
Interactions
Duration of therapy
Limit content of edu to main points
Important info first
Use active voice
Use white space to make it less overwhelming
Use illustrations
Use layman's terms
Check for readability
Why is patient education so important? - ANSWER Education is the best way to promote positive
outcomes with drug therapy. For compliance and promoting safe outcomes
What is the best way to promote positive outcomes with drug therapy? - ANSWER Patient education,
monitoring therapy, and promoting adherence to therapy
care, accessibility, quality, and affordability.
Pts benefit, especially underprivileged, rural communities. Could also improve wait times and lower hc
costs for pts and hc systems by reducing reliance on more expensive providers. APRNs could benefit
because they could practice to the full extent of their abilities
Schedule I Drugs - ANSWER No medical use in the US
Heroin
Marijuana
LSD
MDMA
Schedule II Drugs - ANSWER High abuse potential w/ psych/physical dependence
Stimulants and depressants
Opium
Morphine
Codeine
Dilaudid
Methadone
Demerol
Hydrocodone
Schedule III Drugs - ANSWER High abuse potential but less than I and II
Contains compounds w/ limited amounts of certain drugs
Products containing no more than 90mg of Codeine per dosage unit
,Tylenol w/ codeine
Buprenorphine (Suboxone)
Schedule IV Drugs - ANSWER Abuse potential less than I, II, and III
Barbital
Phenobarbital
Chloral Hydrate
Dorazepate (Tranxene)
Alprazolam (Xanax)
Quazepam (Dormalin)
Schedule V Drugs - ANSWER Abuse potential less than I-IV
Preparations w/ limitis amounts of certain narcs/stims used for diarrhea, cough, and pain
Buprenorphine
Propylhexedrine
What components are necessary when writing a prescription? - ANSWER Prescriber name, license #,
contact info
Prescriber DEA # (if applicable)
NPI #
Pt name/ DOB
Name of med
Indication for med
Med concentration if liquid prep
Dose, route, freq
# of tab/cap to dispense
# of refills
,If ok to use generic
What factors should the APRN consider when prescribing medications? - ANSWER Cost
Drug interactions
Liver/ Renal function
Guidelines
SEs
Monitoring Parameters (Coumadin, thyroid, lithium)
Availability
Allergies
Special populations (OB, BF, PED, GERI)
What factors should the APRN consider when refilling medications? Especially narcotics - ANSWER New
med for pt?
Changing dose/freq?
Adding new meds?
Undesired SEs
When will I follow-up?
When was pt seen last?
Do they need to be seen again before refill?
Is this a schedule II med?
Considerations with telephone, written, E-prescribing meds - ANSWER Phone- can have specified
designee call in to pharmacy but cannot call in Sch II
Written- never presign, write in ink, avoid abbrev, use tamper resistant scripts
E-prescribing- CMS incentivizes using EMR to prescribe.
"Meaningful Use" with intent to inc pt safety/ improve outcomes. Requires 2 factor authentication
software to prescribe scheduled meds
, What is the benefit of collaboration during drug selection and prescription writing? - ANSWER Develop a
relationship with pharmacist and infectious disease Pharmacist can help with additional
information regarding drug interactions. They have firsthand knowledge of formulary. They can
assist with dosing.
What information should be included in patient education material? - ANSWER Name of med
Purpose of med
Dose
Admin
AEs
Storage
Lab testing (what, why,when, where, how)
Interactions
Duration of therapy
Limit content of edu to main points
Important info first
Use active voice
Use white space to make it less overwhelming
Use illustrations
Use layman's terms
Check for readability
Why is patient education so important? - ANSWER Education is the best way to promote positive
outcomes with drug therapy. For compliance and promoting safe outcomes
What is the best way to promote positive outcomes with drug therapy? - ANSWER Patient education,
monitoring therapy, and promoting adherence to therapy
