NR 565 Midterm Study Guide Week 1,2,3,&4 Advanced Pharmacology Fundamentals

• Which schedule drugs can APRNs prescribe? • DEA license will allow for prescribing of Schedules 2-5. There can be restrictions as noted in collaborative agreement. May be facility/state dependent. • Who determines and regulates prescriptive authority? • Determines: Also known as independent prescribing. APRNS can prescribe without limitation and is state dependent. Includes "legend" (prescription) and controlled drugs, health/medical services, DME, etc. Regulates: regulated by health professional board, state board of nursing or the State Board of Medicine, or the State Board of Pharmacy, as determined by each state. Federal government controls drug regulations but has no control over prescriptive authority. • Prescriptive authority is the legal right to prescribe drugs. • How does limited prescriptive authority impact patients within the healthcare system? • Limited prescriptive authority creates numerous barriers to quality, affordable, and accessible patient care. For example, restrictions on the distance of the APRN or PA from the physician providing supervision or collaboration may prevent outreach to area of greatest need. An increase in patient waits.