Michigan MPJE - Prescriptive Authority Questions and Answers Already Passed

Michigan MPJE - Prescriptive Authority Questions and Answers Already Passed Difference in prescriptive authority of MD or DO? no difference in prescriptive authority of MD + DO Prescriptive Authority: MD + DO Non-control by a MI licensed MD/DO Non-control by out-of-state MD/DO Non-control by CANADIAN MD/DO Controls by a MI licensed MD/DO Controls by out-of-state MD/DO Prescriptive Authority: Dentist (DDS) Non-control by a MI licensed DDS Non-control by out-of-state DDS Controls by a MI licensed DDS Controls by out-of-state DDS Prescriptive Authority: Veterinarians (DVM) Non-control by a MI licensed DMV Non-control by out-of-state DVM Controls by a MI licensed DVM Controls by out-of-state DVM Can all optometrists prescribe? NO!! OD must receive certification to administer topical diagnostics pharmaceutical agents (DPA) and to administer/prescribe therapeutic pharmaceutical agents (TPA) What is required on an OD prescription for a pharmacist to dispense DPA or TPA? Need OD's certification number for DPA/TPA administration Prescriptive Authority: Certified Optometrists (OD) Non-controlled by MI licensed OD EXCEPTION: oral corticosteriods Controls C3-5 by MI licensed OD Controls C-2 dihydrocodeinone combination drugs (Norco) by MI licensed OD (out-of-state OD prescriptions are NOT valid) Prescriptive Authority: Podiatrists (DPM) Non-control by a MI licensed DPM Controls by a MI licensed DPM (out-of-state DPM prescriptions are NOT valid) What must a PA have in order to prescribe? A Practice Agreement with a MD, DO or DPM PA can prescribe INDEPENDENTLY Do PAs require supervision or delegation from a MD, DO or DPM? NO!! they only need a Practice Agreement with a MD, DO or DPM PAs do NOT need: - supervision or delegation by MD, DO or DPM - co-sign from MD, DO or DPM Prescriptive Authority: PA Non-control by a MI licensed PA Controls by a MI licensed PA (PA needs control substance license + DEA registration) (out-of-state PA prescriptions are NOT valid) Delegation Authorization granted by a licensee (delegator) to a licensed or unlicensed individual (delegatee) to perform certain activities outside the individual's traditional scope of practice The delegator CANNOT delegate a task that is outside their scope of practice The delegator CANNOT delegate a task that requires a certain level of education, skill & judgement The delegator has the responsibility to validate the delegatee's knowledge/ability to perform tasks What supervision requirements are needed for delegation? - Continuous direct communication - Delegator must review + give feedback to the delegatee - Delegator must make a procedure or protocol to follow Can a delegated task be delegated further to another individual? NO!!! person must be named in the agreement/procedure Who can delegate prescriptive authority? MD and DO ONLY!!! Collaborative practice agreements Between pharmacist and MD/DO that gives pharmacist prescriptive authority CPA must provide the restrictions or guidance for tasks (MI does not have a law that does this) Advanced Practice Registered Nurse (APRN) CNM NP CNS CNM, NP + CNS need ________ to prescribe controlled substances NEED DEA registration (they do NOT need a controlled substance license) Prescriptive Authority: CNM (Certified Nurse Midwife) Independent authority to prescribe: - non-controlled substances Delegation by physician to prescribe: - controlled substances Prescriptive Authority: NP (Nurse Practitioner) Independent authority to prescribe: - non-controlled substances Delegation by physician to prescribe: - controlled substances Prescriptive Authority: CNS (Clinical Nurse Specialist) Independent authority to prescribe: - non-controlled substances Delegation by physician to prescribe: - controlled substances Prescriptive Authority: CRNA (Cetified Registed Nurse Anaesthetist) Non-controlled substances if delegated by a physician cannot prescribe controls NO PRESCRIPTION AUTHORITY unless delegated by physician Prescriptive Authority: RN Non-controlled substances if delegated by a physician cannot prescribe controls NO PRESCRIPTION AUTHORITY unless delegated by physician Controlled substance prescription written by CNM, NP, CNS requires... Delegating physicians name + DEA registration number Non-control prescriptions written by CRNA + RN requires... Delegating physicians information Delegation limitation Rules Delegation does not cover the prescription of drugs/device that causes miscarriage or fetal death to a pregnant women Delegation of of C-2s: - day supply is limited to 30 days Who CANNOT prescribe? Psychologist Physical Therapist Chiropractor Who can physicians delegate control substance prescriptive authority to? CNM NP CNS Who can physicians delegate non-control prescriptive authority to? CRNA RN Pharmacists who determines the scope of practice of the prescriber? the pharmacist can only dispense the rx if it's within the scope