Chapter 1: Prescriptive Authority

Question 1

Prescriptive authority

Answer 1

The legal right to prescribe drugs ​

Degree of prescriptive authority varies for nonphysician providers​ -> Limitations tied to oversight by MD or DO

Question 2

components of prescriptive authority: independence and without limitation

Answer 2

Provider is not subject to requiring supervision or collaboration with an MD or DO in order to prescribe

Provider is not restricted from prescribing certain drugs, including controlled drugs, with the exception of Schedule I drugs, as these are defined as having no current medical use

Question 3

prescriptive authority regulations

Answer 3

Prescriptive authority is determined by state law​

Providers may have full prescriptive authority in some states yet face significant restrictions in others​

Regulation of prescriptive authority is under the jurisdiction of a health professional board. May include: State Board of Nursing, the State Board of Medicine, or the State Board of Pharmacy, as determined by each state

Question 4

OH APN prescriptive authority

Answer 4

CNM, CNP, CNS authorized to prescribe, scheduled drugs II-V, requires physician collaboration

Question 5

full prescriptive authority restrictions

Answer 5

Restrictions to prescriptive authority: state law, supervising physician preferences

Question 6

argument for full prescriptive authority for APRNs

Answer 6

APRNs are educated to practice and prescribe independently without supervision​

National examinations validate the ability to provide safe and competent care​

Licensure ensures compliance with standards to promote the public health and safety​

Limited prescriptive authority creates numerous barriers to quality, affordable, and accessible patient care

Question 7

prescriptive authority and responsibility

Answer 7

Prescriptive authority requires great responsibility ​

Safe and competent practice of prescribing and managing medications requires a sound understanding of drugs and the conditions they manage