Monthly Archives: April 2016

Who Can Legally Write Prescriptions in Nevada? (Part 2) | Focus on the APRN

The Nevada Legislature endowed the Board of Nursing with the authority to define and regulate whether and to what extent an advanced practice registered nurse may prescribe medications.  The regulations (as opposed to the statutes, which are different) are found within the Nevada Administrative Code sections 632.254 to 632.295.  Those sections, as they exist on 4/15/2016, are set forth below.

The SBON must authorize the APRN to issue written prescriptions.  This authorization is separate from the authorization to practice as an APRN.  The APRN must obtain an advanced course in the therapeutic uses of pharmacy products.

If the APRN changes the population that they serve, then the Board must be notified and a new application to write prescriptions is required.  For example, if the APRN was changing from a psychiatric mental health focus to general pediatrics, the nurse should look into whether a new application is required.

The below is the pertinent administrative code section involving applications to the SBON to issue prescriptions as it exists on 4/15/2016.  As discussed in part I of this series, a separate application to issue prescriptions must also be presented to the State Board of Pharmacy.

_________

NAC 632.257  Authorization to issue written prescriptions for controlled substances, poisons, dangerous drugs and devices. (NRS 632.120, 632.237)

     1.  An applicant for a license to practice as an advanced practice registered nurse will be authorized to issue written prescriptions for controlled substances, poisons, dangerous drugs and devices only if the applicant:

     (a) Is authorized to do so by the Board;

     (b) Submits an application for authority to issue written prescriptions for controlled substances, poisons, dangerous drugs or devices to the Board; and

     (c) Has successfully completed:

          (1) A program that complies with the requirements set forth in paragraph (a) of subsection 1 of NAC 632.260 and includes an advanced course in pharmacotherapeutics; or

          (2) A program of academic study that:

               (I) Is approved by the Board;

               (II) Consists of at least 2 semester credits or an equivalent number of quarter credits in advanced pharmacotherapeutics; and

               (III) Is completed within the 2 years immediately preceding the date the application is submitted to the Board.

     2.  In addition to the information contained in the application for a license to practice as an advanced practice registered nurse, an applicant who completes, before June 1, 2005, a program designed to prepare an advanced practice registered nurse and who does not hold a master’s or doctorate degree with a major in nursing must, in his or her application for authority to write a prescription for controlled substances, poisons, dangerous drugs and devices, include documentation of 1,000 hours of active practice prescribing medication in the immediately preceding 2 years as an advanced practice registered nurse.

     3.  Except as otherwise provided in subsection 4, if an advanced practice registered nurse who is authorized to prescribe certain controlled substances, poisons, dangerous drugs and devices changes his or her role or population of focus, he or she must submit an application to the Board for authority to prescribe those controlled substances, poisons, dangerous drugs and devices which are currently within the standard of practice in that role or population of focus. In addition to the information contained in an application submitted pursuant to this subsection, an advanced practice registered nurse who completes, before June 1, 2005, a program designed to prepare an advanced practice registered nurse and who does not hold a master’s or doctorate degree with a major in nursing must include in his or her application documentation of 1,000 hours of active practice prescribing medication in the new role or population of focus as an advanced practice registered nurse.

     4.  An advanced practice registered nurse who:

     (a) Is authorized to prescribe certain controlled substances, poisons, dangerous drugs and devices; and

     (b) Changes his or her role or population of focus to a role or population of focus that is substantially similar to his or her former role or population of focus, is not required to submit to the Board the application required pursuant to subsection 3 if the Board has authorized him or her to prescribe controlled substances, poisons, dangerous drugs and devices in the practice of his or her former role or population of focus.”

California Licensed Prescribers, Deadline for CURES

The California Department of Justice recently released a CURES 2.0 registration tip sheet to help individuals register or access the system.

LINK: https://oag.ca.gov/sites/all/files/agweb/pdfs/pdmp/cures-tips-tricks.pdf?

As a reminder, licensed prescribers authorized to prescribe scheduled drugs are required to register for access to CURES 2.0 by July 1, 2016.  This includes physicians, nurse practitioners and physician’s assistants.  In addition, pharmacists/dispensers of medications are required to register.

Additional information for the CURES 2.0 system can be found at the following links:
- http://www.rn.ca.gov/licensees/cures.shtml
- https://oag.ca.gov/cures