CORRECT WELL DETAILED
Roles and Responsibilities: NPs as Prescribers - ANSWER All states have title protection
for NPs.
The Board of Nursing regulates practice.
Five states have joint oversight with the Medical Board.
Scope of Practice is determined by NP license. In 26 states NPs are totally autonomous.
Twenty-one states have independent prescribing.
Clinical Judgment in Prescribing - ANSWER Is a prescription the right treatment?
What are the effective drugs for the disease?
Goals of therapy?
Monitoring to see if drug it meeting goals?
Duplications in medications patient is taking?
OTC vs prescription drugs
Cost?
Sources of information
The Process of Rational Drug Prescribing - ANSWER Define the patient's problem.
Specify the therapeutic objective.
Collaborate with the patient.
Choose the treatment.
Educate the patient.
1
, Monitor effectiveness.
Define the Patient's Problem - ANSWER Assess patient.
Early screening of high-risk patients maximizes the benefit of pharmacological treatment
Develop working and differential diagnosis.
Use diagnostic tests to confirm.
Specify the Therapeutic Objective - ANSWER Goal of treatment
Cure the disease?
Relieve symptoms of disease?
Replacing deficiencies (e.g., insulin)?
Long-term prevention?
Choose the Treatment - ANSWER Use evidence-based guidelines.
Individualize for each patient.
Novice providers use analytic, step-by-step decision making.
Experienced providers use experience and pattern recognition.
Use more systematic approach with complex patients.
The I Can PresCribE A Drug Mnemonic - ANSWER Indication
Contraindications
Precautions
Cost/Compliance
Efficacy
Adverse effects
Dose/Duration/Direction
2
Roles and Responsibilities: NPs as Prescribers - ANSWER All states have title protection
for NPs.
The Board of Nursing regulates practice.
Five states have joint oversight with the Medical Board.
Scope of Practice is determined by NP license. In 26 states NPs are totally autonomous.
Twenty-one states have independent prescribing.
Clinical Judgment in Prescribing - ANSWER Is a prescription the right treatment?
What are the effective drugs for the disease?
Goals of therapy?
Monitoring to see if drug it meeting goals?
Duplications in medications patient is taking?
OTC vs prescription drugs
Cost?
Sources of information
The Process of Rational Drug Prescribing - ANSWER Define the patient's problem.
Specify the therapeutic objective.
Collaborate with the patient.
Choose the treatment.
Educate the patient.
1
, Monitor effectiveness.
Define the Patient's Problem - ANSWER Assess patient.
Early screening of high-risk patients maximizes the benefit of pharmacological treatment
Develop working and differential diagnosis.
Use diagnostic tests to confirm.
Specify the Therapeutic Objective - ANSWER Goal of treatment
Cure the disease?
Relieve symptoms of disease?
Replacing deficiencies (e.g., insulin)?
Long-term prevention?
Choose the Treatment - ANSWER Use evidence-based guidelines.
Individualize for each patient.
Novice providers use analytic, step-by-step decision making.
Experienced providers use experience and pattern recognition.
Use more systematic approach with complex patients.
The I Can PresCribE A Drug Mnemonic - ANSWER Indication
Contraindications
Precautions
Cost/Compliance
Efficacy
Adverse effects
Dose/Duration/Direction
2
