UPDATED): Ad- vanced Pharmacology Fundamentals -
Chamberlain
APRN prescribing role Prescriptive authority for nurse practition- ers also regulates
prescribing rights be- yond medications and controlled substances.
These rights include therapeutic
devices and services and are outlined
in state practice laws and regulations
and include Durable Medical
Equipment (DME) such as wheelchairs,
power scooters, hospital beds,
portable oxygen equipment, handicap
plac- ards, etc. and medical services
such as Phys-
ical Therapy (PT), Occupational Therapy
(OT), home health services, etc.
Prescriptive au- thority encompasses
more than writing a prescription
correctly. It requires adherence to
ethical guidelines to ensure that
patients are safeguarded from harm.
Ethical prescrib- ing starts with being
well-informed about medications.
Mechanism of action, eflcacy, and
safety are important considerations, as
are a patient's distinct needs and
circum- stances, including the number
of medica- tions prescribed (Mitchell &
Oliphant, 2016). Most patients receiving
a prescription are taking other
medications, whether prescrip- tion or
over-the-counter. Appropriate selec-
tion, dosing, and duration of
pharmaceutical agents are key to
, maximizing outcomes and minimizing
adverse ettects
1. benefits of full practice authority Nurse practitioners have the autonomy
to
evaluate patients, diagnose, order and in-
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terpret tests, initiate and manage treatments and prescribe
medications, including con- trolled substances without physician over-
sight
2. promoting positive outcomes Administering medications and
through prudent prescribing prescribing medications are two distinct
practices
processes. Pre- scription writing requires
prudent and delib- erate decision-making
processes to maintain patient safety and
reduce liability, including:
*documentation of a provider-patient
rela- tionship for the recipient of the
prescribed medications
*documentation of a thorough
history and physical examination for
the recipient
*documentation of discussions
regarding risk factors, side ettects, or
therapy options
*documentation of drug monitoring or
titra- tion plan, if applicable
*documentation of consultations, if
any avoidance of prescribing medications
for self, family, or friends
Rational drug selection requires a
, logical ap- proach that includes the formulation of a
di- agnosis based on clinical reasoning and the
selection and monitoring of the most appro-