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    Discussion: Safe Prescribing
    In 1915, the Drug Enforcement Administration was formed, known then as the Bureau of Internal Revenue. Recognizing the variance in state laws and the process for completing applications for prescriptive authority and DEA registration is essential to the role of the NP as a prescriber. Within the last decade, safe prescribing of opioids has also become a national concern. For this Discussion, you will focus on the process for obtaining prescriptive authority after successfully completing your program of study and passing a National Certification Exam. You also will explore safe prescribing.

    To prepare:
    Review your state’s process for obtaining prescriptive authority and associated fees
    Review the DEA website and review the process for obtaining a DEA number and associated fees.
    Review and select one of the following case studies and analyze the provider information:
    Case Study One: Lori, FNP-BC, is a new graduate and has recently passed her certification exam. She has just been hired to work for a Primary Care Clinic in a small town. She will be working with one physician at one site.
    Case study Two: James, FNP-BC, works with a physician who specializes in pain control. He works in several clinics in the large urban city where he practices.
    By Day 3
    Post a brief summary of your case study and an explanation of the appropriate prescriptive authority and DEA registration process needed for the case study you selected. Then, explain the safe prescribing practices that these providers should use for these settings.


Subject Nursing Pages 2 Style APA


Safe Prescribing

            Lori, FNP-BC, is a fresh graduate and has in recent times passed her certification exam. She has just been hired to work for a Primary Care Clinic in a small town and she will be working with one physician at a site. As such, Lori would have to obtain prescriptive authority to practice. To obtain the prescriptive authority, first, Lori would be required to obtain a furnishing number to allow her furnish or order devices and drugs to patients. The furnishing number would also allow her to obtain the Drug Enforcement Administration (DEA) registration number. Secondly, obtaining prescriptive authority require registered nurse license (Alexander & Schnell, 2016). Through the license Lori would be accepted to the State Board of Nursing Advanced Practice Registry to practice and use the title as APRN.

After national certification, Lori would have to go through academic core course preparation including studying advanced pathophysiology, Advanced health assessment, and Advanced pharmacotherapeutic. She would require three credits as well extra pharmacology or psychopathology course such as psychopathology or neurobiology to qualify for prescriptive authority. Subsequently, Lori would be tested on the management and diagnosis of problems within her specialty and upon qualification she would be prepared on APRN role (Adams & Weaver, 2016). Notably, the list clinical practice hours needed for an APRN graduation is 500. One must also pay $ 50 non-refundable processing fee for prescriptive authority. The final stage of prescriptive authority involves signing of a collaborative agreement with the State Board of Nursing. The agreement is aimed at ensuring the professionals practice within their area of specialty. On the other hand, some of the safe prescribing practices that the providers should use for these settings include overdose prevention, safe and appropriate opioid analgesic prescribing, (Menchine et al., 2013), and abuse prevention.


Adams, A. J., & Weaver, K. K. (2016). The continuum of pharmacist prescriptive authority. Annals of Pharmacotherapy, 50(9), 778-784.

Alexander, D., & Schnell, M. (2016). Just what the nurse practitioner ordered: Independent prescriptive authority and population mental health.

Menchine, M. D., Axeen, S., Plantmason, L., & Seabury, S. (2014). 1 Strength and Dose of Opioids Prescribed from US Emergency Departments Compared to Office Practices: Implications for Emergency Department Safe-Prescribing Guidelines. Annals of Emergency Medicine64(4), S1.














Appendix A:

Communication Plan for an Inpatient Unit to Evaluate the Impact of Transformational Leadership Style Compared to Other Leader Styles such as Bureaucratic and Laissez-Faire Leadership in Nurse Engagement, Retention, and Team Member Satisfaction Over the Course of One Year

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