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Review practice agreements in your state.
Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
Research the following:
How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?
What is the application process for certification in your state?
What is your state’s board of nursing website?
How does your state define the scope of practice of a nurse practitioner?
What is included in your state practice agreement?
How do you get a DEA license?
Does your state have a prescription monitoring program (PMP)?
How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
APRN Certification and Licensure Plan in California, Texas, North Carolina and Iowa
How to Get Certified and Licensed as an Advanced Practice Registered Nurse (APRN) in Iowa.
To ensure proper certification and licensure as an advanced practice nurse in Iowa entails different steps to ascertain adequate qualification of the registration candidate, in lieu of fostering public safety. The initial step requires that the person would have attended an accredited learning institution and completed at least a master’s degree specific to a nursing clinical specialty with appropriate clinical experience, after which they would earn their national qualification upon successfully passing the board examination, followed by completing a registration application for an Advanced Registered Nurse Practitioner (ARNP), with a registration renewal due in three years (graduatenursingedu.org/iowa).
Application process for Certification in Iowa.
The application process for certification for an ANRP in Iowa involves the qualified candidate applying to the Iowa Board of Nursing (IBON) after meeting all requirements, a process that can be completed online through the IBON Online at https://nursing.iowa.gov/online-services Links to an external site. , or having the application downloaded, completed and mailed to the Board office in Des Moines Iowa addressed to; 400 SW 8 TH St Ste B, Des Moines, IA 50309. Steps involved in the process includes having the nurse/candidate’s transcript sent directly from the school and not from the individual person as mandated by IBON, having the applicant include a copy of his or her national certification, providing verification of a current RN license if the applicant resides in another compact state, providing sentencing orders or board documents if the applicant has a criminal or disciplinary history, and paying the ANRP application fee of $81.00 (nursinglicensure.org).
Iowa’s state’s Board of Nursing Website?
Iowa Board of Nursing (IBON) website is https://nursing.iowa.gov/ Links to an external site.
How Iowa Defines the Scope of Practice of a Nurse Practitioner.
In the state of Iowa, the ARNP is allowed to provided healthcare services to Iowans of all ages in primary and/or ambulatory, acute, and long-term settings based on their specific role and population focus as determined by their educational background, population focus, and according to the guidelines and standards established by the national certifying body, with the autonomy to practice independently, or per collaborative agreement with a physician or physicians if warranted by their practice, although such agreement is not a requirement of the IBON (Iowa Board of Nursing, 2022). APRN Certification and Licensure Plan in California, Texas, North Carolina and Iowa
Inclusion in Iowa State Practice Agreement.
In the state of Iowa, upon licensure, the ARNP can provide services and function in areas including assessment of health status, obtaining relevant history and medical history, performing physical examinations, ordering preventive and diagnostic procedures based on patient’s age and history, formulating differential diagnosis, developing a treatment plan, developing a patient education plan, receiving third-party reimbursement, maintaining hospital privileges, and promoting health maintenance, among other tasks and services (Iowa Board of Nursing, 2022).
How to Get a DEA License .
Obtaining a DEA license mandates that the provider be licensed as an ARNP and must hold a current active license to practice, whereby application forms for the DEA numbers may be obtained from the Pharmacy Board website @ https://pharmacy.iowa.gov/licensureregistration/controlled-substance-applications Links to an external site. , requiring that the ARNP register for a Controlled Substance Registration for prescriptive authority if prescribing controlled substances, up to schedule II (Iowa Board of Nursing, 2022).
Does Iowa Have a Prescription Monitoring Program (PMP)?
Iowa has what is called Iowa Prescription monitoring program (PMP), which provides authorized prescribers and pharmacists with information about their patients’ use of schedule II, III, and IV controlled substances, which is a useful tool in determining appropriate prescribing and treatment of patients without hesitation of aiding to a patient’s abusive or dependence of addictive drugs or diversion of such drugs to illicit use (Iowa Board of Nursing). The database of the PMP is essential and resourceful in that it contains controlled substance dispensing information of patients from Iowa pharmacies as of January 1, 2009 and maintains records for four years following the date of dispensing and are required to report dispensing information to the program at least weekly (Iowa Board of Nursing). It’s worth noting that authorized health care practitioners may, but are not required to access PMP information related to their patients’ use of controlled substances to aid in determining appropriate treatment options, but serves as additional healthcare tool in helping providers identify potential diversion, abuse and/or misuse of controlled substances by their patients, while fostering the most appropriate and effective medical use, and validating appropriate use of such additive substances, with requirement for a prior request for registration and program access by the practitioner, in order to be granted access to PMP information (Iowa Board of Nursing). The website to register for access to PMP information is https://pharmacy.iowa.gov/prescription-monitoring-program Links to an external site.
How Iowa describes a Nurse Practitioner’s Controlled-Substance Prescriptive Authority, and Nurse Practitioner Drug Schedules that Nurse Practitioners are Authorized to Prescribe.
In Iowa, it’s stated that “The ARNP shall have the authority to prescribe when engaged in the practice of a nursing specialty regulated under the rules adopted by the Board of Nursing” (Iowa Board of Nursing). The ARNP in Iowa can have prescriptive authority of controlled substances of schedule I AND schedule 11 (up to schedule II) (Iowa Board of Nursing, 2022).
Iowa regulation mandates current licensure as a Registered nurse for advanced nursing practice, in addition to having an advanced level certification by the national professional nursing certifying body recognized by the board, is required for licensure as an ARNP (Iowa Board of Nursing, 2022). Several barriers including lack of support, mentorship and respect, role ambiguity and workload could influence nurse practitioner independent practice, affecting work productivity and job satisfaction (Faraz, 2019). A new graduate for instance, who does not feel valued and supported by their organization or practice may find it more challenging to transition into their new role, and as a result, may feel overwhelmed with work, which would affect their productivity and patient outcomes. I was surprised to learn that health care practitioners are not required to access PMP information related to their patients’ use of controlled substances to aid in determining appropriate treatment plans. Although doing so for every patient may be time consuming, I would assume that mandating such requirement would aid in determining persons with potential habitual misuse of controlled substances, in hopes of minimizing/offsetting negative patient outcomes resulting from overuse/abuse.
Conclusion
To conclude, as a forthcoming ARNP, it’s important to know what to do to be licensed as an ARNP upon successful completion of studies and national examination, laws pertaining of scope of practice, and barriers that may exist that could hinder practice. Having such knowledge prepares the ARNP to engage in safe practice, and become proactive in overcoming those barriers, allowing one to engage in best practice to optimize positive patient outcomes.
References
Faraz, A. (2019). Facilitators and barriers to the novice nurse practitioner workforce transition in primary care. Journal of the American Association of Nurse Practitioners, 31(6), 364-370.
Graduatenursing.edu.org/iowa. Steps to Becoming An ANRP in Iowa.
https://www.graduatenursingedu.org/iowa/ Links to an external site.
Iowa Board of Nursing, (2022). Advanced Registered Nurse Practitioner-Role and Scope.
https://nursing.iowa.gov/practice/advanced-registered-nurse-practitioner-role-scope#:~:text=Professional%20Role%20and%20Scope%20of%20Practice%20In%20Iowa%2C,settings%20per%20their%20specific%20role%20and%20population%20foci Links to an external site. .
Iowa Board of Nursing. Iowa Prescription Monitoring Program (PMP).
https://nursing.iowa.gov/practice/arnp-role-scope/iowa-prescription-monitoring-program-pmp Links to an external site.
Nursinglicensure.org. Advanced Registered Nurse Practitioner License Requirement in Iowa.
https://www.nursinglicensure.org/np-state/iowa-nurse-practitioner/ Links to an external site.
APRN Certification and Licensure Plan in California, Texas, North Carolina and Iowa
Reply
Week One Discussion Nurse Practitioner Professional Issue
In nursing practice including psychiatric-mental health nurse practitioners, there are several requirements that one must meet to practice a nurse. These requirements include certification and license in their areas of specialization. Every State has different terms and conditions for obtaining certification and licenses. In this discussion, I will consider North Carolina as the selected state to discuss certification and practice.
Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
In North Carolina is one of the states with restricted nursing practice and therefore, nurse practitioner and physician are required by law to have a working relationship in which the physician act as the supervisor and therefore, provides guidance and consultation to the nurse practitioner as needed. For the nurse to practice, the physician must agree to review the nurse practitioner’s charts regularly (Bell et al., 2018).
How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?
There are several steps and requirements that a nurse must take to obtain certification and licensure as an APRN in North Carolina. These requirements include a valid RN license, a master’s degree or higher program in nursing from an accredited nursing program, and National certification as an APRN in the area of specialty which in this case is psychiatric-mental health nurse practitioners. The nurse must also complete an approved APRN program and must have completed the national exam administered by the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners (AANP). The nurse must also have a minimum of 500 clinical hours in the area of specialty
What is the application process for certification in your state?
The application process for certification as an APRN in North Carolina includes the following steps seven steps. The first step is to submit a completed application form to the North Carolina Board of Nursing including a non-refundable $200 application fee. The third step is to provide transcripts from the nursing program including proof of national certification and proof of completion of an approved APRN program. The nurse must also include proof of successful completion of a national exam and proof of at least 500 clinical hours in your area of specialty
What is your state’s board of nursing website?
The North Carolina Board of Nursing’s website is https://www.ncbon.com/. The North Carolina Board of Nursing’s website provides information on the requirements for certification and licensure as an APRN in North Carolina.
How does your state define the scope of practice of a nurse practitioner?
North Carolina General Statute 90-171.20 is used to define the scope of practice of a nurse practitioner. According to Statute 90-171.20 “The scope of practice of a nurse practitioner shall include, but is not limited to, the performance of the following acts within the nurse practitioner’s area of specialty and in compliance with rules adopted by the Board:
Conducting comprehensive health history and physical examinations.
Prescribing medications and other treatments
Ordering, performing, and interpreting diagnostic and laboratory tests.
Identifying and managing common acute and chronic illnesses and injuries.
Providing health promotion, disease prevention, and health education to individuals and families
What is included in your state practice agreement?
The North Carolina practice agreement includes the following provisions:
The nurse practitioner and physician must have a working relationship in which the physician provides guidance and consultation to the nurse practitioner as needed.
The physician must review the nurse practitioner’s charts regularly.
The nurse practitioner must consult with the physician when ordering diagnostic tests, prescribing medication, or making changes to the treatment plan.
The nurse practitioner must refer patients to the physician when necessary.
How do you get a DEA license?
To get a DEA license, one must submit a completed application form to the Drug Enforcement Administration. The application form can be found on the DEA website. The nurse must include a non-refundable $731 application fee. The nurse must also include proof of graduation from an accredited nursing program and a valid RN license.
Does your state have a prescription monitoring program (PMP)?
North Carolina indeed has a prescription monitoring program (PMP) The North Carolina prescription monitoring program (PMP) is a database that tracks prescriptions for controlled substances. The PMP is used to prevent prescription drug abuse and diversion.
How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
In North Carolina, nurse practitioners are authorized to prescribe controlled substances in Schedules II-V. This means that they can prescribe drugs such as morphine, oxycodone, and codeine.
References
Bell, N., Hughes, R., & Fede, A. L. D. (2018). Collaborative practice agreements and their geographic impact on where nurse practitioners can practice. Journal of Nursing Regulation 5–14. https://doi.org/10.1016/S2155-8256(18)30149-2 Links to an external site. .
North Carolina Nursing Board. (n.d). https://www.ncbon.com/
APRN Certification and Licensure Plan in California, Texas, North Carolina and Iowa
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How to get certified and licensed as an Advanced Practice Registered Nurse (APRN) in the state of Texas
In Texas, you need to earn your RN license before you can take the next step and become an APRN. An RN who has finished an APRN program that has been accredited and has passed the national certification exam is eligible to apply to become APRN.. In order to get certified as an advanced practice registered nurse (APRN) in the state of Texas, one must first earn a state license, after which they must also graduate from an APRN program that has been granted accreditation (APRN State Law and Regulation, 2021)
The application process for certification in Texas State
The Texas Board of Nursing (BON) is the state entity that is in charge of regulating the actual practice of nursing in the state of Texas. The Board of Nursing (BON) website details the requirements for APRNs to obtain a license, as well as the APRNs’ scope of practice in the state of Texas. The Texas Nurse Practice Act provides the guidelines that define the APRNs’ scope of practice in the state of Texas. The diagnosis and treatment of patients who are suffering from both acute and chronic health issues are included in the APRNs’ scope of practice. APRNs in the state of Texas have the authority to not only prescribe medication but also to arrange and interpret diagnostic tests, as well as educate patients. In order to legally prescribe controlled medications in the state of Texas, advanced practice registered nurses are required to have their DEA licenses current. Additionally, APRNs in the state of Texas are mandated to sign up with the Texas Prescription Monitoring Program (PMP). The Prescription Monitoring Program (PMP) is a database that is used across the state to monitor the distribution of banned medications by APRNs .APRNs in the state of Texas are permitted to prescribe controlled medications from Schedules II through V.
Texas board of nursing website
The Texas Board of Nursing (BON) is the state entity that is in charge of regulating the actual practice of nursing in the state of Texas. The BON website includes details about the Board, such as its members, upcoming meeting dates, and ways to get in touch with the Board. In addition to that, the website offers details on education, certification, and professional practice. The website provides access to the Texas Nurse Practice Act as well as the Texas Administrative Code, which together constitute the legal framework for nursing in the state of Texas. The website of the BON also contains information regarding the Board’s many regulatory activities. The investigation of complaints, the imposition of disciplinary measures on licensees, and the prosecution of cases in administrative law courts are all aspects of the enforcement activity. On the website of the Board of Nursing (BON), there is a searchable database of disciplinary proceedings that have been taken against licenses. APRN Certification and Licensure Plan in California, Texas, North Carolina and Iowa
How Texas State define the scope of practice of a nurse practitioner
In the state of Texas, the diagnosis and treatment of human responses to real or anticipated health concerns is what is considered to be within the scope of practice for a nurse practitioner. This includes conducting physical examinations, ordering, analyzing, and interpreting diagnostic tests, as well as writing prescriptions for drugs. A minimum of thirty hours of continuing education must be completed every two years by nurse practitioners in the state of Texas. In the state of Texas, nurse practitioners have the authority to diagnose and treat a comprehensive range of medical illnesses. They are able to order and interpret diagnostic tests, administer drugs, as well as give patients with education and counseling on a wide variety of health-related topics. In addition, nurse practitioners are allowed to carry out many of the same responsibilities as primary care physicians, including conducting physical examinations, placing orders for laboratory tests, and referring patients to specialists. It is possible for nurse practitioners in Texas to deliver a high level of care to their patients because the scope of practice for nurse practitioners in Texas is fairly extensive. However, there are some restrictions on the kinds of things that nurse practitioners can accomplish. To give one example, nurse practitioners are not allowed to conduct surgery or deliver some kinds of medical treatments, such as radiation therapy.The overall scope of practice for nurse practitioners in Texas is fairly expansive when seen from a broader perspective. Primary care physicians and nurse practitioners share many of the same responsibilities, but nurse practitioners are able to deliver a wider variety of services to their patients. Because of this, nurse practitioners are able to play an important part in the healthcare system in the state of Texas (Rounds, 2005).
What is included in Texas state practice agreement?
A Texas state practice agreement is a written agreement that outlines the APRN’s scope of practice. This agreement is made between a supervising physician and an advanced practice registered nurse (APRN). The agreement needs to be kept on record with the Board. Each time the two years have passed, the agreement needs to be renewed. The following are the components that make up an APRN’s scope of practice in the state of Texas. The independent management of health and illness, including the prescribing of prescription medications and controlled substances, as well as the performance of medical acts that fall within the scope of the nurse’s practice as outlined in the Texas Nursing Practice Act. These medical acts include, but are not limited to, performing physical examinations, ordering and interpreting diagnostic tests, making diagnoses, initiating and managing treatment plans, including the prescription of medications and other treatments, and making diagnoses. If the advanced practice registered nurse (APRN) intends to prescribe controlled substances or legend drugs, or if the APRN intends to perform any medical acts that fall outside the scope of the nurse’s practice as outlined in the Texas Nursing Practice Act, then the APRN is required to have a written collaborative agreement with a physician (Texas Board of Nursing, 2018).
How do you get a DEA license?
Before you may apply for a license to practice with the DEA, you have to earn your APRN certification in the state of Texas. After you have earned your APRN certification, you are eligible to submit an application for a DEA license. The following steps need to be taken in order to get a license from the DEA, Send an application to the Drug Enforcement Administration. Ensure that a copy of your current APRN certification is attached to your application. Attach a copy of the liability insurance policy that you have purchased for your professional career to your application. Ensure that you have included a non-refundable application fee with your submission. Once the DEA has received your application, they will analyze it and determine whether or not you are qualified to acquire a license from the DEA. If the DEA determines that you meet the requirements, they will provide you a DEA license. After that, you will be able to prescribe controlled medications with the use of your DEA license.
Does Texas State have a prescription monitoring program (PMP)?
The answer is yes; the state of Texas does have a PMP (prescription monitoring program) in place. This program monitors and keeps track of the distribution of restricted substances and prescribed medications throughout the state. The PMP also makes it possible for prescribers and pharmacists to exchange information with one another in order to facilitate the detection and prevention of drug addiction as well as the illegal distribution of prescription medications.
Although participation in the PMP is voluntary, all pharmacies and dispensing practitioners in the state of Texas are strongly encouraged to sign up. The PMP can be used by prescribers and dispensers to assist in the identification of patients who may be at risk for drug addiction or diversion, as well as to ensure that patients are receiving the care and treatment that is necessary for them.
How Texas State describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
A registered nurse (RN) who has completed additional education and training in a nursing specialty is qualified to work as a nurse practitioner (NP).In each of the 50 states, nurse practitioners are able to obtain licenses that allow them to practice nursing and prescribe medications. In the state of Texas, nurse practitioners are qualified to write prescriptions for controlled substances and legend drugs that fall under Schedules II through V. Drugs classified as Schedule II have a high risk of abuse and can cause severe psychological or physical dependence if they are used even occasionally. Drugs that are placed on Schedule III have a lower potential for abuse compared to drugs that are placed on Schedule II.
However, these drugs still have the potential to cause moderate or low physical dependence as well as high psychological dependence. Drugs that are placed on Schedule IV have a lower potential for abuse compared to drugs that are placed on Schedule III, and they may only lead to a limited degree of physical or psychological dependence. Substances that are placed in Schedule V have the lowest potential for abuse and are likely to cause only a moderate degree of physical or psychological dependence in the user.
It is against the law for nurse practitioners to write prescriptions for drugs classified as Schedule I because these substances have a significant potential for abuse but no currently recognized medical use. Heroin, LSD, and marijuana are all examples of substances that fall under the Schedule I category
References
APRN State Law and Regulation . (2021). ANA. https://www.nursingworld.org/practice-policy/advocacy/state/aprn-state-law-and-regulation
Rounds, L. R. (2005). APRNs IN TEXAS. AJN, American Journal of Nursing , 105 (8), 15. https://doi.org/10.1097/00000446-200508000-00003 Links to an external site.
Texas Board of Nursing. (2018). Welcome to the Texas Board of Nursing Website . Texas.gov. https://www.bon.texas.gov/
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Identify whether your state requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
In Arizona, PMHNPs have full practice authority.
How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in your state?
To get certified and licensed as a PMHNP In Arizona, the applicant must apply and successfully pass the certification exam through the ANCC.
What is the application process for certification in your state?
To apply for An APRN license in Arizona, the applicant must have a current AZ RN license which is unencumbered. In addition, the applicant must submit the following: an official transcript showing completion of a graduate program from an accredited University within the last 5 years, an official letter from the University attended stating the program completed and population focus, proof of national certification as a PMHNP, a copy of documentation regarding citizenship, a fingerprint clearance card, a $150 application fee and a $50 fingerprint fee.
What is your state’s board of nursing website?
http://www.azbn.gov Links to an external site.
How does your state define the scope of practice of a nurse practitioner?
Arizona defines the scope of a PMHNP as focusing on patient’s, families, and populations across the lifespan with psychiatric or mental health conditions. This can include mental health promotion, disease prevention, psychiatric disorder treatment, and health maintenance. This scope may include assessment, diagnoses, and mental health disorder management.
How do you get a DEA license?
The NP must complete form 224 on the US DOJ diversion control division website. Background information, state licensure proof, and payment must be submitted as well. The APRN must also submit information confirming that they completed at least 45 contact hours of education in pharmacology within the past 3 years.
Does your state have a prescription monitoring program (PMP)?
Under the Arizona Uniform Controlled Substance Act, the Controlled Substance Prescription Monitoring program was developed to help detect abuse, misuse and diversion of controlled substances.
How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
A nurse practitioner with prescriptive authority may prescribe a schedule II-controlled substance without refills, a schedule III or schedule IV with a maximum of 5 refills in 6 months, and a schedule V with refills up to a year. The APRN must have a DEA registration number that has been filed with the board.
Resources
Arizona State Board of Nursing. (2018). https://www.azbn.gov/licenses-and-certifications/apply-for-a-license Links to an external site.
Arizona Board of Nursing. (July, 2021). APRN questions and answers. https://www.azbn.gov/sites/default/files/2021-07/APRN%20Scope%20of%20Practice%20Q%26A%20FINAL.pdf Links to an external site.
Main Question Post
Physician Supervision for Nurse Practitioners in California
In California, the Assembly Bill (AB) 890 will allow nurse practitioners (NPs) to practice independently when provisions are met beginning January 1, 2023 (California Board of Registered Nursing [BRN], 2022). Independent practice provisions for NPs include at least 4600 hours or three years of full-time physician-supervised practice (BRN, 2022).
Advanced Practice Registered Nurse Certification in California
The BRN awards the certification for advanced practice registered nurses (APRN) for nurse practitioners in California focusing on psychiatric/mental health (BRN, 2022). The APRN certification applicant must at least obtain a psychiatric/mental health nursing master’s degree and a two-year physician-supervised clinical experience. The first-year clinical experience requirement of the APRN certification may be counted from the master’s degree completion and can obtain the remaining year after the master’s degree conferral (BRN, 2022).
APRN Application Process in California
The California APRN certification process includes meeting and submission of the application requirements, such as a California RN license, application processing fee payment, name and address information, United States social security number and individual taxpayer identification number, reporting of license disciplinary actions or voluntary surrenders, proof of obtaining a psychiatric/mental health degree, verification of a two-year clinical experience, and evidence of psychiatric/mental health certification granted by a national association (BRN, 2022).
California Board of Registered Nursing Website
The California APRN certification application for psychiatric/mental health nurses and other specialties can be submitted on the BRN’s website: www.rn.ca.gov (BRN, 2022). APRN Certification and Licensure Plan in California, Texas, North Carolina and Iowa
Nurse Practitioner Scope of Practice in California
A nurse practitioner is a registered nurse who obtained a higher degree of education to provide physical diagnoses, conduct psycho-social assessments, and select health-illness treatments as primary health care providers (BRN, 2011). The preparation of nurse practitioners must meet the requirements as specified in the Californian Code of Regulations- Standards of Education (BRN, 2011).
State Practice Agreement
Currently, California is included in the states where nurse practitioners have restricted practice (AANP, 2022). Restricted practice requires nurse practitioners to be supervised by a physician to deliver patient care (AANP, 2022). In contrast, nurse practitioners in the states that allow full practice can independently assess, diagnose, order, and interpret diagnostic exams, provide treatments, and prescribe medications as permitted by the state board of nursing (AANP, 2022).
DEA License Application
Nurse practitioners can submit their application for a drug enforcement administration (DEA) number on the United States Department of Justice (DOJ) website: https://apps.deadiversion.usdoj.gov/webforms2/spring/newLogin?execution=e2s1 Links to an external site. (American Association of Nurse Practitioners [AANP], 2022). The DEA number application requirements for nurse practitioners must include a full state license where the applicant intends to practice and an application fee of $888.00, which may be waived for government employees (DOJ, n.d.).
Prescription Monitoring Program in California
Controlled Substance Utilization and Evaluation System (CURES) is California’s prescription drug monitoring program for schedule II, III, IV, and V controlled substance prescriptions (State of California Department of Justice Office of the Attorney General [OAG], 2022 ). Different professionals, including dentists, physicians, naturopathic doctors, optometrists, physician assistants, podiatrists, nurse midwives, nurse practitioners, and veterinarians who are issued with a federal DEA registration certificate have been required to register for CURES since July 1, 2016 (OAG, 2022)
Nurse Practitioner’s Controlled-Substance Prescriptive Authority in California
California nurse practitioners are among the professionals required to register for CURES (OAG, 2022). Registration for CURES authorizes nurse practitioners to order, prescribe, administer, dispense, or furnish schedule II, III, IV, and V controlled substances (OAG, 2022).
References
American Association of Nurse Practitioners. (2022). How to get information about obtaining a
DEA number . https://www.aanp.org/practice/practice-management/business-resources- Links to an external site.
for-nurse-practitioners/how-to-order-a-dea-number
American Association of Nurse Practitioners. (2022). State Practice Environment .
https://www.aanp.org/advocacy/state/state-practice-environment
California Board of Registered Nursing. (2022). Advanced practice and public health nurse
certification. https://www.rn.ca.gov/applicants/ad-pract.shtml
California Board of Registered Nursing. (2022). Assembly bill 890 .
https://www.rn.ca.gov/practice/ab890.shtml#:~:text=AB%2D890%20Nurse%20practitio Links to an external site.
ners%3A%20scope,890%20by%20January%201%2C%202023.
California Board of Registered Nursing. (2011, April 13). General information: nurse
practitioner practice. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://
www.rn.ca.gov/pdfs/regulations/npr-b-23.pdf Links to an external site.
State of California Department of Justice Office of the Attorney General. (2022 ). Controlled
substance utilization review and evaluation system . https://oag.ca.gov/cures Links to an external site.
State of California Department of Justice Office of the Attorney General. (2022 ). Frequently
asked questions . https://oag.ca.gov/cures/faqs#4
United States Department of Justice. (n.d.). Application for registration under controlled
substances act of 1970 (New applicants only).
https://apps.deadiversion.usdoj.gov/webforms2/spring/main?execution=e1s1 Links to an external site.
APRN Certification and Licensure Plan in California, Texas, North Carolina and Iowa
