Assignment: The APNA has endorsed expanding APRN prescriptive authority to include prescribing of suboxone in the treatment of substance abuse/dependence.
Assignment: The APNA has endorsed expanding APRN prescriptive authority to include prescribing of suboxone in the treatment of substance abuse/dependence.
The APNA has endorsed expanding APRN prescriptive authority to include prescribing of suboxone in the treatment of substance abuse/dependence. Why is this an issue, as it is a schedule III medication? What is the role of the psych APRN in treating addictions
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The Role of the Psychiatric APRN in Treating Addictions
The role of APRN has changed significantly in the recent past. Unlike in the previous decades, the APNA has authorized APRNs to prescribe medication to patients in their respective settings. This discussion will focus on the psychiatric APRN authority’s issue to prescribe suboxone to treat substance abuse/dependence. Additionally, it will capture the role of psychiatric APRNs in treating addictions.
An issue surrounds the psychiatric APRN authority to prescribe suboxone to treat substance abuse/dependence. Suboxone is commonly referred to as buprenorphine. This drug is mainly prescribed to opioid-addicted individuals to minimize withdrawal symptoms without the same sedation of medication that is widely abused, including OxyContin or heroin (Phillips et al., 2017). Being a Schedule III controlled substance, a psychiatric APRN must meet all the required credentials to prescribe it.
However, psychiatric APRN plays a significant role in treating addictions. The authority of these nurse practitioners to prescribe medication to patients varies among different states. In particular, psychiatric APRNs have reduced, restricted, or full practice authority. For instance, APRNs operating in most large US states, including Texas, California, and Florida, work under restricted practice conditions (Kellams & Maye, 2017). These practitioners can only prescribe medication to patients upon having an agreement with a collaborating physician. On the contrary, APRNs have been granted full practice authority in some states, such as Wyoming, Colorado, and Oregon. APRN operating in these states are authorized to prescribe medications to patients. They can prescribe even Schedule II-V substances, which are highly regulated without physician supervision (Grecu & Spector, 2019). A supervised probationary period applies in some states, including Vermont and New York. A collaborating agreement with a physician is required for newly licensed NPs to prescribe medication in these states (DeCapua, 2020).
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References
DeCapua, M. (2020). Can Nurse Practitioners Prescribe Medication? https://www.nursepractitionerschools.com/faq/can-np-prescribe-medication/
Grecu, A. M., & Spector, L. C. (2019). Nurse practitioner’s independent prescriptive authority and opioids abuse. Health economics, 28(10), 1220-1225.
Kellams, J. R., & Maye, J. P. (2017). The last state to grant nurse practitioners DEA licensure: An education improvement initiative on the Florida prescription drug monitoring program. Journal of addictions nursing, 28(3), 135-142.
Phillips, J. K., Ford, M. A., Bonnie, R. J., & National Academies of Sciences, Engineering, and Medicine. (2017). Evidence on Strategies for Addressing the Opioid Epidemic. In Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. National Academies Press (US).