May 30, | nursing, med, NURS, Paper
Prescriptive authority in Texas, Obtaining the DEA number and safe prescribing practices
Introduction
Family nurse practitioners (FNP) provide primary care and acute care services while focusing on health promotion and disease prevention. FNPs work in the community setting, nursing homes, clinics, and hospitals to diagnose, make appropriate prescriptions, perform examinations, and provide patient education (Gadbois et al., 2015). In Texas, nurse practitioners attend a high number of patients. Healthcare professionals are assigned with DEA numbers that allow one to prescribe drugs, and this includes legal prescription of controlled substances. This paper will discuss the appropriate prescriptive authority for Lori, a new FNP in Texas. additionally, the process of obtaining the DEA number will be described as well as the safe prescribing practices for Lori as a nurse practitioner.
Appropriate Prescriptive Authority
Lori will require a written agreement with the supervising physician outlining the medications and devices she may prescribe. In Texas, physicians can delegate prescribing and ordering of prescription medications, nonprescription medications, and medical devices and equipment to an APRN. In addition, the supervising can also delegate the prescribing and ordering of Schedules III-V Controlled Substances and Schedule II Controlled Substances to Lori as an APRN, with the specific requirements (Peterson, 2017).
DEA Registration Process
Lori will apply for the DEA number online. She will go to www.deadiversion.usdoj.gov website and then follow all the guiding steps during the application. During application, Lori will need to fill all the six sections that include personal information; practicing state; practice information; background; prescription schedules; and charges. Lori will also need to fill the drug schedules she intends to prescribe (Tierney et al, 2015). After applying, Lori will wait for three business days and the application will be availed for editing or approved. To confirm the approval of the DEA number or make any inquiries, Lori can call 800.882.9539. Lori is required to have an active license from the state she intends to practice when applying for the DEA number.
DEA will allow Lori to prescribe mediations classified as ‘controlled substances’ (Tierney et al, 2015). It is therefore clear that DEA regulates and controls prescription of controlled substances by ensuring that APRNs only prescribe the drugs they have authority to prescribe and also prevent APRNs from making illegal prescriptions.
Lori will have various responsibilities after obtaining her DEA number. Once Lori obtains the DEA number, it will be her responsibility to ensure that she accurately and appropriately prescribes the controlled substances. Texas allows APRNs to prescribe some schedule medications, and as per the agreement with the supervising physician. Therefore, Lori should ensure that she prescribes only the authorized schedule drugs (Dineen & DuBois, 2016).
It is also the responsibility of Lori to make sure that she does not do any illegal prescription and that she prescribes controlled substances on cases that are medically allowed and appropriate. Moreover, Lori will need to enquire if the prescription monitoring program (PMP) allows her to obtain any information regarding the prescription of the controlled substances (Marco et al, 2016). If she is allowed, she had the duty of obtaining the information to determine if there have been illegal prescriptions that have been dispensed utilizing her DEA number. In case she notes illegal prescriptions under her DEA numbers, she should report and forward the information to DEA for further investigations (Tierney et al, 2015).
Safe Prescribing Practices
Safe prescribing practices include Lori ensuring that she only prescribes the medications she is authorized to and as per her scope of practice. If Lori intends to prescribe the controlled substances, she should ensure that she registers with DEA (Green & Stacey, 2015).
Before prescribing opioids, barbiturates or benzodiazepines, Lori should ensure that she checks the history of the patient in the prescription monitoring program (PMP) because there is a PMP in Texas. the PMP collects information from pharmacists and other healthcare providers to facilitate safe patient care during prescription and use of controlled substances. Additionally, the PMP monitors the prescribing of controlled substances to establish if there is any misuse or abuse. Lori will be needed to confirm with the PMP for all prescriptions of the controlled substances to prevent any duplication of their prescriptions (Elder et al, 2018).
Conclusion
A written agreement with the supervising physician indicating the medications and devices Lori can prescribe will be necessary according to the Texas laws. Lori can obtain her DEA number online to allow her to prescribe medications, including controlled substances. Finally, Lori will need to prescribe according to her scope of practice and follow the required prescriptive laws.
References
Dineen K & DuBois J. (2016). Between a Rock and a Hard Place: Can Physicians Prescribe Opioids to Treat Pain Adequately While Avoiding Legal Sanction? Am J Law Med. 42(1), 7–52.
Elder J, Garett D & Pines. (2018). Optimal Implementation of Prescription Drug Monitoring Programs in the Emergency Department. West J Emerg Med. 19(2), 387–391.
Gadbois, E. A., Miller, E. A., Tyler, D., & Intrator, O. (2015). Trends in state regulation of nurse practitioners and physician assistants, 2001 to 2010. Medical care research and review: MCRR, 72(2), 200–219. https://doi.org/10.1177/1077558714563763.
Green S & Stacey P. (2015). Optimizing the Use of State Prescription Drug Monitoring Programs for Public Safety. Journal of Nursing Regulation. 6(3), 4–10.
Marco C, Venkat A &Baker EF, et al. (2016). Prescription drug monitoring programs: ethical issues in the emergency department. Ann Emerg Med. 68(5), 589–98.
Peterson M. E. (2017). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus. Journal of the advanced practitioner in oncology, 8(1), 74–81.
Tierney M, Finnell D, Naegle M, LaBelle C & Gordon A. (2015). Advanced Practice Nurses: Increasing Access to Opioid Treatment by Expanding the Pool of Qualified Buprenorphine Prescribers. Substance Abuse. 36(4).
May 30, | nursing, med, NURS, Paper
A complete guide on forensic nursing practice
The care of a qualified health professional is necessary to handle trauma experienced by victims of abuse and violence. These injustices could be in the form of neglect, sexual assault, etc. The use of forensic nursing in anti-violence campaigns is crucial. This blog will look at forensic nursing practice standards and evolution, among other insights.
Forensic nursing practice is worth understanding as it gathers information and provides evidence that can be utilized in court. In turn, this information is useful in identifying and bringing charges against individuals who engage in violent and abusive behaviour.
What is forensic nursing practice?
The field of forensic nursing is positioned at the intersection of law, science, and medicine. So, what can you say is the definition of forensic nursing practice? Forensic nursing involves gathering and analyzing forensic evidence and using nursing science in public or legal procedures.
Forensic nurses collaborate with legal and law enforcement experts to offer expert testimony and evidence in criminal and civil matters.
They might also work on cases of abuse and criminal detection, investigation, and prevention. This can include conducting forensic testing and gathering evidence for those who have been hurt or died due to criminal behaviour and providing care for victims of sexual assault, domestic violence, and child abuse.
The treatment of survivors and the efficiency of enforcement agencies in dealing with violent crimes rely on forensic nurses.
Introduction to forensic nursing practice
Forensic nursing practice was a reputable speciality in scientific death investigation before the American Nurses Association (ANA) recognized forensic nursing as a speciality in 1995.
Forensic nurses play a crucial role in the multidisciplinary care of assault and violence victims, offenders, survivors, and those who have been falsely accused (ANA & IAFN, 1999).
Forensic nursing practice is among the nursing disciplines in the twenty-first century in the dramatic rise. The increased coverage by the news media of violent crimes serves as a good reminder of the brutality in our society. Violence impacts our communities, homes, schools, and places of employment.
Forensic nursing practice standards
Every profession has a unique set of rules and moral principles, but healthcare workers, including registered nurses, have particularly strict standards. Nursing requires meticulous adherence to the American nurse’s association (ANA) Standards of Professional Performance.
The standards of forensic nursing practice are divided into standards of professional performance and standards of care. The forensic nursing standards of care outline a proficient standard of forensic nursing practice as shown by the nursing procedure.
It also outlines the services that are offered to all patients of forensic nurses or practitioners, such as maintaining a secure atmosphere, providing health care that is suitable to their ethnicity and culture, and making plans for continuity of care and services.
Forensic nursing care practices
Giving testimony as an expert witness
Interacting with bereaved families
Carefully going over and evaluating medical documents
Collecting data that is essential to law enforcement or medical examiners
Investigating a death scientifically
Providing care in unpredictable or uncontrolled circumstances and providing continuity of treatment from the emergency room to the justice department
Recognizing injuries and fatalities having forensic implications
Professional performance practices
Forensic nurses are required to be familiar with the rules and legislation that control their field, in addition to adhering to strict professional and ethical standards
Lifelong learning is essential for forensic nurses who want to stay up to date on the most recent advancements and cutting-edge techniques in the field.
Interprofessional cooperation should also exist to give patients the best care possible and support legal proceedings. Forensic nurses need to be able to function well in multidisciplinary teams.
Scope of forensic nursing practice
Nursing science is connected with legislative and forensic elements to form the specialism of forensic nursing. The following aspects are included in the scope of forensic nursing practice:
Investigation
Forensic nurses assist in the investigation of sudden, unexpected, or violent fatalities
Medical-legal death investigations involve forensic nurses helping coroners, and medical examiners determine the cause and manner of a death
Sexual assault examination
Forensic nurses treat sexual assault victims and conduct forensic examinations
Physical and mental abuse
Forensic nurses evaluate and treat patients who have experienced physical or mental abuse
Trauma Nursing
Forensic nurses treat patients who have suffered bodily injuries as a result of crimes or mishaps
Legal advice
Forensic nurses offer expert witnesses in court cases involving the practice mentioned above areas
Research
Forensic nurses conduct studies that advance our understanding of the subject
Education and training
Forensic nurses impart their knowledge of forensic nursing principles and procedures to other nurses, members of the legal system, and law enforcement agents
It is vital to remember that forensic nursing is a tiny area of nursing and that its primary goals are to provide treatment for those who have experienced trauma or violence and to provide medico-legal evidence to support investigations.
How is the evolution of forensic nursing science?
Forensic nursing practice has greatly developed over the past few decades. The need for specific training in the gathering and preservation of evidence in situations of sexual assault and domestic violence was first acknowledged by nurses in the 1970s. The discipline continued to expand as nurses became more involved in investigating and prosecuting crimes.
The International Association of Forensic Nurses (IAFN) was founded in 1991 to offer forensic nursing practice standards, certification, and education. The IAFN also seeks to advance how forensic nursing principles are incorporated into nursing practice and education.
Today’s forensic nursing science is multidisciplinary, evidence-based, and adheres to scientific principles. Forensic nurses are recognized as experts in gathering and preserving evidence, caring for trauma victims, and giving expert testimony in criminal and civil trials.
What are the unique characteristics of forensic nursing?
A forensic nurse is extremely challenging; those who possess the following unique characteristics may find their work to be rewarding:
A strong sense of self
Vicarious traumatization, often known as secondhand trauma, is common for many caregivers who assist traumatized persons. It is associated with a lack of personal purpose and hope and can impact the trauma helper’s marriage, mental well-being, children, and friendships.
To preserve their capacity to feel compassion for their patients daily and continue acting as a champion for them. Forensic nurses benefit greatly from a support network, a firm belief system, and efficient and healthy coping mechanisms.
Critical thinking
The concerns of victims can be more than injuries and anguish. Despite the absence of visible physical harm, forensic nurses sometimes need to be able to anticipate mental health issues before they occur.
Jarvis adds that forensic nursing practice enthusiasts should frequently act independently and need to exercise critical thinking to determine the best course of action in an examination.
Individualization
Each victim has a different reaction to trauma, so a forensic nurse should be sensitive to each medical illness.
Above compassionate traits, attention to detail, and multitasking skills, passion for this kind of job is critical.
What are some of the tasks done by forensic nurses?
The responsibilities of a forensic nurse are quite diverse and strongly influenced by the position and environment. Typically, forensic nurses perform the following tasks:
Performing forensic-medical examinations (documenting injuries, collecting DNA samples and other materials that may influence an investigation)
Assessing and treating patients for pregnancy or STIs
Informs authorities of suspected or substantiated abuse
Presenting a deposition in a legal proceeding, frequently on the prosecution’s behalf
Providing samples and records to the police if requested
Working as a source for anti-violence initiatives and educating the general public and law enforcement
Providing patients who experience violence with individualized, trauma-informed care
Why studying a forensic nursing course is a rewarding career?
While it can be emotionally draining and sometimes necessitates additional training, many who work in the industry find it immensely worthwhile. Some of the reasons for studying forensic nursing career can be;
Assisting victims
Forensic nurses have the chance to improve the lives of patients by offering care and support after they have been through traumatic experiences
Making a difference
By gathering and protecting evidence that can be used to prosecute those who commit acts of violence and abuse, forensic nurses perform a crucial role in the criminal justice system
Wide range of venues
Forensic nurses may operate in a range of settings, including forensic examination facilities, emergency rooms, hospitals, clinics, and community health centres
Multidisciplinary approach
Forensic nursing gives nurses a chance to collaborate with other experts, such as law enforcement, lawyers, and forensic scientists, which can result in a more interesting and rewarding job
Professional development
As a subject that is expanding, forensic nursing offers nurses chances to progress their careers and pick up specific knowledge and abilities
Job satisfaction
Providing care for patients and bringing criminals to justice may be quite gratifying and fulfilling in the workplaces
Bottom line
You are interested in forensic nursing practice now that you have read the article up to this end. You should take the step and work towards realizing your career goals. You can get an expert response to your concerns at onlinenursingpapers.com.
