Chapter 1: The Role of the Advanced Practice Nurse as Prescriber
Roles and responsibilities of APRN prescribers: all states have title protection for NPs,
only Oregon has mandated third-party reimbursement parity for
...
Chapter 1: The Role of the Advanced Practice Nurse as Prescriber
Roles and responsibilities of APRN prescribers: all states have title protection for NPs,
only Oregon has mandated third-party reimbursement parity for NP services, all but 5 states
the control of practice/licensure is within the sole authority of the states BON, SOP
determined by individual’s NP license under the nurse practice act, 17 states and the District
of Columbia NPs have independent practice w/o physician, 6 states have full autonomous
practice/prescriptive authority after postlicensure/postcertification supervision/collaboration
Clinical judgement in Prescribing: best = least invasive, least expensive, least likely to
cause adverse reactions. Have lifestyle, nonpharmacological and pharmacological therapies
working together
Collaboration with other providers: MD emphasizes disease and drug/NP does patient,
pharmacist emphasizes on pathophysiology, pharmacokinetics, pharmcotherapeutics, other
NP’s can share “clinical pearls”, Nurses w/ special training
Autonomy and Prescriptive authority: requires co-signatures on prescriptions
Chapter 2: Review of Basic Principles of Pharmacology
Metabolism: Metabolism & Half Life: The rate of drug metabolism depends on the blood
levels of drug in relation to the affinity of the drug for its metabolism enzymes. Most drugs
are present at concentrations below their Km for metabolism (the concentration at which
metabolism
[Show More]