The Advanced Practice Registered Nurse as a Prescriber

The Advanced Practice Registered Nurse as a Prescriber is an authoritative reference guide designed for students and practicing APRNs alike—delivering the evidence-based information required for informed and ethical prescribing of medication in various clinical settings. It assists the reader to identify and avoid common prescribing mistakes and pitfalls whilst presenting specific strategies to respond appropriately to an array of typical clinical experiences.This revised second edition includes new and expanded chapters with information on authorizing medical marijuana, prescription monitoring programs, electronic prescribing, prescribing globally and issues surrounding controlled substance prescribing and prescribing for opioid use disorder. This leading single-volume resource:

• Addresses the opportunities, challenges and responsibilities that APRNs face as prescribers
• Covers the laws, regulations, and professional issues that affect prescribing
• Discusses global approaches to registered nurse and APRN prescribing such as task sharing, formularies, and independent authority
• Guides APRNs through difficult clinical situations such as patients seeking controlled substances and requesting inappropriate care
• Navigates the multiple facets of prescribing controlled substances
• Examines the role of the APRN in states with medical marijuana laws
• Serves as a resource to engage in advocacy for fully autonomous prescribing

The Advanced Practice Registered Nurse as a Prescriber is essential reading for APRN and pharmacotherapeutics students, registered nurses transitioning to the role of APRN prescriber, and all APRNs including Nurse Practitioners (NP), Clinical Nurse Specialists (CNS), and Certified Registered Nurse Anesthetists (CRNA).

Louise Kaplan is an Associate Professor at the Washington State University College of Nursing, USA. She is a fellow of the American Academy of Nursing and the American Association of Nurse Practitioners. She has been inducted into the Washington State Nurses Association Hall of Fame. She is the recipient of numerous awards including the Washington State Nurse Practitioner Advocate award from the American Association of Nurse Practitioners and the Outstanding Policy Award from the National Organization of Nurse Practitioner Faculties.

Marie-Annette Brown is a Professor Emeritus at the University of Washington School of Nursing, USA. She is a fellow in both the American Academy of Nursing and the American Association of Nurse Practitioners. She received the Lifetime Achievement Award and the Achievement in Research Award from the National Organization of Nurse Practitioner Faculties. She has been inducted into the Washington State Nurses Association Hall of Fame and received the Nurse Practitioner of the Year Award from the American Nurses Association.

Contributors ix

Preface xi

1 What Do APRN Prescribers Need to Understand?

Louise Kaplan and Marie Annette Brown

2 Embracing the Prescriber Role as an APRN

Louise Kaplan and Marie Annette Brown

3 Creating a Practice Environment for Fully Autonomous Prescriptive Authority

Marie Annette Brown and Louise Kaplan

4 Regulation of Prescriptive Authority

Tracy Klein

5 Global Prescribing

Louise Kaplan

6 Managing Difficult and Complex Patient Situations

Donna L Poole

7 Strategies for Assessing, Monitoring, and Addressing Special Considerations with Controlled Substances

Pamela Stitzlein Davies

8 Legal Aspects of Prescribing

Carolyn Dolan

9 Authorizing Medical Marijuana and the APRN

Louise Kaplan

Index

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