Safe Prescribing DEA PMHNP essay assignment example
Assignment : Safe Prescribing
1. Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.
2. Explain your responsibilities when having a DEA number.
3. Explain how you apply for a DEA number.
4. Explain MARYLAND state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements. Safe Prescribing DEA PMHNP essay assignment example.
5. Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.
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Safe Prescribing
The Food and Drug Administration oversees the Drug Enforcement Administration. Drug Enforcement Administration (DEA) was founded in 1973 for the enforcement of controlled substances. The DEA protect the safety of the public within the United States. They help to make sure that drugs are not misused for an illicit purpose. In the US there are over 6 million prescription drug abusers (DEA, n.d.). Controlled substances are categorized into five schedules which are schedule I, II, III IV and V. Schedule I have the highest potential for abuse and as the schedule number gets higher the potential for abuse gets lower. Safe Prescribing DEA PMHNP essay assignment example.
Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP
A nurse practitioner that is board certified and caring for patient must be licensed and DEA certified to prescribe control substance. The DEA work with practitioners to prevent drugs diversion for an illicit purpose. The DEA work with state professional licensing boards, local and state law enforcement authorities to guarantee controlled substances are prescribed, administered and distributed for authentic medical reasons, according to the federal and state laws. Safe Prescribing DEA PMHNP essay assignment example.
The DEA can investigate practitioner at any time if there is any suspicion of violations of federal or state law. At any time, there is a violation, the state board withdraws the practitioner license, and the DEA will make sure that the practitioner voluntarily surrenders their DEA registration. A lack of compliance requires corrective action, for example, administrative action or in extraordinary cases, civil, or criminal act. These actions are taken to stop the practitioner the ability to divert or abusing controlled substances and protect the health and safety of the public. Safe Prescribing DEA PMHNP essay assignment example.
The PMNHP responsibilities when having a DEA number
As a practitioner, it is important to proper prescribe, administer, and distribute controlled substances because can affect patients’ health and the safety of the public. Practitioners must prescribe substance-controlled medication as authorized by the state in which they practice. Safe Prescribing DEA PMHNP essay assignment example. The practitioner acts only within the scope of employment in the institution where they work. The practitioner prescribes medication under the employer registration and is assigns a specific internal code as authorized by their employer (DEA, n.d.).
As a practitioner, it is essential to keep all prescription blanks in a safe place. It is crucial to writing out the exact amount of prescription to prevent altercations of the prescription order. Prescription blanks should not be used as notes. It is significant to assist the pharmacist when they call to verify the prescription order. It is important not to sign a blank prescription pad in advance and use a tamper-resistant prescription pad. Safe Prescribing DEA PMHNP essay assignment example. The practitioner should be careful not to be manipulated by drug-abuser. Drugs diversion may result in drug overdose, drug- related emergency room visits, drug addictions and death. All suspicious prescription activities should be reported to the nearest DEA office immediately.
Explain how you apply for a DEA number
A practitioner is required by their state and DEA to apply for a DEA number by registering using DEA form 224. It can be done online or hard copy or mailed. The phone is 1-800-882-9539, and the online websites are www.DEAdiversion.usdoj.gov. and cost about $700 (DEA, n.d.).
An active license for the state of practice is required. The online registration consists of six-part which are Personal/ business information, Activity, state license, background information, payment, and confirmation. It is crucial to know that the application fees are not refundable. Safe Prescribing DEA PMHNP essay assignment example. For online application take note of the registration ID number and call after three business days to verify if the application has been approved.
Anybody who purposely or intentionally furnishes false or deceitful data in the form is liable to a term of detainment of not over four years, and a fine under Title 18 of not more than $250,000, or both (DEA, n.d.).
Explain your state’s requirements for a safe prescribing and prescription monitoring
program. Explain your responsibility as a PMHNP to follow these requirements.
All practitioner in Maryland must be registered with Prescription Drug Monitoring Program. It helps the state to monitor prevent diversion of substance medication. As a practitioner is mandatory to follow the requirement of the state to prevent any civil or criminal charge or suspension of license. A nurse practitioner must comply with the state law of Health Occupations Article, §12-505, Annotated Code of Maryland, record the order of the prescription drug on the patient’s chart, permit the division of drug control to enter and review the practitioner office at any time. Safe Prescribing DEA PMHNP essay assignment example. A practitioner is required to stamp all schedule III, IV, V prescription with the letter “C’ in a red link (MBON, 2017). Only starter dosages or samples medication without charges, furnish the patient with a written prescription order. A practitioner should maintain two separate records one for schedule II medication and the other for other prescription and keep records for five years. The practitioner can prepare and distribute a starter dosage of any drug they want as authorized and record it in the patient chart. Safe Prescribing DEA PMHNP essay assignment example.
Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.
The Schedule II drug levels have a high possibility for abuse which may lead to severe physical or psychological dependence. There is no federal time limit to numbers of drugs prescribed. Safe Prescribing DEA PMHNP essay assignment example. An oral order can be given in an emergency situation. Examples of Schedule II narcotics are hydromorphone, oxycodone and methylphenidate (Gabay, 2013).
Schedule III-Substances have a lesser potential for abuse than schedule I or II with moderate physical and psychological dependence. Example is buprenorphine (Gabay, 2013).
Schedule IV- is a controlled substance with a little potential for abuse than schedule I, II and III. Example is Tramadol, Ambien and clonazepam (Gabay, 2013).
Schedule V as the lowest potential for abuse of all and it contain limited number of certain narcotics. Example Lyrica and Robitussin AC (Gabay, 2013). Safe Prescribing DEA PMHNP essay assignment example.
References
Drug Enforcement Administration (n.d.). Drug Scheduling. Retrieved on September 23, 2018.https://www.dea.gov/drug-scheduling
Gabay, M. (2013). Federal Controlled Substances Act: Controlled Substances Prescriptions. Hospital Pharmacy, 48(8), 644–645. Retrieved on September 23, 2018 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847977/. Safe Prescribing DEA PMHNP essay assignment example.
Maryland Board of Nursing (2017). Division of State Documents. Retrieved on September 23, 2018. https://mbon.maryland.gov/Pages/advanced-practice-index.aspx
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Safe Prescribing DEA PMHNP essay assignment example.