Essay On Practitioner Privileges & Responsibilities
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Practitioner Privileges and Responsibilities
Nurse practitioners are registered and have a degree in nursing. Advanced education allows the nurse to diagnose illnesses and other conditions while working with a physician in developing treatment plans (White & Truax, 2013). Nurse practitioner in California needs to complete a degree program in nursing practice to obtain the required credentials. The bachelor’s degree enables the nurse to enroll for a graduate degree program a prerequisite for all practitioners. The nurse need to pass the National Council Licensure Examination to become eligible for California license (White & Truax, 2013). Background investigation must be done for all the applicants to assess their eligibility.
The practitioners need to complete a master’s program in nursing to qualify for certification. The education program has 12 semester units with courses including pathophysiology, interpretation of the laboratory tests, and pharmacology among others. Specialization in the area of medicine is required such as adult, pediatric or even family nurse practitioner. After meeting the above requirements, the nurse is free to apply for certification in California Board of Registered Nursing (White & Truax, 2013). The state of California needs the practitioner to disclose all disciplinary actions and provide the registered nurse license. Other important details include the social security number and a photograph.
A nurse practitioner in California has the privilege of prescribing drugs that fall under schedule II-IV. Drugs in the low schedule are dangerous and misused, therefore, requiring high degrees of regulation (DEA, 2014). California allows nurse practitioner to prescribe drugs under schedule II, III, and IV. A nurse practitioner in the State of California is eligible for prescribing the controlled substances. The authority to prescribe requires inclusion of the nurse practitioner title and the furnishing number. State of California uses standardized procedures in a collaborative effort with the physician to prescribe controlled substances. Nurse practitioners in California have the legal authority of prescribing controlled substances such as narcotics, hallucinogens and cannabis (DEA, 2014). The privilege is different from the regulation practice of the nurse. The nurse needs to register and obtain a registration number from the DEA to have the privilege.
The nurse practitioners in the state of California do not go for a solo practice. The Sates laws require the registered NP to work in collaboration with a physician. The physician is given a maximum number of four drug-prescribing nursing practitioners (Mezey, McGivern, & Sullivan-Marx, 2012). The collaboration in practice needs joint development where there is a written protocol that covers all the elements of practice. Nurse practitioner charts do not require a signature from the supervising physician. It is under the requirement of insurance carriers that the signature may be obtained. It is not a necessity that the physician is in direct contact with the nurse practitioner for instance living in the same apartment. The required geographical distance has not been addressed (DEA, 2014). In the collaboration, NP are recognized as primary caregivers. Even when dispensing the controlled substances under schedule II-V, the privilege is under the supervision by a physician. The prescription is, therefore, under a collaborative practice agreement (Mezey, McGivern, & Sullivan-Marx, 2012).
There are strict regulations in the prescription of narcotics by the nurse practitioner in the state of California. When narcotics are administered in accordance to the set rules the prescribing nurse practitioner is not subject to disciplinary action (DEA, 2014). Nurse practitioner collaboratively with the physician and should exercise extreme care when prescribing narcotics. The prescription of narcotics is required by the law in instances when addiction from the disease is complicated by acute accident and presence of the incurable disease.
The nurse practitioner remains under the supervision of a physician may prescribe the drugs in treating addicts in licensed institutions where the patients are kept under control or restraint. An addict in this case is any individual who has impaired control over narcotics abuse, is compulsive and uses the drug despite the harm. The NP needs to do a physical examination and come up with a treatment plan. Finally, the NP should obtain informed consent from the patient or the family members after detailing the associated risk of the treatment modalities (White & Truax, 2013). A nurse practitioner in the State of California may obtain a DEA number through several means. One of the ways is by filling in the Official Order Forms which are obtained by calling the DEA Headquarters in the nearest office. The request for the form is mailed to the individual within ten working days. An alternative to obtaining the order forms is completion of a requisition form, DEA form 222a and mails it to the DEA headquarters. Acquisition of the Official Order Forms is toll free and is the only way that the nurse practitioner can obtain the DEA number. Order forms can also be obtained from DEA website.
NPI is an identification number for the health care providers including nurses, doctors and physicians. Healthcare providers who have the number should use it in carrying out both transactional and administrative functions. The number comprises of 10 digits, and it is intelligent free. The numbers do not have detailed information of the specialty or the state where the healthcare provider resides. A practitioner obtains the National Provider Identifier number by completing an application form after agreeing to comply with all the terms and conditions (Mezey, McGivern, & Sullivan-Marx, 2012).
DEA (2014). DEA Office of Diversion Control.
Mezey, M. D., McGivern, D. O., & Sullivan-Marx, E. (2012). Nurse practitioners: Evolution of advanced practice. New York, NY: Springer Pub.
White, B. S., & Truax, D. (2013). The nurse practitioner in long-term care: Guidelines for clinical practice. Sudbury, Mass: Jones and Bartlett.