Advanced practice nurse controlled substances prescriptive authority

A review of the regulations and implications for effective pain management at end-of-life

Patricia Berry, June L. Dahl

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Advanced practice nurses play significant roles in providing care to patients with advanced disease. Their roles are enhanced when they can prescribe controlled substances, especially opioid analgesics essential for the management of moderate to severe pain in persons at the end of life. A review of state laws and regulations shows that although advanced practice nurses have some degree of prescriptive authority in all 50 states and the District of Columbia, there are restrictions on their prescribing of controlled substances. In 40 states, advanced practice nurses have differing authorities to prescribe schedule II-V controlled substances; in eight states they can prescribe only schedule III-V drugs. Three states do not allow advanced practice nurses to prescribe controlled substances. Inappropriate restrictions on the ability of advanced practice nurses to prescribe the full range of controlled substances needed to control pain and other symptoms may negatively affect quality of care, especially in persons at the end of life.

Original languageEnglish (US)
Pages (from-to)238-245
Number of pages8
JournalJournal of Hospice and Palliative Nursing
Volume9
Issue number5
DOIs
StatePublished - Sep 2007
Externally publishedYes

Fingerprint

Controlled Substances
Pain Management
Nurses
Appointments and Schedules
Pain
Aptitude
Quality of Health Care
Opioid Analgesics
Patient Care
Pharmaceutical Preparations

Keywords

  • Advanced practice nursing
  • Controlled substance
  • End-of-life care
  • Pain management
  • Prescriptive authority

ASJC Scopus subject areas

  • Advanced and Specialized Nursing
  • Community and Home Care

Cite this

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