The Shortage Of Physician Primary Care Provider

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Prescriptive Authority The shortage of physician primary care provider, has created public awareness bringing about the demand of the advanced practice registered nurses (APRNs). The APRN has the necessary training to assess, diagnose and treat patients. As the role of APRN begin to expand the need to prescribe medications becomes very important. According to the American Association of Nurse Practitioners (AANP), APRN practice in the United States is divided into three groups: full practice, reduced practice, or restricted practice. The scope of practice and prescriptive authority of the APRN is determined according to state regulations (Gutchell, ldzik, & Lazear, 2014). Report according to Peck (2013), shows that…show more content…
However variations occurs in states regulations with regards to prescriptive authority in terms of procedures and requirements that must be met by the APRN, relationship with a physician if any to prescribe, and the scope of the APRN prescriptive authority to prescribe controlled drug (Joel, 2013, p.125). In other to understand the variations between states regulations with regards to prescriptive authority, a comparison is made between the state of Texas and the state of Nevada. State of Texas Prescriptive Authority According to the Texas board of nursing, the senate bill 406 improved the prescriptive authority for advanced practice registered nurses (APRNs) in Texas allowing them now prescribe medications in a facility-based practice settings under a protocol and in other practice settings under a prescriptive authority agreement. In the state of Texas an APRN who has been issued full licensure and a valid prescription authorization number by the Board of nursing may prescribe non-prescription drugs, dangerous drugs, and devices, including durable medical equipment. If an APRN wishes to prescribe controlled substances, he or she obtains the authority to order and prescribe certain categories of controlled substances. Having an advanced pharmacotherapeutics education is a must. APRNs in
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