Can NPS write prescriptions for themselves and Family? - page 3

I know some states don't give prescription writing authority to NPs, but in the states that do, I was wondering if NPs can write their own prescriptions and order their own blood tests? I don't mean for controlled substances,... Read More

  1. 0
    Quote from SandBetweenMyToes
    , "No, I disagree. You don't need those tests or that strength of drug" seems to be a professional courtesy.
    This seems to be a very good argument for curbing this practice. There's nothing objective in this type of encounter. Asking a friend, colleague, or family member for medical treatment is walking a very fine line. Treating someone because you believe you are being "professionally courteous"--and not because you have addressed the actual symptoms or pt history--seems like throwing your prescription pad around as if it had no more value than a square of post-it notes.

    I'm not saying it is 100% bad. If this is done extremely rarely, is acknowledged by those involved as being exceptional, and the illness being treated is not complex or chronic, I can see it maybe working out. But treating a chronic illness without being the PCP for the patient, and without acknowledging that you're assuming the role of the provider, seems reckless and irresponsible. I would not, for example, want to be put in a position where I was asked to write a prescription for a thyroid medication for a colleague that doesn't recognize the value of a TSH. I also wouldn't want to face the burden of having to sort through my own disease process without a PCP to bounce ideas off of.

    That being said, I'm sure that if you tell your primary care provider what it is you want, s/he will give it to you--once your history is completely known, an assessment is completed, and studies reviewed.

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  2. 0
    our medical director at the SNF I work no longer has a practice,but stll has a script pad! Since he does have to write a prescription once in a while for a resident.

    But he also writes scripts for all the employees in the building. From URI's, to UTI's to scabies to inhalers. whatever they want, he just writes it or tells one of us to call it in usuallly. I keep telling him he's going to get into trouble but he still keeps doing it.
  3. 0
    I'm about keeping my license safe - you are right - he could certainly be in trouble.
  4. 0
    Quote from core0
    Symptoms are the part that is bunk. If I had a dollar for every patient who came in and told me I'm tired/gained weight etc. my thyroid is off, I would be very rich. The way to regulate thyroid is by normalizing the TSH.

    As far as prescribing for yourself there is an old saying in law. Someone who serves as their own lawyer has a fool for a client.

    David Carpenter, PA-C
    I was going to say the same thing you said. I always go by the TSH. I am in LTC, so my situation is unique in that many of my patients can't tell me when they "feel" hyper/hypothyroid. Even if they could, I doubt I would adjust the dosage based on symptoms alone. That would be kind of risky in my opinion.
  5. 0
    what about self prescribing birth control? Is this a problem say if you need it, know it, are an NP (of any specialization, including pediatric NP). Is this a problem? Will a pharmacist be skeptical? Or all you mainly talking about other types of medications? Curious.
  6. 0
    ANY PRESCRIPTION that you write for yourself, family/friends has the potential to cause disciplinary action to be taken!

    You must have an established provider/pt relationship - with appropriate documentation in order to provide scripts.

    You are playing with fire (and at least in IL you will get burned big time) if you follow the practice of providing ANY scripts to yourself and/or family.

    Yes, that includes BCPs.

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