So I live in La and a few of my friends are considering FNP. I am juggling the idea at current. But the LSBN website seems to indicate the need to work as an APRN first (500 hours) before applying for prescriptive authority, or am I reading something wrong? How does this work in your states? I thought writing scripts came with the territory. So is it common for APRN to work in areas where writing scripts is not usually necessary? Any help in understanding this for down the road is welcomed.
Nov 8, '09
Quote from aquakat
I am writing a paper on prescriptive authority for the NP in Michigan and am unable to find the information for general prescriptions (nonnarcotic meds). Could anyone please point me to the information? The question for my paper is: "How does an NP apply for AND maintain prescriptive authority in Michigan?" The only information I can find is from Minurses.org on narcotics (not seeking narcotics). Any assistance would be greatly appreciated. Also, if anyone has a great article on ethical /legal considerations, would be appreciated. No. 1 is my most pressing question. Thank you. (Sorry, I could not find the link for a "new post" other than reply.).
Michigan is one of those states that is more of an "exception rather than the rule" in terms of NP practice. There is actually no detailed scope of practice for NP's written in the laws of the state. The practice of NP's rely on separately written documents outlined in the Michigan Public Health Code which defines nursing as a profession, defines delegation of the act of prescribing to a nurse with advanced education, and allows the board of nursing to grant specialty certification to nurses who are NP's, CNM's, and CRNA's. The link provided by Minurses.org is basically a summation of how the practice of NP's are covered by the law.
The state recognizes (though not expressly written as such) that Nursing and Medicine are separate professions and that advanced nursing practice falls under Nursing and not Medicine. In this regard, there is no expressed requirement of physician supervision in terms of practicing as a nurse practitioner because our practice falls under nursing. This is the reason why Michigan is listed as one of the states where a nurse practitioner can practice solo.
However, the practice of nursing as the state defines it does not include the authority to issue prescriptions. In order to allow non-physicians to prescribe, the law states that physicians can delegate the act of issuing prescriptions to nurses with advanced education as well as Physician Assistants. This is also found in the Michigan Public Health Code under the Section on the Practice of Medicine.
I encourage you to read items in the Michigan Public Health Code in the link below in addition to the link provided by the Michigan Nurses' Association on Advanced Practice.
Last edit by juan de la cruz on Nov 8, '09