Published Apr 28, 2011
SusGob711
37 Posts
Just curious as to whether NPs (nurse midwife or women's health NP) have prescriptive authority to write drugs like Clomid, etc? Thanks!
linearthinker, DNP, RN
1,688 Posts
yes..
nurseprnRN, BSN, RN
1 Article; 5,116 Posts
Yes. That's what "prescriptive authority" means.
Thanks--does the authority only extend to CNM, FNPs, and WHNPs?
Whowland-- NPs have restrictions and regulations regarding their prescriptive authority so my question regarded whether they have any restrictions on writing fertility drugs. Thanks anyways.
Esme12, ASN, BSN, RN
20,908 Posts
check with your states Board of nursing and prescribing laws........they vary state to state.
LegzRN
300 Posts
Per the Pennsylvania Nurse Practice Act:
© A CRNP may not prescribe or dispense a drug from the following categories:
(1) Gold compounds.
(2) Heavy metal antagonists.
(3) Radioactive agents.
(4) Oxytocics.
(5) Schedule I controlled substances as defined by section 4 of The Controlled Substance, Drug, Device and Cosmetic Act (35 P. S. 780-104).
(d) Restrictions on CRNP prescribing and dispensing practices are as follows:
(1) A CRNP may write a prescription for a Schedule II controlled substance for up to a 30-day supply as identified in the collaborative agreement.
(2) A CRNP may prescribe a Schedule III or IV controlled substance for up to a 90 day supply as identified in the collaborative agreement.
(e) A CRNP may not delegate prescriptive authority.
Whispera, MSN, RN
3,458 Posts
Why is this important to you? just wondering....
I'm a CNS in Indiana and could prescribe anything...not that I would, but I wasn't restricted...
redessa
80 Posts
It really depends on where you are. My mother is an FNP and in her state she cannot prescribe fertility drugs.
Whispera--Just considering graduate school. I'm very interested in women's health and I'm torn regarding which program I should pursue, be it WHNP, CNM, or FMP. I've been researching their respective scopes of practice and I was wondering whether infertility was something NPs addressed as well (not just MDs/DOs). Just trying to decide which program & subsequent career would best suite me and make me the happiest :)
platon20
268 Posts
The only NPs who should be writing scripts for fertility drugs are those who work with MDs who specialize in REI (reproductive/endocrine medicine) who have special training beyond the usual OB/GYN stuff. IN that context, yes, NPs can script for clomid.
However, it is GROSSLY IRRESPONSIBLE AND BORDERLINE NEGLIGENCE for anybody other than somebody who works at an REI clinic to script these drugs, that goes for both MDs and NPs. I would NEVER allow a family practice NP to script these drugs, just as I would never allow a pediatrician MD to script them either. Its dangerous and foolish for those without special training to get involved.
I don't think that opinion is widely held.