DEA #

offlabel · Dec 13, 2016

It's practice/state specific. For example, CRNA's in some states can write an order for a narcotic under their anesthesia privileges granted by the hospital without a DEA number nor prescriptive authority. Some hospitals like mine, as a requirement of receiving privileges, require a DEA number and therefore state prescriptive authority. These two conditions may exist in the same state.

Sounds like a question for your state BOP.

WKShadowNP, DNP, APRN · Dec 14, 2016

I feel like I saw this thread somewhere else.

At any rate, I'm required to have one and it is pending as I've only just applied for prescriptive authority. I could not apply for it until I had a collaborative physician, which now I have. I am approx 150 days from my first shift and I have scads of work to do prior to starting. Once my PA comes in I then apply for controlled substance licensure. In SC I can only rx class iii,iv, and v. Then I get my DEA number. One has to happen after the other.

Concurrently, I am doing all the orientation check list items that can be done on the computer. And this is no simple thing. There are so many videos to watch, modules to go through, and other housekeeping items to set up. But hey. I'm recuperating at the moment so I have time.

Trauma Columnist · Dec 14, 2016

Hmmm - need to look at nurse practice act. In IL, I write for II, III, IV, V in my own name with my own DEA. The MDs I work with are fine with it.

Why wouldn't they be? We all work far from each other and to have them sign my scripts would be counter-productive.

Can you clarify the issue a little more?

casias12 · Dec 17, 2016

Trying to understand your question.

1) You are in a state that requires collaboration or supervision

2) Your physician/physicians does/do not want to cover you for writing controlled substances despite being granted the privilege by your state

3) There is some confusion about how to write this script for a patient.

My answers:

1) You cannot be stopped from obtaining a DEA certification, unless your state requires your collaborating/supervising physician to authorize your ability to prescribe. In Florida, I don't have to have an authorization to prescribe issued by the state. After January 1, 2016, I will be able to apply for the DEA certification on the DEA website, and pay $731 for 3 years.

2) Your collaborating/supervising physician can grant you whatever scope of practice they will grant you. They are in charge of what they will cover you for. That is on your agreement with them, and is usually sent to the state BON for record-keeping. For example. I have 3 different supervising physicians for 3 different jobs that I do. Each is different, with regards to what they will cover me for. I will have a DEA number, but I can't use my DEA number to prescribe pain medications to patients I visit for wound care. That physician has decided we don't need that in our scope of practice.

3) "if this Rx is signed by x, x , or x (which are NP in the group practice) it is authorized by the MD." If I understand this correctly, they are telling you to sign these scripts, and granting authorization to you. They can't do that. Either you have a DEA number, and write the script within the bounds of the state requirements for you as the prescriber, or you write it out, and they sign it under their bounds as a prescriber. Be careful with pre-signed scripts, because using them will send you to jail.

Hope this helps.

allnurses Guide · Dec 20, 2016

I would bail out of that practice ASAP, to be honest.

You absolutely can not sign a script that has another providers DEA number on it; if a pharmacist catches it and reports if you will lose your license.