prescriptive authority

fastosprintini · Jul 1, 2006

well, probably the best idea would be to go to medical school, become a md, do a residency, pass the boards , then start prescribing drugs... don't you think so..?

fasto

susswood · Jul 1, 2006

I think it is a state to state thing. My understanding is that CRNAs don't really do it because our practice is hospital/office based and the drugs we use are only used during the period of anesthesia.... I suppose if you worked in a pain clinic it would be different. Also, I think prescriptive authority lies within your scope of practice. Example: a CNM can prescribe birth control but most likely not cardiac drugs. (Someone correct me if I am wrong).

Anyhow, if you needed some Cipro, I am pretty sure you can't write yourself an Rx.... I usually have a friend who will write one for me.

Melina · Jul 1, 2006

Maybe I misread, but I don't think athomas wants to prescribe meds for him/herself. The law varies by state, check with your BON. Most states have APNs work with or be supervised by a doctor.

well, probably the best idea would be to go to medical school, become a md, do a residency, pass the boards , then start prescribing drugs... don't you think so..?
fasto

fasto--welcome to allnurses. You might try introducing yourself to the forum before chiming in with sarcasm. Athomas is just trying to get some info.

~Melina

athomas91 · Jul 2, 2006

ok... so a nursing STUDENT just came on a CRNA specified board and decided to make a completely idiotic statement about a specific and valid question.... forgive me but .... give me your opinion when you have some education to back it up please.

there are plenty of APN's who DO prescribe medications on a daily basis - that DO NOT need a doctor's cosign.... my question to those who i believe will have some professionally backed imput... (but thank you to those of you who tried to be helpful... ) is... do CRNA's have this authority, do they have to register ect... and no...i don't want to prescribe meds for myself..

susswood · Jul 2, 2006

Sorry, I thought maybe you had a UTI or something.... I was about to send you an old bottle of Cipro I had laying around!:rotfl:

I was going to ignore the ignorance here but.... maybe we can figure out how to get an Rx for our new friend fasto here for some polite pills!!!

santhony44, MSN, RN, NP · Jul 2, 2006

Prescriptive authority definitely varies from state to state. Your state Board of Nursing is your best source of information for your particular state and your particular role. Not being a CRNA, I've never looked into the extent of their prescriptive authority.

And yes, APRN's prescribe every day. In at least a couple of states, no relationship with an MD is required, period (for NP's).

athomas91 · Jul 3, 2006

ok - so it varies state to state - is it the state you work in or the state you work in ... because your CRNA lic. isn't state specific and i carry a lic. that covers 5 states and also hold a PA lic.

MaleAPRN · Jul 3, 2006

CRNA prescriptive authority varies from state to state. Most, if not all CRNAs who are not in independent practice usually don't need to prescribe. Unless they work in Pain Management. I am currently finishing my nurse anesthesia training this August and I will be performing a "dual" role under the same anesthesia group (as an NP in the Pain Clinic & a future CRNA). I already had my Rx authority transferred from California and will be using this to prescribe pain control meds while I see patients in the pain clinic.

rn29306 · Jul 3, 2006

ok... so a nursing STUDENT just came on a CRNA specified board and decided to make a completely idiotic statement about a specific and valid question.... forgive me but .... give me your opinion when you have some education to back it up please.

very nice.

:rotfl:

Trauma Columnist · Jul 3, 2006

Hi Athomas and again congrats on your new career. I'm just in the process of applying for prescriptive authority (at least in IL - its a separate part of licensure). Since I will be in a renal/nephro/dialysis practice, I will be able (and responsible for) prescribing multiple meds including narcs. So...I have to get a Medicaid number, DEA number and Medicare number too. And...it takes forever for the credentialling at the various hospitals.

Sorrry...for my rambling - I would think that it would depend on what you need to prescribe in your practice. Good luck.

dfk, RN, CRNA · Jul 3, 2006

in all my lit search.. i have not seen any Rx authority for CRNAs.. for one, why would we need one and for two, my guess is, it'll never happen.. writing orders is good enough for me..

enjoy !