prescriptive authority

MmacFN · Jul 3, 2006

Hmm

I did a search as well and didnt see anywhere that a CRNA could write a script. Does this happen?

gauge14iv, MSN, APRN, NP · Jul 3, 2006

It appears that in some states, a CRNA could have prescriptive authority but it would be limitied to his or her "scope of practice" meaning - they could only write for those meds that pertained to their practice as a CRNA.

In Texas for instance - if a Womens health NP wants to write scrips for diabetic or hypertension management, she'd have to go back and get the required education and certification as an FNP or A(adult) NP to do so. However, it is within an FNP or ANP's scope to write for birth control.

It really is going to heavily depend upon what state you are in and what your specific practice situation is.

dfk, RN, CRNA · Jul 3, 2006

It appears that in some states, a CRNA could have prescriptive authority but it would be limitied to his or her "scope of practice" meaning - they could only write for those meds that pertained to their practice as a CRNA.
In Texas for instance - if a Womens health NP wants to write scrips for diabetic or hypertension management, she'd have to go back and get the required education and certification as an FNP or A(adult) NP to do so. However, it is within an FNP or ANP's scope to write for birth control.
It really is going to heavily depend upon what state you are in and what your specific practice situation is.

allright gauge.. first of all, the "scope of practice" for the CRNAs is usually in hospital, or wherever the practice is being held.. at that time.. u give orders for a post op that has an epidural or pca or what ever.. u have skewed from the topic with the NP route.. we all know that NPs have Rx authority in their given specialty/practice.. from what i know and have seen (or not seen), CRNAs do not write scripts for ANYTHING.. please let me know where u have seen this.. thanks

gauge14iv, MSN, APRN, NP · Jul 3, 2006

So a CRNA would never work in an outpatient setting or in a pain management clinic? Not in any state?

I dont have it confused - I was just using it for comparisons sake. If you want to be rude about it - find it yourself :)

dfk, RN, CRNA · Jul 3, 2006

alright gauge, i wasn't trying to be rude or condescending at all.. i was just saying.. do they work there? i wouldn't doubt it at all.. but, if u look into the CRNA scope of practice, let me know where u see the Rx authority.. it may be, but i have yet to find it.. and i think u need to chill re: the rude thing..

got mother's milk???

gauge14iv, MSN, APRN, NP · Jul 3, 2006

If you look at the TEXAS NPA section 222 - there is some mention of nurse anesthetists, anlong with NP's - but the NPA does not outline specifics as to what they can or cannot prescribe (or order for a patient pre and post op - which would still be prescribing) - only that it must fall within scope of practice.

dfk, RN, CRNA · Jul 3, 2006

If you look at the TEXAS NPA section 222 - there is some mention of nurse anesthetists, anlong with NP's - but the NPA does not outline specifics as to what they can or cannot prescribe (or order for a patient pre and post op - which would still be prescribing) - only that it must fall within scope of practice.

alright gauge, this isn't a war or anything.. and kudos to the new NP role.. i am sure if u think about it, the role of CRNA is inclusive of pre and post.. you, as a new NP, yes, can prescribe in your designated field.. if u are a general NP, FNP, ANP, etc.. you have the authority to prescribe fairly generally, especially for outpatients and discharges.. as a CRNA, the scope, to my knowledge, as of late, is just the pre, peri, and post (which is while in the hospital).. anything after that, requiring pain measures and the like, will probably be the primary care provider or the discharging provider, whether an MD or an NP.. all i'm saying is CRNAs do NOT write scripts.. haven't seen it as of yet.. and haven't read it as well.. look closely.. by the way, this is NOT meant to be personal...

gauge14iv, MSN, APRN, NP · Jul 3, 2006

I havnt seen it either - I was only saying that I dont see it specifically included OR excluded.

dfk, RN, CRNA · Jul 3, 2006

fine.. play elsewhere.. just saying it isn't there.. i am an srna and i have done my research.. it isn't there. i don't thing it WILL be there.. would i like it? sure, why not.. i was an acute care NP student, and did all the pharm stuff and the national cert class.. whatever, eh? i am just saying i don't know that it is really needed.. that's all. nothing personal like i said.. i wouldn't want u to leave or do something else.. i think that this is what it's all about .. we are all learning at some level.. you know? hey man, no hard feelings at all..

Home Health Columnist / Guide · Jul 3, 2006

in the hospital setting crna's work under the facility's dea provider #.

status varies with office based anesthesia depending on state crna regs and collaborative practice agreement.

if working in pain practice, most often will need own medicare, medicaid, dea#; some states have state prescriptive license too.

google "office based anesthesia or crna + prescriptive practice" will come up with info....lost my links today during thunderstorm.

tx:

senate bill 673-- it's the law this paragraph addressed crna practice. it codifies current practice of crnas ... regarding crnas and prescriptive authority, inside and outside of the ...

www.txana.org/txcrna/practiceissues/ senatebillghditsthe0932.asp - 35k - [color=#7777cc]cached - [color=#7777cc]similar pages

prescriptive authority

anesthesia options for childbirth -

crna

talking points

...

through medical staff policies, they are given the

authority

to select and administer the

...

www.txana.org/txcrna/legalissues/ prescriptiveauthori099b8.asp - 27k -

[color=#7777cc]cached

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[color=#7777cc]similar pages

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[color=#7777cc]more results from www.txana.org

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nm:

requirements and instructions for crna licensure

[color=#6f6f6f]file format: pdf/adobe acrobat - view as html

prescriptive authority is required to practice as a crna in new mexico. the new mexico nursing. practice act 61-3-23.3 c states that the crna shall function ...

www.state.nm.us/nursing/forms/crnaapp.pdf - [color=#7777cc]similar pages

state by state list from 2000...

nursingworld | legislative branch: state government relations ... limitations on scope of prescriptive authority of crna based upon certification. limitations on schedules ii & iii for np and cns. delaware. apn, cns, np ...

Home Health Columnist / Guide · Jul 3, 2006

oregan: no, may have in future:

osbn prescriptive authority task force 12-05 minutes

ohio:

print & submit the entire coa application all application ... [color=#6f6f6f]file format: pdf/adobe acrobat - view as html

your practice in ohio as a cns, cnp, cnm, or crna is regulated by provisions in ... all applicants for prescriptive authority must have a masters degree in ...

www.nursing.ohio.gov/pdfs/forms/coaappinstructions.pdf

crnas who want to practice in georgia and who do not have a graduate degree must obtain aprn authorization prior to july 1, 2006 http://www.gana.org/main.htm

prescriptive authority for georgia's advance practice registered ...

ok: prescriptive authority (crna)

mid level practitioners need:

applications for registration (dea form 224) may be obtained by calling (800) 882-9539 or visiting www.deadiversion.usdoj.gov.

fastosprintini · Jul 3, 2006

well, i stand by my statement, crna's have no business prescribing any drugs beyond the immediate perioperative timespan, they have no need to do so and they have no training that enables them to do so safely.

especially the thought of crna's prescribing in a painmanagement setting is hard to contemplate, are you people actually aware of the legal ramifications...?

no disrespect but it is important that people know their limitations.

fasto