prescriptive authority

[athomas91]

i was curious -

i was under the impression that as APN's/CRNA's we had the ability to prescribe.. how do we go about doing this...i know that if it is a controlled substance you must be DEA registered... not that i really plan on needing to ever use that ability - but as for regular prescriptive purposes.. ie... cipro for a UTI... how do we go about being able to do this?

[MmacFN]

Buddy

Not sure i believe that your a begging RN, sounds more like your a crap disturber.

Aside from that, no it isnt better to goto med school. Free free to ask a physician if they would do it all over again. Many have been quite dissappointed by their jobs because of the environment they find themselves in.

Mid levels have been prescribing for many years. PAs with someone as a cosign and NPs have always been prescribing autonomously. CRNAs are moving into the pain clinicl realm and so prescribing will be a nessicity.

thats awesome, the crna has 5 titles and 12 (!) letters behind his name!!

does that mean he is so much better than the humble do ?

seriously, wouldn't it be easier and maybe even more honest to make the effort to go to med school and become a real physician ?

i note that in my hospital you recognize a np or pa by the white coat...

again , just the thoughts of someone who just starts out in nursing..

fasto

[sirI, MSN, APRN, NP]

I have to admit, I don't have the level of skill of the CRNA. I am a dual-cert NP with prescriptive authority and know my state's requirements. Also, I know a few NPs who secured their CRNA as well and have prescriptive authority, but I do not know their regulations/laws outlining the requirements of said prescription authority for the latter.

One must be familiar with the regulations/laws in each state of practice and the requirements of the DEA.

Now, that all being said, I don't understand some of the comments where the responses from the member insist upon giving information that is of opinion only and not based on the facts of the issue at hand. If this is all that can be offered on this very important issue in the career of the CRNA, we ask that the opinion not be expressed for it adds nothing and actually detracts from a very good thread. This type(s) of response(s) serve(s) no purpose but to inflame the membership.

Now, back to the topic of the thread.

Thank you.

[fastosprintini]

This is actually starting to border on comedy here. Seriously, please stop... you may not realize this, but you are embarrassing yourself. Lucky this place is anonymous. I noticed you come from an ER background... maybe you should lurk there for a while. Or, why don't you go ahead and read some of the more "clinical based" threads on this forum. See if you can keep up, maybe chime in there too....

hi susswood, i couldn't resist to chime in on a clinical thread ...

does that make a difference to what i said before?

fasto

[Zinobile]

OMG..... what is happening to the CRNA forum? Another good thread hijacked.

I concur. This is why I stay away . . .

Z

[Melina]

Don't feed the trolls.

Thanks, Carol, sometimes I forget!!

[NRSKarenRN, BSN, RN]

CRNA's can obtain own DEA number...see previous post for info. Only need it for office based practice setting in states that require it---otherwise they function under hospitals / physician number.

[yoga crna]

hi susswood, i couldn't resist to chime in on a clinical thread ...

does that make a difference to what i said before?

fasto

Fasto,

Please explain why you think you have any credibility on a CRNA Forum. I wouldn't pretend to post on a student nurse or ER forum. Perhaps you should explain what you are trying to prove.

I will be happy to take you on, item for item on topics related to anesthesia. I can guarantee I will win. But this is not about winning, it is about sharing information, mentoring young CRNAs, students and those wanting to be CRNAs.

I suspect that you are a medical student and are being dishonest about being a student nurse. Your statements and "arguments" are more related to someone with a personal agenda and who is insecure in his or her position.

So please, if you don't have anything to offer about anesthesia or the CRNA profession, don't post here or be prepared to defend your ignorance. It won't be pretty, that I can guarantee.

yoga crna

[yoga crna]

Now to the topic at hand. Perhaps a little history on prescriptive authority for advance practice nurses is in order. It is my understanding that prescriptive authority was instituted for APNs who were practicing in remote clinics and in underserved areas where there is not a physician immediately available. That has been expanded as the role and practice settings for APNs have also been expanded.

In some states, as mentioned above nurse anesthetists may apply for perscriptive authority and DEA numbers. In other states, the legislature and regulatory agencies have not seen the need for this option. This has been a highly political and volatile issue in many states.

In the state where I practice the Board of Registered Nursing has ruled that CRNAs do not need prescriptive authority and have given us very broad autonomy for the peri-anesthesia period. Also, we are not required (as APNs are) to have standing orders, standarized procedures, physician oversight, coutersignatures or review.

A large number of CRNAs practice in ambulatory surgery centers and in pain clinics. There is always a mechanism present for obtaining anesthesia and related medications.

Prescriptive authority is not a high priority at the present for the nurse anesthetist profession. That may change in the future, but our very effective lobbying efforts and presence in Washington DC and all state capitals has served us well in the past. Nurse anesthetists and the AANA are considered to be one of the best lobbying professional groups in the country. We have very bright people keeping tuned to changing trends in health care and making sure we are well represented.

yoga crna

[deepz]

CRNA's can obtain own DEA number...see previous post for info. Only need it for office based practice setting in states that require it---otherwise they function under hospitals / physician number.

Not only offices, Ma'am. Many CRNAs in the rural ASCs and hospitals of America do their own billing as independent providers of anesthesia, and they also obtain, when indicated, their own DEA numbers, UPINs, etc. States vary.

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