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KRS 314.042(8) and (9) state that before an APRN may engage in the prescribing of drugs, the APRN shall enter into a collaborative agreement with a physician that defines the scope of the prescriptive authority. The collaborative agreement is the only statutory requirement for physician involvement.
Your doctor, RN (nurse practitioner), dentist, or veterinarian must have the authority from their professional regulator to prescribe opioids and controlled drugs, such as tramadol products.
Physicians of either Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) designations have the highest degree of prescriptive authority. MD and DO clinicians can prescribe medications, including controlled substances.
The Certified Ambulatory Perianesthesia Nurse (CAPA) certification is a specialized credential awarded to nurses who take care of patients before, during, and after procedures requiring anesthesia, sedation, and analgesia. It is particularly useful in ambulatory or outpatient nursing jobs.
Family nurse practitioners (FNPs) fulfill a vital role in the American healthcare system, but can an FNP prescribe medication? Yes! In fact, FNPs can prescribe medication in all 50 states. The extent of their prescriptive authority is fully dependent upon the approved state regulations in which they are employed.
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Kentucky APRNs have been able to prescribe controlled substances since 2006 under a CAPA-CS with a physician. They are allowed to prescribe a 72-hour supply of a Schedule II drug, the highest class of controlled substance that can be prescribed, and SB 94 would not change that.
With the prescriptive powers awarded to them by all 50 states and the District of Columbia, plus a federal DEA number, all nurse practitioners can prescribe antibiotics, narcotics, and other Schedule II-V drugs, but different states have different rules regarding nurse practitioner prescriptive authority for schedule
(3) An APRN may prescribe or administer controlled substances to an immediate family member: (a) In an emergency situation; (b) For a single episode of an acute illness through one (1) prescribed course of medication; or (c) In an isolated setting, if no other qualified practitioner is available.

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