Peer Response-Connecticut APRNs Requirements and Processes Regarding Controlled Substance Certification.
Hi Nathalie,
Thank you for providing detailed information on the Connecticut APRNs’ requirements and processes regarding controlled substance certification. It is evident that Connecticut emphasizes collaboration during the initial years of practice, and the transition to independent prescribing aligns with a structured approach to ensure patient safety. Further, considering the use of telemedicine for prescribing controlled substances, your insights into licensing requirements and the need for in-person evaluations highlight the complexities involved (Gajarawala & Pelkowski, 2021). The temporary waiver of the in-person visit requirement during the COVID-19 emergency reflects the adaptability of regulations to unforeseen circumstances, emphasizing the importance of balancing patient care with safety protocols. Hire our assignment writing services in case your assignment is devastating you. We offer assignment help with high professionalism.
Regarding DEA numbers, your clarification on the need for separate registrations for each principal place of business provides crucial insight. This aligns with the DEA’s focus on monitoring and regulating controlled substances at specific locations, ensuring accountability and adherence to regulations (U.S. Department of Justice, 2023). Expanding on the prescription pad requirements, the inclusion of the Connecticut Prescription Monitoring and Reporting System (CPMRS) underscores the state’s commitment to addressing addiction and overdose issues. The comprehensive information on the prescription pad ensures clarity and accountability in the prescribing process.
In conclusion, your detailed overview of Connecticut’s regulations provides a valuable resource for APRNs and practitioners navigating the complexities of controlled substance prescribing. The emphasis on collaboration, continuing education, and adherence to DEA regulations contributes to a holistic understanding of the responsibilities associated with this aspect of advanced practice nursing in Connecticut.
References
Gajarawala, S., & Pelkowski, J. (2021). Telehealth Benefits and Barriers. The Journal for Nurse Practitioners, 17(2), 218–221. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7577680/
U.S. Department of Justice. (2023). Drug Enforcement Administration FY 2024 Performance Budget Congressional Submission. https://www.justice.gov/d9/2023-03/dea_-_fy_2024_pb_narrative_-_omb_cleared_-_03.13.23_1.pdf
Peer Response 2
Hello Sherri Conner
Thank you for your post. Your comprehensive breakdown of the requirements for APRNs to obtain a controlled substance certificate in Georgia provides a valuable resource for anyone navigating this process. Georgia has specific criteria to ensure that APRNs prescribing controlled substances are well-qualified and meet specific standards. Your emphasis on the importance of an active, unencumbered RN license, national certification as a nurse practitioner, and completion of a graduate-level advanced practice nursing program underscores the commitment to competence in this field, including a graduate-level pharmacology course and the need for a protocol agreement approved by the Georgia Composite Medical Board to solidify the rigorous standards further.
Discussing the limitations on prescribing schedule III-IV controlled substances without a DEA number adds a practical layer to your explanation. Your step-by-step guide on obtaining a DEA number, including the option for online application or contacting the DEA Headquarters Registration Unit, offers clarity to those navigating this process. The insight into continuing education requirements for APRN certification renewal in controlled substance prescribing and the detailed information required on prescription pads enhances the practical understanding of what is expected in practice(American Nurses Association, 2023).
Moreover, your consideration of prescribing controlled substances via telemedicine is forward-thinking (DEA, 2023). The emphasis on thorough patient history reviews, in-person visits when necessary, and awareness of the patient’s current medication list reflects a commitment to patient safety in this evolving healthcare landscape. In addition to your points, one consideration to highlight could be the evolving landscape of telemedicine regulations, as this field is continuously changing. This could be an area for APRNs to stay updated on, ensuring compliance with any new guidelines or standards. Overall, your post is a valuable resource for APRNs navigating the complexities of controlled substance prescribing in Georgia.
References
American Nurses Association. (2023). Advanced Practice Registered Nurses (APRN). ANA. https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/aprn/
DEA. (2023). Telemedicine Prescribing of Controlled Substances When the Practitioner and the Patient Have Not Had a Prior In-Person Medical Evaluation. Unblock.federalregister.gov. https://www.federalregister.gov/documents/2023/03/01/2023-04248/telemedicine-prescribing-of-controlled-substances-when-the-practitioner-and-the-patient-have-not-had
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Question 
What are the requirements for an APRN to obtain a controlled substance certificate in your state?
In Connecticut, the only requirement is to apply for the registration. The provider applying for the registration must have a valid active registration with the Department of Public Health. The application fee is $40, and all registrations expire biennially on February 28 of every odd-numbered year (Connecticut Official State Website,
Peer Response-Connecticut APRNs Requirements and Processes Regarding Controlled Substance Certification.
n.d).
Discuss your state requirements and scope of practice for APRNs in your state when prescribing controlled substances.
In Connecticut, written collaboration is required for three years after initial licensure, addressing the level of Schedule II and III controlled substances that an NP can prescribe. The collaboration must include a method to review patient outcomes. After three years, the NP may prescribe independently (NCSL, n.d).
Discuss the process of how to obtain a DEA number.
Drug Enforcement Administration (DEA) registration is required after obtaining the Controlled Substance Registration for Practitioners. The application can be found at www.deadiversion.usdoj.gov. The application is filled out, payment is made online, and the license will be emailed (US Department of Justice, n.d).
Discuss CEU requirements for your state for APRN certification renewal for controlled substance prescribing.
In Connecticut, all APRNs shall earn at least fifty contact hours of continuing education within the preceding twenty-four-month period. Continuing education shall be in an area of the APRN’s practice; reflect the professional needs of the licensee in order to meet the health care needs of the public; include at least five contact hours of training or education in pharmacotherapeutics; and include at least one contact hour of training or education in each of the following topics: (A) diseases, (B) risk management, (C) sexual assault, (D) domestic violence, (E) cultural competency, and (F) substance abuse, including, prescribing controlled substances and pain management; and (G) on and after January 1, 2016, include not less than two contact hours of training or education during the first renewal period in which continuing education is required and not less than once every six years after that on the topic of mental health conditions common to veterans and family members of veterans (Connecticut State Department of Consumer Protection, n.d).
What information is required by your state to be on your prescription pad?
In Connecticut, we use the Connecticut Prescription Monitoring and Reporting System (CPMRS), which is a web-based application designed for prescribers and pharmacists to use as a tool to provide better care to their patients and to reduce addiction and overdose (Connecticut State Department of Consumer Protection, n.d). The prescription pad must include the practice name, prescriber’s name, address, phone number, DEA registration number, patient’s name, drug name, drug strength, dosage form, quantity, direction for use, number of refills, and prescriber’s signature.
Discuss considerations for prescribing when using telemedicine when prescribing controlled substances.
Consideration for prescribing controlled substances when using telemedicine is critical. The first one is to make sure the practitioner is licensed in the states in which their originating site patients reside. Licensing requirements vary significantly by state; knowing both originating state and distant state rules before implementing a telemedicine program is essential. Another one is to ensure the prescriber, or a covering prescriber, performs at least one in-person medical evaluation of the patient (Fields, 2020). The Ryan Haight Act generally requires a clinician to conduct an in-person visit before prescribing an opioid use disorder (OUD) medication. During the COVID-19 emergency, both patients and clinicians feared exposure to the virus during in-person visits. In response to the pandemic, the Ryan Haight Act’s in-person visit requirement was temporarily waived in March 2020 (Huskamp et al., 2022).
Do you need more than one DEA number, and when do you need another number?
DEA regulations require a separate registration for each principal place of business or professional practice at one general physical location where controlled substances are manufactured, distributed, imported, exported, or dispensed by a person (US Department of Justice, n.d).
PEER RESPONSE 2
Sherria Conner posted on Nov 28, 2023, 2:02 PM
What are the requirements for an APRN to obtain a controlled substance certificate in your state?APRNs must be authorized by the Georgia Board of NursingAPRN’s must hold an active, unencumbered RN license must be nationally certified as a nurse practitionerAPRN must have completed a graduate-level advanced practice nursing program that is accredited by a national nursing accrediting agency recognized by the Georgia Board of NursingMust have completed graduate-level pharmacology course APRN must have submitted application for controlled substance license to the Georgia Board of Nursing, along with required fee and supporting documentation APRN’s must have a protocol agreement approved by the Georgia Composite Medical Board (PDMP for nursing)