State Specific Guidelines for Prescribing Controlled Substances & Medical Devices

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wnore1216

Health Medical

Moraine Valley Community College

Description

Preparing the Assignment

The State Specific Guidelines for Prescribing Controlled Substances & Medical Devices assignment is worth 125 points and will be graded on the quality of required components as summarized in the directions and grading criteria/rubric.

Follow the directions and the grading criteria located in the rubric closely. Any questions about this assignment may be posted under the Q & A Forum or emailed to your faculty.

  1. The document provided should be used and your answers provided within the table provided on this document Links to an external site..

Sources/links should be obtained directly from the state's regulatory organization(s).

  1. It is recommended that you keep a copy of this assignment to provide to potential employers or your Board of Nursing to demonstrate your knowledge of your state laws.
  2. Requirements:

Guidelines and recommendations for your state:
In response to the opioid epidemic, individual states have developed and adopted voluntary guidelines or recommendations for the treatment of acute and chronic non-cancer pain. Based on research done on the state where you will practice clinically, include the following: 

Provide the name of your practicing state's organization, group or task force that created guidelines or recommendations for pain management therapies and education.

Briefly describe an overview of its development and include a web address where this information can be found. If your state does not have guidelines, discuss a federal guideline. (Note: you may need to contact your state's board of nursing, pharmacy, or medicine if you cannot locate it on your own).

Some states have multiple organizations or initiatives (ex: Ohio) in place to combat the opioid epidemic and advocate for safer opioid prescribing. Explore whether your state has other resources, groups or organizations where prescribers can reference best practices for pain management treatment. If applicable, provide a brief overview of the group's recommendations or initiatives. If your state does not have another state-specific resource, discuss the guidelines published by the American Pain Society OR Centers for Disease Control and Prevention.

  1. Discuss when the use of opioids is appropriate and for what duration should they be prescribed? Provide a reference for your response. (This question is worth 13 points. 5 points for when opioids are appropriate, 5 points for a safe duration of use, and 3 points for a current edition APA formatted reference.)
  2. State specific laws on controlled substance prescribing for the nurse practitioner:
    Research your state laws on advanced practice nurses' authority to prescribe controlled substances. Based on research done on the state where you will practice clinically, include the following: 

Identify the law, rule, code, or statute that describes the advanced practice nurse's authority to prescribe controlled substances in your state.

Discuss the provisions of the law, rule, code, or statute with regard to the following: 

  1. Conditions or limits on prescribing schedule I-V controlled substances.

Requirements (if any) in documentation for treating acute and chronic pain.

Are there specific requirements for advanced practice nurses to reference the state's prescription drug monitoring database before prescribing a controlled substance? If so, what are they?

State Prescription Drug Monitoring Program (PDMP):
Research your state's PDMP* and provide the following information: 

  1. Name of the state's program.
  2. Website for the state PMDP.
  3. Discuss the registration requirements and process.
  4. Discuss the standards and procedures for the access and review of database information.
  5. State specific laws on medical devices prescribing for the nurse practitioner:
    Research your state laws on advanced practice nurses' authority to prescribe medical devices.  These are also called Durable Medical Equipment (DME). Based on research done on the state where you will practice clinically, include the following: 

Identify the law, rule, code, or statute that describes the advanced practice nurse's authority to prescribe medical devices or DME in your state.

Discuss the provisions of the law, rule, code, or statute regarding the following: 

Conditions or limits on prescribing medical devices or DME.

  1. Requirements (if any) in documentation needed to support order of medical devices or DME.
  2. Rubric

State specific guidelines and recommendations (35%):

  1. DescriptionPointsProvide the name of your practicing state's organization, group or task force that created guidelines or recommendations for pain management therapies and education.5Where you found this information (weblink): 5Overview of your state’s guideline development with web address. 6Locate federal guidelines and provide a link to federal guidelines you could use in practice as a NP6Provide a brief overview of the group's recommendations or initiatives (provide link to where you found information).6Provide a brief overview of the guidelines published by the American Pain Society OR Centers for Disease Control and Prevention (provide link to where you found information).6Discuss when the use of opioids is appropriate and for what duration should they be prescribed? Provide a reference for your response. (This question is worth 10 points. 4 points for when opioids are appropriate, 4 points for a safe duration of use, and 2 points for a current edition APA formatted reference.)10Total44
  2. State specific laws on controlled substance prescribing for the nurse practitioner (28%):
  3. DescriptionPointsIdentify the law, rule, code, or statute that describes the advanced practice nurse's authority to prescribe controlled substances in your state. Link to where you found law, rule, code, or statute for your state.5What does the law, rule, code, or statute say?6Conditions or limits on prescribing schedule I-V controlled substances.6Requirements (if any) in documentation for treating acute and chronic pain. If your state has no requirements for this, confirm with a link of where you found this information. 6Are there specific requirements for advanced practice nurses to reference the state's prescription drug monitoring database before prescribing a controlled substance? Yes or No6If yes, what are they? If not, how would they be helpful?6Total35
  4. State Prescription Drug Monitoring Program (PDMP) (19%):

DescriptionPointsName of the state's program.6Website for the state PMDP.6Discuss the registration requirements and process.6Discuss the standards and procedures for the access and review of database information.6Total24

State specific laws on medical devices prescribing for the nurse practitioner (18%):

DescriptionPointsLink to where you found law, rule, code, or statute for your state regarding prescribing DME in your state.5What does the law, rule, code, or statute say regarding prescribing DME in your state?6Conditions or limits on prescribing medical devices or DME.6Requirements (if any) in documentation needed to support order of medical devices or DME.5Total22


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Explanation & Answer

Attached.

NR565 Week 2: State Specific Guidelines for Prescribing Controlled Substances & Medical Devices
Student Name: Type your name here
State of Planned NP Clinical Practice: ILLINOIS
Complete the following table with information specific to the state where you plan to practice as a nurse practitioner.
Please refer to the rubric in the course to identify how much each prompt is worth. Most are worth 5 or 6 points with one
question being worth 10 points. The 10 point question is noted in the table.
• Sources should be obtained directly from the state's regulatory organization(s) and must be cited appropriately.
• It is recommended that you keep a copy of this paper to provide to potential employers or your Board of Nursing in
order to demonstrate your knowledge of your state laws.
Guidelines and recommendations for your state:
In response to the opioid epidemic, individual states have developed and adopted voluntary guidelines or
recommendations for the treatment of acute and chronic non-cancer pain. Based on research done on the state where
you will practice clinically, include the following:
Provide the name of your
Organization, group, or task force
Where you found this information
practicing state's organization,
name
(weblink):
group or task force that created
The Illinois Department of Public Health
https://dph.illinois.gov/topicsguidelines or recommendations
(IDPH)
services/opioids/il-opioid-action-plan.html
for pain management therapies
and education.
Briefly describe an overview of
Overview of your state’s guideline
Locate federal guidelines and provide a
its development and include a
development with web address.
link to federal guidelines you could use
web address where this
The Illinois Opioid Action Plan outlines
in practice as a NP
information can be found. If your strategies to address the opioid
The Centers for Disease Control and
state does not have guidelines,
epidemic, including improving pain
Prevention (CDC) provides federal
discuss a federal guideline.
management practices (State of Illinois
guidelines for prescribing opioids for
(Note: you may need to contact
Opioid Action Plan, 2020). It emphasizes chronic pain.
your state's board of nursing,
multidisciplinary approaches, education
pharmacy, or medicine if you
for healthcare providers, and access to
https://www.cdc.gov/drugoverdose/pdf/Gui
cannot locate it on your own).
non-opioid pain treatment options.
delines_At-A-Glance-508.pdf
https://dph.illinois.gov/content/dam/soi/en
/web/idph/files/publications/soap-

1

NR565 Week 2: State Specific Guidelines for Prescribing Controlled Substances & Medical Devices

Some states have multiple
organizations or initiatives (ex:
Ohio) in place to combat the
opioid epidemic and advocate
for safer opioid prescribing.
Explore whether your state has
other resources, groups or
organizations where prescribers
can reference best practices for
pain management treatment. If
applicable, provide a brief
overview of the group's
recommendations or initiatives.
If your state does not have
another state-specific resource,
discuss the guidelines published
by the American Pain Society
OR Centers for Disease Control
and Prevention.

implementation-report-january-2020.pdf
Provide a brief overview of the
group's recommendations or
initiatives (provide link to where you
found information).
Illinois Opioid Crisis Response Advisory
Council recommendations include:
• Providing training and technical
assistance to organizations and
individuals to implement
recommended goals effectively.
• Recognizing the need for
substantial investment to address
the needs of individuals with
opioid use disorder (OUD) and
suggesting the use of existing
resources while advocating for
additional revenue sources.
• Offering evidence-based services
tailored to the unique social and
developmental needs of youth,
families, and justice-involved
individuals affected by OUD.
• Emphasizing medication-assisted
treatment (MAT) as a crucial
component of opioid use disorder
treatment, including FDAapproved medications like
methadone, buprenorphine, and
naltrexone (Department of human
Services, n.d.).

2

Provide a brief overview of the
guidelines published by the American
Pain Society OR Centers for Disease
Control and Prevention (provide link to
where you found information).
The Centers for Disease Control and
Prevention (CDC) guideline for safe
prescribing of opioids emphasizes the
importance of balancing the benefits and
risks of opioid therapy while prioritizing
patient safety. Key recommendations
include considering nonopioid therapies as
first-line treatment for pain, using the
lowest effective dose of opioids when
necessary, and regularly assessing the
risks and benefits of continued opioid
therapy (Ameya Gangal et al., 2023). The
guideline also highlights the need for
informed consent, thorough assessments,
and close monitoring of patients receiving
opioids, along with strategies for tapering
or discontinuing opioids when appropriate.
It aims to promote safer opioid prescribing
practices to mitigate the risks of opioidrelated harms.
https://www.ncbi.nlm.nih.gov/pmc/articles/P
MC10477793/

NR565 Week 2: State Specific Guidelines for Prescribing Controlled Substances & Medical Devices

3

https://www.dhs.state.il.us/OneNetLibrary
/27896/documents/CommitteeRecomme
ndationsGoalandMetricsJanuary122018.
pdf
Discuss when the use of opioids
is appropriate and for what
duration should they be
prescribed? Provide a reference
for your response. (This
question is worth 10 points. 4
points for when opioids are
appropriate, 4 points for a safe
duration of use, and 2 points for
a current edition APA formatted
reference.)

Nonopioid therapies, including Nonpharmacological interventions and nonopioid
medications such as NSAIDs and acetaminophen, are recommended as first-line
treatments for many common types of acute pain. However, Opioids are only be
considered for acute pain when the severity of the pain warrants musculoskeletal
injuries, dental pain, kidney stone pain, and episodic migraine. Opioids their use,
especially in cases of severe traumatic injuries or invasive surgeries associated with
moderate to severe postoperative pain (Dowell et al., 2022). In these situations,
immediate-release opioids should be prescribed at the lowest effective dose and for
the shortest duration necessary to manage the pain adequately. Concerning the
duration, Dowell et al. (2022 mentioned that clinician should prescribe opioids for acute
pain for no longer than the expected duration of pain severe enough to require opioids.
Thus, opioids should be used for the shortest duration p...


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