30th Annual APRN Legislative Update: Improving Access To Hea : The Nurse Practitioner

Kentucky amended KRS 218A.205, establishing mandatory prescribing and dispensing standards related to controlled substances in Schedules II and III for the purpose of treating acute and chronic pain in accord with the CDC's guidelines.4Louisiana approved Act 82 in August 2017, limiting the number of days opioids can be prescribed with some exceptions. Practitioners must review PDMP information prior to prescribing or administering a Schedule II or III controlled substance with certain exceptions, including those receiving treatment in an inpatient setting; at the scene of an emergency; in an ED; immediately before, during, or within 48 hours after surgery or medical procedure; in a hospice or long-term-care facility that has an in-house pharmacy; or when a nonrefillable prescription of a controlled substance in a quantity for no longer than 3 days. The purpose of the APRN Compact is to provide opportunities for interstate practice by APRNs who meet uniform licensure requirements, facilitation of information exchange between compact states in areas of APRN regulation, investigation, and adverse actions, among other things.3Oklahoma updated statutes to reflect the recommended title “APRN” from advanced practice nurse (APN) throughout the Nurse Practice Act. On September 20, 2017, Illinois enacted Public Act 100-0513, extending FPA to APRNs after attaining national certification and following a transition to practice period, including 250 hours of continuing education or training and 4,000 hours of clinical experience in collaboration with a physician.

Additionally, APRNs are required to complete at least 2 hours of continuing education in opioid prescribing each license renewal period. Regulations allow a CRNP to prescribe and dispense drugs if the CRNP has successfully completed a minimum of 45 hours of course work specific to advanced pharmacology and if the prescribing and dispensing is relevant to the CRNP's area of practice, documented in a collaborative agreement, not from a prohibited drug category, and conforms with regulations. APRN licensure requirements include holding an unencumbered South Dakota RN license or multistate privilege to practice, a graduate degree in nursing, and national certification within role and population foci; certain exemptions are allowed. State law requires prescriptions by NPs be signed by the NP, contain the NP's BON-assigned Rx authority number and place of practice, and the physician's name and address preprinted on the prescription blank. These states join a growing list of states that have passed full-practice authority (FPA) with and without exceptions following a period of supervision, collaboration, or consultation with an APRN and/or physician following licensure since enactment of the Patient Protection and Affordable Care Act in 2010 (see Summary of practice authority for NPs). •Reinforce with the patient that the placard may be used only when that person is driving, or someone is driving the placard holder and waiting for them.

If the placard owner no longer requires the use of the placard, and the placard is still valid, the placard must be returned to PennDOT. Depending on the state, a verified application might result in various types of handicap announcements to display, such as placard, a license plate or a registration sticker. There are currently two types of disabled parking tags depending on the applicant’s condition: permanent permits and temporary placards. Each disability placard or license plate has specific requirements depending on the nature of your disability, your doctor's medical certification, and vehicle ownership. If you become a NM resident, you must apply for a New Mexico disability placard or license plate. Surrender the handicap application florida handicap parking privileges of placard at a stop working, we are disabled parking citation to drivers who will accept a power of vehicles. Presentation of state the wisconsin parking permit application from the temporary.

Placards and parking meter waivers are processed by local clerks' offices. Able-bodied drivers are illegally obtaining and using disabled parking passes to park, often for free, wherever they choose. Drivers with disabilities in Illinois can apply for disabled parking placards or license plates from the Illinois Office of the Secretary of State (SOS). For example, if you could find out about tourist sites in unfamiliar areas or know about parking lots at commercial facilities prior to taking a trip by car, you could look up parking information at your destination, or cut down on time loss spent looking for parking lots. The BON now solely regulates both CNPs and CNMs, and FPA includes prescriptive authority for legend and scheduled controlled substances, without exception, identifying South Dakota as full practice by the AANP.1 Please see the individual state descriptions for additional information. The transition to practice period and exclusion of benzodiazepines and Schedule II controlled substance narcotic medications within the FPA definition does not apply to an APRN when privileged to practice in a hospital, hospital affiliate, or ambulatory surgical treatment center.