NR508 midterm outline

Midterm Outline Chapter 1: The Role of the Advanced Practice Nurse as Prescriber Roles and responsibilities of APRN prescribers  Advanced practice  Final decision for meds  Degree of authority and autonomy decided by state by state  Every year updated titling, roles, and prescriptive authority  Scope of practice determined by NP license and licensing jurisdiction  Understand that employment sites may restrict this legal scope but cannot extend it Clinical judgement in Prescribing  Clinical judgement  Best therapy least invasive, least expensive, least likely cause abuse  Usually best for lifestyle, no pharm, and pharm therapies  Is clear indication for drug therapy? o B4 beginning ask if necessary  Drugs are effective in treating disorder o Which one best  Goal of therapy with this drug o Cure disease or lifestyle, adverse effects  Not meeting goals? o When consult therapist  Unnecessary duplication with other drugs already taken  Over the counter drug ok?  What about cost? o Pay for out of pocket  Where is info to answer questions o Journals, FDA, eval reliable drug info