Prescriptive Authority and Prescription Writing

Question 1

Nurse practitioner prescriptive authority is regulated by

Answer 1

The State Board of Nursing for each state

Question 2

Criteria for choosing an effective drug for a disorder include?

Answer 2

Consulting nationally recognized guidelines for disease management

Question 3

Predictors of non-adherence to medications does not include what?

Answer 3

Age

Question 4

It is important to include at least __________(how many) patient identifiers when completing a prescription.

Answer 4

two

Question 5

The internet system for tracking over-prescribing prescription monitoring program (PMP) provides what?

Answer 5

• A direct secure access to view dispensed controlled substance prescription histories
• A list of all controlled substances dispensed across New York State
• info to providers to determine if there may be abuse or not.

Question 6

What is the NP Modernization Act and why is it important?

Answer 6

It removes the requirement of a written agreement between an experienced NP and a provider (must have 3600 hours of practice or written agreement and practice protocols are needed)

Question 7

who orders you a certificate to practice?

Answer 7

NYS EDUCATION DEPARTMENT

Question 8

Who issues the National Provider Identifier (NPI)?

Answer 8

US Center for Medicaid and Medicare Services (CMS)

Question 9

What do you need in order to obtain federal drug enforcement administration number and NYS official prescription form?

Answer 9

A National Provider Identifier (NPI)

Question 10

What do you need in order to prescribe or dispense controlled substances?

Answer 10

A Federal Drug Enforcement Administration (DEA) number and NYS official prescription Forms

Question 11

A Federal Drug Enforcement Administration (DEA) number

Answer 11

needed to prescribe or dispense controlled substances

Question 12

New York State Official Prescription Form

Answer 12

needed to prescribe controlled substances

Question 13

How often do you have to renew your prescription registration?

Answer 13

every 2 years

Question 14

Before you can order prescriptions, you must register with who?

Answer 14

Bureau of Narcotic Enforcement

Question 15

what 3 major things need to be on prescription?

Answer 15

Patient info, Prescriber info and Drug info

Question 16

what patient information needs to be on prescription

Answer 16

name, DOB, address

Question 17

what prescriber information needs to be on prescription?

Answer 17

Name, address, phone, signature, license number

Question 18

what drug information needs to be on prescription?

Answer 18

name of drug, dose, dosage regimen, route, allowable substitutions

Question 19

Food and drug act

Answer 19

helped to stop misbrand of food and drugs from interstate trade, drugs must meet standards of strength, labeling in effect

Question 20

Harrison Narcotic act

Answer 20

the regulation and tax of imported opiates

Question 21

Food drug and cosmetic act

Answer 21

gave FDA power to oversee safety of food, drugs and cosmetics

Question 22

Durham-Humphrey Amendment

Answer 22

required addictive meds to be labeled “Federal law prohibited dispensing without prescription”

Question 23

Kefauver-Harris Amendments

Answer 23

required drug manufacturers to prove scientifically that a medication was not only safe, but effective.

Question 24

Comprehensive Drug Abuse Prevention and Control Act

Answer 24

requires the pharmaceutical industry to maintain physical security and strict record keeping for certain types of drugs.

Question 25

Orphan Drug Act

Answer 25

requires government to facilitate development of drugs for rare diseases (ALS, huntingtons etc)

Question 26

Waxman-Hatch Amendments

Answer 26

patents on drugs established

Question 27

How many phases in drug testing?

Answer 27

3, Pre-clinical, clinical trials and Registration,(Launch and sales)

Question 28

Pre-Clinical testing takes how long and what are the phases? What are they testing?

Answer 28

``` 2-3 years screening Phase 1 Phase 2 They test two different animal species, looks at side effects, duration and during phase 2 looks at elimination and reproduction effects ```

Question 29

Clinical Trials takes how long and what are the phases? what are they testing on during these trials?

Answer 29

``` 3-4 years Phase 1 Phase 2 Phase 3 Phase 4 Human trials, looking for toxicity, carcinogen indications ```

Question 30

Center for Drugs Evaluation and Research (CDER)

Answer 30

assures safe and effective drugs are available

Question 31

The FDA responsibility

Answer 31

safety and efficacy of all regulated marketed medical products

Question 32

which kinds of products does the FDA regulate?

Answer 32

drugs, biologics, medical and radiation devices, nutritional products

Question 33

The orange book

Answer 33

identifies drug products approved on the basis of safety and effectiveness by the FDA

Question 34

Schedule 1 drugs and examples

Answer 34

high potential for abuse, not accepted in US ex. heroin, LSD

Question 35

Schedule 2 drugs and examples

Answer 35

high potential for abuse, can be severe physical dependance ex: methadone, fentanyl, morphine, oxycodone

Question 36

Schedule 3 drugs and examples

Answer 36

potential abuse (less than 1&2), mod or low physical dependence, ex: tylenol with codeine, norco

Question 37

Schedule 4 drugs and examples

Answer 37

lower potential abuse than 3, limited physical dependence ex: alprazolam, lorazepam, diazepam, midazolam

Question 38

Schedule 5 drugs and examples

Answer 38

low potential abuse, limited physical dependence ex: Robitussin AC, Phenergan