216-40-05 R.I. Code R. § 3.7

Current through June 20, 2024

Section 216-RICR-40-05-3.7 - Other Requirements for Advanced Practice Registered Nurses

A. Prescriptive Authority - Advance Practice Registered Nurses

1. An Advanced Practice registered Nurse (APRN) licensed by the Board may prescribe, order, procure, administer, dispense and furnish over the counter, legend and controlled substances pursuant to applicable state and federal laws, when the APRN has completed an educational program as described in §3.3.2(B) of this Part, that includes courses in pathophysiology, pharmacology and physical assessment and is within the APRN's role and population focus.

2. Prescribing, ordering, dispensing and furnishing shall include the authority to:

a. Diagnose, prescribe and institute therapy or referrals of patients to health care agencies, health care providers and community resources;

b. Prescribe, procure, administer, dispense and furnish pharmacological agents, including over the counter, legend and controlled substances; and

c. Plan and initiate a therapeutic regimen that includes ordering and prescribing non- pharmacological interventions, including, but not limited to, durable medical equipment, medical devices, nutrition, blood and blood products, and diagnostic and supportive services including, but not limited to, home health care, hospice, and physical and occupational therapy.

3. Prior to prescribing those drugs classified under R.I. Gen. Laws Chapter 21-28 as controlled substances, an Advanced Practice Registered Nurse shall be required to register for such privileges with the Board of Pharmacy, Rhode Island Department of Health, and the Registration Unit of the federal Drug Enforcement Administration.

B. Prescriptive Authority - APRN - Certified Nurse Practitioner. Prescriptive privileges for a certified nurse practitioner shall include all the authority under the APRN license including prescription of legend medications and prescription of controlled substances from schedules II, Ill, IV and V that are established in regulation.

C. Prescriptive Authority - APRN - Certified Registered Nurse Anesthetist

1. Prescriptive privileges for a certified registered nurse anesthetist may be granted in accordance with the provisions of R.I. Gen. Laws Chapter 5-34.2.

2. Certified registered nurse anesthetists shall practice in accordance with the current American Association of Nurse Anesthetists Guidelines for Nurse Anesthesia Practice, if the nurse anesthetists guidelines for nurse anesthesia practice neither violate nor contradict this Part or the provisions of R.I. Gen. Laws Chapter 5-34.2.

D. Prescriptive Authority - APRN - Certified Clinical Nurse Specialist

1. Prescriptive privileges for a certified clinical nurse specialist shall include:

a. Diagnosing, prescribing and instituting therapy or referrals of patients to health care agencies, health care providers and community resources; and

b. Planning and initiating a therapeutic regimen that includes ordering and prescribing non-pharmacological interventions, including, but not limited to, durable medical equipment, medical devices, nutrition, blood and blood products, and diagnostic and supportive services including, but not limited to, home health care, hospice, and physical and occupational therapy; and

c. Prescription of over the counter medications within their population focus.

2. Prescriptive privileges for APRNs with the population focus of psychiatric/mental health:

a. Shall include prescription of certain psychotropic and certain legend medications, controlled substances from Schedule II classified as stimulants, and controlled substances from Schedule III and IV that are allowed pursuant to applicable Rhode Island and federal laws and regulations, and are within their population focus;

b. Shall not include controlled substances from Schedules I, II, and V and those certain legend medications not included in § 3.7(D)(2)(a) of this Part.

3. Each setting where such prescriptive privileges are allowed may further restrict prescriptive practices according to their own protocols.

E. Advanced Practice Nurse Advisory Committee shall be consistent with the provisions of R.I. Gen. Laws § 5-34-40.

216 R.I. Code R. § 216-RICR-40-05-3.7