S.D. Admin. R. 20:62:03:11

Current through Register Vol. 50, page 162, June 24, 2024

Section 20:62:03:11 - Prescribing

A nurse practitioner or nurse midwife may request, receive, and provide prepackaged drug samples which the nurse practitioner or nurse midwife is authorized to prescribe. A drug sample means a prepackaged unit of a prescription drug supplied by the manufacturer and provided at no charge to the patient. A nurse practitioner or nurse midwife may provide prepackaged labeled drug samples to the nurse practitioners or nurse midwifes patients and for conditions being treated by the nurse practitioner or nurse midwife. Each sample drug shall be accompanied with written administration instructions.

Prior to prescribing any controlled substances listed in chapter SDCL 34-20B a nurse practitioner or nurse midwife, that meets state and federal controlled substance registration requirements, shall register with the states prescription drug monitoring program (PDMP) and meet requirements in 34-20E. The standards for documentation of patient care when prescribing controlled substance drugs for the treatment of chronic, non-cancer pain include:

(1) Documentation of results of physical examinations, diagnostic or laboratory tests;

(2) Documentation of a patients medical and psychosocial history;

(3) Documentation that appropriate state PDMPs were accessed;

(4) Documentation of a patients treatment agreement, if used;

(5) Documentation of having provided instructions to the patient, or patients representative, of the benefits and risks of controlled substances, proper use and storage of drugs, and proper disposal of unused drugs;

(6) When prescribing opioid drugs, documentation of instructions including the risk of addiction, overdose, and death, and use of naloxone products to reverse overdose, as defined in SDCL 34-20A;

(7) Progress or lack of progress of pain management and functional improvement; and

(8) Consultation with other health care providers or specialists.

S.D. Admin. R. 20:62:03:11

45 SDR 009, effective 7/30/2018

General Authority: SDCL 36-9A-41.

Law Implemented: SDCL 34-20A, 34-20B, 34-20E, 36-9A-12, 36-9A-13, 36-9A-29(5)(9).