A new era of opportunity is emerging for advanced practice registered nurses (APRNs) to increasingly address gaps in access to quality healthcare. APRNs must be prepared to practice to the full scope of their education and abilities. As more and more states pass legislation enhancing prescriptive authority and fully autonomous practice for APRNs, a comprehensive resource on prescribing practices is needed. The increasing demands of today's fast-paced healthcare environment require a new level of prescriber expertise. Knowledge about medication characteristics and effectiveness must be accompanied by an understanding of the context and process of prescribing. The Advanced Practice Registered Nurse as a Prescriber provides practicing APRNs and students with the information necessary to make fully informed, rational and ethical decisions as prescribers. This book opens with an overview of the role of the APRN prescriber and moves on to discussing practical issues such as managing difficult patient situations, special considerations when prescribing controlled substances, the influence of pharmaceutical marketing, state regulation, and legal aspects of prescribing. The book also examines barriers to prescribing, and the concluding chapter underscores key information to build cultural competence when prescribing. An evidence-based resource for all APRNs and APRN students, The Advanced Practice Registered Nurse as a Prescriber provides a comprehensive and practical resource essential for APRNs in all advanced practice roles.

A new era of opportunity is emerging for advanced practiceregistered nurses (APRNs) to increasingly address gaps in access toquality healthcare. APRNs must be prepared to practice to thefull scope of their education and abilities. As more and morestates pass legislation enhancing prescriptive authority and fullyautonomous practice for APRNs, a comprehensive resource onprescribing practices is needed.The increasing demands of today's fast-paced healthcareenvironment require a new level of prescriberexpertise. Knowledge about medication characteristics andeffectiveness must be accompanied by an understanding of thecontext and process of prescribing. The Advanced PracticeRegistered Nurse as a Prescriber provides practicing APRNs andstudents with the information necessary to make fully informed,rational and ethical decisions as prescribers.This book opens with an overview of the role of the APRNprescriber and moves on to discussing practical issues such asmanaging difficult patient situations, special considerations whenprescribing controlled substances, the influence of pharmaceuticalmarketing, state regulation, and legal aspects ofprescribing. The book also examines barriers to prescribing,and the concluding chapter underscores key information to buildcultural competence when prescribing.An evidence-based resource for all APRNs and APRN students,The Advanced Practice Registered Nurse as a Prescriberprovides a comprehensive and practical resource essential for APRNsin all advanced practice roles.

Contributors ixPreface xi1 What Do APRN Prescribers Need to Understand? 3Marie Annette Brown and Louise Kaplan2 Embracing the Prescriber Role as an APRN 11Louise Kaplan, Marie Annette Brown, Nancy J. Crigger, and Elizabeth K. Kessler3 Creating a Practice Environment for Fully Autonomous Prescriptive Authority 39Marie Annette Brown and Louise Kaplan4 Strategies for Assessing, Monitoring, and Addressing Special Considerations with Controlled Substances 69Pamela Stitzlein Davies5 Managing Difficult Patient Situations 105Donna Poole, Marie Annette Brown, and Louise Kaplan6 The Influences of Pharmaceutical Marketing on APRN Prescribing 145Elissa Ladd7 Regulation of Prescriptive Authority 175Tracy Klein8 Legal Aspects of Prescribing 201Carolyn Buppert9 The Role of Cultural Competence in Prescribing Medications 229Mary Sobralske, Louise Kaplan, and Marie Annette BrownIndex 257Path: p