The roles and responsibilities of the APRN when prescribing medication

Full Answer Section

   

• Monitoring and Evaluation: They closely monitor patients for medication effectiveness and side effects, adjusting the regimen if necessary.

Determining Drug Therapy: APRNs use a systematic approach to determine the best medication for a patient:

• Patient History: Reviewing medical history, allergies, and current medications to identify potential interactions or contraindications.
• Physical Examination: Performing a physical exam to assess the patient's overall health and identify any physiological factors that might influence medication selection.
• Diagnostic Tests: Utilizing lab tests, imaging studies, or other diagnostics to confirm the diagnosis and guide medication selection.
• Evidence-Based Guidelines: Consulting clinical practice guidelines and research evidence to identify the most effective and safe medication for the specific condition.
• Shared Decision-Making: Involving the patient in the decision-making process, considering their preferences, concerns, and lifestyle factors.

Patient Education and Teaching: APRNs have a responsibility to educate patients about their prescribed medications. This includes:

• Medication Name and Purpose: Explaining the medication's name, what it does, and how it will help manage the condition.
• Dosage and Administration: Providing clear instructions on dosage, frequency, and how to take the medication (with or without food, etc.).
• Potential Side Effects: Informing the patient about possible side effects and what to do if they experience them.
• Medication Interactions: Discussing potential interactions with other medications or supplements the patient is taking.
• Storage and Disposal: Providing instructions on safe storage and proper disposal of unused medication.

Schedule Drugs and Prescribing Restrictions: The United States Drug Enforcement Administration (DEA) classifies controlled substances into five schedules based on their potential for abuse and dependence. Each schedule has specific regulations for prescribing:

• Schedule II: High potential for abuse, with accepted medical use (e.g., oxycodone, Adderall). Requires a written prescription and refills are limited.
• Schedule III: Moderate potential for abuse, with accepted medical use (e.g., Suboxone, codeine cough syrup). Written prescription required, but refills are allowed with limitations.
• Schedule IV: Low potential for abuse, with accepted medical use (e.g., Xanax, Ativan). Written prescription required, and refills may be allowed with some restrictions.
• Schedule V: Low potential for abuse, with accepted medical use (e.g., cough syrups with small amounts of codeine). May be available over-the-counter or with a written prescription depending on the specific medication.

Conclusion: APRNs play a vital role in medication prescribing, ensuring safe and effective treatment for patients. They follow a comprehensive approach to medication selection, educate patients thoroughly, and adhere to regulations related to controlled substances. This multifaceted responsibility requires knowledge, clinical judgment, and a commitment to patient safety and well-being.    

Sample Answer

     

Advanced Practice Registered Nurses (APRNs) play a crucial role in the healthcare system, and one of their key responsibilities is prescribing medication. However, this responsibility comes with specific steps, considerations, and ethical obligations.

APRN Roles and Responsibilities:

• Diagnosis and Assessment: APRNs conduct thorough patient assessments to diagnose conditions and identify appropriate medication needs.
• Formulary Selection: They select medications from approved formularies based on patient history, current medications, allergies, and potential interactions.
• Dosage and Administration: APRNs determine the appropriate dosage, frequency, and route of administration for each medication.