With regards to 'off label' prescribing, with the appropriate evidence to support the use of a medication for the treatment and NP competence to prescribe the medication, there is no contraindication for this practice to occur.
If the NP has the education, the knowledge and the competency to prescribe a medication, then she has the authority to do so.
Only a tiny fraction of the nation's nearly I million health care professionals licensed to prescribe controlled substances are willing to consistently use opioid medications, recognized as the best drugs for severe pain.
"This is causing doctors not to prescribe," says the Pain Relief Network's Siobhan Reynolds, "and that means patients will be in hell" Several of the prosecutions have been associated with suicides by devastated patients who couldn't get effective treatment elsewhere.
Hurwitz may not be the only physician in the country who is willing to prescribe narcotics for chronic pain, but there are few enough that patients travel hundreds of miles to see them.
His doctor refused to prescribe a strong painkiller, giving him an antidepressant instead.
And they are afraid of what might happen if they prescribe opioids to the wrong people, for the wrong reasons, or in the wrong quantities.
The prescribing practicums are the means by which students gain the practical skills to prescribe through an academic course.
One of the more controversial areas is whether students should select a small formulary of medications within their scope, or whether they should be able to prescribe any medications within their identified scope or subscope.
RNs practising in community health who become designated prescribers will be able to prescribe following completion of a council-approved re-certification programme.
RNs authorised to prescribe in community health must have a minimum three years' clinical experience, with at least one year in the area of prescribing practice.