The Advanced Practice Registered Nurse as a Prescriber is an authoritative reference guide designed for students and practicing APRNs alikedelivering the evidence-based information required for informed and ethical prescribing of medication in various clinical settings. It assists the reader to identify and avoid common prescribing mistakes and pitfalls whilst presenting specific strategies to respond appropriately to an array of typical clinical experiences.This revised second edition includes new and expanded chapters with information on authorizing medical marijuana, prescription monitoring programs, electronic prescribing, prescribing globally and issues surrounding controlled substance prescribing and prescribing for opioid use disorder. This leading single-volume resource:

Addresses the opportunities, challenges and responsibilities that APRNs face as prescribersCovers the laws, regulations, and professional issues that affect prescribingDiscusses global approaches to registered nurse and APRN prescribing such as task sharing, formularies, and independent authorityGuides APRNs through difficult clinical situations such as patients seeking controlled substances and requesting inappropriate careNavigates the multiple facets of prescribing controlled substancesExamines the role of the APRN in states with medical marijuana lawsServes as a resource to engage in advocacy for fully autonomous prescribing

The Advanced Practice Registered Nurse as a Prescriber is essential reading for APRN and pharmacotherapeutics students, registered nurses transitioning to the role of APRN prescriber, and all APRNs including Nurse Practitioners (NP), Clinical Nurse Specialists (CNS), and Certified Registered Nurse Anesthetists (CRNA).

Louise Kaplan, PhD, ARNP, FNPBC, is an Associate Professor at the Washington State University College of Nursing, USA. She is a fellow of the American Academy of Nursing and the American Association of Nurse Practitioners.

Marie Annette Brown, PhD, ARNP, FNPBC, is a Professor Emeritus at the University of Washington School of Nursing, USA. She is a fellow in both the American Academy of Nursing and the American Association of Nurse Practitioners.

Contributors ix

Preface xi

1 What Do APRN Prescribers Need to Understand? 1Louise Kaplan and Marie Annette Brown

2 Embracing the Prescriber Role as an APRN 7Louise Kaplan and Marie Annette Brown

3 Creating a Practice Environment for Full Prescriptive Authority 27Louise Kaplan and Marie Annette Brown

4 Regulation of Prescriptive Authority 45Tracy Klein

5 Global Prescribing 65Louise Kaplan

6 Managing Difficult and Complex Patient Interactions 85Donna L. Poole

7 Practical Considerations when Prescribing Controlled Substances 111Pamela Stitzlein Davies

8 Legal Aspects of Prescribing 149Carolyn Dolan

9 Medical Marijuana and the APRN 175Louise Kaplan

Index 199