comment positively on this student discussion, or agree with her/him with references

For Nurse Practitioners (NP) to be able to practice in the state of Florida, a written contract between an NP and the regulating physician is obligatory. The level and means of supervision that is decided by the NP and the physician needs to be clearly established in the written contract. Widespread regulation by the physician is enforced and described in the written contract and should involve a definition of the responsibilities of the NP, an illustration of the obligations of the physician, involving adviser and supervisory agreements if the physician happens to be unavailable, the administrative extents for which the NP is accountable, an arrangement for a yearly review by the persons involved, and explicit conditions and a strategy for recognizing situations that demand undeviating evaluation or certain consultation by the physician (Florida Scope of Practice Policy: State Profile, 2019). HB 423 law was implemented on April 14, 2016 and impacts a number of elements within the nursing and medical occupations in general. An NP in the state pf Florida is permitted to prescribe any medication and Schedules II-V controlled substance while on the close supervision of a mutually contracted physician and if indicated in the written contract only if the NP has obtained a master’s or doctoral degree in an area of a nursing specialty with preparation in specific practitioner skills. Nevertheless, all NPs are expected to achieve at the minimum 3 hours of continuing education concerning prudent and adequate prescribing of controlled substances. Within this law, an NP’s prescribing authorization of controlled substances included in Schedule II are restricted to a supply of only seven days and do not involve the prescribing of medications known as psychotropic specifically for youngsters under the age of 18, except if the prescription has been written by an NP who is a Psychiatric Nurse. In addition this law demands for NPs to appoint themselves as prescribers of controlled substances within their practitioner profile if they are planning to prescribe and treat chronic limited pain (Important Legislative Update regarding HB 423, 2016). As for required continuing education hours in the state of Florida, NPs are expected to complete 24 hours or National Certification every 2 years. Two hours associated to prevention of medical errors for every renewal; 2 hours associated with the rules and laws that rule and dominate the practice of nursing within the state of Florida; 2 hours regarding human trafficking. In addition, for first time renewal, one hour will be dedicated to HIV/AIDS; 2 hours will also be dedicated to identifying impairment within the work environment for every 4 years; and for every third renewal term, an extra 2 hours associated to domestic violence. NPs are also required to accomplish not less than 3 hours of continuing education regarding safe and adequate prescription of controlled substances for every two years renewal (Advanced Registered Nurse Practitioner Requirements in Florida, 2019). As a nurse practitioner, we are required to know the legal requirements associated to prescribing medications. We bear the authority, as stipulated by our state’s regulation, to prescribe medications for the individuals for whom we provide care. In spite of the capacity bestowed over our prescriptive authority, one predominant standard of care and practice is to make sure that any medication that we may prescribe is consistent and agreeable with other medications that the patient may be taking. For NPs and other physicians, the accountability associated to the prescriptive authority exceeds the action of merely writing a prescription properly. Healthcare providers in general, not just NPs, need to understand drug interactions and any potential reactions or side effects. A considerable element of ethical prescribing is an evaluation and consideration of every patient’s definite needs and circumstance. For practitioners, numerous ethical confrontations from the former years are present nowadays. It is important to also consider the states such as Florida where NPs possess prescriptive authority; where the majority is in addition lawfully authorized to prescribe controlled substances, together with opioid pain relievers. Opioids were at one point a basis for attending to chronic and debilitating pain, making patient disabled. At present, the frequent and deliberate prescribing of opioids has induced a drug-addiction outbreak that has claimed many lives within the United States. Therefore, federal and state agencies are attempting to restrain the use of opioids by implementing restrictions and rules over the prescribing of controlled substances. Practitioners are recommended to prescribe with prudence; NPs are in a position to line up practice, guidelines and research in order to enhance pain treatments meanwhile decreasing the possibility for opioid abuse. Remaining up-to-date regarding the condition of prescriptive authority continues to be demanding as brand-new laws are instituted and current laws are modified. Even though difficult, it is considered significant to regularly oversee and compare regulations all over the United States. References: Advanced Registered Nurse Practitioner Requirements in Florida. (2019). Retrieved from https://www.nursinglicensure.org/np-state/florida-nurse-practitioner.htmlLinks to an external site. Florida Scope of Practice Policy: State Profile. (2019). Retrieved from http://scopeofpracticepolicy.org/states/fl/Links to an external site. Important Legislative Update regarding HB 423. (2016). Retrieved from https://floridasnursing.gov/new-legislation-impacting-your-profession/Links to an external site.