SlideShare a Scribd company logo
1 of 25
Prescriptive Authority: A National and State Perspective JoAnne M. Saxe, RN, MS, ANP Clinical Professor Updated: November, 2005
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prescriptive Authority Regulation ,[object Object],[object Object],[object Object]
Prescriptive Authority:  Basic Requirements for Most States ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of Advanced Practice Nurse (APN) Legislation: Prescriptive Authority (Phillips, 2005) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of APN Legislation:  Prescriptive Authority (Phillips, 2005) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary of APN Legislation:  Prescriptive Authority   (Phillips, 2005) ,[object Object],[object Object],[object Object],[object Object],[object Object]
History of Prescribing by APNs in CA. ,[object Object],[object Object],[object Object],[object Object]
History of Prescribing by APNs in CA. (continued) ,[object Object],[object Object],[object Object]
History of Prescribing by APNs in CA. (continued) ,[object Object],[object Object],[object Object]
History of Prescribing by APNs in CA. (continued) ,[object Object],[object Object],[object Object],[object Object]
Furnishing /Ordering ,[object Object],[object Object]
Standardized Procedures ,[object Object],[object Object]
PHYSICIAN SUPERVISION ,[object Object],[object Object]
Categories of  Controlled Substances that may be Furnished/Ordered by CNMs & NPs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Furnishing/Drug Ordering  Limitations ,[object Object],[object Object],[object Object],[object Object]
Dispensing by NPs and CNMs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SIGNING FOR SAMPLE MEDICATIONS ,[object Object],[object Object]
Required Documents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OTHER IMPORTANT INFORMATION ,[object Object],[object Object],[object Object],[object Object]
OTHER IMPORTANT INFORMATION (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References  (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References  (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

Drug information centers
Drug information centersDrug information centers
Drug information centers
Nica Solis
ย 
Chemotherapy Products and Procedures
Chemotherapy Products and Procedures Chemotherapy Products and Procedures
Chemotherapy Products and Procedures
Kdurant36
ย 
Community Health Nursing (complete)
Community Health Nursing (complete)Community Health Nursing (complete)
Community Health Nursing (complete)
MarkFredderickAbejo
ย 
Chapter 15 community pharmacy
Chapter 15 community pharmacyChapter 15 community pharmacy
Chapter 15 community pharmacy
Ann Bentley
ย 
CHN EXAM.pdf
CHN EXAM.pdfCHN EXAM.pdf
CHN EXAM.pdf
MarieBagunu
ย 

What's hot (20)

Drug information centers
Drug information centersDrug information centers
Drug information centers
ย 
Medication error reporting system
Medication error reporting systemMedication error reporting system
Medication error reporting system
ย 
Antibiotic policy introduction by Dr.T.V.Rao MD
Antibiotic policy introduction by Dr.T.V.Rao MD Antibiotic policy introduction by Dr.T.V.Rao MD
Antibiotic policy introduction by Dr.T.V.Rao MD
ย 
Chemotherapy Products and Procedures
Chemotherapy Products and Procedures Chemotherapy Products and Procedures
Chemotherapy Products and Procedures
ย 
Antimicrobial stewardship program_checklist
Antimicrobial stewardship program_checklistAntimicrobial stewardship program_checklist
Antimicrobial stewardship program_checklist
ย 
Incompatibilities of tpn & iv admixures
Incompatibilities of tpn & iv admixures Incompatibilities of tpn & iv admixures
Incompatibilities of tpn & iv admixures
ย 
Community Health Nursing (complete)
Community Health Nursing (complete)Community Health Nursing (complete)
Community Health Nursing (complete)
ย 
PNLE Medical Surgical Nursing Exam 1.docx
PNLE Medical Surgical Nursing Exam 1.docxPNLE Medical Surgical Nursing Exam 1.docx
PNLE Medical Surgical Nursing Exam 1.docx
ย 
GENERAL PRINCIPLES ON ANTIBIOTIC THERAPY.pptx
GENERAL PRINCIPLES ON ANTIBIOTIC THERAPY.pptxGENERAL PRINCIPLES ON ANTIBIOTIC THERAPY.pptx
GENERAL PRINCIPLES ON ANTIBIOTIC THERAPY.pptx
ย 
Medication error
Medication errorMedication error
Medication error
ย 
Chapter 15 community pharmacy
Chapter 15 community pharmacyChapter 15 community pharmacy
Chapter 15 community pharmacy
ย 
National drug policy of Nepal
National drug policy of NepalNational drug policy of Nepal
National drug policy of Nepal
ย 
10 DOH Approved Herbal Medicine
10 DOH Approved Herbal Medicine10 DOH Approved Herbal Medicine
10 DOH Approved Herbal Medicine
ย 
PHARMACEUTICAL CARE.pptx
PHARMACEUTICAL CARE.pptxPHARMACEUTICAL CARE.pptx
PHARMACEUTICAL CARE.pptx
ย 
Multidrug Resistance protein
Multidrug Resistance proteinMultidrug Resistance protein
Multidrug Resistance protein
ย 
Look alike and sound alike medications
Look alike and sound alike medicationsLook alike and sound alike medications
Look alike and sound alike medications
ย 
CHN EXAM.pdf
CHN EXAM.pdfCHN EXAM.pdf
CHN EXAM.pdf
ย 
CAPECITABINE IN MBC final.ppt
CAPECITABINE IN MBC final.pptCAPECITABINE IN MBC final.ppt
CAPECITABINE IN MBC final.ppt
ย 
Documentation - Case Presentation 2015
Documentation - Case Presentation 2015Documentation - Case Presentation 2015
Documentation - Case Presentation 2015
ย 
MEDICATION ERRORS
MEDICATION ERRORSMEDICATION ERRORS
MEDICATION ERRORS
ย 

Viewers also liked

Code Of Nursing Ethics
Code Of Nursing EthicsCode Of Nursing Ethics
Code Of Nursing Ethics
Fatin Raiha
ย 
Legal & ethical aspects in mental health nursing
Legal & ethical aspects in mental health nursingLegal & ethical aspects in mental health nursing
Legal & ethical aspects in mental health nursing
Nursing Path
ย 
Nursing ethics
Nursing ethicsNursing ethics
Nursing ethics
Lee Oi Wah
ย 
Legal and ethical issues in critical care nursing
Legal and ethical issues in critical care nursingLegal and ethical issues in critical care nursing
Legal and ethical issues in critical care nursing
Nursing Path
ย 

Viewers also liked (20)

Bioethical Dilemma - Prescriptive Authority of APNs
Bioethical Dilemma - Prescriptive Authority of APNsBioethical Dilemma - Prescriptive Authority of APNs
Bioethical Dilemma - Prescriptive Authority of APNs
ย 
pain
pain pain
pain
ย 
Arvo egypt researching a bioethical question
Arvo egypt researching a bioethical questionArvo egypt researching a bioethical question
Arvo egypt researching a bioethical question
ย 
Evolution of APN
Evolution of APNEvolution of APN
Evolution of APN
ย 
Merritt Hawkins 2016 Physician, PA and Nurse Practitioner Recruiting Incentives
Merritt Hawkins 2016 Physician, PA and Nurse Practitioner Recruiting IncentivesMerritt Hawkins 2016 Physician, PA and Nurse Practitioner Recruiting Incentives
Merritt Hawkins 2016 Physician, PA and Nurse Practitioner Recruiting Incentives
ย 
Forensic psychiatric nursing
Forensic psychiatric nursingForensic psychiatric nursing
Forensic psychiatric nursing
ย 
Bio ethic
Bio ethicBio ethic
Bio ethic
ย 
Ethics in psychiatry by gurbinder
Ethics in psychiatry by gurbinderEthics in psychiatry by gurbinder
Ethics in psychiatry by gurbinder
ย 
Ethics & ethical issues in psychiatry
Ethics & ethical issues in psychiatryEthics & ethical issues in psychiatry
Ethics & ethical issues in psychiatry
ย 
Bioethics intoduction
Bioethics intoductionBioethics intoduction
Bioethics intoduction
ย 
Bioethics
BioethicsBioethics
Bioethics
ย 
Ethics and profession
Ethics and professionEthics and profession
Ethics and profession
ย 
Legal & ethical issue in psychiatry by suresh aadi8888
Legal & ethical issue in psychiatry by suresh aadi8888Legal & ethical issue in psychiatry by suresh aadi8888
Legal & ethical issue in psychiatry by suresh aadi8888
ย 
Ethical issues in Psychiatry
Ethical issues in PsychiatryEthical issues in Psychiatry
Ethical issues in Psychiatry
ย 
38211799 nursing-ethics
38211799 nursing-ethics38211799 nursing-ethics
38211799 nursing-ethics
ย 
Code Of Nursing Ethics
Code Of Nursing EthicsCode Of Nursing Ethics
Code Of Nursing Ethics
ย 
Legal & ethical aspects in mental health nursing
Legal & ethical aspects in mental health nursingLegal & ethical aspects in mental health nursing
Legal & ethical aspects in mental health nursing
ย 
Ethics in clinical research
Ethics in clinical researchEthics in clinical research
Ethics in clinical research
ย 
Nursing ethics
Nursing ethicsNursing ethics
Nursing ethics
ย 
Legal and ethical issues in critical care nursing
Legal and ethical issues in critical care nursingLegal and ethical issues in critical care nursing
Legal and ethical issues in critical care nursing
ย 

Similar to Prescriptive Authority

Legislative Talking Points 2010 final Prescriptive Privileges for APN CNM
Legislative Talking Points 2010 final Prescriptive Privileges for APN CNMLegislative Talking Points 2010 final Prescriptive Privileges for APN CNM
Legislative Talking Points 2010 final Prescriptive Privileges for APN CNM
Lori Lioce
ย 
Assignment State Regulations for Advanced Practice NursesAlthou.docx
Assignment State Regulations for Advanced Practice NursesAlthou.docxAssignment State Regulations for Advanced Practice NursesAlthou.docx
Assignment State Regulations for Advanced Practice NursesAlthou.docx
rock73
ย 
Veterinary Medical Records as a Defense to Your License
Veterinary Medical Records as a Defense to Your LicenseVeterinary Medical Records as a Defense to Your License
Veterinary Medical Records as a Defense to Your License
Justin Hein
ย 
[Forensics] laws related to medical practice
[Forensics] laws related to medical practice[Forensics] laws related to medical practice
[Forensics] laws related to medical practice
Muhammad Ahmad
ย 
ASA Monitor Article 2015. Non Hospital Compliance for Anesthesia Services
ASA Monitor Article 2015. Non Hospital Compliance for Anesthesia ServicesASA Monitor Article 2015. Non Hospital Compliance for Anesthesia Services
ASA Monitor Article 2015. Non Hospital Compliance for Anesthesia Services
Julie Marhalik-Helms, RN, BSN
ย 
Usfda sana 1
Usfda sana 1Usfda sana 1
Usfda sana 1
sanjay patil
ย 
Drug development and regulation
Drug development and regulationDrug development and regulation
Drug development and regulation
raj kumar
ย 
Drug development and regulation
Drug development and regulationDrug development and regulation
Drug development and regulation
raj kumar
ย 
Drug development and regulation
Drug development and regulationDrug development and regulation
Drug development and regulation
raj kumar
ย 

Similar to Prescriptive Authority (20)

Legislative Talking Points 2010 final Prescriptive Privileges for APN CNM
Legislative Talking Points 2010 final Prescriptive Privileges for APN CNMLegislative Talking Points 2010 final Prescriptive Privileges for APN CNM
Legislative Talking Points 2010 final Prescriptive Privileges for APN CNM
ย 
Rx16 pharma tues_1230_1_ashley
Rx16 pharma tues_1230_1_ashleyRx16 pharma tues_1230_1_ashley
Rx16 pharma tues_1230_1_ashley
ย 
NPAA Addressing the Health Care Crisis
NPAA Addressing the Health Care Crisis NPAA Addressing the Health Care Crisis
NPAA Addressing the Health Care Crisis
ย 
Assignment State Regulations for Advanced Practice NursesAlthou.docx
Assignment State Regulations for Advanced Practice NursesAlthou.docxAssignment State Regulations for Advanced Practice NursesAlthou.docx
Assignment State Regulations for Advanced Practice NursesAlthou.docx
ย 
Veterinary Medical Records as a Defense to Your License
Veterinary Medical Records as a Defense to Your LicenseVeterinary Medical Records as a Defense to Your License
Veterinary Medical Records as a Defense to Your License
ย 
[Forensics] laws related to medical practice
[Forensics] laws related to medical practice[Forensics] laws related to medical practice
[Forensics] laws related to medical practice
ย 
Twillman preventing rx abuse
Twillman preventing rx abuseTwillman preventing rx abuse
Twillman preventing rx abuse
ย 
Clinical research : Drug regulatory affairs and Pharmacovigilance.
Clinical research : Drug regulatory affairs and Pharmacovigilance.Clinical research : Drug regulatory affairs and Pharmacovigilance.
Clinical research : Drug regulatory affairs and Pharmacovigilance.
ย 
ASA Monitor Article 2015. Non Hospital Compliance for Anesthesia Services
ASA Monitor Article 2015. Non Hospital Compliance for Anesthesia ServicesASA Monitor Article 2015. Non Hospital Compliance for Anesthesia Services
ASA Monitor Article 2015. Non Hospital Compliance for Anesthesia Services
ย 
Law update, march 2011
Law update, march 2011Law update, march 2011
Law update, march 2011
ย 
Pdmp 5 hopkins dreyzehner_o_leary
Pdmp 5 hopkins dreyzehner_o_learyPdmp 5 hopkins dreyzehner_o_leary
Pdmp 5 hopkins dreyzehner_o_leary
ย 
Criminal Law Compliance For Healthcare Professionals - Painkiller Law
Criminal Law Compliance For Healthcare Professionals - Painkiller LawCriminal Law Compliance For Healthcare Professionals - Painkiller Law
Criminal Law Compliance For Healthcare Professionals - Painkiller Law
ย 
Usfda sana 1
Usfda sana 1Usfda sana 1
Usfda sana 1
ย 
NDA_ANDA_IND.docx
NDA_ANDA_IND.docxNDA_ANDA_IND.docx
NDA_ANDA_IND.docx
ย 
Medical Cannabis 101 - Laws & Regulations for Practitioners
Medical Cannabis 101 - Laws & Regulations for Practitioners Medical Cannabis 101 - Laws & Regulations for Practitioners
Medical Cannabis 101 - Laws & Regulations for Practitioners
ย 
Nursing essay sample
Nursing essay sampleNursing essay sample
Nursing essay sample
ย 
Drug development and regulation
Drug development and regulationDrug development and regulation
Drug development and regulation
ย 
Drug development and regulation
Drug development and regulationDrug development and regulation
Drug development and regulation
ย 
Drug development and regulation
Drug development and regulationDrug development and regulation
Drug development and regulation
ย 
BRP Pharmaceuticals
BRP PharmaceuticalsBRP Pharmaceuticals
BRP Pharmaceuticals
ย 

More from bodo-con

SUSHCS
SUSHCSSUSHCS
SUSHCS
bodo-con
ย 
PPA
PPAPPA
PPA
bodo-con
ย 
OHPE
OHPEOHPE
OHPE
bodo-con
ย 
5530: Chapter 24
5530: Chapter 245530: Chapter 24
5530: Chapter 24
bodo-con
ย 
5530: Chapter 23
5530: Chapter 235530: Chapter 23
5530: Chapter 23
bodo-con
ย 
5530: Chapter 22
5530: Chapter 225530: Chapter 22
5530: Chapter 22
bodo-con
ย 
5530: Chapter 21
5530: Chapter 215530: Chapter 21
5530: Chapter 21
bodo-con
ย 
5530: Chapter 20
5530: Chapter 205530: Chapter 20
5530: Chapter 20
bodo-con
ย 
5530: Chapter 18
5530: Chapter 185530: Chapter 18
5530: Chapter 18
bodo-con
ย 
5530: Chapter 17
5530: Chapter 175530: Chapter 17
5530: Chapter 17
bodo-con
ย 
5530: Chapter 16
5530: Chapter 165530: Chapter 16
5530: Chapter 16
bodo-con
ย 
5530: Chapter 15
5530: Chapter 155530: Chapter 15
5530: Chapter 15
bodo-con
ย 
5530: Chapter 14
5530: Chapter 145530: Chapter 14
5530: Chapter 14
bodo-con
ย 
5530: Chapter 13
5530: Chapter 135530: Chapter 13
5530: Chapter 13
bodo-con
ย 
5530: Chapter 12
5530: Chapter 125530: Chapter 12
5530: Chapter 12
bodo-con
ย 
5530: Chapter 11
5530: Chapter 115530: Chapter 11
5530: Chapter 11
bodo-con
ย 
5530: Chapter 10
5530: Chapter 105530: Chapter 10
5530: Chapter 10
bodo-con
ย 
5530: Chapter 9
5530: Chapter 95530: Chapter 9
5530: Chapter 9
bodo-con
ย 
5530: Chapter 8
5530: Chapter 85530: Chapter 8
5530: Chapter 8
bodo-con
ย 
5530: Chapter 7
5530: Chapter 75530: Chapter 7
5530: Chapter 7
bodo-con
ย 

More from bodo-con (20)

SUSHCS
SUSHCSSUSHCS
SUSHCS
ย 
PPA
PPAPPA
PPA
ย 
OHPE
OHPEOHPE
OHPE
ย 
5530: Chapter 24
5530: Chapter 245530: Chapter 24
5530: Chapter 24
ย 
5530: Chapter 23
5530: Chapter 235530: Chapter 23
5530: Chapter 23
ย 
5530: Chapter 22
5530: Chapter 225530: Chapter 22
5530: Chapter 22
ย 
5530: Chapter 21
5530: Chapter 215530: Chapter 21
5530: Chapter 21
ย 
5530: Chapter 20
5530: Chapter 205530: Chapter 20
5530: Chapter 20
ย 
5530: Chapter 18
5530: Chapter 185530: Chapter 18
5530: Chapter 18
ย 
5530: Chapter 17
5530: Chapter 175530: Chapter 17
5530: Chapter 17
ย 
5530: Chapter 16
5530: Chapter 165530: Chapter 16
5530: Chapter 16
ย 
5530: Chapter 15
5530: Chapter 155530: Chapter 15
5530: Chapter 15
ย 
5530: Chapter 14
5530: Chapter 145530: Chapter 14
5530: Chapter 14
ย 
5530: Chapter 13
5530: Chapter 135530: Chapter 13
5530: Chapter 13
ย 
5530: Chapter 12
5530: Chapter 125530: Chapter 12
5530: Chapter 12
ย 
5530: Chapter 11
5530: Chapter 115530: Chapter 11
5530: Chapter 11
ย 
5530: Chapter 10
5530: Chapter 105530: Chapter 10
5530: Chapter 10
ย 
5530: Chapter 9
5530: Chapter 95530: Chapter 9
5530: Chapter 9
ย 
5530: Chapter 8
5530: Chapter 85530: Chapter 8
5530: Chapter 8
ย 
5530: Chapter 7
5530: Chapter 75530: Chapter 7
5530: Chapter 7
ย 

Recently uploaded

Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
chetankumar9855
ย 

Recently uploaded (20)

Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } โœ” ANIKA MEHTA โœ” Get High Prof...
ย 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
ย 
Russian Call Girls Service Jaipur {8445551418} โค๏ธPALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} โค๏ธPALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} โค๏ธPALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} โค๏ธPALLAVI VIP Jaipur Call Gir...
ย 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
ย 
Top Rated Bangalore Call Girls Richmond Circle โŸŸ 9332606886 โŸŸ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle โŸŸ  9332606886 โŸŸ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle โŸŸ  9332606886 โŸŸ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle โŸŸ 9332606886 โŸŸ Call Me For Ge...
ย 
Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati โŸŸ 8617370543 โŸŸ High Class Call Girl...
ย 
8980367676 Call Girls In Ahmedabad Escort Service Available 24ร—7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24ร—7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24ร—7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24ร—7 In Ahmedabad
ย 
Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Shimla Just Call 8617370543 Top Class Call Girl Service Available
ย 
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
ย 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
ย 
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
ย 
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [๐Ÿ”  9953056974 ๐Ÿ”] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [๐Ÿ” 9953056974 ๐Ÿ”] escort service 24X7
ย 
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
Call Girl In Pune ๐Ÿ‘‰ Just CALL ME: 9352988975 ๐Ÿ’‹ Call Out Call Both With High p...
ย 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
ย 
๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...
๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...
๐Ÿ’•SONAM KUMAR๐Ÿ’•Premium Call Girls Jaipur โ†˜๏ธ9257276172 โ†™๏ธOne Night Stand With Lo...
ย 
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
VIP Hyderabad Call Girls Bahadurpally 7877925207 โ‚น5000 To 25K With AC Room ๐Ÿ’š๐Ÿ˜‹
ย 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
ย 
Top Rated Bangalore Call Girls Majestic โŸŸ 9332606886 โŸŸ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic โŸŸ  9332606886 โŸŸ Call Me For Genuine S...Top Rated Bangalore Call Girls Majestic โŸŸ  9332606886 โŸŸ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic โŸŸ 9332606886 โŸŸ Call Me For Genuine S...
ย 
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet ๐– ‹ 9332606886 ๐– ‹ Will You Mis...
ย 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
ย 

Prescriptive Authority

  • 1. Prescriptive Authority: A National and State Perspective JoAnne M. Saxe, RN, MS, ANP Clinical Professor Updated: November, 2005
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.