Nayely is a nurse practitioner who has just begun working in Dr. Tran’s small family medical practice in Columbus, Ohio. Her last patient of the day, Ms. Rountree, hurt her back yesterday while moving a couch (acute pain) with her roommate.

Module 3: Discussion Board
Overview:
The purpose of this assignment is to utilize knowledge learned in Module 3 in a case study scenario. NP scope of practice and the laws and regulations surrounding it vary from state to state. In this particular care study, you will look at prescriptive authority and how that can affect NP practice.

MLO Alignment:
This assignment meets Module Level Objectives 1, 2, 3, 4, 5.

CLO Alignment:

This assignment meets Course Level Objectives 1,2,5.

Time:
This assignment will take approximately 2-4 hours to complete.

The times listed to complete an assignment or discussion board should be viewed as a guide only. Approximate assignment times may vary depending on individual student factors. Students are encouraged to determine their individual needs and pace so that they can plan appropriate time to complete assignments.

Directions:
Students will post an initial discussion post and respond to at least one other student within the course. Initial posts should be at least 300 words in length and contain at least two scholarly references. Your response post should be at least 150 words in length and contain at least one scholarly reference. All posts should be written in APA format with professional verbiage (i.e no abbreviations).

Please refer to the assignment rubric for specific grading details.

Please review the case study below and answer the following discussion questions. Use headers by numbering each question in your post:

Case Study:

Nayely is a nurse practitioner who has just begun working in Dr. Tran’s small family medical practice in Columbus, Ohio. Her last patient of the day, Ms. Rountree, hurt her back yesterday while moving a couch (acute pain) with her roommate. Ms. Rountree has never been seen in Dr. Tran or her practice in the past.

Ms. Rountree notes she has been using Ibuprofen, Tylenol, rest, ice, and heat with minimal relief. She reports she has used MS Contin in the past for an injury with relief and prefers this medication due to the twice-a-day dosing. She also requests a 30-day supply because she “likes having extra at home”. Nayely refers to the practice guidelines for prescribing controlled substances and asks Ms. Nayely a series of questions, including, “Are you pregnant, or are you trying to be? Has the medication given you any ill effects? What other medications are you on? Do you have any liver or kidney problems?”.

After Ms. Rountree answers these questions satisfactorily, Nayely notes this on the online charting system. Nayely then asks Ms. Rountree to wait while she leaves the exam room to fill a prescription.

Questions:

Can Nayely prescribe MS Contin for this patient per the Ohio Administrative Codes (OAC)? Why or why not?
Assuming you decide to prescribe a scheduled II medication, how many days’ worth of medication can Nayely prescribe per the OAC?
Should Nayely obtain an OARRS report on this patient (this answer is subjective)? Defend your answer.
Hint: https://codes.ohio.gov/ohio-administrative-code/rule-4723-9-12 Links to an external site.
Review one additional state’s practice guidelines specific to scheduled II medications. If you do not live in Ohio, select your current state of residence. After reviewing this state’s laws and regulations surrounding APRNs and scheduled II medications, compare these with the state of Ohio. Answer the below questions:
Which state did you select? Are the laws and regulations similar? Are they different?
Should Nayley, as a nurse practitioner, have hospital privileges working in Dr. Tran’s office? How does having hospital privileges help the nurse practitioner profession?
Hint: Review the Ohio Administrative Rules here: https://codes.ohio.gov/ohio-administrative-code/rule-4723-9-10

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