Which States Allow Nurse Practitioners to Prescribe Suboxone?

Nurse practitioners are newly allowed to prescribe buprenorphine (Suboxone) as part of the Comprehensive Addiction and Recovery Act signed into law by former President Obama. While the Act augments nurse practitioners' scope of practice from a federal standpoint, some states are more limiting in the freedoms they allow NPs. In which states can nurse practitioners actually prescribe Suboxone?

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Do NPs or PAs Have More Freedom?

While the way nurse practitioners and physician assistants work when is comes to patient care looks quite similar, there are regulatory differences between the two professions. Each state has a different set of scope of practice laws, one for NPs and one for PAs. These laws effect how effective and efficient employing these healthcare professionals is in different geographic areas therefore affecting the job market for and salaries of these providers. More practice freedoms usually leads to greater employability and higher salaries. So, do nurse practitioners or physician assistants have more freedom when it comes to scope of practice?

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Are Preceptors Liable for the Actions of Nurse Practitioner Students?

We've all experienced the awkwardness of clinical learning as nurse practitioner students. Mastering the skill set required to work as an NP means practicing on real, live patients even before you are considered proficient at that skill. Anxious, you stutter and sweat as you explain the procedure to the patient, the more experienced eye (hopefully!) of your preceptor looking over your shoulder. 

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7 Questions to Ask about Your State Prescription Drug Monitoring Program

Do you look patients up on your state's controlled substance monitoring database before writing prescriptions for these medications? I've long been aware of this resource available to nurse practitioners and other prescribers, however I recently learned that there's a lot more to using these databases than most providers are aware of. Did you know that it may be illegal for you to print out the results of an inquiry into the system? Or, for example, that you may be legally obligated to look a patient up in your state's database before writing certain prescriptions?

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Can a D.O. Supervise a Nurse Practitioner?

Much to most nurse practitioner's chagrin, many states require that NPs be 'supervised by' or 'collaborate with' a physician in order to practice, prescribe, or both. These laws can be straightforward or complex depending on the state and contain multiple conditions of this so-called collaboration or supervision. 

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How Nurse Practitioners Can Get Their Personal Contact Info Offline

A nurse practitioner I spoke with recently had a question about her NPI number. So, she searched online for her name + NPI. She was appalled to find that her personal address and cell phone were listed, plainly visible and available to the public, along with her NPI number and license numbers. 

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What is Shared Billing and How Does It Affect You as a Nurse Practitioner?

It's easy as a nurse practitioner to go throughout your workday with knowing exactly how you get paid.  Yes, you may understand your basic hourly or salary compensation structure but your employer wouldn't hire you unless you were bringing revenue into the practice.  The rules and regulations surrounding nurse practitioners and billing are quite complex.

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Are Nurse Practitioners Legally Obligated to Report Domestic Violence?

Are nurse practitioners obligated to report domestic violence? This is a question I haven't asked myself enough over the past few years. Working in the emergency department we have an on-site police officer on the floor at all times. Any time a suspected case of violence or assault comes through the doors, the officer takes a report. Reporting domestic violence, however, is a touchy subject. Some argue it may even do more harm than good. 

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Can Nurse Practitioners Administer Botox?

An increasing number of medical practices are adding cosmetic procedures to their menu of services. These procedures, such as administering Botox and dermal fillers, can significantly boost revenue and are relatively simple to perform. Patients pay for them in cash eliminating the paperwork and headache that comes with billing insurance companies. Can nurse practitioners get in on this practice opportunity?

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The Rules for Treating Partners of Patients with STDs

As a nurse practitioner working in the emergency department, I've become accustomed to treating patients for sexually transmitted infections. In fact, I do so nearly every shift I work. While having these sometimes awkward conversations with patients has become much easier, the waters surrounding treatment for the partners of these patients remains murky. Is it allowable to prescribe antibiotics for the partner of a patient I have never laid eyes on? What are the legal implications of doing so?

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