Prescribing and Hospital Privileges

1 Prescribing and Hospital Privileges The Schedules of Controlled Substances Schedule I: Drugs not used in medical settings and have high abuse potentials, such as marijuana, heroin, and LSD. Schedule II: these drugs have a significantly high potential for abuse. They have some therapeutic effects but cause physical and psychological dependence. They include methadone, oxycontin, and Demerol (U.S. Department of Justice, 2022).

Schedule III: These substances have a less harmful impact on the body than schedule I and II since they have moderate to low dependence levels. They include hydrocodone, an anabolic steroid, and testosterone (U.S. Department of Justice, 2022).

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2 Schedule IV: The possibility of schedule IV drug abuse is low. The risk of dependence on these drugs is also low. They include diazepam and triazolam.

Schedule V: These drugs have minimal chances of abuse. They have high therapeutic effects and are used in treating various disorders. They include ezogabine and cough syrup with less than 200 mg of codeine per 100g (U.S. Department of Justice, 2022).

Resources Available to the Prescribing Nurse Practitioner Prescribing nurse practitioners rely on different resources to support nursing roles. These resources include peer-reviewed journals with crucial information on prescription drugs, clinical practice briefs that provide access to current practice guidelines, and digital clinical reference tools (AANP, 2022).

Off-formulary Medications When prescribing an off-formulary medication, the nurse practitioner can advise the patient to submit a “formulary exception” and ask the insurer to cover the medication. The nurse can also submit the “formulary exception” form on the patient’s behalf.

Hospital Privileges Having hospital privileges implies that the care provider can admit patients and follow them in the inpatient setting in a hospital where the care provider has admitting privileges. Care providers are subjected to a comprehensive screening and credentialing process before being given admitting privileges (Buppert, 2018). Nurse practitioners do not need hospital privileges to perform their duties. They can arrange for providers with hospital privileges to cover patients needing hospitalization.

3 References AANP (2022). Clinical Resources for Nurse Practitioners (NPs). https://www.aanp.org/practice/clinical-resources-for-nps Buppert, C. (2018). Nurse practitioner’s business practice and legal guide. Jones & Bartlett Learning.

U.S. Department Of Justice (2022). List of Controlled Substances. https://www.deadiversion.usdoj.gov/schedules/