Safe prescribing of controlled substances mandates that the Advanced Nurse Practitioner is aware of state and federal laws regulating this process. In this presentation, rules for prescribing each of the controlled substances will be discussed. Methods to decrease drug diversion including Risk Evaluation and Mitigation Strategies, prescription drug monitoring programs, and dear prescriber letters will also be illustrated. To help the NP with prescribing opiates in certain situations, methods for opioid rotation, discontinuance, and use in the patient taking these medications for chronic conditions will be discussed. Finally, inappropriate prescribing and high-risk situations in which controlled substances are sometimes prescribed will be highlighted in an effort to ensure the NP uses these agents in the safest manner possible.
Learning Objectives—Implications of Controlled Substance Prescribing
- Explain the rationale for the development of controlled substance state reporting systems
- List the information that is provided by prescription drug monitoring programs
- Define Risk Evaluation and Mitigation Strategies and its role in harm reduction
- Define opioid use disorder
- List agents that are beneficial in the treatment of opioid use disorder
Sample