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News Items>
Next Step in the Controlled Substances Process
July 22, 2008
This information came from Kyna Iman, the MONA lobbyist who
was so instrumental in getting our legislation passed:
At the APRN meeting in JC on Wednesday, we discussed my
conversations with Lori Scheidt at the State Board of
Nursing and Mike Boeger at the Bureau of Narcotics and
Dangerous Drugs. Here is the process that we are starting:
1) The Board of Nursing is currently writing Rules and
Regulations to address the certification process - ie. new
pharmacology coursework and extra clinical hours are
required to get a license to write for a controlled
substances.
2) The Board of Healing Arts and the Board of Pharmacy
will begin work on Rules and Regs for changes that need to
be made to the Collaborative Practice Arrangement (most of
the requirements are already in the CPA) The new issues
will be including a list of controlled substances that the
physician and nurse agree to write.
3) The Department of Health will write Rules and
Regulations for the BNDD - any APRN wanting to write
controlled substances will be required to get a BNDD# and
then the Drug Enforcement Agency (DEA) will also assign a
number.
4) Before the DEA will assign a number, the Missouri
Attorney General's office must provide a ruling stating
that APRNs are independent enough that it is safe to
prescribe controlled substances in Missouri. A lawyer at
the Board of Nursing is helping Mike Boeger's staff write
the documentation for the Attorney General's office that
outlines the new state statutes.
5) I have asked Rep. Kenny Jones and Senator Delbert
Scott to write a letter to Mr. Boeger to encourage his
fullest attention to our issue.
6) Then Rules are filed with Secretary of State's office
and we begin that process.
7) In the meantime, I am working with Budget and
Planning to request new software or a database for BNDD
that can register the APRNs and link them to their
collaborating physician.
Hope this gives you an outline of the process we must go
through before being able to write the prescriptions.
Please let me know if you have any questions.
An additional e-mail also stated:
No, it is not supposed to be 1000 additional hours of
clinical practice. It is supposed to require anyone
wanting to write controlled substances to have spent 1000
clinical hours with your collaborating physician or in a
CPA. As for the pharmacology course - everyone said no
problem, Kyna, we have taken advanced pharmacology courses
to be an APRN. We are clarifying with State Board of
Nursing that was the full intent of the statute and no NEW
COURSES WILL BE REQUIRED.
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