The basis for the Board's promulgation of these rules and
regulations by the State Board of Nursing is set forth in sections
12-20-204(1),
12-255-107, and
12-30-109(6),
C.R.S.
The purpose for the Board's promulgation of these rules and
regulations is to implement rules required by section
12-30-109(6),
C.R.S., related to requirements for prescribing benzodiazepines to patients who
have not previously prescribed benzodiazepines within the last twelve
months.
A. Licensees must limit any
prescription for a continuous benzodiazepine to a 30-day supply, for any
patient who has not been prescribed a benzodiazepine in the last 12 months.
Prior to prescribing the second fill of a benzodiazepine for
a condition that is not exempt under section
12-280-404(4)
(a.5), C.R.S.,, a licensee must comply with the requirements of section
12-280-404(4),
C.R.S.
B. The limitation
stated in section (A) of this Rule does not apply to patients for whom
licensees prescribe benzodiazepines for the following conditions:
1. Epilepsy;
2. A seizure, a seizure disorder, or a
suspected seizure disorder;
3.
Spasticity;
4. Alcohol withdrawal;
or
5. A neurological condition,
including a post-traumatic brain injury or catatonia.
C. These rules do not require or encourage
abrupt discontinuation, limitation, or withdrawal of benzodiazepines. Licensees
are expected to follow generally accepted standards of advanced practice
nursing with prescriptive authority or of Certified Midwives with prescriptive
authority as appropriate, based on an individual patient's needs, in tapering
benzodiazepine prescriptions.
Adopted: October 27, 2021
Effective: November 1, 2021
Notes
3 CCR
716-1.26
38
CR 16, August 25, 2015, effective 9/14/2015
38
CR 20, October 25, 2015, effective
11/14/2015
38
CR 22, November 25, 2015, effective
12/30/2015
40
CR 10, May 25, 2017, effective
6/14/2017
40
CR 16, August 25, 2017, effective
9/14/2017
40
CR 16, August 25, 2017, effective 9/14/2017
42
CR 04, February 25, 2019, effective
3/17/2019
42
CR 04, February 25, 2019, effective
3/17/2019
44
CR 10, May 25, 2021, effective
6/14/2021
44
CR 22, November 25, 2021, effective
12/15/2021
45
CR 20, October 25, 2022, effective
9/22/2022
45
CR 23, December 10, 2022, effective
11/11/2022
46
CR 01, January 10, 2023, effective
12/10/2022
45
CR 22, November 25, 2022, effective
12/15/2022
46
CR 02, January 25, 2022, effective
1/9/2023
46
CR 21, November 10, 2023, effective
12/15/2023
47
CR 04, February 25, 2024, effective
3/16/2024