N.D. Admin Code 54-05-03.1-10 - Authority to prescribe

The advanced practice registered nurse plans and initiates a therapeutic regimen that includes ordering and prescribing medical devices and equipment, nutrition, diagnostic and supportive services including home health care, hospice, and physical and occupational therapy.

1. A permanent advanced practice registered nurse license with the addition of prescriptive authority shall be issued upon meeting all requirements.

2. The advanced practice registered nurse with prescriptive authority may prescribe drugs as defined by chapter 43-15-01 pursuant to applicable state and federal laws.

3. A prescriptive authority advanced practice registered nurse license does not include drug enforcement administration authority for prescribing controlled substances. Each licensee must apply for and receive a drug enforcement administration number before writing prescriptions for controlled substances.

4. An advanced practice registered nurse with prescriptive authority who prescribes controlled substances has access to the North Dakota prescription drug monitoring program and shall utilize the prescription drug monitoring program in the following manner:

a. Shall evaluate a prescription drug monitoring program report for a client in the following situations:

(1) New or unestablished client requiring prescription for controlled substance;

(2) Every six months during treatment of client with a controlled substance;

(3) Client requests early refills or engages in a pattern of taking more than prescribed dosage; and

(4) Upon suspicion or known drug overuse, diversion, or abuse by client.

b. Shall document evaluation of the prescription drug monitoring program reports made under this rule.

c. May evaluate the prescription drug monitoring program report in the following situations:

(1) Long-term care settings;

(2) Controlled settings in which controlled substances are locked and administered to client;

(3) Treatment of client with terminal illness, cancer, or cancer-related disorders; and

(4) Hospice or palliative care settings.

5. The licensee may prescribe, administer, sign for, dispense over-the-counter, legend, and controlled substances, and procure pharmaceuticals, including samples following state and federal regulations.

6. The signature on documents related to prescriptive practices must clearly indicate that the licensee is an advanced practice registered nurse.

7. The advanced practice registered nurse with prescriptive authority may not prescribe, sell, administer, distribute, or give to oneself or to one's spouse or child any drug legally classified as a controlled substance or recognized as an addictive or dangerous drug.

8. Notwithstanding any other provision, a practitioner who diagnoses a sexually transmitted disease, such as chlamydia, gonorrhea, or any other sexually transmitted infection, in an individual patient may prescribe or dispense, and a pharmacist may dispense, prescription antibiotic drugs to that patient's sexual partner or partners, without there having been an examination of that patient's sexual partner or partners.

Notes

N.D. Admin Code 54-05-03.1-10

Amended by Administrative Rules Supplement 2014-352, April 2014, effective April 1, 2014. . Amended by Administrative Rules Supplement 2016-362, October 2016, effective 10/1/2016.

General Authority: NDCC 43-12.1-08

Law Implemented: NDCC 43-12.1-08(1)