New York State Prescriber Examination Requirements

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Questions and Answers

Which of the following professionals are authorized to issue prescriptions in New York State?

Physical therapists

Nurse practitioners (correct)

Nurse assistants

Medical technologists

What is the legal responsibility for prescribing according to the text?

Lies with the practitioner who issues the prescription (correct)

Lies with the midwife issuing the prescription

Lies with the physician assistant issuing the prescription

Lies with the pharmacist dispensing the medication

According to New York State laws, how must most prescriptions be issued by nurse practitioners and midwives?

Via email

In person

By mail

Electronically (correct)

What is the primary purpose of the presentation mentioned in the text?

To familiarize nurse practitioners and midwives with New York prescribing laws Signup and view all the answers

Who are the authorized prescribers mentioned in the text?

Dentists and optometrists Signup and view all the answers

What type of order is defined as a prescription according to the text?

An order for a drug or medical device for a human patient Signup and view all the answers

What is required for many New York certified nurse practitioners and licensed midwives who want to issue prescriptions in New York State?

Completion of a prescription and recordkeeping coursework Signup and view all the answers

What does the presentation NOT cover in any detail according to the text?

Pharmacology and clinical matters Signup and view all the answers

What is one of the common prescribing errors mentioned in the text?

Prescribing an incorrect dose Signup and view all the answers

When are nurse practitioners and midwives allowed to issue a prescription without examining the ultimate user?

For a suspected sexually transmitted infection in a patient's partner Signup and view all the answers

In New York, which healthcare professionals are allowed to execute non-patient specific orders and protocols prescribed by a physician or nurse practitioner?

Nurse practitioners, midwives, and pharmacists Signup and view all the answers

What types of prescriptions are required to be issued electronically in New York State?

All types of medications, syringes, and medical devices Signup and view all the answers

What is NOT considered an electronic prescription according to New York law?

Faxed prescriptions Signup and view all the answers

Under what circumstances are prescribers not required to issue a prescription electronically in New York?

When the prescription will be dispensed outside of New York State Signup and view all the answers

What must electronic prescriptions include that written prescriptions do not?

An NPI number Signup and view all the answers

What is the primary purpose of requiring prescribers to issue electronic prescriptions?

To ensure secure transmission of prescriptions Signup and view all the answers

What is the minimum requirement for nurse practitioners and midwives with DEA numbers in New York regarding pain management, palliative care, and addiction?

3 hours of coursework every three years Signup and view all the answers

What is the purpose of a National Provider Identifier (NPI) issued by CMS in New York State?

To be included in all electronic and most written prescriptions Signup and view all the answers

What is the function of a Health Commerce System Account (HCSA) from the New York State Department of Health for nurse practitioners and midwives?

To access the Prescription Monitoring Program (PMP) Signup and view all the answers

What is the requirement for non-electronic written prescriptions in New York?

To be issued on Official New York State forms Signup and view all the answers

What is the purpose of registering electronic prescribing computer applications with the New York State Department of Health’s Bureau of Narcotic Enforcement (BNE)?

To ensure secure transmission of prescriptions Signup and view all the answers

What is required for nurse practitioners and midwives to prescribe for Medicaid beneficiaries in New York?

Obtaining a Medicaid Provider Number Signup and view all the answers

When is it mandatory for a nurse practitioner or midwife to obtain a DEA number in New York?

When prescribing controlled substances Signup and view all the answers

What is the primary function of the New York State Official Prescription Forms (ONYSRx)?

To issue non-electronic written prescriptions Signup and view all the answers

What is the main reason for exceptions to the federal law requiring child resistant packaging for drugs?

To allow prescribers to request non-child resistant containers Signup and view all the answers

What is a common cause of prescription writing errors according to the text?

Illegible handwriting Signup and view all the answers

Which of the following is NOT a type of drug information error as per the text?

Incorrect patient information on the prescription Signup and view all the answers

What is the recommended approach for prescribers to prevent medication errors related to drug abbreviations and dose calculations?

Spelling out directions rather than using ambiguous abbreviations Signup and view all the answers

According to the Joint Commission's recommendations, what should be used instead of 'U' or 'u' when indicating 'unit'?

'Unit' Signup and view all the answers

What is the preferred abbreviation for 'every other day' according to the Joint Commission's recommendations?

'QOD' Signup and view all the answers

Under New York law, who is allowed to issue oral prescriptions for drugs other than controlled substances in limited circumstances?

Nurse practitioners and midwives Signup and view all the answers

When prescribing controlled substances, who must personally call in telephone prescriptions to a pharmacist under New York law?

Prescribers Signup and view all the answers

What information is required to be pre-printed on Official New York State Prescription Forms (ONYSRx forms)?

Prescriber's name, address, telephone number, profession, and professional license number Signup and view all the answers

What must be included in a prescription for a Schedule II controlled substance?

Patient's sex Signup and view all the answers

What is the maximum duration of opioid medication prescription for acute pain according to New York law?

7-day supply Signup and view all the answers

Which type of medication is exempt from the 7-day supply limit for acute pain under New York law?

Both chronic pain and palliative care medications Signup and view all the answers

What information must be included in a controlled substances prescription regarding refills in New York?

Number of refills in word and number form Signup and view all the answers

What does the prescriber have to specify on an electronic prescription if a drug must be dispensed as written?

'DAW' or 'Dispense as Written' Signup and view all the answers

What is the legal requirement for the prescriber's signature on a prescription?

Personally signing the prescription Signup and view all the answers

What additional information is included on the ONSRX Form regarding limited English proficiency?

'Patient's preferred language' and 'Limited English proficient' indication Signup and view all the answers

Which of the following healthcare professionals is NOT authorized to issue prescriptions in New York State?

Licensed practical nurses Signup and view all the answers

What is the legal responsibility for prescribing according to the text?

It lies with the practitioner who issues the prescription. Signup and view all the answers

According to New York laws, who must personally call in telephone prescriptions to a pharmacist when prescribing controlled substances?

Nurse practitioners Signup and view all the answers

What is required for nurse practitioners and midwives with DEA numbers in New York regarding pain management, palliative care, and addiction?

To register with the New York State Department of Health's Bureau of Narcotic Enforcement. Signup and view all the answers

What is the primary purpose of requiring prescribers to issue electronic prescriptions?

To prevent prescription fraud and forgery. Signup and view all the answers

What is NOT considered an electronic prescription according to New York law?

A scanned copy of a handwritten prescription emailed to a pharmacist. Signup and view all the answers

What must electronic prescriptions include that written prescriptions do not?

The prescriber's digital signature. Signup and view all the answers

Under what circumstances are prescribers not required to issue a prescription electronically in New York?

When prescribing medications for hospice care Signup and view all the answers

What is the primary purpose of a Health Commerce System Account (HCSA) for nurse practitioners and midwives in New York?

To renew registration with the Department of Health Signup and view all the answers

Which government approval is required for nurse practitioners and midwives to issue prescriptions electronically, orally, or on ONYSRx forms in New York?

Approval from the Bureau of Narcotic Enforcement Signup and view all the answers

What is the purpose of registering electronic prescribing computer applications with the New York State Department of Health’s Bureau of Narcotic Enforcement (BNE)?

To ensure secure transmission of prescriptions Signup and view all the answers

What is the primary function of the National Provider Identifier (NPI) issued by CMS in New York State for nurse practitioners and midwives?

To be included in all electronic and most written prescriptions Signup and view all the answers

What is required for nurse practitioners and midwives to prescribe for Medicaid beneficiaries in New York?

Medicaid Provider Number Signup and view all the answers

Under what circumstances are prescribers not required to issue a prescription electronically in New York?

For non-electronic written prescriptions Signup and view all the answers

What is the minimum requirement for nurse practitioners and midwives with DEA numbers in New York regarding pain management, palliative care, and addiction?

"at least 3 hours" every three years Signup and view all the answers

What is the maximum duration of opioid medication prescription for acute pain according to New York law?

7-day supply Signup and view all the answers

What is the primary purpose of the presentation mentioned in the text?

To inform prescribers about prescribing regulations Signup and view all the answers

What additional instructions are required for the pharmacist on a prescription?

Maximum daily dose for the patient Signup and view all the answers

Under New York law, who is allowed to issue oral prescriptions for drugs other than controlled substances in limited circumstances?

Certified nurse practitioners Signup and view all the answers

What does the prescriber have to specify on an electronic prescription if a drug must be dispensed as written?

"Dispense as Written" instructions Signup and view all the answers

In New York, what information is required to be pre-printed on Official New York State Prescription Forms (ONYSRx forms)?

Prescriber's name and profession Signup and view all the answers

What is the purpose of registering electronic prescribing computer applications with the New York State Department of Health’s Bureau of Narcotic Enforcement (BNE)?

To track controlled substance prescriptions Signup and view all the answers

What is NOT considered an electronic prescription according to New York law?

Prescriptions transmitted by fax Signup and view all the answers

What is the primary purpose of federal law requiring child resistant packaging for most prescription and over the counter drugs?

To protect children from potentially dangerous drugs Signup and view all the answers

Under federal law, when can a prescriber or patient request that drugs be dispensed in non-child resistant containers?

When exceptions to the law apply, or a request is included on the prescription Signup and view all the answers

What is a common cause of prescription writing errors according to the text?

Rushing or fatigue on the part of the prescriber Signup and view all the answers

Why must prescribers provide clear, legible, unambiguous information relating to the drug to be dispensed?

To prevent medication errors and patient harm Signup and view all the answers

Which of the following is NOT a common route abbreviation as mentioned in the text?

IM (internal medication) Signup and view all the answers

What should prescribers use instead of 'U' or 'u' when indicating 'unit', as per the Joint Commission's recommendations?

'unit' or 'International Unit' Signup and view all the answers

What type of information error is NOT mentioned in the text?

'IV' (intravenous) Signup and view all the answers

Under what circumstances are prescribers NOT allowed to abbreviate the name of the drug to be dispensed?

When prescribing controlled substances Signup and view all the answers

What is the primary reason for requiring prescribers to examine a patient before initially prescribing a controlled substance and many other drugs in New York State?

To evaluate and clearly define the patient’s problem, taking into consideration the patient’s health status, therapeutic needs, and treatments Signup and view all the answers

Under what circumstances are prescribers NOT required to issue a prescription electronically in New York?

When they reasonably determine that it would be impractical for the patient to obtain needed medication prescribed by electronic prescription in a timely manner Signup and view all the answers

What is the maximum duration of opioid medication prescription for acute pain according to New York law?

7 days Signup and view all the answers

What is the function of a Health Commerce System Account (HCSA) from the New York State Department of Health for nurse practitioners and midwives?

To execute non-patient specific orders and protocols prescribed by a physician or nurse practitioner Signup and view all the answers

What is NOT considered an electronic prescription according to New York law?

An emailed or faxed prescription Signup and view all the answers

What is required for nurse practitioners and midwives to prescribe for Medicaid beneficiaries in New York?

They must obtain a DEA number Signup and view all the answers

Under New York law, who is allowed to execute non-patient specific orders and protocols that are prescribed by a physician or nurse practitioner?

Nurse practitioners, midwives, RNs, and pharmacists Signup and view all the answers

What is the primary purpose of New York State's Expedited Partner Therapy Program for nurse practitioners and midwives?

To provide patients with either antibiotics or a written prescription for antibiotics intended for their sexual partner(s) to treat suspected or actual Chlamydia trachomatis infections Signup and view all the answers

Study Notes

Authorized Prescribers in New York State

Physicians, nurse practitioners, and licensed midwives are authorized to issue prescriptions in New York State.
Other healthcare professionals, such as dentists and podiatrists, can also issue prescriptions under certain circumstances.

Prescribing Responsibilities

Prescribers are legally responsible for ensuring the accuracy and safety of prescriptions.
Prescriptions must be issued in accordance with New York State laws and regulations.

Electronic Prescriptions

Most prescriptions must be issued electronically by nurse practitioners and midwives.
Electronic prescriptions must include the prescriber's electronic signature and other required information.
Prescribers are not required to issue electronic prescriptions in certain circumstances, such as when the prescription is for a controlled substance and cannot be electronically transmitted.

Prescription Errors

Common causes of prescription errors include illegible handwriting, unclear abbreviations, and dose miscalculations.
Prescribers should use clear, legible, and unambiguous language when writing prescriptions to prevent errors.

Prescription Requirements

Prescriptions must include required information, such as the patient's name, date, and medication details.
Prescribers must specify any special instructions or refills on the prescription.
Prescriptions for controlled substances have additional requirements, such as a maximum duration of 7 days for acute pain.

DEA Numbers and Pain Management

Nurse practitioners and midwives with DEA numbers must complete a minimum of 3 hours of coursework on pain management, palliative care, and addiction.

Electronic Prescribing Systems

Prescribers must register electronic prescribing computer applications with the New York State Department of Health's Bureau of Narcotic Enforcement (BNE).
The primary purpose of registering electronic prescribing systems is to ensure security and compliance with regulations.

Medicaid Prescriptions

Nurse practitioners and midwives must enroll in Medicaid to prescribe for Medicaid beneficiaries.

Health Commerce System Account (HCSA)

A Health Commerce System Account (HCSA) is required for nurse practitioners and midwives to access electronic prescribing systems and other healthcare services.

National Provider Identifier (NPI)

A National Provider Identifier (NPI) is issued by CMS to identify healthcare providers, including nurse practitioners and midwives.

Prescription Forms

Official New York State Prescription Forms (ONYSRx forms) are required for certain prescriptions, including controlled substances.
Prescribers must include required information on the prescription form, including the patient's name and medication details.

Child-Resistant Packaging

Federal law requires child-resistant packaging for most prescription and over-the-counter drugs.
Exceptions to child-resistant packaging include when the drug is packaged in unit doses or when the patient or prescriber requests a non-child-resistant container.

Joint Commission Recommendations

The Joint Commission recommends using clear and unambiguous language when writing prescriptions to prevent errors.
Prescribers should avoid using abbreviations and unclear language when writing prescriptions.

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Description

Test your knowledge on the legal requirements for examining patients before prescribing controlled substances and other drugs in New York State. Learn about the clinical judgments and standards for future examinations, as well as common prescribing errors.