Nursing: Controlled Substance and Prescribing Practices for Tennessee Advanced Practice Nurses

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About the Course

Opiate abuse has been deemed a public health epidemic. In 2017, the US Department of Health and Human Services declared a public health emergency to combat the opioid epidemic. Nurse practitioners who prescribe controlled substances have a great responsibility to ensure patients receive the care they need while preventing their prescriptions from becoming a source of abuse or diversion. This course provides an overview of the safe and effective prescribing of controlled substances and three of the most common disease states that warrant more frequent prescribing of controlled substances. 

The course meets the Tennessee mandatory CE requirement for controlled substance and prescribing practices, including instruction in the Tennessee Department of Health’s treatment guidelines on opioids, benzodiazepines, barbiturates, and carisoprodol that apply to Tennessee advanced practice nurses (APNs) and all nurses responsible for the safe and effective prescribing practices for controlled substances. 

Learning Outcomes:
Upon completion of this course, the learner will be able to:
  • Discuss substance use disorder and trends in opioid use and misuse.
  • Compare the opioid epidemic in Tennessee and the US.
  • Describe risk factors for prescription drug abuse, misuse, addition, and diversion.
  • Differentiate the use of non-pharmacological and nonopioid strategies for pain control.
  • Describe Tennessee APN prescriptive authority and registration requirements to drugs listed in Schedules III-V.
  • Describe the Centers for Disease Control and Prevention Guideline for Prescribing Opioids for Chronic Pain.
  • Analyze steps to ensure safe and effective prescribing of controlled substances, including professional documentation, patient-provider agreements, and informed consent.
  • Examine the treatment of pain including evaluation, treatment, and medications.
  • Discuss the adverse effects of opioids and the use of naloxone.
  • Examine the TN Together opioid prescribing law.
  • Discuss the TN chronic pain guidelines and recent regulatory updates with the Centers for Disease Control’s (CDC) guideline.
  • Describe the strategies and resources of the Maternal Opioid Misuse Model to improve outcomes for pregnant women with opioid use in TN.

About the Author:
Shellie D. Hill, DNP, FNP-BC

Shellie D. Hill, DNP, FNP-BC, currently serves as full-time faculty as the FNP program coordinator and assistant professor in the MSN-NP program at Saint Louis University. She has been a practicing family nurse practitioner for 19 years and an RN for 26 years. Most of her clinical practice has been in primary care. She also has experience in urgent care and cardiology. Clinically, she works in corporate health care clinics part time, and she volunteers as an FNP in a clinic that manages underserved patients.

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