The Texas Board of Nursing 2015 prohibits advanced practice nurses from

The texas board of nursing 2015 prohibits advanced

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  • beckycole1975
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The Texas Board of Nursing (2015) prohibits advanced practice nurses from prescribing and dispensing medications to friends and family due to the inability to set personal feelings aside and maintain objectivity and good judgement. If adverse outcomes transpire after prescribing medication to a friend or family member, malpractice suits and legal action may be taken against the provider (Gold et al., 2014). Disciplinary action may also be taken by the providers governing association if state or federal laws are broken. Advanced practice nurses (APRN) in Texas require a prescriptive authority agreement with a physician to prescribe medications. This may also place the physician the nurse practitioner is working with in a precarious position. The prescriptive authority agreement identifies the type or categories of drugs that can be prescribed by the APRN, the communication process and sharing of information between the physician and the APRN, and the quality assurance and improvement plan meetings, along with chart reviews. If the nurse practitioner is prescribing medications
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without providing the appropriate assessment, documentation, and follow-up this could potentially open the physician up to investigation. Strategies Developing strategies to maintain ethical and legal standards are important for advanced practice nurses to guide decision-making and promote optimal outcomes for patients. One strategy ARPNs should adhere to is to always be aware of the state and federal rules and regulations of prescribing medication and to stay within their scope of practice. As stated above the Texas Board of Nursing does not allow an APRN to prescribe to friends or family and disciplinary actions can be taken if not followed. A second strategy that a nurse practitioner can utilize to be an ethical and legal prescriber of medications is to perform thorough assessments, document assessment and diagnosis, develop and document care plans, and provide the appropriate follow-up care. References Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4 th ed.). Philadelphia, PA: Wolters Kluwer.
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