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Advanced practice Nurses has prescribing authority in Ohio as long as they have completed fortyfive hours of advanced pharmacology. However, there are some restrictions placed on prescription of opioid analgesics. These restriction does not include patients with cancer, medication assisted treatment for addiction, end of life care and hospice patients (OBN, 2018). APNs working with physicians in Ohio need to sign a standard of care arrangements (SCA) with the collaborating physician or podiatrist. The standard of care helps to guide the planning and evaluation of patient’s health care (OBN, 2018). The SCA does not mean that the APN’s prescriptions need to be supervised or delegated. Before prescribing opioid analgesics in Ohio, the APN need to complete a history and physical to determine if the medication is needed. Also the APN is required to educate the patient about the risk for addiction (OBN, 2018). Some of the restrictions to opioid include limiting opioid prescriptions to 3 days and not to exceed 7 days for adults and 5 days for minors (OBN, 2018). APNs have to maintain a 30 MED average per day or document a reason to why they have to exceed the time (Ohio Board of Nursing, 2018). Personal Assessment Self-assessment is very important prior to taking a new career. According to Shapiro and Rosenberg, (2002), comprehensive personal assessment that is honest and favorable when
APN PROFESSIONAL DEVELOPMENT PLAN4pursuing a job is necessary for advanced practice nurses (as cited in Denisco & Barker, 2016). Personal assessment enables a person to identify their strength and weakness, personality and areas of improvement and allows one to set goals and objectives that can help in prioritizing and organizing oneself. APN jobs are highly competitive; employers are looking for nurses who are qualified, with leadership skills and are able to multi task in an organized manner.I will be using Benner’s novice to expert model (2011), in completing my personal assessment. This will help me to identify my areas of strength that I can use to boost my areas of weakness. Benner’s model is divided into five beginning with a novice nurse; this nurse has no experience, lacks confidence and is just trying to get a grasp on situations (Benner’s, 2011). The advanced beginner has some experience and works with support to get his/her job done (Benner’s, 2011). The competent nurse is independent and has some confidence when carrying out her duties (Benner’s, 2011). The proficient nurse has had many years of experience, learns from experience and is able to understand the whole situation (Benner’s, 2011). The expert nurseis considered highly proficient and flexible and able to understand total situation without wastingtime thinking about how to approach a situation due to prior experience (Benner’s, 2011).