Patterns of Statutory and Regulatory Policy – Regulatory Policy for APRNs in New Jersey – Week 2 Solution

What are the patterns of statutory and regulatory policy that currently govern prescriptive authority for Advanced Practice Registered Nurses (APRNs) in your state? Include whether collaborative agreements are required for prescriptive authority? Are there specifications regarding types of drugs that can and cannot be prescribed by an APRN?

Solution

Regulatory Policy for APRNs in New Jersey

Prescription of medications is an essential aspect of the treatment and management process as it has an extensive impact on patient outcomes. In New Jersey (N.J.), the prescriptive authority of an Advanced Nurse Practitioner (APRN) is determined by the statutory and regulatory policies designed by the Board of Nursing (BON) (Cimiotti et al., 2019). According to the N.J. administration’s statutes and regulations, section 13:37-7.9 details the APRN’s guidelines for prescriptive practice (Casetext, 2022).

Among the regulations covered include subchapter 45:11-49, which details the legal duties of APRN’s include, including the prescriptive authority to order medications and other medical devices for inpatient services based on prior consultation with an attending physician before initiating an order for a controlled dangerous substance. The order must be within the joint protocol established between the APRN and physician. Another regulation requires the APRNs to install signs or pamphlets in the waiting rooms or offices. It is aimed at advising patients on the brands of medications or medical devices available to make it easy for patients who wish to substitute the prescribed drug with a generic one.

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Moreover, Casetext (2022) illustrates that the APRN’s prescription blank must have the physician and prescribing nurse’s names, designation, contact information, and certification number; patient’s name, address, date of birth, and date of issuance; medication details, including limits for refill and quantity authorized if it is a controlled substance. Additionally, the APRNs are only authorized to use prescription blanks imprinted with the words “substitution permissible,” and they must use a separate N.J. prescription blank for dangerous controlled substances. NCSL (2022) states that APRNs in N.J. can only prescribe drugs and other medical devices through a joint protocol with a physician. The protocol authorizes them to prescribe schedule II up to V and controlled substances. 

References

Casetext (2022). N.J. Admin. Code § 13:37-7.9. Casetext Research. Available at: https://casetext.com/regulation/new-jersey-administrative-code/title-13-law-and-public-safety/chapter-37-new-jersey-board-of-nursing/subchapter-7-certification-of-advanced-practice-nurses/section-1337-79-prescriptive-practice (Accessed: 29 June 2022)

Cimiotti, J. P., Li, Y., Sloane, D. M., Barnes, H., Brom, H. M., & Aiken, L. H. (2019). Regulation of the nurse practitioner workforce: implications for care across settings. Journal of nursing regulation, 10(2), 31-37.

NCSL (2022). State overview: New Jersey. Scope of practice Policy. Available at: https://scopeofpracticepolicy.org/states/nj/ (Accessed: 29 June 2022)

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