Are Preceptors Liable for the Actions of Nurse Practitioner Students?

We've all experienced the awkwardness of clinical learning as nurse practitioner students. Mastering the skill set required to work as an NP means practicing on real, live patients even before you are considered proficient at that skill. Anxious, you stutter and sweat as you explain the procedure to the patient, the more experienced eye (hopefully!) of your preceptor looking over your shoulder. 

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7 Questions to Ask about Your State Prescription Drug Monitoring Program

Do you look patients up on your state's controlled substance monitoring database before writing prescriptions for these medications? I've long been aware of this resource available to nurse practitioners and other prescribers, however I recently learned that there's a lot more to using these databases than most providers are aware of. Did you know that it may be illegal for you to print out the results of an inquiry into the system? Or, for example, that you may be legally obligated to look a patient up in your state's database before writing certain prescriptions?

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Can a D.O. Supervise a Nurse Practitioner?

Much to most nurse practitioner's chagrin, many states require that NPs be 'supervised by' or 'collaborate with' a physician in order to practice, prescribe, or both. These laws can be straightforward or complex depending on the state and contain multiple conditions of this so-called collaboration or supervision. 

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How Nurse Practitioners Can Get Their Personal Contact Info Offline

A nurse practitioner I spoke with recently had a question about her NPI number. So, she searched online for her name + NPI. She was appalled to find that her personal address and cell phone were listed, plainly visible and available to the public, along with her NPI number and license numbers. 

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What is Shared Billing and How Does It Affect You as a Nurse Practitioner?

It's easy as a nurse practitioner to go throughout your workday with knowing exactly how you get paid.  Yes, you may understand your basic hourly or salary compensation structure but your employer wouldn't hire you unless you were bringing revenue into the practice.  The rules and regulations surrounding nurse practitioners and billing are quite complex.

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Are Nurse Practitioners Legally Obligated to Report Domestic Violence?

Are nurse practitioners obligated to report domestic violence? This is a question I haven't asked myself enough over the past few years. Working in the emergency department we have an on-site police officer on the floor at all times. Any time a suspected case of violence or assault comes through the doors, the officer takes a report. Reporting domestic violence, however, is a touchy subject. Some argue it may even do more harm than good. 

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Can Nurse Practitioners Administer Botox?

An increasing number of medical practices are adding cosmetic procedures to their menu of services. These procedures, such as administering Botox and dermal fillers, can significantly boost revenue and are relatively simple to perform. Patients pay for them in cash eliminating the paperwork and headache that comes with billing insurance companies. Can nurse practitioners get in on this practice opportunity?

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The Rules for Treating Partners of Patients with STDs

As a nurse practitioner working in the emergency department, I've become accustomed to treating patients for sexually transmitted infections. In fact, I do so nearly every shift I work. While having these sometimes awkward conversations with patients has become much easier, the waters surrounding treatment for the partners of these patients remains murky. Is it allowable to prescribe antibiotics for the partner of a patient I have never laid eyes on? What are the legal implications of doing so?

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Can a Dentist Supervise a Nurse Practitioner?

There are several states in which scope of practice laws for APRNs mention dentists. As a nurse practitioner I had never considered that I might work for or be supervised by a dentist. But, it seems others have at least considered this. Working in the emergency department I do treat a number of oral/dental complaints and make my fair share of referrals to dental clinics. Legally, could I work in a dental practice and/or be supervised by a dentist?

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5 States That Don't Allow NPs to Prescribe Schedule II Drugs

Drugs are divided into categories referred to as 'schedules' based on properties such as their potential for abuse, safety profile and legitimacy as a medical treatment. These schedules range from I to V with schedule I medications being those with an extremely high potential for abuse and no legitimate medical application and with schedule V benig those with a low potntial for abuse. In the overwhelming majority of states, nurse practitioners enjoy the freedom to prescribe drugs in schedules II-V. 

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