1. The applicant must be a practitioner, as defined by the Department of Public Health, as a physician, dentist, veterinarian, podiatrist, osteopath, optometrist, physician assistant, licensed pursuant to section 20-12b, as amended, advanced practice registered nurse as defined in subsection (b) of section 20-87a, nurse-midwife, scientific investigator or other person licensed registered or otherwise permitted to distribute, dispense, conduct research with respect to or to administer a controlled substance in the course of professional practice or research in this state. NOTE: According to the Department of Public Health, an Advanced Practice Registered Nurse (APRN) cannot order drugs, and a Physician Assistant cannot order drugs or dispense medications to a patient unless it is permitted in the Physician Assistants practice agreement.
Advanced Practice Registered Nurse (APRN)
Sec. 20-87a. Definitions. Scope of practice. (a) The practice of nursing by a registered nurse is defined as the process of diagnosing human responses to actual or potential health problems, providing supportive and restorative care, health counseling and teaching, case finding and referral, collaborating in the implementation of the total health care regimen, and executing the medical regimen under the direction of a licensed physician, dentist or advanced practice registered nurse.
(b) Advanced nursing practice is defined as the performance of advanced level nursing practice activities that, by virtue of post basic specialized education and experience, are appropriate to and may be performed by an advanced practice registered nurse. The advanced practice registered nurse performs acts of diagnosis and treatment of alterations in health status, as described in subsection (a) of this section, and shall collaborate with a physician licensed to practice medicine in this state. If practicing in (1) an institution licensed pursuant to subsection (a) of section 19a-491 as a hospital, residential care home, health care facility for the handicapped, nursing home, rest home, mental health facility, substance abuse treatment facility, infirmary operated by an educational institution for the care of students enrolled in, and faculty and staff of, such institution, or facility operated and maintained by any state agency and providing services for the prevention, diagnosis and treatment or care of human health conditions, or (2) an industrial health facility licensed pursuant to subsection (h) of section 31-374 which serves at least two thousand employees, or (3) a clinic operated by a state agency, municipality, or private nonprofit corporation, or (4) a clinic operated by any educational institution prescribed by regulations adopted pursuant to section 20-99a, the advanced practice registered nurse may, in collaboration with a physician licensed to practice medicine in this state, prescribe, dispense, and administer medical therapeutics and corrective measures. In all other settings, the advanced practice registered nurse may, in collaboration with a physician licensed to practice medicine in the state, prescribe and administer medical therapeutics and corrective measures and may request, sign for, receive and dispense drugs in the form of professional samples in accordance with sections 20-14c to 20-14e, inclusive, except that an advanced practice registered nurse licensed pursuant to section 20-94a and maintaining current certification from the American Association of Nurse Anesthetists who is prescribing and administrating medical therapeutics during surgery may only do so if the physician who is medically directing the prescriptive activity is physically present in the institution, clinic or other setting where the surgery is being performed. For purposes of this subsection, "collaboration" means a mutually agreed upon relationship between an advanced practice registered nurse and a physician who is educated, trained or has relevant experience that is related to the work of such advanced practice registered nurse. The collaboration shall address a reasonable and appropriate level of consultation and referral, coverage for the patient in the absence of the advanced practice registered nurse, a method to review patient outcomes and a method of disclosure of the relationship to the patient. Relative to the exercise of prescriptive authority, the collaboration between an advanced practice registered nurse and a physician shall be in writing and shall address the level of schedule II and III controlled substances that the advanced practice registered nurse may prescribe and provide a method to review patient outcomes, including, but not limited to, the review of medical therapeutics, corrective measures, laboratory tests and other diagnostic procedures that the advanced practice registered nurse may prescribe, dispense and administer. An advanced practice registered nurse licensed under the provisions of this chapter may make the determination and pronouncement of death of a patient, provided the advanced practice registered nurse attests to such pronouncement on the certificate of death and signs the certificate of death no later than twenty-four hours after the pronouncement.
Sec. 20-12d. Medical functions performed by physician assistants. Prescriptive authority.
(a) A physician assistant who has complied with the provisions of sections 20-12b and 20-12c may perform medical functions delegated by a supervising physician when: (1) The supervising physician is satisfied as to the ability and competency of the physician assistant; (2) such delegation is consistent with the health and welfare of the patient and in keeping with sound medical practice; and (3) such functions are performed under the oversight, control and direction of the supervising physician. The functions that may be performed under such delegation are those that are within the scope of the supervising physician's license, within the scope of such physician's competence as evidenced by such physician's postgraduate education, training and experience and within the normal scope of such physician's actual practice. Delegated functions shall be implemented in accordance with written protocols established by the supervising physician. All orders written by physician assistants shall be followed by the signature of the physician assistant and the printed name of the supervising physician. A physician assistant may, as delegated by the supervising physician within the scope of such physician's license, (A) prescribe and administer drugs, including controlled substances in schedule IV or V in all settings, (B) renew prescriptions for controlled substances in schedule II, III, IV or V in all settings, (C) prescribe and administer controlled substances in schedule II or III in all settings, provided in all cases where the physician assistant prescribes a controlled substance in schedule II or III, the physician under whose supervision the physician assistant is prescribing shall document such physician's approval of the order in the patient's medical record not later than one calendar day thereafter, and (D) prescribe and approve the use of durable medical equipment. The physician assistant may, as delegated by the supervising physician within the scope of such physician's license, request, sign for, receive and dispense drugs to patients, in the form of professional samples, as defined in section 20-14c, or when dispensing in an outpatient clinic as defined in the regulations of Connecticut state agencies and licensed pursuant to subsection (a) of section 19a-491 that operates on a not-for-profit basis, or when dispensing in a clinic operated by a state agency or municipality. Nothing in this subsection shall be construed to allow the physician assistant to request, sign for, receive or dispense any drug the physician assistant is not authorized under this subsection to prescribe.
2. The practitioner must be licensed or duly authorized to practice according to the appropriate state licensing board, commission or registration agency or, in the case of a hospital or other institution, by the appropriate state agency having jurisdiction over the licensure, registration or approval of such establishment.
3. The application is required to be completed and can be found at: http://www.ct.gov/dcp/cwp/view.asp?a=1622&q=446726
4. In order to maintain the registration current and active, the registration is required to be renewed every two years and expires on February 28 of every odd year.
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Answer: A controlled (scheduled) drug is one whose use and distribution is closely monitored because of its abuse potential or risk. Controlled drugs are categorized in order of their abuse risk and placed in "Schedules" by the federal Drug Enforcement Administration (DEA). Drugs with the highest abuse potential and no medical use are placed in Schedule I and those with the lowest abuse potential are in Schedule V. These schedules are commonly shown as C-I, C-II, C-III, C-IV, and C-V. Some examples of drugs in these Schedules are as follows:
Schedule I-drugs with a high abuse risk. These drugs have NO safe, accepted medical use in the United States. Some examples are heroin, LSD, Ecstasy, and mescaline.
Schedule II- drugs with a high abuse risk, but also have safe and accepted medical uses in the United States. These drugs can cause severe psychological and/or physical dependence. Schedule II drugs include certain narcotic, stimulant and depressant drugs. Some examples are morphine, cocaine, oxycodone (Percocet ®; Oxycontin®), methylphenidate (Ritalin ®), and dextroamphetamine (Dexedrine ®). No refills of Schedule II medications are permitted.
Schedule III, IV, or V- drugs with an abuse risk less than Schedule II. These drugs also have safe and accepted medical uses in the United States. Schedule III, IV, or V drugs include those containing smaller amounts of certain narcotic and non-narcotic drugs, anti-anxiety drugs, tranquilizers, sedatives, stimulants, and non-narcotic analgesics. Some examples are acetaminophen with codeine (Tylenol® No. 3), hydrocodone with acetaminophen (Vicodin®), diazepam (Valium®), alprazolam (Xanax®) and zolpidem (Ambien®). A maximum of five refills are permitted for Schedule III, IV, and V medications.
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The registrant must maintain effective controls against diversion of controlled substances into other than duly authorized legitimate medical, scientific, or commercial channels.
The registrant must only order, administer and dispense controlled substances for patients that they have a bona fide patient relationship with.
Compliance with all applicable state and federal laws and regulations concerning controlled substances.
The practitioner must maintain his/her federal DEA registration in good standing.
The practitioner must, at the time of application, have and maintain a professional license or certificate.
Must keep records of medical evaluations of patients and all controlled substances dispensed, administered or prescribed to patients by the practitioner.
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