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anyone know & in WHICH states either are afforded more scope & latitude when it comes to prescribing rights, etc?
whats the difference in scope of practice between PA's & Nurse Practioners?
- Thread starter moses
- Start date
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Where Physician Assistants Are Authorized To Prescribe
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Jurisdiction Rx
Status Restrictions Controlled Substances
Alabama Rx Formulary
Alaska Rx Sch. III-V
Arizona Rx Sch. II-III limited to 14-day supply with board prescribing certification
(72-hrs. without);
Sch.IV-V not more than 5 times in 6-month period per patient
Arkansas Rx Sch. III-V
California Rx PAs may write "drug orders" which, for the purposes of DEA registration, meet the federal definition of a prescription. Sch. II-V
Colorado Rx Sch. II-V
Connecticut Rx Sch. IV-V; Sch. II-III in hosp, LTC facilities, and some EDs
Delaware Rx Sch. II-V
District of Columbia Rx
Florida Rx Formulary of prohibited drugs
Georgia Rx Formulary Sch. III-V
Guam Rx Sch. III-V
Hawaii Rx Sch. III-V
Idaho Rx Sch. II-V
Illinois Rx Sch. III-V
Indiana
Iowa Rx Sch. III-V; Sch. II (except stimulants and depressants)
Kansas Rx Sch. II-V
Kentucky Rx SCH II-V
Louisiana Rx Sch. III-V
Maine Rx Sch. III-V (Board may approve Sch.II for individual PAs)
Maryland Rx Sch. II-V
Massachusetts Rx Sch. II-V
Michigan Rx Sch. III-V; Sch. II (7-day supply) as discharge meds
Minnesota Rx Formulary Sch. II-V
Mississippi Rx Sch. II-V
Missouri Rx SCH II-V
Montana Rx Sch. II-V (Sch. II limited to 34-day supply)
Nebraska Rx Sch. II-V (Sch. II limited to 72-hr supply)
Nevada Rx Sch. II-V
New Hampshire Rx Sch. II-V
New Jersey Rx SCH III-V
New Mexico Rx Formulary Sch. II-V
New York Rx Sch. III-V
North Carolina Rx Sch. II-V (Sch. II-III limited to 30-day supply)
North Dakota Rx Sch. III-V
Ohio
Oklahoma Rx Formulary Sch. III-V
Oregon Rx Sch. II-V
Pennsylvania Rx Formulary Sch. III-V. Limited to 30-day supply unless for chronic condition
Rhode Island Rx Sch. II-V
South Carolina Rx Formulary Sch. V
South Dakota Rx Sch. II-V (Sch. II limited to 48-hr supply)
Tennessee Rx Sch. II-V
Texas Rx In specified practice sites Sch. III-V (limited to 30-day supply)
Utah Rx Sch. II-V
Vermont Rx Formulary Sch. II-V
Virginia Rx Sch. III-V
Washington Rx Sch. II-V
West Virginia Rx Formulary Sch. III-V (Sch. III limited to 72-hr supply)
Wisconsin Rx Sch. II-V
Wyoming Rx Sch. II-V
10/18/04
DEA Registration
The Drug Enforcement Administration (DEA) has a registration category specifically for physician assistants and other so-called midlevel practitioners authorized by state law or regulation to prescribe controlled substances. For more information or to obtain a registration application, contact the DEA Registration Unit at 800/882-9539.
--------------------------------------------------------------------------------
Jurisdiction Rx
Status Restrictions Controlled Substances
Alabama Rx Formulary
Alaska Rx Sch. III-V
Arizona Rx Sch. II-III limited to 14-day supply with board prescribing certification
(72-hrs. without);
Sch.IV-V not more than 5 times in 6-month period per patient
Arkansas Rx Sch. III-V
California Rx PAs may write "drug orders" which, for the purposes of DEA registration, meet the federal definition of a prescription. Sch. II-V
Colorado Rx Sch. II-V
Connecticut Rx Sch. IV-V; Sch. II-III in hosp, LTC facilities, and some EDs
Delaware Rx Sch. II-V
District of Columbia Rx
Florida Rx Formulary of prohibited drugs
Georgia Rx Formulary Sch. III-V
Guam Rx Sch. III-V
Hawaii Rx Sch. III-V
Idaho Rx Sch. II-V
Illinois Rx Sch. III-V
Indiana
Iowa Rx Sch. III-V; Sch. II (except stimulants and depressants)
Kansas Rx Sch. II-V
Kentucky Rx SCH II-V
Louisiana Rx Sch. III-V
Maine Rx Sch. III-V (Board may approve Sch.II for individual PAs)
Maryland Rx Sch. II-V
Massachusetts Rx Sch. II-V
Michigan Rx Sch. III-V; Sch. II (7-day supply) as discharge meds
Minnesota Rx Formulary Sch. II-V
Mississippi Rx Sch. II-V
Missouri Rx SCH II-V
Montana Rx Sch. II-V (Sch. II limited to 34-day supply)
Nebraska Rx Sch. II-V (Sch. II limited to 72-hr supply)
Nevada Rx Sch. II-V
New Hampshire Rx Sch. II-V
New Jersey Rx SCH III-V
New Mexico Rx Formulary Sch. II-V
New York Rx Sch. III-V
North Carolina Rx Sch. II-V (Sch. II-III limited to 30-day supply)
North Dakota Rx Sch. III-V
Ohio
Oklahoma Rx Formulary Sch. III-V
Oregon Rx Sch. II-V
Pennsylvania Rx Formulary Sch. III-V. Limited to 30-day supply unless for chronic condition
Rhode Island Rx Sch. II-V
South Carolina Rx Formulary Sch. V
South Dakota Rx Sch. II-V (Sch. II limited to 48-hr supply)
Tennessee Rx Sch. II-V
Texas Rx In specified practice sites Sch. III-V (limited to 30-day supply)
Utah Rx Sch. II-V
Vermont Rx Formulary Sch. II-V
Virginia Rx Sch. III-V
Washington Rx Sch. II-V
West Virginia Rx Formulary Sch. III-V (Sch. III limited to 72-hr supply)
Wisconsin Rx Sch. II-V
Wyoming Rx Sch. II-V
10/18/04
DEA Registration
The Drug Enforcement Administration (DEA) has a registration category specifically for physician assistants and other so-called midlevel practitioners authorized by state law or regulation to prescribe controlled substances. For more information or to obtain a registration application, contact the DEA Registration Unit at 800/882-9539.
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- Aug 15, 2002
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EMEDPA can correct me if I'm wrong, but North Carolina is one of the most "PA friendly" states. Our profession is really growing, we are even starting to branch out overseas. England & Canada that I know of at this point.
M
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alabama must rx from a formulary
alaska sch 3-5 means nothing stronger than vicodin es
arizona any rx for up to 2 weeks/rx
any state that you see as sch II-V is unlimited rx rights, same as md/do
england, canada, holland have programs in the works or currently running
new zealand has a committee investigating using pa's
pa's work in many overseas companies that are u.s. run as well as through the peace corps, the state dept, all branches of the military, and the cia. pretty much you can work anywheere in the world as a pa that you can find a u.s. trained doc in to sign your charts.
when talking about autonomy for pa's it is not so much about what you can prescribe( by my count 29 states have unlimited rx rights and the others except ohio and indiana have variable rights), but what you can do alone. many states allow pa's to practice without an md present or allow supervision to = chart review or partial chart review(10% of charts) only within 1 month. In many states pa's can run many depts in the hospital except surgery. some er's are staffed only by pa's as well as some icu's. some hospitals have all pa housestaff on every service without residents. the attendings come in occassionally but the pa's run the day to day operations of the hospital outside the o.r.( where they 1st assist).
as monica said, north carolina is probably the best state to work in as a pa. pa's have served as state medical board directors here as well as a few other progressive states. " supervison" in north carolina = 1 30 min meeting with an md every 6 months to discuss the practice without any chart review requirement. california just enacted a law that only pt encounters in which a sch 2 dea rx is written(like morphine, demerol, percocet) require md supervision, so if someone decided to never write an rx stronger than vicodin es they wouldn't require chart review of any kind.pretty much any of the 29 states with unlimited rx rights will also have varying degrees of other good pa laws on the books.
here is a link to state by state pa regulations:
http://www.aapa.org/gandp/statelaw.html
note: a few states( california for 1) not up to date in regards to new legislation within last 3 months.
alaska sch 3-5 means nothing stronger than vicodin es
arizona any rx for up to 2 weeks/rx
any state that you see as sch II-V is unlimited rx rights, same as md/do
england, canada, holland have programs in the works or currently running
new zealand has a committee investigating using pa's
pa's work in many overseas companies that are u.s. run as well as through the peace corps, the state dept, all branches of the military, and the cia. pretty much you can work anywheere in the world as a pa that you can find a u.s. trained doc in to sign your charts.
when talking about autonomy for pa's it is not so much about what you can prescribe( by my count 29 states have unlimited rx rights and the others except ohio and indiana have variable rights), but what you can do alone. many states allow pa's to practice without an md present or allow supervision to = chart review or partial chart review(10% of charts) only within 1 month. In many states pa's can run many depts in the hospital except surgery. some er's are staffed only by pa's as well as some icu's. some hospitals have all pa housestaff on every service without residents. the attendings come in occassionally but the pa's run the day to day operations of the hospital outside the o.r.( where they 1st assist).
as monica said, north carolina is probably the best state to work in as a pa. pa's have served as state medical board directors here as well as a few other progressive states. " supervison" in north carolina = 1 30 min meeting with an md every 6 months to discuss the practice without any chart review requirement. california just enacted a law that only pt encounters in which a sch 2 dea rx is written(like morphine, demerol, percocet) require md supervision, so if someone decided to never write an rx stronger than vicodin es they wouldn't require chart review of any kind.pretty much any of the 29 states with unlimited rx rights will also have varying degrees of other good pa laws on the books.
here is a link to state by state pa regulations:
http://www.aapa.org/gandp/statelaw.html
note: a few states( california for 1) not up to date in regards to new legislation within last 3 months.
- Joined
- Mar 7, 2003
- Messages
- 173
- Reaction score
- 1
emedpa said:
Hey Emed... long time no type.
)Since when do Missouri PAs have CS writing rights?
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they passed a few years ago. I think there are lots of hoops to jump through though such asrx from individually approved formulary, etc...not a great law but a start. only ohio and indiana do not allow pa rxing now and ohio has a law proposed to amend that next year.
MISSOURI
Qualifications: Graduation from accredited PA program and current NCCPA certification. Person employed as PA for three years prior to August 28, 1989, who has passed NCCPA exam and has current certification also eligible.
Application: By PA for license, includes form signed by supervising physician. Personal appearance may be required.
Scope of practice: Histories and physicals; routine office laboratory and screening procedures; routine therapeutic procedures; counseling; assisting at surgery; writing orders; other delegated tasks.
Prescribing/dispensing: Physician assistants shall not prescribe nor dispense any drug, medicine, device or therapy independent of consultation with the supervising physician. PAs may prescribe non-controlled medications pursuant to supervision agreement with supervising physician. Prescriptions shall include name, address, and telephone number of PA and supervising physician. PAs may request, receive and sign for professional samples of non-controlled medications. Dispensing is limited to 72-hour starter dose supply of medication.
Supervision: PA must practice in same facility as supervising physician (certain facilities and clinics exempted). Physician must be immediately available for consultation, assistance and intervention.
Participation in regulation: Two PAs serve on a five-member Advisory Commission for Physician Assistants.
Missouri Board of Healing Arts, State Advisory Commission for PHysician Assistants, P.O. Box 4, Jefferson City, MO 65102; (573)751-0098.
http://pr.mo.gov/physician assistants.asp
MISSOURI
Qualifications: Graduation from accredited PA program and current NCCPA certification. Person employed as PA for three years prior to August 28, 1989, who has passed NCCPA exam and has current certification also eligible.
Application: By PA for license, includes form signed by supervising physician. Personal appearance may be required.
Scope of practice: Histories and physicals; routine office laboratory and screening procedures; routine therapeutic procedures; counseling; assisting at surgery; writing orders; other delegated tasks.
Prescribing/dispensing: Physician assistants shall not prescribe nor dispense any drug, medicine, device or therapy independent of consultation with the supervising physician. PAs may prescribe non-controlled medications pursuant to supervision agreement with supervising physician. Prescriptions shall include name, address, and telephone number of PA and supervising physician. PAs may request, receive and sign for professional samples of non-controlled medications. Dispensing is limited to 72-hour starter dose supply of medication.
Supervision: PA must practice in same facility as supervising physician (certain facilities and clinics exempted). Physician must be immediately available for consultation, assistance and intervention.
Participation in regulation: Two PAs serve on a five-member Advisory Commission for Physician Assistants.
Missouri Board of Healing Arts, State Advisory Commission for PHysician Assistants, P.O. Box 4, Jefferson City, MO 65102; (573)751-0098.
http://pr.mo.gov/physician assistants.asp
As for NPs-
Almost all states require the MSN degree with specialty training and rotations (soon will be all). All states except Georgia have some type of prescriptive practice (in Georgia, you can call in medications/refills, etc.)
Most states allow independent (most western states) or some type of collaborative practice- which allows you to practice without an MD on premises, with review of charts and reports or consultation when needed. Each state develops a differing scope of practice. Most states allow Schedule II-V drugs.
NPs are active and have training programs in the US, England, Australia and other countries in Europe. Most are in primary care and specialty areas, womens' health, geriatrics, psychiatric/mental health, etc.
see www.aanp.org for additional information
Almost all states require the MSN degree with specialty training and rotations (soon will be all). All states except Georgia have some type of prescriptive practice (in Georgia, you can call in medications/refills, etc.)
Most states allow independent (most western states) or some type of collaborative practice- which allows you to practice without an MD on premises, with review of charts and reports or consultation when needed. Each state develops a differing scope of practice. Most states allow Schedule II-V drugs.
NPs are active and have training programs in the US, England, Australia and other countries in Europe. Most are in primary care and specialty areas, womens' health, geriatrics, psychiatric/mental health, etc.
see www.aanp.org for additional information
In the real world I don't think there is much difference. A PA does not have a MD looking over there shoulder. Although, NP's can practice without an MD, I have yet to see this. I think it will come down to your background. If you have experience in the med field (seems most PA programs want this) and already have a degree but are not a nurse then PA would seem to be most sensible. If you have no experience and/or no degree then either could work. The benefit of getting an BSN would then be you could work as an RN while going to school. The other benefit of a NP is that there are many online programs. Of course clinicals aren't online but alot of the coursework is. This would allow you to work and go to school if need be.
I personally don't see alot of difference in the real world.
I personally don't see alot of difference in the real world.
