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Ohio Laws and Rules
(A) A nurse who holds a current valid certificate to prescribe may prescribe a drug or therapeutic device provided the prescription is in accordance with:
(1) The nurse’s standard care arrangement;
(2) The scope of practice in the nurse’s specialty area;
(3) The requirements of the formulary as set forth in section 4723.50 of the Revised Code; and
(4) The requirements of this chapter.
(B) The nurse’s prescriptive authority shall not exceed the prescriptive authority of the collaborating physician, including but not limited to, any restrictions imposed on the physician’s practice by action of the United States drug enforcement administration or the state medical board.
(C) A nurse who holds a current valid certificate to prescribe shall prescribe in a valid prescriber-patient relationship. This includes, but is not limited to:
(1) Obtaining a thorough history of the patient;
(2) Conducting a physical examination of the patient;
(3) Rendering a diagnosis;
(4) Prescribing medication, ruling out the existence of any recognized contraindications;
(5) Consulting with the collaborating physician when necessary; and
(6) Properly documenting these steps in the patient’s medical records.
(D) Except in an emergency situation, a nurse holding a current, valid certificate to prescribe shall not prescribe for a family member or other individual for whom the nurse’s personal or emotional involvement may render the nurse unable to exercise detached professional judgment in making diagnostic or therapeutic decisions.
(E) A nurse holding a current valid certificate to prescribe a controlled substance shall apply for, and obtain, the United States drug enforcement administration registration prior to prescribing any controlled substances.
(F) A nurse holding a current valid certificate to prescribe shall not prescribe any drug or device to perform or induce an abortion.
(G) All drugs and therapeutic devices shall be prescribed in accordance with the standard care arrangement and Chapter 4723. of the Revised Code and rules of the board.
(H) A nurse holding a current valid certificate to prescribe may prescribe drugs for purposes other than food and drug administration (FDA) indications when both of the following apply:
(1) The prescribing is in accordance with provisions of the formulary established pursuant to section 4723.50 of the Revised Code; and
(2) The prescribing is consistent with the standard care arrangement required by section 4723.431 of the Revised Code.
(I) A nurse holding a current valid certificate to prescribe shall satisfy all requirements for prescribing set forth in rule 4729-5-30 of the Administrative Code, and shall include the nurse’s prescriber number on each prescription.
Effective: 04/01/2006
R.C. 119.032 review dates: 10/14/2005 and 10/01/2010
Promulgated Under: 119.03
Statutory Authority: 4723.50
Rule Amplifies: 4723.481
Prior Effective Dates: 2/1/2002, 2/1/03