4723-9-09 Standards of prescribing for nurses with a certificate to prescribe.

(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 may include, but is not limited to:

(1) Obtaining a thorough history of the patient;

(2) Conducting a physical or mental 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) Acceptable and prevailing standards of safe nursing care require that a nurse maintain detached professional judgment in the treatment of family members.

(1) A nurse holding a current, valid certificate to prescribe shall not prescribe any drug or therapeutic device to family members unless:

(a) The nurse is able to exercise detached professional judgment in reaching diagnostic or therapeutic decisions;

(b) The prescription is in accordance with the nurse's scope of practice and standard care arrangements; and

(c) The prescription is documented in the patient's record.

(2) A nurse holding a current, valid certificate to prescribe shall not prescribe controlled substances for a family member.

(3) For the purposes of this rule, "family member" means a spouse, parent, child, sibling or other individual with respect to whom a nurse's personal or emotional involvement may render the nurse unable to exercise detached professional judgment in reaching 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, except if not required to do so as provided in rule 4729-17-13 of the Administrative Code.

(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.

(J) A nurse holding a current, valid certificate to prescribe shall satisfy all the standards and procedures for review of OARRS reports as defined and set forth in rule 4723-9-12 of the Administrative Code.

(K) A nurse holding a current, valid certificate to prescribe shall not self-prescribe a controlled substance.

R.C. 119.032 review dates: 04/08/2014 and 10/15/2015
Promulgated Under: 119.03
Statutory Authority: 4723.50
Rule Amplifies: 4723.481
Prior Effective Dates: 02/01/2002, 02/01/2003, 02/01/2006, 02/01/2011, 02/01/2012