(A) All clinical nurse specialists, certified nurse practitioners, and certified nurse-midwives, who hold a certificate to prescribe, including an externship certificate, prior to the effective date of this rule must obtain six contact hours of instruction specific to schedule II controlled substances on or before August 31, 2013 in order to be eligible to renew their certificate to prescribe, and present documentation satisfactory to the board of having completed the instruction.
(B) To meet this requirement, the course of instruction must:
(1) Include the following content:
(a) Indications and contraindications for the use of schedule II controlled substances in drug therapies, including risk, evaluation and mitigation strategies for the use of opiates in the treatment of chronic pain for non-terminal conditions, and the need for periodic assessment and documentation of the patient's functional status;
(b) The most recent guidelines and recommendations for pain management therapies and education, as established by state and national organizations such as the Ohio pain initiative, the American pain society and the United States food and drug administration (FDA);
(c) The most recent guidelines and recommendations for stimulant therapies utilized in the management of attention-deficit or hyperactivity disorder, as adopted by state and national organizations such as the American academy of pediatrics;
(d) Fiscal and ethical implications of prescribing schedule II controlled substances;
(e) State and federal laws that apply to the authority to prescribe schedule II controlled substances, including state medical board of Ohio rules governing controlled substances and the treatment of chronic pain, and Ohio state board of pharmacy rules governing the manner of issuance of a prescription; and
(f) Prevention of abuse and diversion of schedule II controlled substances, including identification of the risk of abuse, addiction and diversion, recognition of abuse, addiction and diversion, types of assistance available for prevention of abuse, addiction and diversion, the use of the Ohio automated rx reporting system (OARRS), and other methods of establishing safeguards against abuse and diversion;
(2) Meet the requirements of Chapter 4723-14 of the Administrative Code; and
(3) Be at minimum six hours in length.
(C) Applicants must submit documentation of successful completion to the board in the form of an original certificate, issued by the provider of the course of instruction that includes:
(1) Name of the attendee;
(2) Title of the program;
(3) Date of the program;
(4) Name and address of the provider and OBN approver number, if applicable;and
(5) Verification of completion of at least six hours each of sixty minutes in duration.