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Medical marijuana: Legal and regulatory considerations

Kaplan, Louise

Nurse Practitioner . 40(10):46-54, October 16, 2015.

Nearly half of the United States have legalized medical marijuana. Advanced practice registered nurses (APRNs) in six of these states can authorize patients for medical marijuana use. Knowledge of legal and regulatory aspects of medical marijuana laws will protect an APRN's license and the public.

Prescribing Controlled Substances: How NPs in Washington are making a difference

Kaplan, Louise; Brown, Marie-Annette; Donahue, Jeri S.

Nurse Practitioner . 35(5):47-53, May 2010.

Washington State NPs have had fully autonomous prescribing and practice since a 2005 law removed the requirement for a joint practice agreement with a physician to prescribe schedule II-IV drugs. Nonetheless, research reveals that not all NPs prescribe controlled substances nor do all NPs feel fully autonomous. For NPs, attaining autonomy has required the unwavering diligence of nurse leaders and activists. Unfortunately, a conundrum exists that encumbers the process.

Barriers to Autonomous Practice

Kaplan, Louise; Brown, Marie-Annette; Andrilla, Holly; More

Nurse Practitioner . 31(1):57-63, January 2006.

This article describes a Washington State law enacted in 2000 that mandated indirect physician involvement and a study on whether or not this eliminated barriers to nurse practitioner (NP) practice. The study also investigated the impact this had on Schedule II-IV prescriptive authority for NPs. Using the research from this article in testimony, NPs were able to eliminate the indirect physician involvement requirement in 2005.

Prescriptive Authority and Barriers to NP Practice

Kaplan, Louise; Brown, Marie-Annette

Nurse Practitioner . 29(3):28-35, March 2004.

For decades, nurse practitioners (NPs) have faced a myriad of difficulties as they attempted to provide comprehensive patient care, including pharmacological therapies. NPs have also struggled to remove constraints on their ability to practice to the full extent of their potential. Intensive legislative and regulatory work has been necessary to advance autonomous NP practice. Safriet's 1992 seminal analysis of constraints on the scope of NP practice, prescriptive authority, and eligibility for reimbursement continues to provide important guidance for removing barriers to practice.

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