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Recently, Nursing Council strategic programmes director Pam Doole spoke to the combined groups about the council's vision for prescribers--and heard from nurse prescribers about their own challenges and rewards.
Consistent with prior research examining access to buprenorphine waivered physicians, this study found an overall increase in potential access to OUD prescribers. However, in 2015, 60 percent of US counties lacked access to a buprenorphine prescriber and over 75 percent lacked access to an oral naltrexone prescriber.
The implication here is that some nurses on the wards (like some doctors) are also not aware of the limitations on a nurse prescriber. Whether this can lead to a poorer working relationship with the ward staff is not clear from Nurse B's response but it's a possibility.
As a result, prescribers are looking for partners to help them in that process.
From October 2015 to December 2016, we conducted a cross-sectional survey of primary care prescribers in SA using a 14-point self-administered questionnaire.
After the first prescription, the prescriber is required to check the Prescription Drug Monitoring Program (PDMP) database before prescribing any additional opioids for the same patient.
At Khwee there are two general nurses, one of whom is an ARV prescriber nurse, one midwife, one health care assistant, one health education assistant, two drivers while at Mmea there are two general nurses, one of whom is an ARV prescriber nurse, two health education assistant, one driver.
Caption: Characteristics of the top 1% of opioid prescribers for 2014
Those include the use of opioids with an average daily morphine milligram equivalent (MME) greater than or equal to 90 mg for any duration during the most recent 6 months and either four or more opioid prescribers plus four or more opioid-dispensing pharmacies or six or more opioid prescribers, regardless of pharmacies.
A new GuidedHealth Care Program, which includes direct member intervention and may enroll members in a pharmacy home or single prescriber for their controlled substance medicines to increase safety for those members most at risk for misuse.
For example, Anderson Hospital in Illinois was able to integrate PDMP data with EHRs, which resulted in a dramatic increase in solicited reports per registered prescriber at the hospital, as well as a 22% decrease in opioid prescriptions over two years, and a 41% decrease in the number of patients who receive at least one opioid prescription from Anderson prescribers during that period.

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