The scope of practice prescribing standards, limits, and conditions set foundational requirements for prescribing by BCCNM certified registered psychiatric nurses [RPN(C)].
Key standards
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Registered Psychiatric Nurse (Certified): Prescribing practice standard
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Registered Psychiatric Nurse (Certified): Acting within Autonomous Scope of Practice standard
[SR1]
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Nurses: Medication practice standard
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Nurses: Boundaries in the Nurse-Client relationship practice standard
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Nurses: Consent practice standard
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Nurses: Privacy and Confidentiality practice standard
The prescribing standard applies when certified nurses prescribe a medication to be dispensed by a pharmacist to an individual client.
Certified nurses who prescribe comply with all BCCNM standards, limits, or conditions applicable to the situation. The prescribing nurse assumes full responsibility and accountability when issuing the prescription.
Certified practice prescribing requirements
Certified nurses who wish to add prescribing to their practice must successfully complete BCCNM-recognized education to prescribe medications, within their certification program, in employer-approved practice settings, and for specific client populations. Certified nurses who prescribe fulfill all Quality Assurance requirements.
Adding prescribing to your practice is optional, not mandatory. Note, it may be necessary for you to obtain an MSP number to ensure safe prescribing (see MSP enrollment ).
RPN(C)s who wish to add prescribing to their practice must first:
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Successfully complete BCCNM-recognized education and training.
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Apply to BCCNM for prescribing authority and obtain a BCCNM-assigned prescriber number.
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Be recognized by their workplace as a prescriber, prescribe in practice settings or facilities permitted by the employer, and follow workplace policies.
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Be familiar with their responsibilities under the Controlled Prescription Program (for OUD certification pogramonly).
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Prescribe only those medications outlined in the decision support tools for their certification program
Certified nurses with certification in OUD prescribe only for the diagnosis and treatment of opioid use disorder as outlined in the BCCSU decision support tools.
Consulting and referring
Certified nurses with certification in OUD refer to BCCNM's resource Certified practice prescribing for OUD – Consulting and referring (PDF) when consulting with or referring to other health professionals when prescribing for OUD.
FAQs
What's the difference between prescribing, giving a client-specific order, and dispensing?
Prescribing, giving a client-specific order, and dispensing are separate and distinct activities. They are not the same thing.
- Prescribing
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A nurse prescribes when they issue a prescription for a pharmacist to dispense a specified medication for use by a designated person. Only certified nurses with and nurse practitioners (NPs) are authorized to prescribe. General practice nurses are not authorized to prescribe. Certified nurses are allowed to prescribe only those medications that are outlined in the decision support tools for their certification program
- Giving a client-specific order
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A nurse gives a client-specific order when they issue an instruction or authorization, not a prescription, for another regulated health professional to carry out restricted or non-restricted activities for a client.
Giving a client-specific order may include giving instruction for a medication-related activity—compounding, dispensing, or administering, but not prescribing—to be acted on by another nurse, not a pharmacist. Nurses can only give client-specific orders for Schedule II medications and a very limited number of Schedule I medications. Certified nurses are allowed to give client-specific orders for Schedule I medications as outlined in the decision support tools for their Certification program(s). Only certified nurses with certification in opioid use disorder may give a client-specific order for Schedule IA medications, and these medications are only those as outlined in their BCCSU decision support tools.
Nurses only give client-specific orders when they meet the standards for acting within their autonomous scope of practice.
- Dispensing
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A nurse dispenses wh en they prepare and give medication for a client to take later, taking steps to ensure the pharmaceutical and therapeutic suitability of the medication for its intended use, and taking steps to ensure its proper use. Nurses dispense with or without the involvement of a pharmacist. Nurses are allowed to dispense Schedule II medications and a limited number of Schedule I medications. Certified nurses are allowed to dispense Schedule I or Schedule IA medications as per the decision support tools for their certification program
The key difference between prescribing and giving a client-specific order or dispensing is that prescribing involves giving the client a prescription that must be filled by a pharmacist. Giving client-specific orders and dispensing do not involve prescribing or giving a prescription.
- Prescribing controlled drugs and substances
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Only RPNs with certified practice in opioid use disorder can prescribe Schedule IA medications.
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When prescribing controlled drugs and substances, RPN(C)s in opioid use disorder must use
Controlled Prescription Program duplicate prescription pads or EMR printer-friendly sheets issued by BCCNM.
External resources