Earn Pharmacology CE Credit in an Easy way!






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Barkley & Associates, Inc. is approved as a provider of nurse practitioner continuing education by the American Association of Nurse Practitioners. AANP Provider Number 080518.

Provider approved by the California Board of Registered Nursing, Provider Number CEP 15436, for the specified number of contact hours.

All NP state regulatory agencies (i.e., State Boards of Nursing) and national certifying bodies (e.g., ANCC, AANP, AACN, PNCB, and NCC)
recognize and accept AANP CE credit for recertification! 

Advanced Pharmacology is an ever-changing field. Standard safety precautions must be followed, but as new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current product information provided by the manufacturer of each drug to be administered to verify the recommended dose, the method and duration of administration and contraindications. It is the responsibility of the licensed prescriber, relying on expertise and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Neither Barkley & Associates nor any contributing authors assume any responsibility for any injury and/or damage to persons or property arising from this publication.

Safe prescribing of controlled substances mandates that the Advanced Nurse Practitioner is aware of State and Federal laws regulating this process. In this presentation, rules for prescribing each of the controlled substances will be discussed. Methods to decrease drug diversion including risk evaluation mitigation strategies, prescription drug monitoring programs, and dear prescriber letters will also be illustrated. To help the ANP with prescribing certain controlled substances—the opiates--in certain situations, methods for opioid rotation, discontinuance, and use in the patient taking these medications for chronic conditions will be discussed. Finally, inappropriate prescribing and high-risk situations in which controlled substances are sometimes prescribed will be highlighted in an effort to ensure the APN uses these agents in the safest manner possible.

Learning Objectives—Implications of Controlled Substance Prescribing
  • To understand the rules for controlled substances prescribing in each of the schedules.
  • To discuss manners in which to decrease controlled substance abuse and diversion, including REMS, Dear prescriber letters and prescription drug monitoring programs.
  • To recognize high-risk use of certain controlled substances, and ways to decrease this risk, including opioid rotation, or planned discontinuance as methods of treatment.