Full Answer Section

• State Nurse Practice Acts: These are state laws that govern the practice of nursing, including the scope of practice for NPs and CNMs.  

General Considerations for NP/CNM Furnishing:

• State-Specific Regulations: The most crucial factor is the specific regulations in the state where the NP or CNM practices. These laws vary widely and can significantly impact their prescribing authority.  

• Education and Training: The extent of an NP’s or CNM’s education and training will influence their prescribing authority.  

• Type of Medications: Regulations often differentiate between prescription drugs, controlled substances, and other medications.
• Patient Population: Regulations may vary based on the type of patients the NP or CNM serves (e.g., adults, children, specific populations).
• Supervision Requirements: Some states may require varying levels of physician supervision, from direct supervision to collaborative agreements.  

Key Considerations for Controlled Substances:

• DEA Registration: NPs and CNMs who prescribe controlled substances must be registered with the Drug Enforcement Administration (DEA).  

• Stricter Regulations: Regulations for prescribing controlled substances are typically more stringent due to their potential for abuse.

How to Determine Specific Regulations:

• State Board of Nursing: The state board of nursing is the primary source of information regarding the scope of practice and prescribing authority for NPs and CNMs within that state.
• State Medical Boards: The state medical board may also provide relevant information and guidance.
• Professional Organizations: Professional organizations such as the American Association of Nurse Practitioners (AANP) and the American College of Nurse-Midwives (ACNM) can provide resources and guidance on state-specific regulations.  

It is crucial for NPs and CNMs to be fully aware of and comply with all applicable state and federal laws and regulations regarding prescribing and furnishing medications.

I strongly recommend that you consult with your state board of nursing and seek guidance from relevant professional organizations for specific information regarding your scope of practice and prescribing authority.