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NEW! APRN Update March 2018

Friday, February 23, 2018   (1 Comments)
Posted by: Leila Faucette
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Newsletter of the Kentucky Association of Nurse Practitioners & Nurse-Midwivess

A PRN Update  March 2018


Page one message from Jessica Estes, President

What YOU Don’t Know CAN Hurt You

As a member of our professional association, would you have considered this column title a great subject for a CE program?   In the last few months, gathering information and intel for the preparation for SB 89, trying to gain full practice authority in Kentucky, it has become apparent all professions have members who are not well versed on prescribing rules and regulations, and all have some bad actors.  Across the nation, we are seeing skyrocketing numbers of opiate addictions and deaths.  We are seeing a larger than ever population with poor coping skills and major mental health issues.  For the first time in decades, we have seen maternal death rates rise and average life expectancy decrease, in part because of substance abuse.


As APRNs our first question should be, “why are these things occurring?” Our second question should be, “how can we help?”


When we look at the number of opiate addictions we are also seeing a correlating rise in regulations that are geared towards over-prescribing.  The trend is to blame prescribers for the number of opiates that are being written.  We have more tools than ever to look at our own prescribing patterns and we should be using them.  We should be running self-KASPER reports and making sure we are consistent with recommended clinical practice.   We also need to look at the prescribing practices of our peers.  I am certain if we were asked, we could all think of someone whose practices aren’t evidenced based and perhaps are concerning.   Are we reaching out to our colleagues and expressing our concerns?  Are we educating our patients on risks?  For example, when was the last time you told a patient that driving a car while using pain medications could result in a DUI?  What about looking at your own KASPER reports and making comments on how and why you have written controlled substances?  Can you justify all of the scripts that you continue to write?


Controlled substance prescribing has a national stage that isn’t likely to change for a while.  We have to be the best at making sure we are prescribing in a safe and effective manner.  We have to be able to clearly document our reasons and rationale for what we do.  We also have to be the best at educating patients on risk.  If you are unsure or unclear on how you should be auditing yourself or how you can address concerns about your peers, please start reaching out.  Your Coalition and Association Boards will help you find the appropriate resources so that we can provide the highest quality care for Kentucky residents. 

In the upcoming months you will see my title again – “What YOU don’t know CAN hurt you.”  


Conference is only 2 short months away – come and visit me at the President’s table. 


I would LOVE to say I shook hands and met every conference attendee! 




Lisa K. Newman says...
Posted Saturday, March 3, 2018
Thank you for this and keeping it ever present in our minds. Prescribing is something we choose to do to help out patients. Will see you at the conference.

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