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There is nothing in regulation prohibiting APRN from opening their own practice. However, All nurses shall be responsible and accountable for making decisions that are based upon the individuals' educational preparation and experience in nursing and shall practice nursing with reasonable skill and safety.
Certain drugs, such as Adderall, oxycodone, testosterone, Ambien and cough syrup with codeine, still require a collaborative agreement. Of the 5,410 nurse practitioners in the state, 1,948 have an agreement to prescribe these more restrictive drugs, according to the Kentucky Board of Nursing.
Prescriptive Authority for Controlled Substances. (CAPA CS)
Starting July 15, nurse practitioners in Kentucky who have completed a four-year collaboration with a physician will be allowed to prescribe routine medications without a doctor's involvement, a major shift that could help improve consumers' access to care.
Rules for APRNs vary state by state. In Kentucky, a Collaborative Practice Agreement has to be in place between a physician and an APRN in order for the nurse to write prescriptions such as controlled substances.
Can CRNAs practice independently? Independent: No requirement for a written collaborative agreement, no supervision, no conditions for practice, may follow a statutorily required period of practice under a collaborative/supervisory agreement.
OFFICIAL CAPA-NS Form - Kentucky Association of Nurse Practitioners & Nurse-Midwives.
APRNs Opening an Independent PracticeThere is nothing in regulation prohibiting APRN from opening their own practice.
So yes, nurse practitioners can write prescriptions for these anxiety medications in all 50 states, according to each state's guidelines for prescribing.