1.
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Registered psychiatric nurses may only compound, dispense, or administer controlled drugs and substances within their autonomous scope of practice and may only prescribe any medications within their autonomous scope of practice (including controlled drugs and substances), for the treatment of opioid use disorder.
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2.
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Registered psychiatric nurses who, within their autonomous scope of practice, diagnose and treat opioid use disorder must:
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a.
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Prescribe, compound, dispense, or administer only those medications identified by the British Columbia Centre on Substance Use (BCCSU) for the treatment of opioid use disorder and as allowed by their employer.
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b.
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Meet the employment requirements set out in the Order of the Provincial Health Officer: Registered Nurse and Registered Psychiatric Nurse Public Health Pharmacotherapy.
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c.
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Be recognized by their organization/employer as a prescriber for the treatment of opioid use disorder.
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d.
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Successfully complete:
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i.
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additional education that includes basic prescribing competencies and the medication to be prescribed; and
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ii.
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the additional education and preceptorship requirements established by the British Columbia Centre on Substance Use (BCCSU) related to prescribing for the treatment of opioid use disorder.
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e.
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Follow the clinical guidelines and protocols established by BCCSU related to the diagnosis and treatment of opioid use disorder.
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f.
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Prescribe for the treatment of opioid use disorder only when there are established policies and processes:
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i.
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For the registered psychiatric nurse to order or refer for diagnostic testing, and for the review and follow-up of diagnostic testing results, and
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ii.
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for the registered psychiatric nurse to consult with, refer to, and/or transfer care to a physician, nurse practitioner, or addiction specialist.
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g.
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Prescribe controlled drugs and substances in accordance with the British Columbia Controlled Prescription Program, including: |
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i.
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Storing all controlled prescription pads and personalized prescription pads in a secure and locked area,
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ii.
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Reporting all loss, theft or misuse of personalized prescription pads or controlled prescription pads to BCCNM, PharmaNet Support Services, the police, and, if any client information is contained on the missing pad, the Information and Privacy Commissioner for British Columbia,
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iii.
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Returning controlled prescription pads to BCCNM if licensure status changes to non-practicing or inactive, information printed on the pad is not current, or BCCNM staff instruct that pads be returned, and
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iv.
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Storing the duplicate copy of a controlled prescription with the client health record, not within the controlled prescription pad.
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h.
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Have access to PharmaNet for documenting review of the client’s PharmaNet medication profile, medication reconciliation and prescription monitoring.
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i.
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Diagnose and treat opioid use disorder within their autonomous scope of practice only while the Order of the Provincial Health Officer: Registered Nurse and Registered Psychiatric Nurse Public Health is in effect.
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