Under Standard 5, advanced practice registered nurses have additional competencies to use prescriptive authority, procedures, referrals, treatments, and therapies in line with state and federal laws and regulations; to prescribe evidence-based traditional and integrative treatments that respect the healthcare consumer's cultural preferences; to prescribe pharmacological agents based on clinical indicators and diagnostic or laboratory results; and to provide clinical consultation for complex cases to improve care and outcomes.

These APRN-specific competencies build on those of registered nurses and graduate-level prepared registered nurses. They focus on safely and legally exercising prescriptive authority and delivering treatments, while tailoring prescribing to both evidence and the consumer's cultural norms. The competencies also require using diagnostic and laboratory data to guide pharmacological prescriptions, and offering expert consultation on complicated clinical situations to enhance patient care and outcomes.

Key points

Uses prescriptive authority, procedures, referrals, treatments, and therapies in accordance with state and federal laws and regulations.
Prescribes traditional and integrative evidence-based treatments, therapies, and procedures compatible with the healthcare consumer's cultural preferences and norms.
Prescribes evidence-based pharmacological agents and treatments according to clinical indicators and results of diagnostic and laboratory tests.
Provides clinical consultation for healthcare consumers and professionals related to complex clinical cases to improve care and patient outcomes.

What are the additional competencies for the advanced practice registered nurse under Standard 5 (Implementation) regarding prescriptive authority and treatments?

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