New York State Mandatory Prescriber Education Guidance
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New York State Mandatory Prescriber Education Guidance NYSNA Continuing Education The New York State Nurses Association is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. The New York State Nurses Association is accredited by the International Association for Continuing Education and Training "IACET" and is authorized to issue the IACET CEU. This course has been awarded 4.0 Contact Hours and 0.4 CEUs and is intended for Nurse Practitioners and other healthcare prescribers who have a DEA registration number to prescribe controlled substances, as well as medical residents who prescribe controlled substances under a facility DEA registration number. In order to receive contact hours/CEUs, participants must read the course material, pass an examination with at least 80%, and complete an evaluation. Contact hours/CEUs will be awarded for this independent study course until March 18, 2024. In addition, prescribers must attest to their own completion of this program. The certificate of completion must be maintained by the prescriber for a minimum of six (6) years from the date of the attestation. All American Nurses Credentialing Center (ANCC) accredited organizations' contact hours are recognized by all other ANCC accredited organizations. Most states with mandatory continuing education requirements recognize the ANCC accreditation/approval system. Questions about the acceptance of ANCC contact hours to meet mandatory regulations should be directed to the Professional licensing board within that state. NYSNA has been granted provider status by the Florida State Board of Nursing as a provider of continuing education in nursing (Provider number 50-1437). NYSNA wishes to disclose that no commercial support or sponsorship has been received. NYSNA planners and presenters declare that they have no conflict of interest in this program. New York State Mandatory Prescriber Education Guidance 1 ©2021, NYSNA. All Rights Reserved. No material may be reprinted without written permission. How to Take This Course Please take a look at the steps below; these will help you to progress through the course material, complete the course examination and receive your certificate of completion. 1. REVIEW THE OBJECTIVES The objectives provide an overview of the entire course and identify what information will be focused on. Objectives are stated in terms of what you, the learner, will know or be able to do upon successful completion of the course. They let you know what you should expect to learn by taking a particular course and can help focus your study. 2. STUDY EACH SECTION IN ORDER Keep your learning "programmed" by reviewing the materials in order. This will help you understand the sections that follow. 3. COMPLETE THE COURSE EXAM After studying the course, click on the "Course Exam" option located on the course navigation toolbar. Answer each question by clicking on the button corresponding to the correct answer. All questions must be answered before the test can be graded; there is only one correct answer per question. You may refer back to the course material by minimizing the course exam window. 4. GRADE THE TEST Next, click on "Submit Test." You will know immediately whether you passed or failed. If you do not successfully complete the exam on the first attempt, you may take the exam again. If you do not pass the exam on your second attempt, you will need to purchase the course again. 5. FILL OUT THE EVALUATION FORM Upon passing the course exam you will be prompted to complete a course evaluation. You will have access to the certificate of completion after you complete the evaluation. At this point, you should print the certificate and keep it for your records. New York State Mandatory Prescriber Education Guidance 2 ©2021, NYSNA. All Rights Reserved. No material may be reprinted without written permission. Course Objectives Upon completion of this course, the learner will be able to: • Describe New York State and Federal requirements for safe prescribing controlled substances. • Recognize appropriate prescribing guidelines for opioid analgesics for acute and chronic pain. • Outline prevention, screening and signs of addiction. • Identify responses to abuse and addiction. • Discuss Palliative and End of life care. New York State Mandatory Prescriber Education Guidance 3 ©2021, NYSNA. All Rights Reserved. No material may be reprinted without written permission. Introduction Course Description: The use of prescription and non-prescription opioids has dramatically increased in New York State. Healthcare providers who prescribe opioids must understand and demonstrate ongoing knowledge in regard to the following topics: • Federal requirements for prescribing controlled substances; • New York State requirements for prescribing controlled substances; • appropriate prescribing; • managing acute pain; • palliative care; • pain management, prevention, screening and signs of addiction; • responses to abuse and addiction; and • end of life care. Purpose: The purpose of this activity is to satisfy the Public Health Law (PHL) §3309-a (3), available here: https://www.nysenate.gov/legislation/laws/PBH/3309 Target Audience: The Public Health Law mandates prescribers licensed under Title Eight of the Education Law in New York that treat humans and who have a DEA registration number to prescribe controlled substances, as well as medical residents who prescribe controlled substances under a facility DEA registration number, must complete at least three (3) hours of course work. This training will encompass: • pain management • palliative care • addiction This includes: • physicians • physician assistants • advanced practice nurses who prescribe • dentists • registered nurses • pharmacists • residents The New York State Department of Health (NYS DOH) has provided a FAQ sheet in response to potential questions a prescriber may have about the mandatory NYS Prescriber Education. To read this FAQ please visit the following web address: https://www.health.ny.gov/professionals/narcotic/mandatory_prescriber_education/docs/faq. Compliance and Attestation Provider compliance: This course must be completed by July 1, 2017 and every three (3) years thereafter. If you are licensed on or after July 1, 2017 you must complete the training with in one (1) year of receipt of your license and every three (3) years thereafter. Provider attestation: To comply, prescribers must file the self-attestation by July 1, 2017 and once every three (3) years thereafter. To submit your attestation online, access your Health Commerce System (HCS) account and follow these steps: After logging in to the HCS website (https://commerce.health.state.ny.us/public/hcs_login.html): 1. Top Right under "my content" 2. Select "ALL applications" then 3. Browse by letter "N" and the first application name is "Narcotic Education Attestation Tracking (NEAT)" New York State Mandatory Prescriber Education Guidance 4 ©2021, NYSNA. All Rights Reserved. No material may be reprinted without written permission. 4. Select "NEAT" - Follow the steps provided (https://www.nyacp.org/files/NEAT%20Prescriber%20Instructions%203_30_17.pdf) Prescribers that do not have access to a computer can request a paper attestation form by calling the Bureau of Narcotic Enforcement (BNE) toll-free at 1-866-811-7957. They may then complete the form and return it by mail to the address provided. New York State Mandatory Prescriber Education Guidance 5 ©2021, NYSNA. All Rights Reserved. No material may be reprinted without written permission. About the Author Jennifer Klimek Yingling, Ph.D, RN, ANP-BC, FNP-BC Dr. Jennifer Klimek Yingling is an Assistant Professor at Utica College. She is an upstate New York resident helping to strengthen the community through practice, academics and research. Jennifer studied at Mohawk Valley Community College, the State University of New York Institute of Technology and received her Doctorate of Philosophy in Nursing from Rutgers University. A passionate caregiver and a patient advocate, she is dual boarded Family and Adult Nurse Practitioner. Her more than two decades of nursing experience include experience in medical surgical, emergency, forensic, occupational and student health. Dr. Klimek Yingling currently practices clinically weekly which brings real life experiences to the classroom. Her research activities include work with breast cancer survivorship, evidence-based practice, horizontal violence, emergency department throughput and Adverse Childhood Experiences. New York State Mandatory Prescriber Education Guidance 6 ©2021, NYSNA. All Rights Reserved. No material may be reprinted without written permission. Pain The International Association for the Study of Pain (IASP, 2020) revised the definition of pain as: "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage" IASP (2020) also added the following statements to further define pain: "Pain is always a personal experience that is influenced to varying degrees by biological, psychological, and social factors; Pain and nociception are different phenomena; Pain cannot be inferred solely from activity in sensory neurons; Through their life experiences, individuals learn the concept of pain; A person's report of an experience as pain should be respected; Although pain usually serves an adaptive role, it may have adverse effects on function and social and psychological