Louisiana State Law implies, but not quite, that nurses can be officially listed as primary care providers. PNs can sign parking cards for people with disabilities and workers must not sign a death certificate. In particular, during the last Parliament, legislation was introduced that would have prevented the SBSA from “limiting the right of an advanced and registered physician and nurse to participate in a collaborative practice agreement, as provided by R.S. 37:913.” See House Bill 1215, 2014 Regular Legislative Session. The legislation has not been passed. Therefore, the proposed LSBME rule should continue the rule-making process. Hospitals whose hospitals are occupied by mid-level doctors and providers should be aware of these rules that are part of the administrative regulatory process. Louisiana nurses have the power to prescribe drugs, including controlled substances, as long as the parameters of the Common Practice Agreement specify. For each meeting in which the NP prescribes a drug, a historical and physical examination must be performed and documented, as well as a diagnosis. The treatment plan should be discussed with the patient and with a follow-up plan.
Prescriptions written by nurses in Louisiana must not only include the name of the NP, but also the name, address and telephone number of the cooperating physician. The rules for nurses who prescribe controlled substances in Louisiana are strict. Nurse practitioners should not prescribe controlled substances to treat chronic pain or obesity. You also cannot write prescriptions for controlled substances for yourself or for family members. Before he can apply for the right to prescribe controlled substances, he must have spent at least 500 hours of practice with a cooperating physician immediately prior to the application. An application for a prescription of controlled substances must be submitted to the Louisiana Board of Nursing before the privilege is granted.