Ohio House Bill 314: Prescribing Opioids to Minors
Effective September 17, 2014

Effective September 17, 2014, HB 314 requires all authorized prescribers to obtain and document informed consent when prescribing a controlled substance containing opioids to a minor, unless the prescribing is done in response to a medical emergency or meets other specific circumstances set forth in statute. Thank you to the Ohio Board of Pharmacy for providing and allowing the Nursing Board to use their document as a basis for this advisory. Click here to download the advisory.

Board Committee on Practice: LPN IV Therapy

The Board of Nursing will reconvene its Committee on Practice (Board Committee) Thursday September 18, 2014 at 12:00 p.m. at the Board of Nursing office located at 17 South High Street, Suite 400 in downtown Columbus. This is a public meeting. The Board Committee will continue its discussion of the statute pertaining to LPN IV therapy. Below is information that will be discussed by the Board Committee. The information is being disseminated at this time for public review and comment. Interested parties are invited to attend the Board Committee meeting, and to provide written comments that will be forwarded to the Board Committee. To ensure timely review and processing, written comments should be received by the Board by 5:00 pm. Wednesday September 16, 2014.

Comments may be sent by email to: practice@nursing.ohio.gov, or by regular U.S.Mail to: Ohio Board of Nursing 17 South High Street, Suite 400 Columbus, OH 43215. Please use the phrase "Board Committee" in the subject area of the email, or "Attention Board Committee" on the mailing envelope.

In March 2014, the Board Committee was convened to discuss the need to clarify the current statute pertaining to LPN IV therapy that is located Ohio Revised Code Sections 4723.18, and 4723.19.

The Board Committee on Practice is a committee of the Board comprised of Board members that convenes as needed to hear and discuss specific nursing practice concerns and issues. It is a forum through which the Board disseminates specific information and hears information from interested parties and clinicians.

Click Here to Download the Meeting Material

Proposed Rules and CSI Analysis

Chapters 4723-16; 4723-17; 4723-25; and 4723-26 are being reviewed according to Chapter 119.032 of the Ohio Revised Code in 2014 (Five Year Review). The Board is also proposing to amend individual rules in Chapters 4723-4; 4723-5; 4723-6; 4723-7; 4723-8; 4723-9; 4723-14; 4723-23; and 4723-2, as well as creating a new Chapter 4723-2, based on legislative amendments enacted by House Bill 488 or for technical or non-substantive reasons.

You can view the proposed rules along with the completed Common Sense Initiative (CSI) Business Impact Analysis filing at the Board's website at www.nursing.ohio.gov.

The Board may, if necessary, review these rules again at its September 18-19, 2014 meeting and anticipates holding a public hearing on the proposed rules at its November 2014 meeting, at which time the public will be provided further opportunity to provide comment on the rules to the Board. The anticipated effective date of the rules is February 1, 2015.

OAC Chapters 4723-16, 4723-17, 4723-25 and 4723-26
Click Here for Five Year Rule Review: Business Impact Analysis
Click Here for Five Year Rule Review: 4723-26, Draft Rules

OAC Chapters 4723-2, 4723-4, 4723-6, 4723-7, 4723-8, 4723-9, 4723-14, 4723-23 and 4723-27
Click Here for Updates and Technical Changes: Business Impact Analysis
Click Here for Updates and technical changes: Draft Rules

Attention CTP Holders:
New Active Cumulative Morphine Equivalent (ACME) Graph

There is a new feature, the active cumulative morphine equivalent graph, in the Ohio Automated Rx Reporting system (OARRS). This graph allows prescribers to view a patient’s ACME score for a period of time up to 24 months. To learn more about this new feature, including a sample of the new graph as part of a patient’s history report, see http://pharmacy.ohio.gov/MEDGraph.

APRN Prescriber Alert: Prepare for Change

Hydrocodone Combination Products (HCPs) Classified as Schedule II Controlled Substances
Effective October 6, 2014

Effective October 6, 2014, all hydrocodone combination products (HCPs) will be classified as schedule II controlled substances pursuant to a rule adopted by the United States Drug Enforcement Agency (DEA). For specific guidance in prescribing and complying with this new regulation, click on the link to review the Ohio State Board of Pharmacy’s guidance document, http://www.pharmacy.ohio.gov/hydrocodone.

Tramadol and Products Containing Tramadol Classified as Schedule IV Controlled Substance
Effective August 18, 2014

Effective August 18, 2014, tramadol and products containing tramadol will be classified as Schedule IV controlled substances in the state of Ohio pursuant to a rule adopted by the United States Drug Enforcement Agency (DEA).

APRNs with prescriptive authority (CTP holders) will continue to be able to prescribe tramadol and products containing tramadol, in accordance with the Formulary. However, APRNs with prescriptive authority need to be aware of the requirements specified in the Ohio State Board of Pharmacy’s guidance document in preparation for the change in the drug classification. For example, because tramadol and products containing tramadol will be classified as controlled substances, APRNs prescribing these products will need to obtain a DEA number, if they do not have one already.

For specific guidance in prescribing and complying with this new regulation, click on the link below to review the Ohio State Board of Pharmacy’s guidance document. Please note the necessary steps to take prior to August 18, 2014 to prepare for the change.

If you have any questions about the guidance document, please contact the Ohio State Board of Pharmacy at 614-466-4143 or email by visiting http://www.pharmacy.ohio.gov/Contact.aspx.

If you have questions about the Formulary or prescribing as an APRN, contact aprn@nursing.ohio.gov.

Join the Fight Against Human Trafficking

Human trafficking, the illegal trade of human beings for commercial sexual exploitation and forced labor, is one of the fastest growing criminal enterprises worldwide. Governor John Kasich is committed to addressing this problem and the Ohio Board of Nursing is joining in the fight against human trafficking.

Nurses and other health care providers are often the only professionals able to interact with trafficking victims.  The Ohio Board of Nursing encourages you to be an informed, aware and contributing member of the nursing community with respect to understanding human trafficking issues.  The Board urges you to visit the Ohio Human Trafficking Task Force website where you will find links to more information, including helpful resources such as Awareness Campaign Materials and a Human Trafficking Toolkit. The Board will also maintain a human trafficking page on its website to post additional information and updates.

Ohio’s School Nurses have a unique opportunity to prevent trafficking and identify school aged youth who may be trafficked or in other abusive situations. The Ohio Department of Health (ODH) developed a School Nurse Human Trafficking Protocol to assist with recognizing specific signs and indicators, and to provide basic screening questions and information regarding making appropriate community referrals. To review the School Nurse Human Trafficking Protocol and for other education resources, visit the ODH webpage devoted to these topics.

For additional information on human trafficking, please contact Elizabeth Ranade Janis, Anti-Trafficking Coordinator within the Ohio Department of Public Safety, at eiranade-janis@dps.state.oh.us.

Start Talking! – Ohio Launches New Youth Drug Abuse Prevention Initiative

Governor John Kasich and Ohio’s First Lady Karen Kasich launched a statewide initiative aimed at preventing drug abuse among Ohio’s youth. Start Talking! gives parents, guardians, educators and community leaders the tools to start the conversation with Ohio’s youth about the importance of living healthy, drug-free lives.

The Start Talking! Website, www.starttalking.ohio.gov, features information, tools, TEACHable Moments for the classroom, a program pairing student athletes and law enforcement officials, and an opportunity for schools and communities to get help building youth resiliency through evidence-based programs.

NCLEX Testing

The 2014 NCLEX Candidate Bulletin is now available! This document is created specifically for NCLEX candidates, and provides information about the NCLEX registration process, from the scheduling of an appointment to the receipt of exam results.

The National Council of State Boards of Nursing (NCSBN) Board of Directors voted to raise the passing standard for the NCLEX-PN Examination to -0.21 logits beginning April 1, 2014. The new passing standard will remain in effect through March 31, 2017. Click on the Licensure and Renewal page for more information.

Starting January 2014 the NCLEX program will “go green” and transition to a paperless program. Click on the Licensure and Renewal page for more information.

The 2014 NCLEX-PN Test Plan will go into effect April 1, 2014, and can be found on the current NCLEX Test Plans page of the NCSBN website. The 2014 NCLEX-PN Detailed Test offers a comprehensive listing of content for each client needs category and subcategory and exists in a candidate version and an item writer/item reviewer/nurse educator version. Click on the Licensure and Renewal page for more information.

The process of taking the NCLEX exam can be broken down into eight steps. These steps cover registration and scheduling, eligibility, identification requirements, and results processing. Click on the Licensure and Renewal page for more information.

Licensure Information for Military and Veterans Page

If you or your spouse is a current or retired member of the armed forces of the United States, or a reserve component of the armed forces of the United States, including the Ohio national guard, information is now available to help you in obtaining licensure or certification by the Ohio Board of Nursing. The new site page can be found in the primary navigation bar on the left-hand portion of the Board's webpage, or simply CLICK HERE.

Important OARRS Registration Information for CTP Holders

It is important that all Certificate to Prescribe (CTP) holders register for OARRS (Ohio Automated Rx Reporting System) to be in compliance with the legal requirements for the use of OARRS. Rule 4723-9-12, Ohio Administrative Code (OAC), requires that under certain circumstances APRN prescribers use the OARRS information in their practice when prescribing controlled substances or tramadol. You can access Rule 4723-9-12, OAC, “Standards And Procedures For Review of OARRS,” via the link below.

To register for OARRS and to obtain additional information about OARRS, go to https://www.ohiopmp.gov/Portal/Brochure.pdf. The Board encourages you to register immediately so you are in compliance with this legal requirement.

Click Here to View Chapter 4723-9-12, OAC on the Lawriter Website

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