Reflect on your experience as Dr. Manning in the Do No Harm interactive exercise. How did this exercise affect your understanding of how to identify and prevent prescription medication misuse? What tools and techniques did you learn? Can you see yourself realistically using any of them in your practice? Why or why not?

Additionally, choose two of the following to address: 

• Which patient(s) from the video do you feel you worked well with, and which patient situation could you have handled differently? Explain. 
• Which patient from the video was the most challenging for you to work with? Why? Do you think you would work with them in “real life” the same way that you worked with them in this simulation?
• How realistic did you find the portrayal of the relationship between Dr. Manning and Dr. Edwards? In your experience, do doctors interact in this way? Why do you think their interaction was included in this scenario?  
• How realistic did you find the portrayal of the relationship between the nurse practitioner and the doctor? In your experience, do doctors and NPs interact in this way? Why do you think their interaction was included in this scenario?  
• How realistic do you think these patient situations are? In your experience, have you seen a need for increased vigilance in PMM? Explain. 
• How does PMM awareness and prevention support the Hippocratic Oath? Use one of the patient scenarios to support your answer. 

Discussion Prompt 2  

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #2 using Schedule II substances. 

1. There are a variety of requirements or restrictions states may impose on advanced practice registered nurses (APRNs) who prescribe controlled substances. In your state, discuss the role of the APRN in administering and dispensing drugs under the federal drug classification and schedules. Discuss your state requirements and restrictions and identify practice barriers to the nurse practitioner role including the administration of controlled substances. 
2. You have determined after a thorough history and examination that your patient’s injury requires treatment using a Schedule II substance. What are the policies for writing a prescription for a Schedule II CS? Can you offer the patient refills? What is the DEA policy on post-dated prescriptions for Schedule II drugs? How can you avoid tampering with prescriptions for controlled substances? This may vary by state. Make sure to research both the federal and state requirements where you practice. 
3. Controlled substances are categorized using a classification system. Define the five different schedules for controlled drugs and provide examples of drugs in each schedule. Explain the reason why controlled substances need to be categorized. What are the associated controls required in your state for prescribing in each schedule? 

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. In your peer replies, please reply to at least one peer who chose a different topic.