Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-9 - Prescriptive Authority › Section 4723-9-10 - Formulary; standards of prescribing for advanced practice registered nurses designated as clinical nurse specialists, certified nurse-midwives, or certified nurse practitioners

Current through all regulations passed and filed through July 1, 2024
(A) Definitions; for purposes of this rule
			 and interpretation of the formulary set forth in paragraph (B) of this rule,
			 except as otherwise provided:
(1) "Acute
			 pain" means pain that normally fades with healing, is related to tissue damage,
			 significantly alters a patient's typical function, and is expected to be
			 time-limited and not more than six weeks in duration.
(2) "Chronic pain" means pain that has
			 persisted after reasonable medical efforts have been made to relieve it and
			 continues either episodically or continuously for twelve or more weeks
			 following initial onset of pain. It may be the result of an underlying medical
			 disease or condition, injury, medical treatment, inflammation, or unknown
			 cause. "Chronic pain" does not include pain associated with a terminal
			 condition or with a progressive disease that, in the normal course of
			 progression, may reasonably be expected to result in a terminal
			 condition.
(3) "Extended-release or
			 long-acting opioid analgesic" means an opioid analgesic that:
(a) Has United States food and drug
			 administration approved labeling indicating that it is an extended-release or
			 controlled release formulation;
(b)
			 Is administered via a transdermal route; or
(c) Contains methadone.
(4) "Family member" means a spouse, parent,
			 child, sibling or other individual with respect to whom an advanced practice
			 registered nurse's personal or emotional involvement may render the advanced
			 practice registered nurse unable to exercise detached professional judgment in
			 reaching diagnostic or therapeutic decisions.
(5) "Hospice care program" has the same
			 meaning as in section
			 3712.01 of the Revised
			 Code.
(6) "ICD-10-CM medical
			 diagnosis code" means the disease code in the most current international
			 classification of diseases, clinical modifications published by the United
			 States department of health and human services.
(7) "Opioid analgesic" has the same meaning
			 as in section 3719.01 of the Revised Code, and
			 means a controlled substance that has analgesic pharmacological activity at the
			 opioid receptors of the central nervous system, including but not limited to
			 the following drugs and their varying salt forms or chemical congeners:
			 buprenorphine, butorphanol, codeine (including acetaminophen and other
			 combination products), dihydrocodeine, fentanyl, hydrocodone (including
			 acetaminophen combination products), hydromorphone, meperidine, methadone,
			 morphine sulfate, oxycodone (including acetaminophen, aspirin, and other
			 combination products), oxymorphone, tapentadol, and tramadol.
(8) "Medication therapy management" has the
			 same meaning as in rules adopted by agency 4729 of the Administrative
			 Code.
(9) "Minor" has the same
			 meaning as in section
			 3719.061 of the Revised
			 Code.
(10) "Morphine equivalent
			 daily dose (MED)" means a conversion of various opioid analgesics to a morphine
			 equivalent dose by the use of accepted conversion tables provided by the state
			 board of pharmacy at:
https://www.ohiopmp.gov/MED_Calculator.aspx
(effective 2017).
(11) "Palliative
			 care" has the same meaning as in section
			 3712.01 of the Revised
			 Code.
(12) "Sub-acute pain" means
			 pain that has persisted after reasonable medical efforts have been made to
			 relieve it and continues either episodically or continuously for more than six
			 weeks but less than twelve weeks following initial onset of pain. It may be the
			 result of an underlying medical disease or condition, injury, medical or
			 surgical treatment, inflammation, or unknown cause.
(13) "Terminal condition" has the same
			 meaning as in section
			 2133.01 of the Revised
			 Code.