Cultural, Legal, and Ethical Considerations文化，法律，道德方面考虑.ppt

Cultural, Legal, and Ethical Considerations Jan Bazner-Chandler RN, MSN, CNS, CPNP Federal Food and Drugs ACT FFDA Required drug manufactures to list on the drug product label the presences of dangerous and possible addicting substances. U.S. Pharmacopeia Drug Enforcement Administration DEA is charged with the enforcement of Controlled Substance Act. DEA Individuals and companies legally allowed to handle controlled substances must register with DEA, keep accurate records of all transactions, and provide secure storage of drugs. Physicians assigned number by DEA and must put number on all prescriptions of controlled substance. DEA and the consumer DEA will monitor the number of controlled substance prescriptions a consumer is using and from what physicians the prescriptions are being dispensed. Schedule I Drugs Drugs with high abuse risk. These drugs have NO safe, accepted medical use in the US. Some examples are heroin, marijuana, LSD, PCP and crack cocaine. Schedule II Drugs Drug with high abuse risk, but also have safe acceptable uses in the United States. These drugs can cause severe psychological or physical dependence. Schedule II drugs include: certain narcotic, stimulant and depressant drugs. Morphine, cocaine, oxycodone (Percodan) and dextroamphetamine (Dexedrine) for ADD. Schedule II Drugs Must be kept locked and signed out only by registered personal. On the wards need key or code to gain access to medications – narcotics for pain relief. Schedule II - prescription At this time NP and PA do not have prescription writing ability. In the hospitalized client narcotics often need to be re-ordered every 36 hours. In the community – number of pills dispensed is regulated. Schedule III, IV or V Drugs with an abuse risk lower than Schedule II. These drugs also have safe and accepted medical use in the US. Drugs may contain safer and small amounts of certain narcotic and non-narcotic drugs, anti-anxiety, tranquilizers, sedatives, stimulants, and non-narcot