New Jersey § 45:11-49

§ 45:11-49.

a. In addition to all other tasks which a registered professional nurse may, by law,

perform, an advanced practice nurse may manage preventive care services and diagnose

and manage deviations from wellness and long-term illnesses, consistent with the needs

of the patient and within the scope of practice of the advanced practice nurse, by: (1) initiating laboratory and other diagnostic tests; (2) prescribing or ordering medications and devices, as authorized by subsections

b. and c. of this section; and (3) prescribing or ordering treatments, including referrals to other licensed health

care professionals, and performing specific procedures in accordance with the provisions

of this subsection. b. An advanced practice nurse may order medications and devices in the inpatient setting,

subject to the following conditions: (1) the collaborating physician and advanced practice nurse shall address in the joint

protocols whether prior consultation with the collaborating physician is required

to initiate an order for a controlled dangerous substance; (2) the order is written in accordance with standing orders or joint protocols developed

in agreement between a collaborating physician and the advanced practice nurse, or

pursuant to the specific direction of a physician; (3) the advanced practice nurse authorizes the order by signing the nurse's own name,

printing the name and certification number, and printing the collaborating physician's

name; (4) the physician is present or readily available through electronic communications; (5) the charts and records of the patients treated by the advanced practice nurse

are reviewed by the collaborating physician and the advanced practice nurse within

the period of time specified by rule s adopted by the Commissioner of Health pursuant to section 13 of P.L.1991, c. 377 ( C.45:11-52 ); (6) the joint protocols developed by the collaborating physician and the advanced

practice nurse are reviewed, updated, and signed at least annually by both parties;

and (7) the advanced practice nurse has completed six contact hours of continuing professional

education in pharmacology related to controlled substances, including pharmacologic

therapy, addiction prevention and management, and issues concerning prescription opioid

drugs, including responsible prescribing practices, alternatives to opioids for managing

and treating pain, and the risks and signs of opioid abuse, addiction, and diversion,

in accordance with regulations adopted by the New Jersey Board of Nursing. The six contact hours shall be in addition to New Jersey Board of Nursing pharmacology

education requirements for advanced practice nurses related to initial certification

and recertification of an advanced practice nurse as set forth in N.J.A.C.13:37-7.2 . c. An advanced practice nurse may prescribe medications and devices in all other medically

appropriate settings, subject to the following conditions: (1) the collaborating physician and advanced practice nurse shall address in the joint

protocols whether prior consultation with the collaborating physician is required

to initiate a prescription for a controlled dangerous substance; (2) the prescription is written in accordance with standing orders or joint protocols

developed in agreement between a collaborating physician and the advanced practice

nurse, or pursuant to the specific direction of a physician; (3) the advanced practice nurse writes the prescription on a New Jersey Prescription

Blank pursuant to P.L.2003, c. 280 ( C.45:14-40 et seq. ), signs the nurse's own name to the prescription and prints the nurse's name and

certification number; (4) the prescription is dated and includes the name of the patient and the name, address,

and telephone number of the collaborating physician; (5) the physician is present or readily available through electronic communications; (6) the charts and records of the patients treated by the advanced practice nurse

are periodically reviewed by the collaborating physician and the advanced practice

nurse; (7) the joint protocols developed by the collaborating physician and the advanced

practice nurse are reviewed, updated, and signed at least annually by both parties;

and (8) the advanced practice nurse has completed six contact hours of continuing professional

education in pharmacology related to controlled substances, including pharmacologic

therapy, addiction prevention and management, and issues concerning prescription opioid

drugs, including responsible prescribing practices, alternatives to opioids for managing

and treating pain, and the risks and signs of opioid abuse, addiction, and diversion,

in accordance with regulations adopted by the New Jersey Board of Nursing. The six contact hours shall be in addition to New Jersey Board of Nursing pharmacology

education requirements for advanced practice nurses related to initial certification

and recertification of an advanced practice nurse as set forth in N.J.A.C.13:37-7.2 . d. The joint protocols employed pursuant to subsections b. and c. of this section

shall conform with standards adopted by the Director of the Division of Consumer Affairs

pursuant to section 12 of P.L.1991, c. 377 ( C.45:11-51 ) or section 10 of P.L.1999, c. 85 ( C.45:11-49.2 ), as applicable. e. (Deleted by amendment, P.L.2004, c. 122 .) f. An attending advanced practice nurse may determine and certify the cause of death

of the nurse's patient and execute the death certification pursuant to R.S.26:6-8 if no collaborating physician is available to do so and the nurse is the patient's

primary caregiver. g. An advanced practice nurse may authorize qualifying patients for the medical use

of cannabis and issue written instructions for medical cannabis to registered qualifying

patients, subject to the following conditions: (1) the collaborating physician and advanced practice nurse shall address in the joint

protocols whether prior consultation with the collaborating physician is required

to authorize a qualifying patient for the medical use of cannabis or issue written

instructions for medical cannabis; (2) the authorization for the medical use of cannabis or issuance of written instructions

for cannabis is in accordance with standing orders or joint protocols developed in

agreement between a collaborating physician and the advanced practice nurse, or pursuant

to the specific direction of a physician; (3) the advanced practice nurse signs the nurse's own name to the authorization or

written instruction and prints the nurse's name and certification number; (4) the authorization or written instruction is dated and includes the name of the

qualifying patient and the name, address, and telephone number of the collaborating

physician; (5) the physician is present or readily available through electronic communications; (6) the charts and records of qualifying patients treated by the advanced practice

nurse are periodically reviewed by the collaborating physician and the advanced practice

nurse; (7) the joint protocols developed by the collaborating physician and the advanced

practice nurse are reviewed, updated, and signed at least annually by both parties;

and (8) the advanced practice nurse complies with the requirements for authorizing qualifying

patients for the medical use of cannabis and for issuing written instructions for

medical cannabis established pursuant to P.L.2009, c. 307 ( C.24:6I-1 et al.).