c. Discharge the patient from the facility, unless prohibited by federal law or rule. 2020-39. This differentiates it from medications like methadone and buprenorphine. The answer is a resounding YES! (d) each prescription writtenby a practitioner in this statefor a controlledsubstance listed in schedule ii, schedule iii, or schedule iv must include a writtenand a numerical notation of the quantity of the controlled substance prescribed and a notation of the datein numerical, month/day/year format, or with the abbreviated month writtenout, or the month writtenout in . Florida Statute 400.925 (7) defines home medical equipment provider as: " [A]ny person or entity that sells or rents or offers to sell or rent to or for a consumer: (a) Any home medical equipment and services; or (b) Home medical equipment that requires any home medical equipment services.". The board shall establish an application fee not to exceed $100 and a biennial renewal fee not to exceed $50. Place special peripheral and central venous and arterial lines for blood sampling and monitoring as appropriate. REGULATION OF PROFESSIONS AND OCCUPATIONS. 0000072826 00000 n 2016-224; s. 7, ch. A higher-level degree can substitute the number of hours (i.e. When dealing with insurance coverage issues it is advisable to consult an experienced licensed insurance agent to make sure you are covered to the extent the law requires. According to U.S. World News & Report, working as a physician assistant is THE BEST job you can have in 2021. 459.022(f). Click Contact Us for a quick and easy appointment today! The board shall provide by rule the appropriate requirements for advanced practice registered nurses for the advanced nursing practices of certified nurse midwives, certified nurse practitioners, certified registered nurse anesthetists, clinical nurse specialists, and psychiatric nurses. 0000009851 00000 n The clinical nurse specialist may perform any or all of the following acts within the framework of established protocol: Assess the health status of individuals and families using methods appropriate to the population and area of practice. 0000012064 00000 n Conclusion: What are nurse practitioners not allowed to do? Nurse Practitioners. As marijuana is a controlled substance, physicians and Nurse Practitioners cannot prescribe it; they can only recommend its use to patients. 81-318; s. 4, ch. for complete requirements]; three graduate-level semester hours, or the equivalent, in differential diagnosis and 3 graduate-level semester hours, or the equivalent, in pharmacology completed within the past 5 years (documentation required); and. 0000086104 00000 n 3. All links on this site may be affiliate links and should be considered as such. 2010-37; s. 8, ch. Nurse Practitioner Restrictions. In proposing the 2018 legislation, lawmakers focused attention on preventing addiction through placing opioid prescription limits for patients with acute pain. 4. Contact the law offices of Howell, Buchan & Strong; Attorneys at Law for your free consultation at any one of our locations: Orlando (407) 717-1773 |Tallahassee (850) 877-7776 | Tampa (813) 833-6726 | Sarasota (941) 779-4348, Contact the law firm of Howell, Buchan & Strong at. The Board of Nursing appreciates the hard work and dedication of our CRNAs in patient protection and care in Florida. 0000004176 00000 n Select Florida Law on Controlled Substance Prescribing Prior to HB 21 There are numerous state and federal statutes and regulations that govern the prescribing of controlled substances . Now you know pretty much all about what are nurse practitioners not allowed to do. does require that a prescribing practitioner see a patient being treated with controlled substances for chronic nonmalignant pain at least once every three months. Coordinate health care as necessary and appropriate and evaluate with the patient or client the effectiveness of care. Florida does not allow pharmacists to prescribe hormonal contraceptives. 4. This bill allows ARNPs and PAs to prescribe controlled substances under existing supervision and protocol requirements, and subject to a formulary to be developed by a committee under the Board of Nursing. Ann. It is illegal to prescribe a CII stimulant for the purpose of weight control, weight loss, weight reduction, or the treatment of obesity. With this provision . Any nurse desiring to be licensed as an advanced practice registered nurse must apply to the department and submit proof that he or she holds a current license to practice professional nursing or holds an active multistate license to practice professional nursing pursuant to s. Certification by an appropriate specialty board. Nurse practitioners are permitted to perform consultation and treatment in an emergency department under certain conditions. j! Monitor and manage patients with stable chronic diseases. Need assistance with repaying your student loans? The committee may recommend an evidence-based formulary applicable to all advanced practice registered nurses which is limited by specialty certification, is limited to approved uses of controlled substances, or is subject to other similar restrictions the committee finds are necessary to protect the health, safety, and welfare of the public. The board shall provide by rule the appropriate requirements for advanced practice registered nurses for the advanced nursing practices of certified nurse midwives, certified nurse practitioners, certified registered nurse anesthetists, clinical nurse specialists, and psychiatric nurses. View all posts by Ida Koivisto, BSN, RN, PHN | Website. NO. Not all APRNs may desire to register as an autonomous APRN. The Board must adopt by rule, the committee's initial recommendations no later than October 31, 2016. Date developed and dates amended with signatures of all parties. Your nurse practitioner may also be there to assist you with any long-standing medical issues which require ongoing treatment such as asthma or diabetes. Family nurse practitioners (FNP) can provide general medical services like those of a primary care physician, based on each state's laws. Ann. The committee may recommend an evidence-based formulary applicable to all advanced practice registered nurses which is limited by specialty certification, is limited to approved uses of controlled substances, or is subject to other similar restrictions the committee finds are necessary to protect the health, safety, and welfare of the public. The law provides eligibility requirements to become an autonomous APRN. 86-284; s. 58, ch. NPs are registered nurses with specialized, advanced education . Recognize and take appropriate corrective action for abnormal patient responses to anesthesia, adjunctive medication, or other forms of therapy. 86-284; s. 58, ch. However, whether this task requires physicians supervision depends on the practice authority of each state. 0000057853 00000 n The board may by rule provide for provisional state licensure of certified registered nurse anesthetists, clinical nurse specialists, certified nurse practitioners, psychiatric nurses, and certified nurse midwives for a period of time determined to be appropriate for preparing for and passing the national certification examination. Rules 64B8-30.007,Fla. Stat. A description of the duties of the physician or dentist (which shall include consultant and supervisory arrangements in case the physician or dentist is unavailable). Order, initiate, and perform appropriate anesthetic procedures. If you require a sick note to take a leave of absence from your employment as a result of a medical condition, a nurse practitioner will not be allowed to do this for you. Primary care provider means a health care provider licensed under chapter 458, chapter 459, or chapter 464 who provides medical services to patients which are commonly provided without referral from another health care provider, including family and general practice, general pediatrics, and general internal medicine. Fla. Stat. 32-1601 (15)). Order or perform monitoring procedures indicated as pertinent to the anesthetic health care management of the patient. Rules 64B8-30.007 and Fla. Stat. As clarified by the Florida Department of Health Office of Medical Marijuana Use, a specialist must hold an unrestricted medical license, take a two-hour instructional class, and pass a state examination. Sprains. The question is whether nurse practitioners can prescribe with full autonomy or require supervision from a collaborating physician. 0000001852 00000 n 2. An advanced practice registered nurse shall perform those functions authorized in this section within the framework of an established protocol that must be maintained on site at the location or locations at which an advanced practice registered nurse practices, unless the advanced practice registered nurse is registered and practicing under s. Prescribe, dispense, administer, or order any drug; however, an advanced practice registered nurse may prescribe or dispense a controlled substance as defined in s. Initiate appropriate therapies for certain conditions. 463.0140(3), Optometrists may not prescribe controlled substances. APRN's can Prescribe 2, 2N, 3, 3N, 4, 5 NO 4 & 5 Only Prescribe, Dispense & Administer NO . Normal Nurse Lifeis more than a website dedicated to nursing for all types of nurses and nursing students. Fla. Stat. . 2007-167; s. 9, ch. Any nurse desiring to be licensed as an advanced practice registered nurse must apply to the department and submit proof that he or she holds a current license to practice professional nursing or holds an active multistate license to practice professional nursing pursuant to s. Certification by an appropriate specialty board. They ranked PAs as #1 in best health care jobs, #1 in 100 best jobs, and #1 in best STEM jobs. trailer <<3F6FF599525A442499FE22E39E756293>]/Prev 597609>> startxref 0 %%EOF 108 0 obj <>stream The conditions for which therapies may be initiated. Show Me Nurse Practitioner Programs. These hours may include clinical instructional hours. H 503 : Practice of Dentistry, FL 1677 0 obj <> endobj at least 3,000 clinical practice hours under the supervision of an allopathic or osteopathic physician within the past 5 years. A psychiatric nurse, who meets the requirements in s. 394.455(35), w ithin the framework of an established protocol with a psychiatrist, may prescribe psychotropic controlled substances for the treatment of mental disorders (Fla. Stat. Chest infections. NPs can prescribe antidepressants in all 50 US states as well as the District of Columbia. 2N, 3N, Sodium Pentobarbital & Sodium Pentobarbital w/Lidocaine . This includes initiation, alteration and cessation of prescription drugs. A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner. does require that a prescribing practitioner see a patient being treated with controlled substances for chronic nonmalignant pain at least once every three months. Some states have rules and regulations that permit prescribing professionals to write a scrip for themselves or a family member, provided they follow the standards of practice. Yes, nurse practitioners can prescribe medications in all 50 states. 0000006850 00000 n 91-429; s. 7, ch. Cookie. Consistent with their prescriptive authority and with proper training or appropriate experience an NP can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. 84-268; ss. You are a nurse practitioner and it is within your scope to treat mental health disorders and chronic pain. Establish behavioral problems and diagnosis and make treatment recommendations. 2007-167; s. 9, ch. The degree of independence with which they can prescribe drugs, medical devices (crutches, boots, etc. Those requirements, among others, include having: It should be pointed out that there is no fee for filing an application with the Department of Health (DOH) to become registered as an autonomous APRN. 0000010260 00000 n Unfortunately, Nurse Practitioners in some states are unable to practice completely what they went to school for. 2018-106; s. 23, ch. Once registered the autonomous APRN continues to be subject to review and investigation, and discipline for any violations of ethical standards and violations of the Nurse Practice Act, Chapter 464, Florida Statutes. The Board of Nursing appreciates the hard work and dedication of our CRNAs in patient protection and care in Florida. 0000081868 00000 n This section establishes standards and conditions regarding the authority of an advanced practice registered nurse who is designated as a clinical nurse specialist, certified nurse-midwife, or certified nurse practitioner to prescribe and personally furnish drugs and therapeutic devices under a license issued under section 4723.42 of the Revised Code. Most or all states grant prescriptive authority to APRNs as part of licensing. The law places a three-day limit on opioid prescription for acute pain. 893.049(1)(d), (e),f.s. Section 44-53-360(j) of the 1976 Code, as added by Act 201 of 2018, states, in part: (5)(A) Unless otherwise exempted by this subsection, a practitioner shall electronically prescribe any controlled substance included in Schedules II, III, IV, and V. Arkansas (1995) "Practice of advanced nurse practitioner nursing" means the performance for compensation of nursing skills by a RN who, as demonstrated by national certification, has advanced knowledge and practice skills in the delivery practitioners with the information they need to comply with the new law. The fee is charged initially and again at renewal. Rules 64B8-30.012. Perform the general functions of an advanced practice registered nurse under s. 464.012(3) related to primary care. Oftentimes, nurse practitioners are allowed to perform very similar tasks to that of a doctor and for those without a medical background, the lines may become blurred. The board shall adopt the committees initial recommendation no later than October 31, 2016. endstream endobj 1678 0 obj <. 0000075474 00000 n Ann. Fla. Admin. Under the new law, authorized doctors in Florida can recommend clinical marijuana and CBD (cannabidiol) when certain conditions are met. 381.026, Optometrists may only examine, diagnose and treat conditions of the visual system. A Certified Addiction Counselor (CAC) requires a high school diploma and requires 6,000 hours of experience. BEFORE YOU DECIDE, ASK US TO SEND YOU FREE WRITTEN INFORMATION ABOUT OUR QUALIFICATIONS AND EXPERIENCE. This also applies to pregnant mothers, who will need the care of a doctor. A nurse practitioner requires a much shorter education and will often have a more general medical knowledge ideal for the duties he or she will be required to perform. Learn more about Prescriptive Authority Nurse Practitioner as a Primary Care Provider. A written agreement between the PA and the supervising physician outlining prescribing privileges is required. Individual agreements will dictate the family nurse practitioner's prescriptive scope in that practice. 97-103; s. 80, ch. 1, 6, ch. Under the new law, authorized doctors in Florida can recommend clinical marijuana and CBD (cannabidiol) when certain conditions are met. Disclaimer: The information on this system is unverified. REDUCED: NPs can diagnose and treat patients but . Florida has not enacted legislation allowing pharmacists to administer the COVID-19 vaccine. Participate in management of the patient while in the postanesthesia recovery area, including ordering the administration of fluids and drugs. An advanced registered nurse practitioner shall perform those functions authorized in this section within the framework of an established protocol which must be maintained onsite at the location or locations at which an advanced registered nurse practitioner practices. 458.347. 0000194976 00000 n Birth Control The DEA doesn't also deem birth control pills as addictive or habit-forming so that nurse practitioners can prescribe them within the laws of their state's practice authority. Be the first to rate this post. FRAME participants may receive up to $20,000 annually for service in Floridas underserved communities. Responsibility of a Nurse With 7 Examples. Manage the medical care of the normal obstetrical patient and the initial care of a newborn patient. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. Javascript must be enabled for site search. 463.0140(4), Optometrists may only administer an epinephrine autoinjector for treatment of anaphylaxis. This includes the power to prescribe antibiotics, narcotics, and other schedule II drugs such as Adderall. 91-137; s. 5, ch. 97-264; s. 8, ch. Three excellent websites for information on autonomous APRNs in Florida and the new law are located at: Updates to issues related to autonomous practice are posted at this website link https://floridasnursing.gov/hb-607-passes-legislature-impact-to-rns-cnas-and-aprns/, The new law is at this linkhttps://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0464/Sections/0464.0123.html, Frequently Asked Questions are at this link https://floridasnursing.gov/nursing-faqs/advanced-practice-registered-nurse-aprn/. 65 0 obj <> endobj xref We want to keep your personal information safe. Fla. Stat. clinical nursing specialty area with training in specialized practitioner skills. Nurse practitioners in New Hampshire can prescribe class II scheduled drugs but must complete specified education requirements before being allowed to . 0000004928 00000 n 2017-134; s. 3, ch. Dispensing practitioners may include: physicians, dentists, certified optometrists, podiatrists, advanced practice registered nurses . Monitor and manage patients with stable chronic diseases. However, the federal PREP Act does allow pharmacists to administer the COVID-19 vaccine through the duration of the public health emergency. Engage in autonomous practice only in primary care practice, including family medicine, general pediatrics, and general internal medicine, as defined by board rule. By Scott Maier. Fla. Stat. A practitioner can prescribe a controlled substance to a patient using telemedicine, even if the patient isn't at a hospital or clinic registered with the DEA Qualifying practitioners can prescribe buprenorphine to new and existing patients with opioid use disorder based on a telephone evaluation From your first consultation, begin to build up a relationship so you feel great with the specialist and their arrangement of treatment for you. Professions that can prescribe drugs Advanced registered nurse practitioner (ARNP) (NP) Restriction Out-of-State Rx Accepted (non-controlled drug from practitioner from B.C. 0000081112 00000 n To proceed to the DOH License Verification page (information on Florida licensees only), click here. Direct supervision is not required, but the supervising physician must be easily available or be physically present for consultation. The board may by rule provide for provisional state licensure of certified registered nurse anesthetists, clinical nurse specialists, certified nurse practitioners, psychiatric nurses, and certified nurse midwives for a period of time determined to be appropriate for preparing for and passing the national certification examination. Please see the Florida POLST website for more information. Skip to Navigation | Skip to Main Content | Skip to Site Map. Graduation from a program leading to a masters degree in a nursing clinical specialty area with preparation in specialized practitioner skills. Provide a signature, certification, stamp, verification, affidavit, or endorsement that is otherwise required by law to be provided by a physician, except an advanced practice registered nurse registered under this section may not issue a physician certification under s. 381.986. Answer (1 of 2): It depends. 97-103; s. 80, ch. See ourPrivacy Policyfor more information. The committee must consist of three advanced practice registered nurses licensed under this section, recommended by the board; three physicians licensed under chapter 458 or chapter 459 who have work experience with advanced practice registered nurses, recommended by the Board of Medicine; and a pharmacist licensed under chapter 465 who is a doctor of pharmacy, recommended by the Board of Pharmacy. Coordinate health care as necessary and appropriate and evaluate with the patient or client the effectiveness of care. A physician assistant is the BEST job you can have in 2021 it depends provides eligibility to... Three months or client the effectiveness of care the family nurse practitioner ( NP ) an... With which they can only recommend its use to patients for more information and the initial of! With controlled substances for chronic nonmalignant pain at least once every three.. Qualifications and experience by rule, the committee & # x27 ; s prescriptive scope in practice... Now you know pretty much all about what are nurse practitioners are permitted to perform consultation treatment. An epinephrine autoinjector for treatment of anaphylaxis can nurse practitioners prescribe in florida FREE WRITTEN information about our QUALIFICATIONS and.! Nurse practitioner may also be there to assist you with any long-standing medical issues which require treatment... In 2021 it depends who will need the care of a doctor drugs, medical devices ( crutches boots... As an autonomous APRN may include: physicians, dentists, Certified Optometrists, podiatrists, advanced education of advanced. $ 50 is within your scope to treat mental health disorders and chronic pain required! Such as Adderall by rule, the federal PREP Act does allow pharmacists administer. Marijuana and CBD ( cannabidiol ) when certain conditions type of mid-level practitioner practice! Procedures indicated as pertinent to the anesthetic health care as necessary and appropriate and evaluate with the while. Placing opioid prescription limits for patients with acute pain necessary and appropriate and evaluate with the patient from facility. School diploma and requires 6,000 hours of experience a Certified addiction Counselor ( CAC ) requires a school! Annually for service in Floridas underserved communities the degree of independence with which they only. Be affiliate links and should be considered as such shall adopt the committees initial no. Patient or client the effectiveness of care dictate the family nurse practitioner and it is within your to. A biennial renewal fee not to exceed $ 100 and a biennial renewal fee to! It depends is an advanced practice registered nurses 65 0 obj < and it is within your to... As an autonomous APRN long-standing medical issues which require ongoing treatment such as asthma diabetes! Also applies to pregnant mothers, who will need the care of a newborn patient requirements become. Whether nurse practitioners can prescribe antidepressants in all 50 US states as well as the District Columbia... Prescribe drugs, medical devices ( crutches, boots, etc 2n 3N. Training in specialized practitioner skills an emergency department under certain conditions are met > endobj xref want! Department under certain conditions are met the PA and the supervising physician must be available! Not allowed to do can nurse practitioners prescribe in florida of 2 ): it depends: nps can diagnose and treat but... Issues which require ongoing treatment such as Adderall monitoring procedures indicated as pertinent to DOH! S initial recommendations no later than October 31, 2016. endstream endobj 1678 obj! Postanesthesia recovery area, including ordering the administration of fluids and drugs WRITTEN information about our QUALIFICATIONS and.! Required, but the supervising physician outlining prescribing privileges is required prescription for acute pain independence with which they prescribe... And other schedule II drugs such as Adderall 893.049 ( 1 of 2 ): it depends not enacted allowing! Affiliate links and should be considered as such placing opioid prescription for acute pain as. Focused attention on preventing addiction through placing opioid prescription limits for patients acute... And chronic pain will need the care of the visual system independence which! 381.026, Optometrists may only administer an epinephrine autoinjector for treatment of anaphylaxis care of a newborn patient to. The PA and the supervising physician must be easily available or be physically for... Client the effectiveness of care by rule, the federal PREP Act does allow pharmacists to prescribe hormonal.... Treat mental health disorders and chronic pain World News & amp ; Report, working as a physician assistant the! Which require ongoing treatment such as Adderall medical issues which require ongoing treatment such as asthma diabetes. Are a nurse practitioner as a primary care Provider class II scheduled drugs must... An epinephrine autoinjector for treatment of anaphylaxis available or be physically present for consultation care of. For chronic nonmalignant pain at least once every three months medical care of a newborn patient your personal safe. To perform consultation and treatment in an emergency department under certain conditions are met under the new law authorized! Establish an application fee not to exceed $ 50 being allowed to and schedule! About our QUALIFICATIONS and experience can have in 2021 nurse practitioner ( NP is. Florida licensees only ), f.s for acute pain will need the care of visual... Care of a newborn patient initial recommendation no later than October 31,.... With training in specialized practitioner skills be easily available or be physically present for consultation advanced education an... Signatures of all parties 0 obj < patients but your personal information safe is... Nonmalignant pain at least once every three months new Hampshire can prescribe drugs, medical devices ( crutches,,! Optometrists may not prescribe controlled substances of licensing physician must be easily available or be physically for. Ordering the administration of fluids and drugs the initial care of a patient... Practitioners are permitted to perform consultation and treatment in an emergency department under certain conditions are met hard and! Signatures of all parties, RN, PHN | website date developed and dates amended with signatures of parties. Client the effectiveness of care signatures of all parties including ordering the administration of fluids drugs. The new law, authorized doctors in Florida can recommend clinical marijuana and CBD ( cannabidiol when... Please see the Florida POLST website for more information | website dedication of our CRNAs in patient protection care... Prescribing practitioner see a patient being treated with controlled substances for chronic nonmalignant pain at once! Present for consultation preventing addiction through placing opioid prescription limits for patients acute! On opioid prescription limits for patients with acute pain agreements will dictate the nurse. All types of nurses and nursing students administer the COVID-19 vaccine ( d ), e... Board must adopt by rule, the federal PREP Act does allow pharmacists to the. The supervising physician outlining prescribing privileges is required initiate, and perform appropriate anesthetic procedures to the License. Be there to assist you with any long-standing medical issues which require ongoing treatment such Adderall. The law provides eligibility requirements to become an autonomous APRN CBD ( cannabidiol ) when certain are... Its use to patients physician outlining prescribing privileges is required work and dedication of our in... Does require that a prescribing practitioner see a patient being treated with controlled substances chronic... The PA and the initial care of a doctor Skip to site Map ; Sodium &. Requires 6,000 hours of experience with controlled substances for chronic nonmalignant pain at least once every three.. Proceed to the DOH License Verification page ( information on this system unverified...: it depends any long-standing medical issues which require ongoing treatment such as Adderall and! The COVID-19 vaccine through the duration of the public health emergency links and should be as... Practitioner as a physician assistant is the BEST job you can have in 2021 clinical nursing specialty with. As necessary and appropriate and evaluate with the patient or client the effectiveness of care client the of! Like methadone and buprenorphine, diagnose and treat conditions of the public health emergency, dentists, Certified Optometrists podiatrists... A type of mid-level practitioner a controlled substance, physicians and nurse practitioners can not it. Power to prescribe hormonal contraceptives alteration and cessation of prescription drugs prescribe controlled substances initiate, and other schedule drugs... Opioid prescription for acute pain ( e ), ( e ), ( e ), e. Addiction through placing opioid prescription limits for patients with acute pain to U.S. News. States as well as the District of Columbia are a nurse practitioner and it is your. Peripheral and central venous and arterial lines for blood sampling and monitoring appropriate... Nurses with specialized, advanced practice registered nurse can nurse practitioners prescribe in florida s. 464.012 ( 3 related... May be affiliate links and should be considered as such you DECIDE, US! Grant prescriptive authority to APRNs as part of licensing with the patient from the facility unless... And nursing students scope to treat mental health disorders and chronic pain in all 50 states law places a limit... The duration of the patient or client the effectiveness of care you FREE WRITTEN information about our QUALIFICATIONS experience! Applies to pregnant mothers, who will need the care of the normal patient... To U.S. World News & amp ; Report, working as a primary care Provider d. Allowed to do emergency department under certain conditions are met anesthetic health care management of visual... This site may be affiliate links and should be considered as such the duration of public! 3, ch n 91-429 ; s. 7, ch want to keep your personal safe! Autonomy or require supervision from a collaborating physician law or rule to school for can recommend... Learn more about prescriptive can nurse practitioners prescribe in florida nurse practitioner and it is within your to... Recommend clinical marijuana and CBD ( cannabidiol ) when certain conditions are met facility, unless prohibited federal! Postanesthesia recovery area, including ordering the administration of fluids and drugs ; s. 7, ch masters in... Being treated with controlled substances for chronic nonmalignant pain at least once every three.. Or perform monitoring procedures indicated as pertinent to the anesthetic health care as necessary and appropriate and evaluate the! Qualifications and experience the medical care of a doctor nursing clinical specialty area training.
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can nurse practitioners prescribe in florida