<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:62:03:11"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000000">20</span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000000">:</span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000000">62</span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000000">:</span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000000">03</span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000000">:</span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000000">11</span></a><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000001">.  Prescribing.</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> A nurse practitioner or nurse midwife may request, receive, and</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">provide prepackaged drug samples which the nurse practitioner or nurse midwife is authorized to</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">prescribe. A drug sample means a prepackaged unit of a prescription drug supplied by the</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">manufacturer and provided at no charge to the patient. A nurse practitioner or nurse midwife may</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">provide prepackaged, labeled drug samples to the nurse practitioner's or nurse midwife's patients</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">for conditions being treated by the nurse practitioner or nurse midwife. Each sample drug shall</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">be accompanied by written administration instructions.</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    Prior to prescribing any controlled substances listed in SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">34-20B</span></a><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">, a nurse</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">practitioner or nurse midwife, that meets state and federal controlled substance registration</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">requirements, shall register with the state's prescription drug monitoring program (PDMP) and</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">meet requirements in</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> SDCL</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20E"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">34-20E</span></a><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">. The standards for documentation of patient care when</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">prescribing controlled substance drugs for the treatment of chronic, non-cancer pain include:</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    (1)</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">  </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">Documentation of</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">results of physical examinations, diagnostic or laboratory tests;</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    (2)</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">  </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">Documentation of a patient's medical and psychosocial history;</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    (3)</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">  </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">Documentation that appropriate state PDMPs were accessed;</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    (4)</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">  </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">Documentation of a patient's treatment agreement, if used;</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    (5)</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">  </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">Documentation of having provided instructions to the patient, or patient's</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">representative, of the benefits and risks of controlled substances, proper use and storage of drugs,</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">and proper disposal of unused drugs;</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    (6)</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">  </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">When prescribing opioid drugs, documentation of instructions including the risk of</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">addiction, overdose, and death, and use of naloxone products to reverse overdose, as defined in</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> </span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">SDCL </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">c</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">hapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">34-20A</span></a><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">;</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    (7)</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">  </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">Progress or lack of progress of pain management and functional improvement; and</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    (8)</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">  </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">Consultation with other health care providers or specialists.</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000001">Source:</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> 45 SDR 9, effective July 30, 2018.</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000001">General Authority:</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9A-41"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">36-9A-41</span></a><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">.</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">    </span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000001">Law Implemented:</span><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">34-20A</span></a><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">34-20B</span></a><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20E"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">34-20E</span></a><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9A-12"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">36-9A-12</span></a><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9A-13"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">36-9A-</span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">1</span><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">3</span></a><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9A-29"><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0-000003">36-9A-29</span></a><span class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1C0">(5)(9).</span></p><p dir="ltr" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1P0"><span xml:space="preserve" class="sb36a43be-61d1-4c3e-bdb7-ac081de4e6c1000002"> </span></p></div></body></html>