I am a family nurse practitioner with practice in both primary and urgent care. I serve on the Board of Directors for ARNP United and the American Association of Nurse Practitioners, and am a Fellow in the Academy of Nursing and the Academy of Nurse Pracitioners. I am the current Vice-Chair of the Oregon Pharmaceutical and Therapeutics Committee.
|Course ID||Title||Meeting Time||Location||Semester||Syllabus|
|NURS 507||Health Policy Analysis||Wednesdays||Spring 2016|
|NURS 567||Primary Care of Families: Adult and Elders||Wednesdays||Fall 2015|
I have two current lines of funded research. The first focuses on nurse practitioner prescribing patterns for pediatric ADHD in Oregon and Washington Medicaid patients (funded by the American Association of Nurse Practitioners and Sigma Theta Tau, Beta Psi chapter). The second is with colleague Janessa Graves, PhD, MPH focusing on nurse practitioner assessment and management of pediatric head injury ( funded by a 2014 WSU Seed Grant and the Western Institute of Nursing/American Nurses Foundation). I recently completed development of prescribing competencies for nurse practitioners prescribing controlled substances in conjunction with the College of Registered Nurses in British Columbia. These competencies will be implemented for regulatory and educational standards based on recent statutory changes in prescriptive authority.
My dissertation focused on validation of competencies developed to enact statutory changes to Clinical Nurse Specialist prescriptive authority. These stautory changes first enabled and then expanded this authority in Oregon to include controlled substances. As part of my dissertation research and funding I completed a four year fellowship with the National Council of State Boards of Nursing’s Institute for Regulatory Excellence.
Upcoming projects include The Scope of Inclusion for Academic Medical Center Conflict of Interest Policies (WSUV Mini-Grant, 2015) which will examine whether conflict of interest policies developed for physician/pharmaceutical industry relationships extend to other prescribers, students, preceptors, and affiliate faculty.
Klein, T. (May/June, 2015). CNS prescriber characteristics and challenges in Oregon. Clinical Nurse Specialist, 29(3), 156-165.
Klein, T. ( Oct/Dec, 2014). Philanthropic dilemmas and the nurse administrator role. Nursing Administration Quarterly, 38(4), 319-326.
Klein, T. (December, 2013). State implications of the APRN consensus model. In Goudreau, K. and Smolenski, M. Health Policy and Advanced Practice Nursing: Impact and Implications. Springer: New York.
Klein, T. (2012). Implementing autonomous clinical nurse specialist prescriptive authority: A competency based transition model. Clinical Nurse Specialist, 26(5). DOI: 10.1097/NUR.0b013e318263d753.
Klein, T. (2011). Regulation of prescriptive authority. In Brown, MA & Kaplan, L. The Advanced Practice Nurse as Prescriber. Wiley-Blackwell: Hoboken.
Klein, T. (2010/2013). Legal and professional issues in prescribing. In Woo, TM & Wynne, A. Pharmacotherapeutics for Nurse Practitioner Prescribers. FA Davis: Philadelphia
Klein, T. (2011). The 1998 curriculum guidelines and regulatory criteria for Family Nurse Practitioners: What should we be teaching nurse prescribers today? The Journal of the American Academy of Nurse Practitioners, 24(1).
Klein, T. & Kaplan, L. (2010). Prescribing competencies for advanced practice registered nurses. The Journal for Nurse Practitioners, 6(2), 119-122.
Klein, T. (2010). The Convenient Care Niche: Is it Right for You? Advance for NPs and PAs, 1(1), 41-43.
Buppert, C. & Klein, T. (2008). Dilemmas in mandatory reporting for nurses. Topics in Advanced Practice Nursing eJournal, 8(4). Retrieved from http://cme.medscape.com/viewprogram/18738.
Klein, T. (2008). Credentialing the nurse practitioner in your workplace: Evaluating scope for safe practice. Nursing Administration Quarterly, 32(4), 273-278.
Klein, T. (2008, September). Do registered nurses need a national provider identifier (NPI)? Medscape Nurses: Ask the Expert.Retrieved from http://www.medscape.com/viewarticle/579984.
Klein, T. (2008). The rules of practice: What you need to know as a new NP. Advance for Nurse Practitioners Guide for NP Graduates and Senior Students, 47-48.
Klein, T. (2007). When to call the BON. Advance for Nurse Practitioners, 15(6), 20.
Klein, T. (2007). Ask the Expert: How Long Should a Visit to a Retail Clinic Take? Medscape Nurses: Ask the Expert. Retrieved from http://www.medscape.com/viewarticle/554799.
Klein, T. (2006). Working in a Retail Clinic: What Nurse Practitioners Need to Ask. Topics in Advanced Practice Nursing eJournal, 6(3). Retrieved from http://cme.medscape.com/viewprogram/5982.
Klein, T. (2004). Scope of practice and the nurse practitioner: Regulation, competency, expansion, and evolution. Topics in Advanced Practice Nursing eJournal, 4(4). Retrieved from http://cme.medscape.com/viewprogram/4188.
Klein, T. (2002/2011). Prescriptive authority in Oregon for Nurse Practitioners and Clinical Nurse Specialists. Oregon State Board of Nursing. Retrieved from http://www.oregon.gov/OSBN/pdfs/publications/prescriptive_booklet.pdf.
- PhD Nursing, 2011 Washington State University
- Post Masters FNP, 2002 Washington State University
- MS Family Nursing/ Women’s Health NP, 1993 Oregon Health and Sciences University
- BSN, 1991 Linfield College
- BA, 1985 English Literature and Creative Writing Reed College