Pharmacists, prescribing

Physicians and pharmacists prescribing and dispensing Scheduled drugs must register annually with the Drug Enforcement Agency (DEA), keep an accurate inventory of Scheduled drugs, and comply with a list of other stipulations. 

Further information on independent nurse and pharmacist prescribing can be found in Part XVIIB(ii) of the Drug Tariff for England and Wales (see Section 2.4.1). This states that nurse independent prescribers and pharmacist independent prescribers ... 

Explaining is one of a pharmacist s most frequently used skills and lies at the heart of pharmacy practice. It is basically an informative function but also has an educational role with regard to public health. The area will continue to expand as pharmacists engage in new roles, such as medicines use reviews (MURs), pharma-cist-led clinics, pharmacist prescribing, etc. If pharmacists and pharmacy technicians are to maximise their potential roles it is essential that their communication skills are maintained to provide positive health benefits to patients. 

Tabie 1 Attributes of state and federal regulations governing pharmacist prescribing... 

The modem practice of pharmacy is in a state of evolution. One important element of that evolutionary state is the inclusion within the scope of practice of some pharmacists in some jurisdictions of the right to prescribe medications to a patient. A pharmacist who undertakes the new skill of prescribing must acquire the appropriate skills consistent with the sophistication of the task or risk liability on various levels. This article will summarize critical legal and ethical issues associated with the evolving function of the pharmacist prescriber. 

The federal government has experimented with various models of pharmacist prescribing.The VA and the IHS appear to have the most liberal policies toward pharmacist prescribing.In the VA, clinical pharmacy specialists are required to have an advanced degree or have completed an accredited residency (e.g., an American Society of Health Systems Pharmacy, ASHP, accredited residency) or specialty board certification (e.g., a Board of Pharmaceutical Specialties, BPS, certification) before they may prescribe medications within their scope of practice. The scope of practice is established within the local VA facility. Once this criterion is satisfied, the clinical pharmacy specialist may function as an independent health care provider. In the IHS, pharmacists can be credentialed to provide primary care and use their prescriptive authority to evaluate and manage the care of certain patients. 

The expansion of pharmacist prescribing may be affected by marketplace factors such as the abundant availability of other nonphysician prescribers, the current focus of... 

This article has summarized critical legal and ethical issues associated with the evolving function of the pharmacist prescriber. The purpose of this chapter is not to discourage pharmacists interested in prescribing, but to review critical issues associated with a new role. With proper training, communication with the patient and the patient s physician, adherence to the appropriate standard of care, avoidance of ethical and criminal breaches, the modern pharmacist will be able to contribute even more to the health care team. 

In the SEFH s view, the preparation and dispensation of artificial nutrition is not the pharmacy services only activity, as they can also perform prescription and clinical monitoring. This already occurs at a number of Spanish hospitals the pharmacist prescribes and performs daily checkups on patients being fed artificially. 

Lyster RL, Houle SK. Abnormal vaginal bleeding following pharmacist prescribing of metformin leads to the detection of complex endometrial hyperplasia. Ann Pharmacother 2013 47(ll) 1581-3. 

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