Scope of Practice Flashcards
License
Authorization to practice an occupation or profession which is issued by a government agency
Practitioner
Individual licensed by jurisdiction to practice prescribing drugs in course of professional practice
Prescription
order for drugs or medical supplies provided by licensed professional with intent to be dispensed by a pharmacist
Dispense
Preparation and delivery of a prescription drug according to law, in proper container, and labeled properly to a entitled patient
Pharmaceutical Care
direct responsible provision of medication-related care to achieve definite outcomes that improve patients quality of life
Supportive Personnel
person other than licensed pharmacist who may be performing duties assigned by pharmacist under direct supervision
Only pharmacists can have keys
Pharmacy Technician
individual registered by BOP to assist the pharmacist in preparing drugs for final dispensing
-Tech check Tech
-Any errors must trigger pharmacist review process (even if mistake doesn’t reach patient)
-Pharmacist is responsible for final product dispensed
-SB Bill 2279 (March 2021) allowed techs to administer medications if they are educated, trained, and CPR certified
Technician Licensure
must complete ASHP accredited academic program or on-the-job program and receive certification
-continuing education 10hr/year
-renew license each year
Ratio of pharmacists:technicians
1:4 Open pharmacy
1:5 Closed door pharmacy
Pharmacy Tech in Training
individual enrolled in academic experiential rotation program of NDSCS or on-the-job study program under supervision of licensed pharmacist
must be completed within 2 years
Pharmacy Intern
interns may complete same tasks as pharmacist as long as they are under direct supervision
-must apply for licensure
-must complete one full-time year in college prior
-must be enrolled in pre-pharmacy or pharmacy program
-must have good moral character
-renew license yearly
-at least 1500 intern hours will be accurred by end of schooling
Pharmacist
individual who is licensed by the BOP to practice the profession of pharmacy
-license must not be expired or suspended
-most trusted individual within the pharmacy
Pharmacist Licensure
individual must have graduated from approved school of pharmacy and be licensed by the BOP after appearing in person
-pass three exams: ND practical examination, NAPLEX, ND MPJE
-display license to public in pharmacy and carry it in wallet
-renew license yearly (fee)
-continued education 15hr/year
-recommended to carry malpractice insurance
Traditional Scope of Practice
Dispense, Compound, Screen interactions, Counsel
Contemporary Scope of Practice
Dispense, Compound, Screen interactions, Counsel
+administer medications
+Complete Medication Review (CMR)
+Disease State Management (DSM)
+Drug Utilization Review (DUR)
+evaluate lab results
+health screenings/physical assessment
+Medication Therapy Management (MTM)
+Medication Use Evaluation (MUE)
+Point of Care Testing (Clinical Laboratory Improvement Act waived tests) POCT (CLIA waived)
+prescribe
+telepharmacy
Complete Medication Review (CMR)
collecting information to improve patient knowledge of medications and address problems or concerns by creating a plan
-send summary to provider
-goal: increase adherence and decrease side effects
Disease State Management (DSM)
created by Ashville Project-Diabetes Ten City Challenge to encourage patients to manage their DM with help of pharmacist
-average savings for company: $918/patient
-4:1 return on investment by year-2
-50% in absenteeism
-95% satisfaction rate
-$400-600/year savings in copays
Drug Utilization Review (DUR)
ongoing review of prescribing, dispensing, and use of medication
Medication Therapy Management (MTM)
Services to optimize therapeutic outcomes for patients
-select/start/modify medication therapy
-monitoring
-perform CMR
-document
-educate and train
Medication Use Evaluation (MUE)
DUR + implement a change + assess the results of the change
-performance improvement method
Point of Care Testing aka Clinical Laboratory Improvement Act waived tests (POCT aka CLIA waived)
Includes many tests such as blood glucose, virus testing, and cholesterol levels among others
Collaborative Practice Agreement (CPA)
formal agreement where licensed provider makes diagnosis and then refers patient to pharmacist for specific patient care
Dr. Maack
-change medications within disease state
-order labs
The Pharmacy and Medically Underserved Areas Enhancement Act
Medicare Part B recognition of pharmacists as integral to patient access in outpatient setting
-give pharmacies ability to bill and be reimbursed to outpatient care interventions
Barriers to pharmacists getting provider status
-Legislators see it as new spending not saving
-Fee for services is difficult to implement
-other providers are against because they want to bill for services
