Law review 09-29-2010

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Created by:

jwells488  on September 29, 2010

Subjects:

pharmacy law

Description:

Notes from class on prescribing authority: who can prescribe and who cannot

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Law review 09-29-2010

yes (2 years)
Are paper prescription hardcopies required to be kept?
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yes (2 years) Are paper prescription hardcopies required to be kept?
paper (keep the transcription of the prescription) How are phone prescriptions supposed to be kept?
electronically Electronic prescription information is required to be kept how?
state (they must be within their legal scope of practice) Federal or state - prescription authority
no (you cannot knowingly do this) Can a pharmacist dispense a prescription outside of the physician's or nurse's legal scope of practice?
license (their MD license or APRN or PA license... not their specialty or other) A practitioners prescriptive authority comes from _______
yes (prescriptive authority comes from the MD license) Can a dermatologist prescribe Viagra?
no (outside of their scope of practice) Can a DDS prescribe Viagra?
professional judgement How do you determine whether a drug is within the scope of practice of a prescriber?
physician, surgeon, or DO Who has the broadest scope of practice in terms of prescribing authority?
everything except veterinary drug What can MDs and Dos prescribe?
most analgesics(no CII), antibiotics, medicated contact lenses, oral NSAIDs (no steroids), topical steroids What can an optometrist treat?
yes (topical anesthetic) Can an optometrist prescribe cocaine?
no (it's used to treat chronic pain; they are approved to prescribe acute analgesics) Can an optometrist prescribe duragesic patch?
doctor of medical dentistry What is a DMD?
doctor of dental surgery What is a DDS?
disease, pain, deformity, deficiency, injury, or physical condition of human teeth or jaws or adjacent structure What can a DDS or DMD prescribe?
nothing (equivalent) What can a DDS prescribe that a DMD cannot?
no (seems chronic - need to call and verify - if they have a seemingly appropriate reason - use professional judgement) Can a dentist prescribe #50 valium prn?
depends on the state (some states define it as mid-calf and lower, some as ankle and lower, etc) What is a foot?
foot, ankle and related governing structures (cannot be result of a systemic disorder - like diabetes) Podiatrists scope of practice?
yes (in NE, as long as the delegating physician is not limited legally here) Can a PA prescribe CII drugs?
yes (the MD or DO does not have to be physically present or cosign each Rx- they just need to have the ability to contact each other) Is a telephone connection adequate for a supervising a physician overseeing a PA?
NP (not APRN, license is in the nurse practitioner) Where does the prescribing authority of an APRN-NP come from?
schedule II, III, IV, V substances for pre, current, and post anesthesia APRN-CRNAs can prescribe what?
nothing (clinical nurse specialist) APRN-CNS can prescribe what?
(fill this out) APRN-CNM can prescribe what?
doctor of veterinary medicine What is a DVM?
yes Can a DVM prescribe CIIs?
no (not in any state) Can chiropractors prescribe?
yes Do some states allow psychologists (PhDs) to prescribe?
TRUE (from a strict formulary with no refills) TRUE/FALSE - in Florida, pharmacists can independently prescribe

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