Advanced Pharmacy Practice - Anderson Flashcards
1
Q
History/Background
A
- 1993: PhC Established
- 2001: Protocols through NM Medical Board, Board of Nursing, and Pharmacy approved
2
Q
Pharmacist Prescriptive Authority
A
- NM Statute 61-11-6-A-19
- Authorizes rules/protocols for prescribing dangerous drug therapy
- Current protocols: Vaccines, tobacco cessation, hormone contraception, EC, tuberculosis skin testing, and Naloxone
3
Q
Protocol
A
Rx authority in accordance with BoP approved protocol, copy must be maintained by RPh exercising authority
4
Q
Education/Training
A
- Must complete course of training approved by BoP, usually approved by ACPE
- Complete 2 hours of ACPE approved drug therapy related to CPE every 2 years in ADDITION to normal CE requirements
- Tb is exception to this rule
5
Q
Authorized Drugs
A
Limited to those on protocol
6
Q
Records
A
- Generate written or electronic Rx
- Informed consent must be documented and maintained in pharmacy for at least 3 years
- Pharmacist documentation, including medical history
- Physician notification documentation
7
Q
Notification
A
- RPh shall notify patient’s provider or PCP
- Vaccines also need to be notified to NM DoH immunization program or update NMSIIS
- TB tests: notify DoH of “+” test results
8
Q
PhC
A
-Pharmacists with additional training required by regulations adopted by Board in consultation with NM Board of Medical Examiners
9
Q
PhC Certification Requirements
A
- Actively licensed as NM RPh
- Proof of completed Board approved 60 h course
- Proof of completion of 150 hours/300 patient contact preceptorship with a MD or prescribing practitioner
- Hours count only during direct patient interaction
- Physical assessment required for course completion with a passing score (>80%), usually offered 2x/year, series of OSCEs
10
Q
Direct Patient Contact Preceptorship
A
- Submit a log of patient encounters as part of application
- Must be initiated and completed within 2 years of application for PhC licensure, which starts after physical assessment completion
- Must involve direct patient contact with supervised patient assessment
11
Q
Patient Log
A
- Reason for visit (reason being seen)
- Assessment skill(s) - maneuvers and examinations completed (list of abbreviations on slide 16)
- Contact time - time in hours spend with each encounter
12
Q
Application
A
- All materials need to be submitted at least 45 days before next board meeting
- If approved, must register with Medical Board and/or Osteopathic Medical Board
- Need documentation of the registering with board of your supervising physician board
13
Q
CE Requirements
A
- 20 additional CE hours, must be “live”
- Can be CME or ACPE
14
Q
Scope of Practice
A
-Can only perform services delineated in protocol guidelines and within scope of practice of supervising practitioner
15
Q
Physician Supervision
A
- Direction and clinical supervision of PhC can only be done by approved and alternate MD/DOs
- Can be done written or oral communication (including phone)
- Establish QA program for services provided by PhC
- PhC must have prompt access to MD/DO
