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Flashcards in Advanced Pharmacy Practice - Anderson Deck (16)
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1

History/Background

-1993: PhC Established
-2001: Protocols through NM Medical Board, Board of Nursing, and Pharmacy approved

2

Pharmacist Prescriptive Authority

-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

Protocol

Rx authority in accordance with BoP approved protocol, copy must be maintained by RPh exercising authority

4

Education/Training

-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

Authorized Drugs

Limited to those on protocol

6

Records

-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

Notification

-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

PhC

-Pharmacists with additional training required by regulations adopted by Board in consultation with NM Board of Medical Examiners

9

PhC Certification Requirements

1. Actively licensed as NM RPh
2. Proof of completed Board approved 60 h course
3. 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

Direct Patient Contact Preceptorship

-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

Patient Log

-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

Application

-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

CE Requirements

-20 additional CE hours, must be "live"
-Can be CME or ACPE

14

Scope of Practice

-Can only perform services delineated in protocol guidelines and within scope of practice of supervising practitioner

15

Physician Supervision

-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

16

Current Status

-~180 PhCs in NM, ~70 with protocols
-Don't confuse with RPh independent prescriptive authority