BCCNM prescribing Flashcards
(15 cards)
drug schedules
1
Schedule I drugs require a prescription to sell. They are provided to the public by a pharmacist following the diagnosis and professional intervention of a health care practitioner.
drug schedules
1a
Schedule IA drugs are part of the Triplicate/Duplicate Prescription Program. They may be sold by a pharmacist to a practitioner or to a client with a prescription from a practitioner according to the Pharmacists, Pharmacy Operations, and Drug Scheduling Act.
drug schedules
2
Schedule II drugs may be sold by a pharmacist on a non-prescription basis. These drugs are kept behind the pharmacy counter and not in the self-selection areas.
drug schedules
3
Schedule III drugs must be sold in a licensed pharmacy, but can be sold from the self-selection area of the pharmacy.
drug schedules
4
Schedule IV drugs may be prescribed by a pharmacist to a client according to the guidelines of the College of Pharmacists’ Council.
unscheduled
5
Unscheduled drugs can be sold without professional supervision (by a non-pharmacist) from any retail outlet.
controlled drugs & substances
Controlled Drugs and Substances
Canada’s Controlled Drugs and Substances Act (opens in a new tab)(CDSA) and its regulations provide a framework for the control of substances. A controlled substance is a drug that the federal government deems to have a higher-than-average risk for misuse or addiction. Controlled substances range from illegal street drugs to prescription medications.
Legislation.
The Health Professions Act governs health care professionals in B.C. and gives BCCNM its mandate of public protection.
B.C. Drug Schedules.
The drug schedules classify drugs into categories. The schedule a drug falls under can determine if you need a client-specific order to administer or dispense it to a client.
Medication practice standard.
Outlines the specific responsibilities and accountabilities nurses must meet when carrying out medication-related activities.
Standards of practice.
Are sets of related standards that outline the expected minimum level of performance. Limits and conditions outline additional requirements that must be met when carrying out an activity.
Nursing process medications
assessment
Why assess?
Before carrying out any medication-related activities, nurses complete appropriate client assessments. Assessments help nurses determine if a medication is:
Appropriate for the client
Evidence-informed
Reflective of the client’s needs, values/beliefs, or personal preference
what nurses need to know before dispensing or prescribing
Before preforming any medication-related activity, at a minimum, nurses know:
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The therapeutic use or indications for the medication (i.e., diabetes, anemia).
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The expected effects of the medication (i.e., relieve pain, lower blood pressure).
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Appropriate dosage of the medication for the intended use. Dosages may vary according to why the medication is being prescribed.
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Any precautions of which the nurse should be aware (i.e., use cautiously in renal impairment, handle only with appropriate PPE).
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Contraindications, which are when a client’s condition or physical or mental state indicates the drug should not be used (i.e., contraindicated in pregnant or breastfeeding women).
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The form (i.e., tablet, liquid) and route (i.e., PO, IV, IM) for administration.
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Interactions, which are reactions between two (or more) drugs or between a drug and a food, beverage, or supplement.
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Side effects the client may experience. Side effects are known and expected effects related to taking a medication that occur in addition to its intended effect. Side effects are usually mild and self-resolving.
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Adverse effects the client may experience. Adverse effects are unforeseen and a harmful, undesirable effect that result from a medication; they can be life-threatening.
client education
purpose
expected effects and side effects
duration
precaustions
