[NPInfo] Re: DNP Autonomy

[Paula Wagner]

While I don't want physicians to limit the pharmacists' scope of  
practice inappropriately, if the pharmacist doesn't examine the  
patient, take a history, make the diagnosis, and follow up with the  
patient, I'm not sure why they would initiate or modify medications.
Make recommendations and catch errors? Absolutely.
But to order something independently or change something the Advanced  
Practice Clinician or MD ordered for his/her patient?
When would that be appropriate?

Paula J

On Dec 1, 2007, at 8:17 PM, Carla Anderson wrote:
>   One thing I might comment on regarding Pharmacists, however, and  
> I do not know much about what they go through is this:  One  
> pharmacist recently told me, that in the past, they had "language  
> in their scope that allowed them to "initiate or modify"  
> medications along with a collaborating provider..but apparently the  
> AMA threatened to sue the Pharmacy board if they did not remove the  
> language. The Pharmacy board, became afraid, backed down and erased  
> the key words "initiate" and "modify", which of course nullified  
> the entire premise, and hence that part of the scope. I asked why  
> the Board of Pharmacy did not get more involved to change things at  
> the legislative level if they felt they were practicing below their  
> level of training and competence,  and the pharmacist just said  
> they have always been afraid to buck the AMA, but that they remain  
> very frustrated with the level of regulation.
>   Carla /Portland, OR