[NPInfo] Pharmacists and flu shots...

[Shelby Havens]

Sue et al:
 
When I was at the VA, I worked with "clinical pharmacists" who had limited prescriptive authority. They were very helpful, actually. One pharmacist ran a Coumadin clinic and could order coag profiles labs and titrate doses. They could monitor aminoglycoside peaks and troughs, adjust insulin doses, etc. One pharmacist had a hypertension clinic and was quite an expert at getting poorly-controlled blood pressures down. He was fearless about adding in third or fourth antihypertensive agents. He actually kept a lot of patients out of Cardiology Clinic, which was good. 
 
But the pharmacists couldn't diagnose, and this helped to keep them off our "turf". They saw patients only by consultation from a primary care provider or a specialist.
 
 
Best Regards,
 
Shelby Havens, ARNP        
 > To: npinfo at nurse.net> Subject: RE: [NPInfo] Pharmacists and flu shots...> From: suernfnp at iwon.com> Date: Fri, 22 Aug 2008 19:19:06 -0400> > > I participated in a Relay for Life fundraiser/walk this past spring. As part of our booth, we had pharm interns to do B/Ps. They brought a digital B/P cuff from the store! One had a B/P cuff in the trunk of his car, but no stethescope. Of course, they asw nothing wrong with doing B/Ps this way. > > One of the very earnest, young interns talked about how the future for Pharm Ds is in prescribing medications: nothing said about assessment, diagnosing, or taking H & P. I'm not too worried about pharms taking jobs away from us. Different but complementary disciplines. ;)> > Sue D in MI> > > > > --- On Fri 08/22, Nbalkon at aol.com < Nbalkon at aol.com > wrote:> From: Nbalkon at aol.com [mailto: Nbalkon at aol.com]> To: npinfo at nurse.net> Cc: Balk2683 at aol.com> Date: Fri, 22 Aug 2008 15:27:19 EDT> Subject: [NPInfo] Pharmacists and flu shots...> > Hello All... Hope this helps clear up some of the issues raised.<br> <br>Just checked thru with my son, the PharmD, who is employed in community <br>pharmacy.<br> <br>In ALL states except Maine pharmacists MAY administer FLU shots.<br> <br>The specifics of pharmacy practice are dictated by each state. <br> <br>Ex: Pharmacists registered in New York State who CHOOSE TO administer <br>vaccines are REQUIRED to take and pass a course in Immunization [didactic and <br>technique]. A certificate is earned which must be posted in the pharmacy. REQUIRED <br>continuing education rt: immunization on a regular basis is mandatory.<br> <br>This is not unlike the requirement for all health professionals in New York <br>State regarding infection control. The only difference being pharmacists have <br>the OPTION of taking the immunization course.<br> <br>THE GOALS are to immunize in a safe, effective manner, and prevent <br>communicable disease. Having such a course in place certainl!> y > meets these criteria.<br> <br>Nancy Balkon, PhD, ANP-C, APRN-CS, NPP<br>Southern New York State Representative -- AANP<br>Clinical Associate Professor, Stony Brook University School of Nursing<br><br><br><br>**************It's only a deal if it's where you want to go. Find your travel <br>deal here. <br>(http://information.travel.aol.com/deals?ncid=aoltrv00050000000047)<br>_______________________________________________<br>NPInfo mailing list<br>NPInfo at nurse.net<br>http://lists.nurse.net/mailman/listinfo/npinfo<br>*****************************<br>> > _______________________________________________> > > _______________________________________________> NPInfo mailing list> NPInfo at nurse.net> http://lists.nurse.net/mailman/listinfo/npinfo> *****************************
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