Author Question: The primary care nurse practitioner (NP) writes a prescription for an antibiotic using an electronic ... (Read 32 times)

olgavictoria · **on:** Jul 24, 2018

The primary care nurse practitioner (NP) writes a prescription for an antibiotic using an electronic drug prescription system. The pharmacist will fill this prescription when:

a. the electronic prescription is received.
b. the patient brings a written copy of the prescription.
c. a copy of the written prescription is faxed to the pharmacy.
d. the pharmacist accesses the patient's electronic record to verify.

Question 2

A primary care NP writes a prescription for an off-label use for a drug. To help ensure compliance, the NP should:

a. include information about the off-label use on the E-script.
b. provide the patient with written instructions about how to use the medication.
c. tell the patient to let the pharmacist know that the drug is being used for an off-label use.
d. follow up by phone in several days to see if the patient is using the drug appropriately.

komodo7 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
E-sign effectively voids requirements that prescriptions be written on paper or printed as a hard copy. Some scheduled drugs still require written copies. Faxed copies of this drug would be allowed but are not necessary for the pharmacist to fill the prescription. The patient's electronic medical record stands as evidence of the need for a prescription of a drug but is not needed for the pharmacist to fill the prescription.

Answer to Question 2

A
Effective communication extends beyond just the patient-provider relationship. It is important to include anyone involved in the patient's care. The best way in this case is to include the information on the E-script so that there is a record of the off-label use and to help clarify or reinforce the provider's instructions.