Improving healthcare quality and safety outcomes for highrisk patients requires more than basic medication reconciliation and education. Often, clinical tests are needed to verify disease status, establish baseline parameters, or monitor the progress ofmedication therapy. For example, selection of appropriate antihypertensive drug therapy may require at least basic metabolic panel laboratory tests (eg, serum creatinine, electrolytes). As provider status for pharmacists continues to spread among individual states and is considered nationally, pharmacists must be prepared to take responsibility for ordering and managing clinical tests. This issue of The Rx Consultant will present professional standards for pharmacists to follow when using such authority. The best practices shared are based on research, government reports, and decades of combined experience in California and other states. Pharmacists can utilize this information to ensure that tests are ordered only when necessary, and that results are managed appropriately and promptly. Moreover, this information can be used to educate other healthcare professionals, testing organizations (eg, clinical laboratories, imaging centers, pulmonary function test labs), and health plans about the role of pharmacists in ordering and managing tests.
- Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, and Registered Nurses
CE activities for Pharmacists and Pharmacy Technicians:
This continuing education (CE) activity meets the requirements of all state boards of pharmacy for approved continuing education hours. CE credit is automatically reported to CPE Monitor.
The American Nurses Credentialing Center (ANCC) for formally approved continuing education (CE) hours, and CE hours of pharmacotherapeutics.
The American Academy of Nurse Practitioners Certification Program (AANPCP) for acceptable, accredited CE.
- The ANCC requires all advanced practice nursing certificants (CNSs and NPs) to complete 25 CE hours of pharmacotherapeutics as a portion of the required 75 continuing education hours.
- Pharmacology CE is recommended by the AANPCP and will be required for Certificants renewing certification starting January 2017.
- Most State Boards of Nursing require a minimum number of pharmacy contact hours to renew an advanced practice license.
Requirements for CE Credit
- Describe the current status of pharmacists as healthcare providers in the US. Discuss the impact of clinical pharmacy services on quality of care and patient safety.
- Discuss professional standards or “best-practice” approaches that should be followed by pharmacists in ordering and interpreting tests.
- List at least 5 tests that pharmacist providers may appropriately order and interpret. Discuss the indications for each test, and how the results would be used.
Michelle K. Lee Chu
Brief Bio : Michelle K. Lee Chu, PharmD, CDE, BCACP; Ambulatory Care Clinical Pharmacist, University of Southern California School of Pharmacy, Los Angeles, CA.
Disclosure : Dr. Chu reports no financial or personal relationship with any commercial interest producing, marketing, reselling, or distributing a product or service that appears in this issue.
Brief Bio : Steven Chen, Pharm.D., FASHP, FCSHP, FNAP; Associate Professor and Chair, Titus Family Department of Clinical Pharmacy and Pharmaceutical Economics & Policy; Hygeia Centennial Chair in Clinical Pharmacy; University of Southern California School of Pharmacy.
Disclosure : Dr. Steven Chen reports no financial or personal relationship with any commercial interest producing, marketing, reselling, or distributing a product or service that appears in this issue.