Standard of care in pharmacy: A primer

The practice of pharmacy has evolved tremendously over the last hundred years. As this continues to grow and evolve, one next big steps is expand pharmacists’ ability at top their skill set incorporate a standard care model for practice. In early 1900s, pharmacists primarily acted as apothecaries were responsible compounding most medications patients. 1950s, large-scale drug manufacturing changed primary role pharmacist from being compounder dispenser acting solely dispenser. On tail that change, group in 1960s started push clinical roles. 1990s, pharmaceutical was developed served foundation pharmacist’s patient process still taught curricula, 2000, all students are required earn PharmD become pharmacists. Standard models already exist other health professions such medicine nursing, but have not been adopted uniformly by profession pharmacy. includes considers practitioner’s education, training, experience, setting. It allows practitioners level acknowledges different will levels sets. It’s important note practicing than license. For example, newly graduated who currently residency training program hospital setting 10 Likewise, an ambulatory outpatient Every state legislation guides Pharmacists must work get passed every time they want roles or abilities. This can be frustrating redundant both legislators. Idaho good example broken mold implemented model. Under model, scope everything expressly prohibited law long licensee’s experience consistent with act question. 2018 progressive United States. Over past few years APhA, National Association Boards Pharmacy (NABP), organizations also taken closer look how support states implementing similar Idaho. 2018, NABP created task force develop regulations based on standards care. After meeting, published list recommendations move forward. updates Model Act/Rules guidance each year provides language boards used if creating updating laws rules. Hopefully, use these examples continue break gain better Practice could improve care▪Renew chronic medication prescriptions▪Change dosage form (i.e., tablet liquid)▪Make therapeutic substitutions within same class▪Write prescriptions do require make diagnosis ▪Renew NABP’s State Act definitions▪The ‘Practice Pharmacy’ means, limited to, interpretation, evaluation, dispensing, and/or implementation medical orders, initiation provision Pharmacist Care Services.▪‘Standard Care’ means degree prudent reasonable licensee registrant exercise under circumstances. ▪The