Nev. Admin. Code § 639.707 - Counseling of patients: Duties of pharmacist or intern pharmacist; documentation
1. Except as
otherwise provided in this section, a pharmacist, an intern pharmacist under
the supervision of a pharmacist or a dispensing practitioner shall verbally
provide a patient or a person caring for the patient with information about
each prescription drug or device dispensed to the patient that:
(a) Has not been previously dispensed to the
patient from that pharmacy or dispensing practitioner, as applicable;
or
(b) Has been previously
dispensed to the patient from that pharmacy or dispensing practitioner, as
applicable, including, without limitation, a prescription drug or a device that
is being refilled, if, in the professional judgment of the pharmacist, intern
pharmacist or dispensing practitioner:
(1) The
information would further or improve the drug therapy of the patient;
or
(2) A reasonable concern
relating to the safety or efficacy of the drug therapy of the patient was
raised by the review of the patient's record that the pharmacist, intern
pharmacist or dispensing practitioner conducted pursuant to subsection
4.
2. The
information provided by the pharmacist, intern pharmacist or dispensing
practitioner pursuant to subsection 1 may include, without limitation:
(a) The name and a description of the
drug;
(b) The form of dosage, dose,
route of administration and duration of drug therapy;
(c) The intended use of the drug or device
and expected responses from that use;
(d) Any special directions and precautions
for the preparation, administration and use of the drug or device by the
patient;
(e) Any common severe side
effects, interactions and contraindications that may occur, recommendations to
avoid these side effects, interactions or contraindications, and the action
required if they occur;
(f)
Techniques for the patient or the person caring for the patient to monitor the
drug therapy;
(g) Proper storage of
the drug or device;
(h) Information
about refilling the prescription;
(i) Actions to be taken in the event of a
missed dose;
(j) Any relevant
information contained in the record of medication of the patient; and
(k) Any other information which, in the
professional judgment of the pharmacist, intern pharmacist or dispensing
practitioner, is necessary to ensure the safe and effective use of the drug or
device by the patient.
3. The pharmacist or intern pharmacist shall
provide the information required pursuant to subsections 1 and 2 in written
form to the patient if a drug or device will be distributed to the patient
outside the confines of the pharmacy by mail or any other delivery service. A
pharmacist or intern pharmacist is not required to provide written information
pursuant to this subsection if the drug or device is being delivered to a
patient who is in a licensed medical facility where other licensed health care
professionals are authorized to administer drugs.
4. The pharmacist, intern pharmacist or
dispensing practitioner shall review a patient's record before dispensing a
prescription to determine its therapeutic appropriateness and, in making that
determination, may consider, without limitation:
(a) Overutilization of the drug and drug
misuse;
(b) Underutilization of the
drug;
(c) Therapeutic duplications,
contraindications and any warning labels or other information included with the
drug;
(d) Interactions between the
drug and any:
(1) Other drugs which the
patient is taking or has recently taken;
(2) Diseases which the patient has, including
any stages of that disease; and
(3)
Allergies that the patient may have; and
(e) Incorrect dosage or duration of
treatment.
5. A
pharmacist, intern pharmacist or dispensing practitioner is not required to
counsel a patient pursuant to this section if the patient or a person caring
for the patient refuses to accept the counseling.
6. A pharmacist, intern pharmacist or
dispensing practitioner who dispenses a prescription shall:
(a) Create or update, as applicable, the
record of medication described in subsection 1 of NAC
639.708; and
(b) Include the record of medication, and any
updates to the record of medication, in the computerized system or files, as
applicable, of the pharmacy where the prescription is dispensed.
Notes
NRS 639.070, 639.266
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