Garden

Thank you for the feedback. This is for a Hemophilia Clinic. Medications are weight based so the monthly refills keeps track of the patients weight and the potential for dosage change. This also keeps track of any bleeds the patient may experience. If the patient has had any recent bleeds/weight changes THEN the provider is notified and involved in the refilling process. Otherwise if the patient had no recent bleeds or any weight changes the medication is then refilled by the RN but the physician is not involved until it is already ordered. Thoughts?

Hello ?? I am a Michigan Nurse and for most of my career have worked in the hospital. Most recently I have started to work in a specialty clinic. In this clinic, the physician will delegate the ability to write orders under their name. Patients are given prescriptions for one month at a time. So patients call every month to get a new refill. The nurse will typically get this phone call and will automatically write the order for the refill for that month and send it to the patient’s pharmacy. This order will later be sent to the provider for approval after the prescription is typically filled. Is this process OK?

Hello ?? I am a Michigan Nurse and for most of my career have worked in the hospital. Most recently I have started to work in a specialty clinic. In this clinic, the physician will delegate the ability to write orders under their name. Patients are given prescriptions for one month at a time due to the medication being weight based. So patients call every month to get a new refill. The nurse will typically get this phone call and will automatically write the order for the refill for that month and send it to the patient’s pharmacy. This order will later be sent to the provider for approval after the prescription is typically filled. I view this as prescribing and not in the nurse’s scope of practice. When I try to find more information online, the only guidelines available are about opioids which we are not refilling. Is it OK for nurses to authorize refills in this scenario? (I’m employed in Michigan)