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NATIONAL COLLABORATIVE PRESCRIBING Program PORTFOLIO REVIEW 3Trainees Name: ___Reinstitution: ___Has this item been completed?*Learning LogYesNoPrescribing Log 3YesNoPrescribing Log 4YesNoCaseBased
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How to fill out a collaborative pharmacist prescribing

01
Identify a collaborating physician who is licensed and willing to collaborate with the pharmacist.
02
Determine the scope of practice for the pharmacist and the collaborating physician.
03
Establish a collaborative agreement outlining the responsibilities of both parties.
04
Ensure that the pharmacist has the necessary training and qualifications to prescribe medications.
05
Keep up to date with state regulations regarding collaborative pharmacist prescribing.

Who needs a collaborative pharmacist prescribing?

01
Pharmacists who want to expand their scope of practice and have the necessary training and qualifications.
02
Patients who may benefit from having access to a pharmacist prescribing medications in collaboration with a physician.
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Collaborative pharmacist prescribing is when a pharmacist works together with a healthcare provider to prescribe medication.
Pharmacists and healthcare providers who are collaborating to prescribe medication are required to file a collaborative pharmacist prescribing.
A collaborative pharmacist prescribing form can be filled out by providing all necessary information about the patient, medication, and collaboration between the pharmacist and healthcare provider.
The purpose of collaborative pharmacist prescribing is to improve patient access to medication and ensure coordinated care between healthcare providers and pharmacists.
Information such as patient demographic information, medication details, collaboration agreement between pharmacist and healthcare provider, and any follow-up instructions must be reported on a collaborative pharmacist prescribing form.
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