Bill Text: IN HB1111 | 2011 | Regular Session | Introduced
Bill Title: Drug regimen protocols.
Spectrum: Bipartisan Bill
Status: (Introduced - Dead) 2011-01-11 - Representative Welch added as coauthor [HB1111 Detail]
Download: Indiana-2011-HB1111-Introduced.html
Citations Affected: IC 25-26-16.
Synopsis: Drug regimen protocols. Allows a physician to adopt a
protocol that allows a pharmacist to adjust a patient's drug regimen in
a setting other than a hospital. Requires a pharmacist to communicate
with the admitting practitioner to receive approval to begin the
protocol. (Current law requires communication only if a protocol
involves parenteral nutrition of the patient.) Requires that when a
pharmacist is practicing a protocol under physician authorization that:
(1) the pharmacist must be under the direct supervision of the
physician; and (2) the protocols must, at a minimum, require that the
medical records of the patient are available to both the patient's
physician and the pharmacist. Requires a physician to consult with a
pharmacist during the implementation, revision, and renewal of a
protocol.
Effective: July 1, 2011.
January 6, 2011, read first time and referred to Committee on Public Health.
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A BILL FOR AN ACT to amend the Indiana Code concerning
professions and occupations.
(1) hospital listed in IC 16-18-2-161(a)(1); or
(2) physician licensed under IC 25-22.5;
concerning the adjustment of a patient's drug regimen by a pharmacist.
(1) The admitting practitioner shall signify in writing in the form and manner prescribed by the hospital whether the protocol applies in the care and treatment of the patient.
(2) A pharmacist may adjust the drug therapy regimen of the patient pursuant to the:
(A) written authorization of the admitting practitioner under
subdivision (1); and
(B) protocols of the hospital.
The pharmacist shall review the appropriate medical records of
the patient to determine whether the admitting practitioner has
authorized the use of a specific protocol before adjusting the
patient's drug therapy regimen. The admitting practitioner may at
any time modify or cancel a protocol by entering the modification
or cancellation in the patient's medical record.
(b) Notwithstanding subsection (a)(2), if a protocol involves
parenteral nutrition of the patient, the A pharmacist shall communicate
with the admitting practitioner to receive approval to begin the
protocol. The authorization of the admitting practitioner to use the
protocol shall be entered immediately in the patient's medical record,
if required by the protocol.
(b) Upon authorization of a physician who has adopted a protocol under this chapter, the following apply:
(1) The physician shall signify in writing whether the protocol applies in the care and treatment of the patient.
(2) A pharmacist may adjust the drug therapy regimen of the patient under the authorization of the physician.
(3) The pharmacist shall review the appropriate medical records of the patient to determine whether the physician has authorized the use of a specific protocol before adjusting the patient's drug therapy regimen.
(c) The physician who has adopted a protocol under this chapter may at any time modify or cancel a protocol by entering the modification or cancellation in the patient's medical record.
(b) This section applies to a pharmacist who is practicing under physician authorization. The pharmacist must be under the direct supervision of the physician. The protocols must be developed by health care professionals, including the physician and pharmacist.
(c) The protocols developed under this chapter must, at a minimum, require that the medical records of the patient are available to both the patient's physician and the pharmacist and
that the procedures performed by the pharmacist relate to a
condition for which the patient has first seen the physician or other
licensed practitioner.
(b) If a physician elects to implement, revise, or renew a protocol, in a setting other than a hospital or private mental health institution, the physician shall consult with a pharmacist. However, the physician is the ultimate authority regarding the terms, implementation, revision, and renewal of the protocol.
