Given the complexities of prescribing law, I thought it best to call on a legal expert to help us as nurse practitioners understand the legal considerations of prescribing to friends and family members. Rules 32B.1001, 32S.0212, and 32M.0109 prohibit licensees from prescribing controlled substances (including all narcotics) to themselves or immediate family members. ©2020 NPS MedicineWise. A survey of US paediatricians found that 76% had been asked to provide a prescription for a first-degree relative. The coroner noted that the man’s parents and the GP were not aware that he had recently taken fluoxetine. While there are some circumstances where prescribing for family or a friend can be justified, you also need to remember that should something go wrong, in addition to adversely affecting your relationship with your family or friend, you may be asked to justify your decision to the Medical Board, court or tribunal. The Medical Board of Australia states medical practitioners should avoid providing medical care to anyone with whom they have a close personal relationship. We also recognise that as technology moves on so does the ways that you prescribe. It is not unusual for family and friends to ask for medical-related “favours”, often wrapped up with a degree of emotional blackmail, intended or otherwise. Prescribing for family and friends can be hazardous. Whenever this is the case, good medical practice requires recognition and careful management of these issues.12. These tablets were past their expiry date and had been prescribed for the GP a few years earlier after a surgical procedure. effort should be made to discuss the condition with the collaborating physician. Similar to the way prescribing within the traditional practice setting is governed with a set of regulations, prescribing outside of the practice setting is as well. Similarly, medical practitioners are not legally restricted from prescribing Schedule 8 drugs for family and friends, except in South Australia. In the circumstances you have … Alex’s administrative law practice’s emphasis is in health care related boards, including the Tennessee Board of Medical Examiners and the Tennessee Board of Nursing. 14 Interestingly, 86% of the respondents reported that they had refused to write a prescription for a family member or a friend on at least one … We acknowledge the provision of funding from the Australian Government Department of Health to develop and maintain this website. As nurse practitioners, the temptation to help out a friend or family member in these situations by calling in a prescription is strong. Healthcare attorney Carolyn Buppert, MSN, said while some practitioners prescribe for family and friends, the practice is “generally not a good idea.” Laws and regulations differ by state — some states expressly forbid providers from prescribing medications to family and friends, while others simply advise against it. In most cases, providing care to close friends, those you work with and family members is inappropriate because of the lack of objectivity, possible discontinuity of care, and risks to the doctor and patient. It recommends that you contact your indemnity provider if you need specific advice in relation to your insurance policy. One study of physicians’ informal prescribing found that physicians most frequently prescribed antibiotics to family and friends, but some also … Prescribing controlled substances outside of a bona fide provider-patient relationship is prohibited by federal law, so under most circumstances prescribing these medications to personal contacts is prohibited. Prescribing for self, family, and friends. Legitimately prescribing medication to family members or friends was not always a concern for many Kansas physicians. Although such prescribing is not prohibited by legislation, it is not recommended by the Medical Board of Australia. However, prescribing certain medications such as controlled substances for an extended period of time can be a violation of the law and can lead to disciplinary action. In South Australia it is prohibited to prescribe Schedule 8 drugs for family members unless it is a verifiable emergency. An independent peer-reviewed journal providing critical commentary on drugs and therapeutics. Healthcare attorney Carolyn Buppert, MSN, said while some practitioners prescribe for family and friends, the practice is “generally not a good idea.” Laws and regulations differ by state — some states expressly forbid providers from prescribing medications to family and friends, while others simply advise against it. Update, August 2015, professional objectivity may be compromised and their judgment may be influenced by the nature of their relationship with the patient, medical practitioners may fail to explore sensitive areas when taking a medical history or may fail to perform an appropriate physical examination, the patient may feel uncomfortable disclosing sensitive information or undergoing a physical examination when the medical practitioner is a family member, patient autonomy may be compromised when a medical practitioner treats a member of their family.
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