Minnesota Rural Health School
Professional Disciplines of Minnesota Rural Health School    

 

  PharmacyDomain/Scope of Practice

Pharmacist instructing patient on a new device for measuring blood glucose levels.
The profession of pharmacy has evolved from a strictly compounding and dispensing focus to include the provision of pharmaceutical care in the 1990's. Presently five models exist that embody the practice of pharmacy: distributive, drug information, self-care, clinical pharmacy and pharmaceutical care.

 

Pharmacy models of practice and a representation of the skills required to work within each model:

  • Distributive:
    To ensure the integrity of a prescription, make sure it is appropriate for the individual patient with regards to therapeutic, social, legal, and economic requirements. To secure medications and ensure the quality and accuracy of medications dispensed. Educate patients on medications and document professional activities.
  • Drug Information:
    Provide general advice to health consumers, in both group and individual settings. Provide education-related programs for other health care professionals and provide patient-specific drug information.
  • Self-Care:
    Provide general advice to health care consumers in individual settings, and assess individual's needs.
  • Clinical Pharmacy: To contribute to the physician's therapeutic management of a patient by providing a service such as, drug information, pharmacokinetic dosing, or drug history.
  • Pharmaceutical Care:
    To assume responsibility, on the patient care team, for modifying or designing, recommending, evaluating and monitoring patients. To support this function, pharmacists can enter into collaborative agreements with physicians.

Reference:
Holland RW, Nimmo CM. Transitions, part 1: Beyond pharmaceutical care. AM J Health-Syst Pharm. 1999; 56:1758-64.

 

 

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