Pharmacy-Based Tuberculosis Skin Testing (TST): Approaches to Legal Authority

Atkinson, Dylan; Dering-Anderson, Allison M.; Adams, Alex J.

doi:10.24926/iip.v8i2.518

Cited by 8 publications

(8 citation statements)

References 7 publications

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“…Ultimately, pharmacists are well qualified and equipped to fill this healthcare need. 6,7 If pharmacists nationwide were trained to provide TST, access to this important health screening could be meaningfully increased. According to the CDC, maintaining similar rates of TB detection and treatment in the future will not achieve TB elimination in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…6 Pharmacists in Idaho and New Mexico are allowed to prescribe TB screenings autonomously, while many other states allow pharmacists to perform a TST through a collaborative drug therapy agreement (CDTA). 7 Pharmacists are ideal health care providers to perform TB skin tests because pharmacies are in close proximity to patients in the community and provide convenient access with extended hours of operation. 8 Pharmacists have also demonstrated high rates of follow-up for the reading of the test, reported to be 92.8% to 94.4%.…”

Section: Introductionmentioning

confidence: 99%

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Using Team-Based Learning to Train Student Pharmacists to Perform Tuberculin Skin Testing

McKeirnan¹,

Bertsch²,

Arnold³

et al. 2019

American Journal of Pharmaceutical Education

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Objective. To evaluate the effectiveness of a team-based learning (TBL) model in training students to properly administer and interpret a tuberculin skin test (TST) in a laboratory course. Method. Team-based learning was used to deliver TST training to all second-year student pharmacists (n5120) in a patient care laboratory course. A 10-item TST Learning Opinion Survey was developed and administered to assess student pharmacists' self-perceived achievement of the class learning objectives, opinions about TBL learning experience, and interest in making TST a part of future practice. Results. All 120 student pharmacists achieved competency standards during skills evaluation. One hundred thirteen out of 120 students completed the survey instrument. The majority of respondents either agreed or strongly agreed that TBL helped them meet the TST training learning objectives of: demonstrating administration proficiency; demonstrating interpretation competency; proper reporting and patient counseling with a positive test result; and identifying when a second TST was necessary. Additionally, a majority of respondents agreed or strongly agreed that the TBL model improved their knowledge of pre-laboratory material, aided their confidence in practicing TST placement, and improved their communication skills through peer work in a TBL environment. Conclusion. Through this innovative model, student pharmacists met the TST learning objectives and developed knowledge and confidence. This activity can be replicated at other colleges, expanding the development of student pharmacists who are confident in their ability to provide TST services.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Using Team-Based Learning to Train Student Pharmacists to Perform Tuberculin Skin Testing

McKeirnan¹,

Bertsch²,

Arnold³

et al. 2019

American Journal of Pharmaceutical Education

View full text Add to dashboard Cite

show abstract

“…Early in the 2017 legislative session, bills passed adding tuberculin purified protein derivative products and all tobacco-cessation products (inclusive of bupropion and varenicline) to the statutory prescribing list [ 25 , 26 , 27 , 28 ]. Proponent testimony again focused on the public health benefit of increasing access to tobacco-cessation drugs [ 29 ].…”

Section: Legislative and Regulatory History Of Pharmacist Prescribmentioning

confidence: 99%

Pharmacist Prescriptive Authority: Lessons from Idaho

Adams

2020

Pharmacy

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Pharmacist prescriptive authority continues to increase at the state level in the United States. Recently, the Idaho Board of Pharmacy (BOP) finalized regulations that expanded autonomous prescriptive authority in its state to a range of preventative care as well as acute and chronic conditions. This manuscript reviews the key decision points made by the BOP regarding drug categories included, education requirements, protocols, access to data, and use of standards of care. Overall, Idaho’s approach closely reflects the medical model of regulation and may prove useful to other states and jurisdictions as they consider similar issues.

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“…Current protocols include tuberculin skin testing, tobacco cessation, naloxone, emergency contraception, and vaccinations. [22][23][24][25] The vaccination protocol was expanded in August 2015, and now includes travel vaccines and select travel medications. 27 Specifically, the protocol allows pharmacists to prescribe certain antimalarials (atovaquone/proguanil, chloroquine, and doxycycline), while excluding others (mefloquine and primaquine).…”

Section: New Mexicomentioning

confidence: 99%

“…Current protocols include tuberculin skin testing, tobacco cessation, naloxone, emergency contraception, and vaccinations. 22-25…”

Section: Approaches To Autonomous Prescribingmentioning

confidence: 99%

Pharmacy-Based Travel Health Services: State Approaches to Prescriptive Authority

Adams

Dering-Anderson

2018

Journal of Pharmacy Technology

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Pharmacists have provided travel health services in some capacity for more than 25 years. The ability of pharmacists to autonomously prescribe travel medications is growing. Three states (California, Idaho, and New Mexico) allow pharmacists to autonomously prescribe medications for international travel using the Centers for Disease Control and Prevention Yellow Book as a guide. Idaho also allows pharmacists to autonomously prescribe select medications appropriate to domestic travel (motion sickness prevention and Lyme disease prophylaxis), and Florida allows for the prescribing of drugs for motion sickness. Core elements from each state law including education, patient assessment, provider notification, and documentation are reviewed.

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Pharmacy-Based Tuberculosis Skin Testing (TST): Approaches to Legal Authority

Abstract: Abstract

Cited by 8 publications

References 7 publications

Using Team-Based Learning to Train Student Pharmacists to Perform Tuberculin Skin Testing

Using Team-Based Learning to Train Student Pharmacists to Perform Tuberculin Skin Testing

Pharmacist Prescriptive Authority: Lessons from Idaho

Pharmacy-Based Travel Health Services: State Approaches to Prescriptive Authority

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