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Prescribing

Medical Marijuana – Authorization

Professional Standards Regarding the Authorization of Marijuana for Medical Purposes Preamble The College considers the authorization of marijuana for medical purposes to be comparable to prescribing medication. Authorizing a patient's use of marijuana for medical purposes is a clinical decision. The College recommends that any such decision be informed by sound clinical evidence. Physicians who authorize the use of medical marijuana by their patients are encouraged to stay abreast of guidance from the College of Physicians and Surgeons of Nova Scotia, as well as organizations such as the Canadian Medical Protective Association, as medico‐legal and professional concerns apply. Professional Standards The College considers the authorization of marijuana for medical purposes to be a [...]

Review of Monitored Drug History Before Prescribing

Professional Standards Regarding Review of Monitored Drug History Before Prescribing Preamble The College of Physicians and Surgeons of Nova Scotia (CPSNS) supports and encourages the use of the Nova Scotia Prescription Monitoring Program (NSPMP). Through the NSPMP eAccess web application, prescribers and pharmacists can quickly access the most recent 18 months of prescribing history. The College encourages physicians to always review the drug profile of all patients when prescribing controlled substances. Professional Standards When caring for patients in episodic, urgent or emergent care settings, physicians or delegates, where the delegate is a regulated health professional within the patient’s circle of care, must review the patient’s drug profile as maintained by the [...]

Prescribing ‘Take Home’ Naloxone – Exemption to the Requirement for Direct Patient Contact

Professional Standards Regarding the Exemption to the Requirement for Direct Patient Contact When Prescribing 'Take Home' Naloxone Preamble Rates of death and injury related to overdose from prescription and illicit opioids have reached unprecedented levels in Canada. Prompt administration of the opioid receptor antagonist Naloxone can be lifesaving. Some, but not all forms of Naloxone, are now available without a prescription. Programs designed to enhance community and institutional access to Naloxone have already proven effective in saving lives with relatively little risk. However, physicians participating in such programs may be placed in conflict with the College’s standard requiring direct patient contact when prescribing. The College wishes [...]

Prescribing in the Absence of Direct Patient Contact

Professional Standard on Prescribing in the Absence of Direct Patient Contact Professional Standard Prescribing medication is a medical act. It is the result of a clinical decision made by a physician based on an evaluation of the patient by that same physician. This evaluation should be based on an encounter with the patient that includes an appropriate clinical assessment. The patient record should clearly describe the assessment and the diagnosis that led to the prescription. When physicians are part of a group practice or a call group, they may choose to accept a previous patient evaluation by an associate as the basis for further prescribing.  However, in such situations, each physician remains responsible and accountable for [...]