Section 61-06-01-07 - Patient care guidelines1.Primary provider. There must be a designated physician primarily responsible for the patient's medical care. There must be a clear understanding between the physician, the patient, and the pharmacist of the responsibilities of each in the areas of the delivery of care, the monitoring of the patient, and the reimbursement for services. This must be documented in the patient's profile. 2.Patient training. The patient, the patient's physician, or the patient's pharmacist shall demonstrate or document the patient's training and competency in managing this type of therapy in the home environment prior to any drugs, supplies, or equipment being dispensed. A pharmacist must be involved in the patient training process in any area that relates to drug compounding, labeling, storage, stability, or incompatibility. The pharmacist shall reassess and document on the profile the patient's competency in the necessary areas at least every six months. 3.Pharmacist-patient relationship. It is imperative that a pharmacist-patient relationship be established and maintained throughout the patient's course of therapy. The patient should be visited by the pharmacist at least monthly; telephone contact will not suffice. This must be documented in the patient's profile. 4.Patient monitoring. The pharmacist should have access to clinical and laboratory data concerning each patient and should monitor each patient's response to the patient's drug therapy. Any unexpected or untoward response should be reported to the prescribing physician. N.D. Admin Code 61-06-01-07
General Authority: NDCC 28-32-02
Law Implemented: NDCC 43-15-10(9), 43-15-10(12), 43-15-10(14)