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Frequently Asked Questions for Pharmacists on Public Health Registered Nurses Transmitting Standing Orders

Q.  May a registered nurse at a public health department transcribe a standing order for a prescription medication to a written prescription blank for dispensing by an in-house or contracted pharmacy?

A.  Yes.  A registered nurse at a public health department may act as the agent of the prescriber for purposes of transcribing a standing order for a prescription medication to a written prescription blank for dispensing by an in-house or contracted pharmacy.  The public health registered nurse should include on the prescription the standing order prescriber’s name and credentials, as well as the registered nurse’s name and an indication “per standing order” (or similar). Ex. Jane Smith, MD/by Mary Jones, RN/per standing order.  Each transcribed prescription does not have to include a copy of the standing order, but public health departments are encouraged to provide their contracted pharmacies with reference copies of standing orders to facilitate the prescribing and dispensing process. 

 


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