Question

i am a public health nurse working i sexual health clinic. The clinic s physician has written a medical directive which allows myself and the other nurse to provide contraception to client.ine of my client wants to pick her birth control pills at her pharmacy instead of our clinic.can i communicate the order to an external pharmacist to dispense

Answer 1

A medication order is written directions provided by a prescribing practitioner for a specific medication to be administered to an individual. The prescribing practitioner may also give a medication order verbally to a licensed person such as a pharmacist or a nurse.

Respect for patient autonomy is paramount, as is the importance of veracity. Fidelity, beneficence, and nonmaleficence are all principles that orient reporting and disclosure policies.

In primary care settings, nurses often provide much basic contraception care and advice. Nurses should ensure that they work within the limits of their competence and are aware of how and where to refer women for specialist support,

The choice of a contraceptive method is a complex decision; medical providers have an important role in providing information and supporting patients' decision making about contraceptive methods through contraceptive counseling.

Personalized counseling with shared decision making — Contraceptive counseling has evolved from either clinician-level directive counseling toward the mostly highly effective methods or provision of education to personalized counseling using shared decision making.

In shared decision making, patients are acknowledged as the experts on their preferences, while providers contribute their medical knowledge about the different options and the ways in which they relate to patients' preferences. In this way, patient autonomy and the diversity of preferences for contraceptive method characteristics can be respected, while at the same time, patients are offered support in aligning their preferences with the available options.

Research in contraception specifically has found that women are more satisfied with the counseling experience and their method when they experience shared decision making

Hence when the nurses are given the medical directives to provide contraception to the client it is the nurses' duty to gain trust of the patient and provide adequate counselling. This results in strong inter personal and trustworthy relationship where the nurse can convince the patient to select the contraceptive pill within the clinic.

The nurses must be aware and folllow the legal protocols while sharing sensitive information of the clients.