Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 61 - Medical Psychologists › Subchapter C - Ethical Guidelines, Authority, Limitations and Standards of Practice › Section XLV-6115 - Standards for Prescribing by Medical Psychologists without a Certificate of Advanced Practice

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Medical psychologists shall prescribe only in consultation and collaboration
					 with the patient's primary or attending physician, and with the concurrence of
					 that physician.
B. The medical
					 psychologist shall also re-consult with the patient's physician prior to making
					 changes in the patient's medication treatment protocol, as established with the
					 physician, or as otherwise directed by the physician.
C. In the event that the primary or attending
					 physician does not concur with the psychopharmacologic treatment protocol
					 planned by a MP, the MP shall defer to the medical judgment of the
					 physician.
D. In the event a
					 patient does not have a primary or attending physician, the medical
					 psychologist shall not prescribe for that patient.
E. Documentation of Physician Consultation.
					 When psychopharmacologic management of a patient is indicated, the initial plan
					 shall include consultation with the patient's primary or attending physician.
					 The medical psychologist shall document the consultation with the primary or
					 attending physician in the patient's medical record. Documentation shall
					 include, but is not necessarily limited to:
1. patient authorization. In order to permit
					 the necessary coordination of care for the patient, the MP shall obtain a
					 release of information from the patient and/or the patient's legal guardian to
					 contact the patient's primary or attending physician in all cases in which
					 psychopharmacologic management is planned. If the patient or the patient's
					 legal guardian declines to sign a release of information authorizing
					 coordination of care with his or her primary or attending physician, the MP
					 shall inform the patient and/or the patient's legal guardian that he or she
					 cannot treat the patient pharmacologically without such consultation;
2. patient identity. The physician's name;
					 date of consultation; and contact information for the patient, physician and
					 MP;
3. purpose. The purpose of
					 consultation (e.g., new medication, change in medication, discontinuance of
					 medication, adverse treatment effects, treatment failure, change in medical
					 status, etc.);
4. psychological
					 evaluation and diagnosis. If known, the psychological evaluation of the
					 patient, including any relevant psychological history, laboratory or diagnostic
					 studies and psychological diagnosis; and any other information the MP or
					 physician deems necessary for the coordination of the care for
					 patient;
5. medication. The
					 specific drug(s) the MP plans to utilize, including the starting dosage and
					 titration plan if any; frequency of use, the number of refills and anticipated
					 duration of therapy; relevant indications and contraindications, any previously
					 utilized psychopharmacologic therapy, and any alternatives;
6. treatment plan. The MP's treatment and/or
					 management plan for the patient;
7.
					 results of consultation. The results of the consultation (e.g., concurrence,
					 deferring or denying medication recommended by the MP); medications ordered
					 (e.g., generic or trade; starting dosage and titration plan, if any; number of
					 refills; etc.) and any other information that might be necessary for the
					 appropriate coordination of care for the patient (e.g., review of prior labs or
					 diagnostic procedures; new labs or diagnostic procedures requested by the
					 physician, if any; etc.);
8.
					 responsibilities. Any specific responsibilities of the MP and physician
					 respecting the patient's care;
9.
					 reporting. Any reporting and documentation requirements between the MP and the
					 physician and/or a schedule by which such are to take place; and
10. immediate consultation. A plan to
					 accommodate immediate consultation between the MP, physician, and/or
					 patient.