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Prescription review

Prescription review

Establishing and implementing rigorous Quality Assurance Program processes for monitoring, assessing, and acting on sub-optimal prescribing practices is integral to meeting BCCNP's public interest mandate. The Quality Assurance Program is overseen by the Quality Assurance Committee.

Prescription Review Program

The QA Committee monitors and reviews the prescribing of selected drugs or drug classes to identify concerns, trends or issues related to selected drugs and/or drug class prescribing practices, and provide information to

  • The Professional Practice Committee for consideration in the development of NP standards of practice and standards of professional ethics;
  • The registrar for the purpose of commencing or conducting continuing competence audits; or
  • Selected groups of registrants or the profession as a whole for the purpose of promoting safe client care and high practice standards in relation to the prescribing of drugs.

BCCNP is working closely with our partners, the College of Physicians and Surgeons of BC (CPSBC), College of Pharmacists of BC, the BC Centre on Substance Use, the Ministry of Health, as well as NPs and employers, to establish and implement prescription review policy and operational processes that reflect provincial research, experience and evaluation.  

BCCNP's Prescription Review Program will review NP prescribing practices to: 

  • Promote high practice standards for NP drug prescribing
  • Increase NP registrant awareness and understanding regarding BCCNP's NP Scope of Practice Standards, Limits and Conditions, thereby
    • Reducing risks associated with sub-optimal drug prescribing
    • Reducing diversion of prescription drugs
  • Identify possible sub-optimal prescribing: e.g. large dispenses of opioids and sedatives, high morphine and diazepam dose equivalents
  • Intervene with individual registrants when it appears higher standards of prescribing could be achieved, by making recommendation(s) such as for education or remediation, or follow-up chart reviews