Pharmacy and nursing laws permit an authorized prescriber to predetermine a prescription under certain circumstances.
A registered nurse may implement a protocol that does not reference a specific patient and results in a prescription of a legend drug that has been predetermined and delegated by a licensed practitioner as defined under section 151.01, subd. 23 (https://www.revisor.mn.gov/statutes/?id=151.01) when the patient condition falls within the protocol and the protocol specifies the circumstances under which the drug is to be prescribed or administered.
Licensed practical nurses and registered nurses may implement a protocol that does not reference a specific patient and results in the administration of a vaccine that has been predetermined and delegated by a licensed practitioner when the patient characteristics fall within the protocol and the protocol specifies the contraindications for implementation, including conditions under which the vaccine must not be administered.
Many times a condition specific protocol that results in a prescription of a legend drug is accompanied by a telehealth care guideline that may include clinical decision making tools. If the patient's condition falls within a category of treatment that includes the issuance of a prescription authorized by the prescriber's predetermined protocol, then the protocol can be implemented.