Practice guidelines and references

Emergency Contraception (ECP)

Scroll down for the links to the Canadian Pharmacists Association's (CPhA) forms and notes for the Emergency Contraception Pill (ECP).

Interpretation of Standards of Practice with regard to Emergency Contraception (ECP) 

Background:

Section 16(1)(a) of the Pharmacists Profession Regulation states that:

A clinical pharmacist is authorized to perform, within the practice of pharmacy and in accordance with the Pharmacists’ Standards of Practice, the following restricted activities: to dispense, compound, provide for selling or sell a Schedule 1 drug or Schedule 2 drug.
 

Section 22(a) of the Pharmacists Profession Regulation states that:

An individual employed in a pharmacy is permitted to perform in that pharmacy the following restricted activities with the consent of and under the direct supervision of a clinical pharmacist or a courtesy pharmacist practising in the same pharmacy to compound, provide for selling or sell a Schedule 1 drug or Schedule 2 drug.

Standard 2.1(b) of the Standards for Pharmacist Practice states that:

Each time a pharmacist dispenses or sells a Schedule 2 drug, the pharmacist must consider appropriate information.

Interpretation:

In order to clarify the expectations set out in the Standards for Pharmacist Practice with regard to the dispensing ECP as a Schedule 2 product, the following guidelines for pharmacist practice were approved by Council in December 2004 and updated in October 2007.

1.  The Alberta College of Pharmacists has adopted the Canadian Pharmacist Association’s (CPhA) Guidelines for the Provision of Plan B (levonorgestrel 0.75 mg) as a Schedule II Product. *

  1. Pharmacists should ensure they have sufficient knowledge to make an informed decision and to adequately dialogue with women when requests are made for emergency contraception.
  2. In a pharmacy, only a pharmacist should handle a request for emergency contraception and decide whether to supply Plan B (levonorgestrel 0.75 mg) and/or refer the woman to an appropriate health care professional.
  3. Pharmacists should ensure that they provide all the advice and information necessary to enable the woman to use Plan B (levonorgestrel 0.75 mg) appropriately.
  4. Pharmacists should respect patient autonomy, confidentiality and privacy when dealing with requests for emergency contraception.
  5. Pharmacists should supply Plan B (levonorgestrel 0.75 mg) directly to a woman who makes a request for emergency contraception and should document the interaction with each patient.
  6. Pharmacists should counsel women regarding regular methods of contraception, disease prevention and other sexual health resources available in the community when applicable.

* The entire document is available at http://www.pharmacists.ca/


2.  Council has deemed that it is appropriate to document all interactions regarding the dispensing of ECP.

Standards 3, 4, 7, 18 and Appendix A of the Standards for Pharmacist Practice all relate to the considerations and documentation to be made in the dispensing of a Schedule 2 drug.

Completion of CPhA’s Screening Form for Emergency Contraceptive Pills (ECPs) and the Pharmacist Counseling Notes for Emergency Contraception Pills is considered to be adequate documentation.

Patient Information - How to Use ECP 72K Download .pdf File

Pharmacist ECP Counselling Notes 56K Download .pdf File

Patient Screening Form for ECP 58K Download .pdf File


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