NEWFOUNDLAND AND LABRADOR REGULATION 82/25

NLR 62/24

1. Subsection 2(1) of the Pharmacy Regulations, 2024 is amended by adding immediately after paragraph (b) the following:

(b.1) "approved laboratory test" means a laboratory test approved by the board;

2. Subsection 11(1) of the regulations is amended by deleting the word "and" at the end of paragraph (a), deleting the period at the end of paragraph (b) and substituting a semi-colon and the word "and" and adding immediately after that paragraph the following:

3. The regulations are amended by adding immediately after section 23 the following:

Division 4
Laboratory Ordering by Pharmacists

Prohibition

23.1 A pharmacist shall not order a laboratory test unless

(a) the pharmacist's certificate of registration includes an authorization granted under section 23.2;

(b) the requirements set out in the standards established by the board under section 11 are satisfied; and

Authorization to order laboratory tests

23.2 (1) The college shall add an authorization to order laboratory tests to the certificate of registration of a pharmacist where the pharmacist

(a) applies in the form and manner directed by the college;

(b) provides proof satisfactory to the college that the pharmacist has completed the educational and training requirements approved by the college; and

(2) An authorization added under subsection (1) expires on the same date as the pharmacist's certificate of registration.

Duties of pharmacists when ordering laboratory tests

23.3 (1) A pharmacist who is authorized to order laboratory tests under section 23.2 shall

(a) only order laboratory tests in accordance with the pharmacist's authorization, competence and experience;

(b) before ordering a laboratory test for a person,

(i) provide the person with sufficient information to make an informed decision regarding the laboratory test, and

(ii) obtain informed consent from the person;

(c) inform the person's primary care physician or nurse practitioner of the laboratory test ordered, where the person has a primary care physician or nurse practitioner and where required by the standards established under section 11; and

(d) keep those records required by the college in the form and manner directed by the college.

(2) Upon receipt of the results of a laboratory test ordered by the pharmacist, a pharmacist shall

(a) provide the test results to

(i) the person to whom the test relates, and

(ii) the person's primary care physician or nurse practitioner, where the person has a primary care physician or nurse practitioner and where required by the standards established under section 11; and

(b) provide advice regarding follow up care as follows:

(i) where the test results are within the pharmacist's scope of practice, competence or experience, the pharmacist shall advise the person of any potential follow up or recommended care, or

(ii) where the test results are outside the pharmacist's scope of practice, competence or experience, the pharmacist shall advise the person

(A) to contact the person's primary care physician or nurse practitioner for the purpose of obtaining follow up care, or

(B) to obtain emergency care or other appropriate care, where the person does not have a primary care physician or nurse practitioner.