As a credentialed provider at Salem Health you may find yourself questioning whether it is ok to prescribe to friends, family or colleagues. Below is guidance for providers and specialists on how to manage this question and tips on how to make the most appropriate decision.
Physicians and physician assistants:
While the Oregon Medical Board (OMB) does not have a specific statute about prescribing to family members, they have offered guidance. The OMB states that you should not prescribe for yourself, family or friends except in limited circumstances and with appropriate documentation. The DEA strongly discourages prescription of controlled substances to family, friends or colleagues.
Advance practice nurses:
The Oregon State Board of Nursing (OSBN) states that APNs may prescribe for family, friends or peers, provided a patient/provider relationship is established and documented. All prescribed drugs require establishment of the patient/provider relationship, assessment, and documentation of such to produce upon the request of the OSBN. The OSBN and DEA strongly discourage prescription of controlled substances to family, friends or colleagues.
What if there is an emergency, its short term or a minor problem?
Some exceptions may be made in these circumstances and you should ask yourself the following:
Will my malpractice policy apply?
Did I communicate with the PCP?
Did I assess the patient?
Did I document?
More resources if I’m asked to prescribe to friends or family:
https://www.physicianspractice.com/view/physicians-and-self-prescribing-just-say-no
https://www.ama-assn.org/delivering-care/ethics/treating-self-or-family