I've read through the discussions about methotrexate at physician offices which has led to more questions about other HDs. We own about 12 physician practices - these physician practices are not provider based clinics so they don't really fall under my radar of oversight. With USP 800 however, I feel obligated to provide some oversight on how to handle the HDs at the offices. Also, the drugs used at our physician offices are purchased by us, the hospital pharmacy, and we distribute to each practice requesting them.

At our facilities the pharmacists provide discharge counseling and instructions for patients being discharged home on methotrexate.

They have asked if there are any exclusions to education if the patient has had a recent admission and education session on a previous admission (for example, patient was admitted within the last month and received education at that visit).

Are any of you excluding patients from receiving education if they have previously had the education completed within a certain time frame?