EMRAP 2016 February Canadian Edition

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John C., P.A. -

Canadian Edition on Tramacet
In the February 2016 Canadian Edition, Dr. Rosenberg mentioned that he had noted that Tramacet had been creeping into Medical Directives in his institution and he believed it had to do with a Nursing College resistance to have Nurses initiate Narcotics. The actual reason is the Narcotic Control Act of Canada which makes it illegal for anyone but Physicians and Dentists to prescribe Narcotics and makes this a non-delegatable act. Thus Tramacet is employed as it is not covered under the Act. I suggest both a short term and a longer term fix. Short Term, convince your Medical Advisory Group to replace Tramacet with pain does Ketamine. Longer term - lobby the federal Government to ammend the Narcotic Control Act to both allow the prescription of at least some Narcotics by NP's and PA's and to make the prescription of these drugs delegatable so they can be included in Medical Directives.
John Cunningham, MPAS, CCPA
Physician Assistant (Canadian)

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A Fib Gets The Royal Treatment Full episode audio for MD edition 253:30 min - 353 MB - M4AEMRAP 2016 February Canadian Edition Canadian 21:15 min - 24 MB - MP3EMRAP 2016 February Aussie Edition Australian 33:57 min - 39 MB - MP3EMRAP 2016 Fevrier Résumé en Francais Français 58:50 min - 67 MB - MP3EMRAP 2016 Febrero Resumen Español Español 69:08 min - 52 MB - MP3EMRAP 2016 February German Edition Deutsche 70:01 min - 80 MB - MP3EM:RAP 2016 February Written Summary 648 KB - PDFEM:RAP 2016 February MP3s 299 MB - ZIPEM:RAP 2016 February Board Review Answers 181 KB - PDFEM:RAP 2016 February Board Review Questions 174 KB - PDF