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. 2019 Nov 7;10:1269. doi: 10.3389/fphar.2019.01269

Table 2.

Summary of pharmacy study logs used in the pre-exposure prophylaxis expanded study.

Prescriber training log Pharmacy training log Prescriber delegation log Pharmacy delegation log Drug accountability log Participant log
Completed by Clinic staff and study physicians/prescribers Pharmacists Study physicians/prescribers Pharmacists Pharmacists Pharmacists
Completed when Clinic site initiation Pharmacy site initiation Clinic site initiation Pharmacy site initiation Every time drug is delivered and for each dispensing The first time a participant attends PrEPX dispensing pharmacy
Site name X X X X X X
Date X X X X X X
Name X X X X X (Participant and pharmacist)
Title X X X X
Signature of Prescriber(s) Pharmacist(s) Prescriber(s) Pharmacist(s) Dispensing pharmacist Dispensing pharmacist
Study role X X X X
PI Authorization X X X
Participant ID X X
Participant DOB/MRN X
Consent checked X
Study visit no. X X
Drug quantity (bottle) X