Final answer:
A prescriber may opt out of the nursing home's formulary for specific medications if necessary for a resident's health, following the facility's guidelines.
Step-by-step explanation:
The institutional formulary in a nursing home facility is a list of approved medications that can be prescribed within that institution. A prescriber, such as a physician, may occasionally need to opt out of this formulary. This can occur when a prescribed medication or a class of medications is considered necessary for a resident's health but is not included on the list. The decision to opt out is typically made in consideration of the individual resident's specific medical needs, taking into account the benefits and risks of using a non-formulary drug.
It is important to note that opting out of the formulary should be done following the facility's policies and procedures and may require documentation or approval from a medical director or pharmacy committee. The final answer in two line explanation in 300 words: Yes, a prescriber may opt out of the nursing home facility's formulary for a given medication if it is deemed necessary for the resident's health and is done in accordance with facility policies.