Drug administration and pharmacists rights

Question 1

who can administer vaccines

Answer 1

pharmacists and interns

Question 2

what is needed before a pharmacists can administer a vaccine

Answer 2

standing order or physician directed order

Question 3

Training requirements for pharmacists to give vaccines?

Answer 3

Pharmacists must be trained via an American Council on Pharmaceutical Education (ACPE) approved training program that includes at minimum:

● 12 hrs → self-study modules with case studies and assessment exam

● 8 hrs → live seminar with final exam

● Hands-on assessment of IM and SQ injection techniques appropriate for the patient’s age

Pharmacists must also be CPR certified.

Question 4

which vaccines can a pharmacist administer

Answer 4

a_ny vaccine recommended by_ the Advisory Committee on Immunization Practices (_ACIP_) of the Centers for Disease Control and Prevention (CDC)

Question 5

Who can administer medications for mental health or substance use disorders?

Answer 5

pharmacists + interns!

• as long as the following conditions are met

1. med admin is done so at the direction of a prescribing practitioner
   - – rx must state “for pharmacists administration”
2. This is NOT the patient’s first dose
3. The provider reassessed prescription
4. (requirements to give vaccines) training accredited by the CDC and ACPE** and **CPR certified
5. Patient must be counseled prior to admin
6. Must maintain records

Question 6

what records are necessary for a pharmacist or intern to administer mental health/substance use disorder meds?

Answer 6

pt consent
screening info
type of med
manufacturer of med
lot number
expiration date
date of admin
route and site of admin
pharmacist or intern signature
documentation of any ADE

(10)

Question 7

what medications are pharmacists or interns able to administer?

Answer 7

● Aripiprazole (Abilify Maintena®, Aristada®)
● Fluphenazine (Prolixin decanoate®)
● Haloperidol (Haldol decanoate®)
● Paliperidone (Invega Sustenna®, Invega Trinza®)
● Risperidone (Risperdal Consta®, Perseris®)
● Naltrexone (Vivitrol®)

Question 8

what is the youngest age a patient can receive a vaccine from a pharmacist

Answer 8

Vaccine minimum age requirement - 3 years old

Question 9

can a pharmacist give an epinephrine dose in an emergency

Answer 9

requires standing order

A standing order is required for pharmacists to have the ability to administer a single dose of emergency epinephrine

Question 10

Can you refuse to fill a valid prescription?

Can you refuse to compound a valid prescription?

Answer 10

No…. but you are prevented from dispensing anything that is intended to circumvent the law and you are prevented from engaging in a fraudulent/deceptive act

No… except upon extenuating circumstances

Question 11

If you refuse to fill a prescription, what can be done?

Answer 11

Once complaint sent to BOP…

BOP can schedule

1. investigational conference = informal discussion about complaint, usually held before formal)

and/or

2. adjudicatory hearing = formal hearing to determine validity of complaint (licensee receives “order to show cause” requires appearance before BOP)

Question 12

what is an “order to show cause”

Answer 12

a pharmacist will receive this when the BOP schedules an adjudicatory hearing following a complaint they received

Licensee will receive an order to show cause that requires appearance before BOP

Question 13

What are the possible results to your pharmacist license after an adjudicatory hearing or investigational conference?

Answer 13

Advisory letter: written document retained in the board’s files describing concerns but it is NOT formal disciplinary action

Reprimand: formal disciplinary action that goes on record

Censure: severe reprimand

Probation: disciplinary action that requires an RPh to follow the consent agreement = BOPs terms during probation period, stipulations are not reviewable, signed by BOP and RPh

Summary cease and desist: immediately stop/restrict RPh operations to protect public health, safety or welfare:

Nonbinding – BOP may rescind at any time, including at hearing

BOP has 15 days to hold hearing

Summary quarantine notice: quarantines all drugs prepared by or in possession of RPh if immediate danger to public health, safety or welfare

Nonbinding – BOP may rescind at any time, including at hearing

BOP has 15 days to hold hearing

Question 14

Advisory letter

Answer 14

potential result of investiagtional or adjuducating hearing:

Advisory letter: written document retained in the board’s files describing concerns but it is NOT formal disciplinary action

Question 15

Reprimand

Answer 15

Potential results of BOP discussions

Reprimand: formal disciplinary action that goes on record

Question 16

Censure

Answer 16

potential result of BOP discussion

= severe reprimand

Question 17

Probation

Answer 17

potential result of BOP discussion

discipinary action that requires pharmacist to follow consent agreement during probation period

Question 18

consent agreement

Answer 18

signed agreement by BOP and RPh that acknowledges the terms set forth by the BOP for the probation period and that the stipulations are not reviewable

Question 19

Summary cease and desist

Answer 19

potential result of BOP discussions

immediately stop/restrict RPh operations to protect public health, safety or welfare

▪ Nonbinding – BOP may rescind at any time, including at hearing

▪ BOP has 15 days to hold hearing

Question 20

summary quarantine notice

Answer 20

potential result of BOP discussions

quarantines all drugs prepared by or in possession of RPh if immediate danger to public health, safety or welfare

▪ Nonbinding – BOP may rescind at any time, including at hearing

▪ BOP has 15 days to hold hearing