Long-term Care

Question 1

Which chapter in the IAC 657 covers Long-Term Care?

Answer 1

Chapter 23

Question 2

List 7 responsibilities of the PIC and staff pharmacists in long-term care facilities

Answer 2

1. Provide medications pursuant to medication orders for individual residents, properly labeled for the resident
2. Dispense medications for residents of long-term care facilities consistent with the drug distribution system described in the facilities’ policies and procedures
3. Maintain records of all transactions of the long-term care pharmacy
4. Provide 24-hour emergency service either directly or by contract with another pharmacy
5. Review patient profiles to ensure the appropriateness of therapy and the compatibility of the medication and dosage for that resident
6. Provide accurate information facility staff regarding appropriate administration and use of all dispensed medications and devices
7. Communicate with consultant pharmacist and the facility

Question 3

Describe requirements of emergency medication boxes in long-term care facilities (hint: who supplies it? who determines what is supplied? what can be supplied?)

Answer 3

1. A supply of emergency medications may be provided by one or more long-term care pharmacies.
2. Stock shall be limited to a listing determined with the consultant pharmacists and the facility’s medical director and director of nursing
3. In addition to one or more emergency boxes or stat drug boxes, a long-term care facility may maintain a stock of IV fluids, irrigation fluids, heparin flush kits, medicinal gases, sterile water and saline, and prescription devices.

Question 4

Can a long-term care pharmacy dispense a partial fill of a Schedule II controlled substance?

Answer 4

1. For each partial fill, the dispensing pharmacist shall record on the back of the medication order: [1] the date of the partial filling [2] quantity dispensed [3] remaining quantity authorized [4] identification of the dispensing pharmacist.

Question 5

What notation must be present on a prescription for the special exemption granted by chapter 23 on partial fills of Schedule II CS?

Answer 5

LTCF patient