Mid level and practitioners (what they can and cant do)

Question 1

What providers can dispense and administer medications?

Answer 1

1. ) Physician (MD, DO)
2. ) dentist (DDS, DMD)
3. ) podiatrist (DPM)
4. ) veterinarian (DVM)
5. ) nurse practitioner
6. ) physician assistant
7. ) pharmacist
8. ) psychiatric nurse mental health clinical specialist
9. ) certified nurse midwife
10. ) nurse anesthetist

● Practitioner must be practicing within good faith and in the course of professional practice

● Must be directed to alleviate pain/suffering of a disease

Question 2

Can a provider dispense and deliver to the ultimate user a CII?

Answer 2

YES! This is possible for ANY CS (ii-v) but only in a single dose or quantity essential for treatment

A provider may dispense by delivering to an ultimate user a controlled substance (Schedule II-V) in a single dose or in a quantity that is, in opinion of the practitioner, essential for the treatment of a patient

Question 3

Can a provider dispense and deliver to the ultimate user a CVI?

Answer 3

YES!

there are no limitations on doses or quantity (and unlike C3-5) as long as:

1. The provider is authorized to dispense CS

2. Dispensed in the manufacturer package provided

3. No charge to patient

Question 4

Can a licensed dental hygienist administer local anesthesia?

Answer 4

YES

● A practitioner may instruct local anesthesia to be administered by a licensed dental hygienist

Question 5

Can certified medical assistants administer immunizations?

Answer 5

YES

● A practitioner may instruct a certified medical assistance to administer an immunization

Question 6

What records does a practitioner need to keep in regards to dispensing and administering medications

Answer 6

1. ) name and quantity of any CS 1-3 received by the practitioner
2. ) name and address of each pt each CS was administered or dispensed
3. ) name, dosage, strength of each CS
4. ) date dispensed/administered

Question 7

Can pharmacies supply doctors offices with medications that the doctor will then give to the pts?

Answer 7

NO

medical offices must order from wholesale druggists

Question 8

What is a mid-level practitioner

Answer 8

A practitioner (other than vet, pod, dent, phys) allowed to DISPENSE controlled substances in the course of professional practice

Question 9

In MA what mid-level practitioners have controlled substance authority?

Answer 9

1. NP (admin, prescribe, procure all CS)
2. PA (admin, prescribe, procure all CS)
3. OP (optometrist) (admin, prescript, procure and dispense 3N, 4 and 5 CS)
4. Institutional RPh (prescribe all CS)

Question 10

What CS authority does an NP have?

what is an NP?

Answer 10

Nurse Practitioner

Administer, prescribe, procure

All CS

Question 11

What CS authority does a PA have?

What does PA stand for?

Answer 11

Physitians Assistant

Admin, prescribe, procure

All CS

Question 12

What CS authority does a OD have?

What does OD stand for?

Answer 12

Optometrist

Admin, prescribe, procure, dispense

CS: 3N, 4, 5

Question 13

What CS authority does an RPh have?

What does RPh stand for?

Answer 13

Registered Pharmacist

only INSTITUTIONAL pharmacists have authority

prescribe

all CS

Question 14

What CS authority does a AMB have?

What does AMB stand for?

Answer 14

Ambulatory services

none

Question 15

What CS authority does a AS have?

What does AS stand for?

Answer 15

Animal shelters

none

Question 16

What CS authority does a DOM have?

What does DOM stand for?

Answer 16

doctor of oriental medicine

none

Question 17

What CS authority does an ET have?

What does ET stand for?

Answer 17

euthanasia technician

Question 18

What CS authority does a HMD have?

What does HMD stand for?

Answer 18

homeopathic physician

none

Question 19

What CS authority does MP have?

What does MP stand for?

Answer 19

Medical psychologists

none

Question 20

What CS authority does an ND have?

What does ND stand for?

Answer 20

naturopathic phsician

none

Question 21

What CS authority does a NS have?

What does NS stand for?

Answer 21

nursing homes

none

Question 22

Can a physician prescribe a CII to their family member?

Answer 22

only in an emergency

otherwise prescribing CII’s to direct family is prohibited

Question 23

What CS can a provider prescribe for themselves?

Answer 23

CV

Physicians are prohibited from prescribing controlled substances in Schedules II - IV for their own use.

Question 24

What does a school nurse need in order to administer prescription meds

Answer 24

they must be trained** and **documented as the responsible person for the administration of rxs

Question 25

Correctional Facilities dispensing rules?

Answer 25

The Health Service Unit (HSU) within the facility will have **_access to a pharmacy service_** that follows MA laws Additionally, each HSU will have a specific procedure/policy that must be adhered to and can be found within the standard operating procedures/contractual medical provider’s pharmacy procedure manual. Specific requirements 1. ) Inmate must **present identification** or **be identified by correction staff** 2. ) All rx administration must be recorded on either the medication administration record or on a medication log including date/time and signed by the individual that administers the medication 3. ) Inmate should be observed and if hoarding is suspected the medication shall be crushed and mixed in water (unless prohibited by medication stability) 4. ) If an inmate receives a time-released formula for a controlled substance (such as a patch) they may NOT be housed within general population 5. ) Some OTC products are sold in canteens and do not require a physician order 6. ) All injectable medications (besides insulin) must be administered by the responsible physician

Question 26

If an inmate is suspected of hoarding what should you do?

Answer 26

crush med and mix with water | (unless prohibited by med stability)

Question 27

If an inmate is prescribed a fentanyl patch, can they be housed in general population

Answer 27

NO If an inmate receives a time-released formula for a controlled substance (such as a patch) they may not be housed within general population

Question 28

Does an inmate need to get their OTC medications from a physician?

Answer 28

NO ● Some OTC products are sold in canteens and do not require a physician order

Question 29

ALL injectable medications must be administered by the responsible physician BESIDES …?

Answer 29

insulin