Nursing Homes

Question 1

Contents of each emergency medication kit at a nursing home must be approved by the (select all that apply):

Answer 1

Director of nursing, Medical Director, Pharmacist

Question 2

In NY, what specifications apply to emergency kits maintained in a nursing home?

Answer 2

A nursing home may administer controlled substances to patients only pursuant to a prescription issued by an authorized physician or other authorized practitioner and filled by a registered pharmacy, except that controlled substances in emergency medication kits may be administered to patients as follows:

• In an emergency situation, a controlled substance from a sealed emergency medication kit may be administered to a patient by an order of an authorized practitioner.
• An oral order for such controlled substance must be immediately reduced to writing and a notation made of the condition which required the administration of the drug.
• Such oral order must be signed by the practitioner within 48 hours.
• A separate record must be maintained of the administration of controlled substances from an emergency medication kit.
• Such record must indicate the date and hour of administration, name and quantity of controlled substances, name of the practitioner ordering the administration of the controlled substance, patient name, signature of the person administering, and the balance of the controlled substances in the emergency medication kit after such administration.
• The nursing home must notify the pharmacy within 24 hours each time the emergency kit is unsealed or opened or shows evidence of tampering.
• Each kit may contain up to a 24-hour supply of a maximum of 10 different controlled substances in unit-dose packaging, no more than 3 of which may be in an injectable form.

Question 3

How should emergency kits be secured in a nursing home?

Answer 3

Each kit shall be secured in a stationary double-locked system or other secure method approved by the department.

Question 4

Emergency medication kits at nursing homes may contain how many injectable controlled substances?

Answer 4

3

Question 5

Emergency medication kits at nursing homes may contain up to how many different controlled substances? See blue book pg. 41

Answer 5

10

Question 6

Emergency medication kits at nursing homes may contain up to how many non-controlled, noninjectable, prepackaged medications? See blue book pg. 41

Answer 6

5

Question 7

Psychotropic drug regimens of nursing home residents must be reviewed by an independent external consultant at least:

Answer 7

Once every year

Question 8

Emergency kits at nursing homes may not contain more than a:

Answer 8

24-hour supply of controlled substances

Question 9

Narcotic addiction treatment programs must file a report summary of controlled substance activity in the preceding month to the Department by the:

Answer 9

10th of each month (and this must be done by someone other than the physician(s) authorized to prescribe)