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MPJE > Other settings > Flashcards

Other settings Flashcards

1
Q

Class 3 facilities include:

A

hospitals
nursing homes
adult care facilities

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1
Q

Licensing and registration requirements for class 3 facilities?

A
  • class 3 institutional dispenser license from the DOH
  • register with the DEA
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2
Q

Can class 3 facilities purchase stocks of CS?

A

yes, may purchase for inpatient use through an appropriately registered pharmacy.

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3
Q

Can class 3 facilities administer CS?

A

only if there is a written order from an authorized practitioner

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4
Q

May class 3 facilities dispense CS?

A

Not unless the facility has an on-site registered pharmacy licensed in NY

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5
Q

Do class 3A facilities usually have a pharmacy on site?

A

No, typically these facilities contract with an outside pharmacy

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6
Q

Can a 3A facility administer CS

A

Yes, can take temporary custody of a patients prescribed CS and assist with administration

all prescribed meds must be returned to the patient upon discharge

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7
Q

Class 3A CS record keeping

A

daily running record of all prescribed controlled substances received

record administration of prescribed controlled substances

must be kept for 5 years

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8
Q

3a CS security requirements

A

stationary, locked, double cabinet.

both cabinets must have key locked doors with separate keys

spring locks or combination locks are not acceptable

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9
Q

Class 3a regulations for disposal of CS

A

Request for Approval of Disposal/Destruction of CS (DOH form 2340)
+
Controlled substance inventory form (DOH-166)

Name 2 individuals who will conduct disposal/ destruction (at least 1 must be a NYS licensed practitioner)

send to BNE before disposing of CS

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10
Q

Class 3A licenses must promptly notify the BNE of any theft, loss, or possible diversion of CS. What form is used to do so?

A

DOH-2094
Loss of Controlled Substances Report

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11
Q

DOH-4330

A

Application for license to engage in a CS activity

submitted to the BNE

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12
Q

LTCF: who can administer medication?

A

Licensed physician
RPN
other licensed personnel
patient
patient’s caregiver

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13
Q

A provider at a LTCF gives an oral order to administer CS from a sealed emergency kit. The prescriber must countersign a handwritten copy of the order within……

A

48 hrs

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14
Q

LTCF: when an emergency med kit is unsealed does the facility must notify……

A

the pharmacy furnishing the med kit

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15
Q

Can other personnel at a LTCF access medications without pharmacy staff present?

A

Yes, since in these facilities bulk stocks of controlled substances may be distributed within the institution to wards/floor stocks, etc.

pharmacy staff is not required to be present when a floor stock is accessed

16
Q

How long do LTCF who engage in multi-dose packaging or repackaging have to keep these records for?

A

5 years

17
Q

LTCF: expirations on repackaged meds

A

either 12 months, or 50% of the time remaining to the manufacturer exp date

whichever comes first

18
Q

LTCF CS storage requirements

A

separately locked, permanently affixed, compartments for storage of CS drugs and other drugs subject to abuse

exception: when facility uses single unit package drug distribution systems in which quantity stored is minimal and a missing dose can be readily detected

19
Q

Institutional dispensers:
C1-2 substances must be kept in either…..

A

A GSA class 5 rated steel cabinet or equivalent safe approved by the BNE
- if < 750 lbs it must be bolted or cemented to the floor.
- multiple position combination lock
- a relocking device
- steel plate that is at least 1/2 inch thick

A vault
- multiple position combination lock
- relocking device
- 1/2 inch thick steel door
- ceiling, floors, and walls should be no less than 8 inches of reinforced concrete

20
Q

C3 storage requirements for institutional dispencers

A

must be stored in a securely locked cabinet

may also be dispersed throughout the non-controlled stock

21
Q

in a LTCF, can patient specific CS be stored with the patient’s other meds in a locked cart or storage unit

A

Yes but only up to 72hrs supply

22
Q

Nuclear pharmacy: RPh special requirements

A
  • certified as a nuclear pharmacist by BOP-specialties
    OR
  • 200 contact hours of instruction in nuclear pharmacy + 500 hrs of clinical nuclear pharmacy training under a certified nuclear pharmacist, residency, etc
23
Q

Nuclear pharmacy: facility requirements

A

basic requirements of normal pharmacy +
- laminar flow hood
- dose calibrator
- exhaust hood & filter system
- chromatography apparatus
- materials for determining pH
- scintillation detection system
- microscope
- separate, secured area for storage and dispensing radioactive drugs if non-radioactive drugs are also handled at the facility

24
Q

Remote pharmacy: Licensure requirements

A

language dose not indicate that remote services/telepharmacy are allowable
- hospitals require pharm services ON THE PREMISES

But…. its a bit foggier in other settings such as residential facilities

Basically be licensed and if out of state follow OOS mail order requirements
- register as non-resident facility
- 1 resident agent (doesn’t need to be an RPh)

25
Q

Medical offices: Which type of prescriber can receive/store meds?

A

any prescriber allowed to prescribe meds is also allowed to dispense them

26
Q

Medical offices: Which type of providers can administer meds?

A

RPNs may possess and administer drugs and devices pursuant to a non-patient specific regimen prescribed by a licensed physician or NP

27
Q

Medical offices: Who may receive Rx samples and distribute to patients

A
  • licensed practitioners
  • hospital pharmacies
  • other health care entities upon written request of a licensed prescriber
    NOT retail pharmacies
28
Q

Medical offices: can CS be distributed as samples?

A

No.

Exception: Research / instructional activities / chemical analysis

29
Q

Medical offices: Can prescribers dispense prescriptions?

A

Yes, may supply up to a 72hr supply of Rx meds (including CS)

Exceptions to the 72hr limit:
- pt lives 10 miles or more from a pharmacy
- meds are dispensed at no charge to patients
- medical emergency
- drug is compounded by prescriber
- oncology/AIDS protocol

Prescribers may then dispense up to a
- 30 day supply of CS
- 3 month supply of chorionic gonadotropin
- 6 month supply of anabolic steroid

must follow same reporting rule as pharmacists
must submit data to BNE within 72hrs

30
Q

Medical offices: labeling requriements

A

drug dispensed must be labeled with
- prescribers name/address
- Pt name & address
- name of drug
- strength
- directions
- date of delivery

31
Q

Medical offices: logging requirements

A

patients record should be annotated to reflect dispensing of drug with:
- drug name
- drug quantity
- dose
- directions
- # of refills

32
Q

Medical offices: can pharmacies supply offices?

A

wording unclear…

33
Q

Correctional facilities: can CFs operate an on-site pharmacy?

A

yes, must be supervised by a licensed RPh

must keep stock and dispensing records, medication profiles on all inmates receiving Rxs

34
Q

Correctional facilities: may healthcare personnel administer injectable medications to inmates?

A

Injectable meds must be administered to inmates by a member of the healthcare staff

if a facility doctor approves, inmates may self-admin some SQ medications under direct visual supervision of a registered RPN, this approval must be documented

35
Q

Veterinary/ animal dispensing rules

A

similar to physician

36
Q

ER/Urgent Care dispensing rules

A

See hospital/institutional

MPJE (14 decks)

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