Other Settings: Long-Term Care

Question 1

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Who Can Dispense/Administer Medication in LTC?
Who Can Access Disepnsing Units/Special Requirements?
Who Can Access Medications w/o Pharmacy Staff?

Answer 1

Properly trained person shall be charged with the responsibility of administering nonparental medications:
* Knowledge of drugs purpose, dangers, and contraindications
* This person shall be a licensed nurse or physician or shall have successfully completed a department-approved medication aide challenge examination administered by a community college.

Question 2

LTC Requirements on IV Labeling for Dispensing Unit?

Answer 2

Legends Solutions: Irrigation & Infusion
* Store in Locked Rx Area
* ID by Resident Name
* Date/Initial Open Opening

Question 3

LTC Unit Dose Requirements for Dispensing Unit?

Answer 3

Floor Stock: Name, Strength, Exp.
Patient Use: Name, Room/Bed #, Prescriber, Drug Name, Strength, Directions, Pharmacy Name/Address

Question 4

LTC Multi-Dose/Repackaging Requirements?

Answer 4

Containers may be only be reused for the same patient; max 1 month supply:
* Med Pak Unique ID #
* Beyond Use Date: Max 60 Days from Preparation or Drug Expiration Date (whichever is first)
* If Med Pak allows for removal/separation of containers, each container must be labeled
* If Med Pak is returned to the pharmacy, it can only be reused for the same patient.

Question 5

LTC Controlled Substance Storage Requirements?

Answer 5

C-II Rx’s Must Be Double Locked

Question 6

Who can Access Controlled Medications in LTC?

Answer 6

Authorized Facility Personnel

Question 7

LTC Emergency Dispensing Requirements?

Answer 7

• Valid Rx
• Perform Drug Use Review (DUR) before administration of 2nd dose

Question 8

Records Keeping Requirements?

Answer 8

• Controlled Substance Proof of Use Form
• C-II Partial Fills
• C-II Disposal
• Emergency/1st Dose Drugs Dispensed