Institutional Dispensers and Controlled Substances

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Questions and Answers

What is required for an institutional dispenser to dispense controlled substances for use on premises?

An ongoing treatment agreement

A verbal order from any licensed practitioner

A written order from a practitioner (correct)

An emergency room protocol

Under what condition can an institutional dispenser provide a single dose of a controlled substance to a medical attendant during a patient transfer?

If the hospital is short-staffed

If a prescription is not available

If the patient is in a stable condition

If the transfer duration exceeds three hours (correct)

When may a practitioner in an emergency room dispense controlled substances without a prescription?

Only for critical life-threatening situations

When immediate dispensing is necessary and no alternative treatment is available (correct)

When the hospital has a registered pharmacy

For patients transferring to a different facility

What is the maximum supply of controlled substances a practitioner can dispense in an emergency situation?

A 24-hour supply Signup and view all the answers

Which type of facilities can fill prescriptions for outpatient use of controlled substances issued by an institutional dispenser?

A registered pharmacy or a hospital pharmacy Signup and view all the answers

What are institutional dispensers required to do before using official New York State prescription forms?

Register with the department Signup and view all the answers

Which of the following statements about controlled substances is incorrect?

Institutional dispensers may administer controlled substances based on a verbal order. Signup and view all the answers

What does the 'emergency' mean in the context of dispensing controlled substances by practitioners?

Immediate dispensing is necessary and no alternative treatment is available. Signup and view all the answers

Which information is NOT required in the registration application for an institutional dispenser?

Institution's financial status Signup and view all the answers

How long is the registration for an institutional dispenser valid once approved?

Two years Signup and view all the answers

What is required for staff practitioners to prescribe controlled substances using official prescription forms?

A valid Drug Enforcement Administration registration number Signup and view all the answers

Which of the following statements is true about prescriptions generated on an electronic system?

They must be printed and manually signed to be valid Signup and view all the answers

What is the primary responsibility of the dispensing institution in relation to official prescriptions?

Obtain and ensure security of all official prescriptions Signup and view all the answers

Interns or residents are required to use which of the following for dispensing and prescribing controlled substances?

The code number assigned by the institution Signup and view all the answers

What security measure must be implemented for storing prescriptions at the dispensing institution?

Prescriptions must be kept under lock and key when not in use Signup and view all the answers

Which requirement must be fulfilled for a practitioner to dispense controlled substances under an institution's registration?

The dispensing must be in the usual course of professional practice Signup and view all the answers

What happens to official prescriptions if a practitioner terminates their affiliation with the institution?

They must be surrendered to the institution Signup and view all the answers

Which of the following is NOT a responsibility of the institutional dispenser regarding official prescriptions?

Keeping prescriptions accessible to all staff Signup and view all the answers

Study Notes

Institutional Dispensers Overview

Institutional dispensers licensed by the department can administer or dispense controlled substances on-site with a written order from a practitioner.
Prescriptions are not necessary for inpatient use.
In emergencies, a single dose of a controlled substance can be dispensed to a medical attendant during patient transfers expected to last over three hours.

Off-Premises Dispensing

Controlled substances for off-premises use require a prescription from a practitioner, filled only at a hospital pharmacy or registered pharmacy.
Emergency room practitioners in hospitals without a full-time pharmacy can dispense up to a 24-hour supply of a controlled substance if no alternative treatment is available.

Registration and Prescription Forms

Official New York State prescription forms must be used by institutional dispensers, who are required to register with the department.
Registration includes institution details, Federal registration number, and relevant state agency license numbers, signed by an authorized person.
No fee for registration, valid for two years, subject to department approval.

Ordering and Security of Prescription Forms

Official prescription form requests must be approved and are issued free of charge.
Forms sent to the institution's registered primary address via DEA registration.

Practitioner Regulations

Staff practitioners must use official prescription forms for outpatient use, including their DEA registration number.
Electronic prescriptions must comply with state and federal regulations; printed or faxed prescriptions are not considered electronic.

Interns and Residents Protocol

Interns or residents must use the institution's DEA registration and an assigned code number for dispensing or prescribing.
They can dispense or prescribe if permitted by New York State laws and authorized by their employing institution.

Institutional Responsibility

Dispensing institutions must manage official prescriptions, assign them securely, and maintain detailed records.
Ensure a control and security system for official prescriptions, including secure storage and notification protocols for lost or stolen prescriptions.

Compliance Requirements

Individuals authorized to dispense or prescribe must adhere to sections 80.67, 80.69, and 80.71 of relevant state regulations.

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Description

This quiz covers the regulations surrounding institutional dispensers licensed by the department, particularly the administration and dispensing of controlled substances. It highlights the requirements for written orders from practitioners and emergency protocols for patient transfers. Test your knowledge on the legal parameters governing these practices.