Questions and Answers
What is the primary responsibility of the registered pharmacist in the facility?
How often must the drug regimen of each resident be reviewed?
What is required for the administration of psychotropic drugs?
What is the purpose of the system of records of receipt and disposition of controlled drugs?
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What is the role of the quality assessment and assurance committee in relation to drug regimen review?
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What is the requirement for the facility to obtain drugs and biologicals?
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What is required for the facility to provide pharmaceutical services?
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Who receives the report of any irregularities found during drug regimen review?
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Who needs to approve the contents of each emergency medication kit?
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What is the maximum number of different controlled substances that can be stocked in a sealed emergency medication kit?
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Who can administer controlled substances in emergency situations?
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What is the purpose of maintaining records of controlled substances in emergency kits?
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What is the maximum duration of medication supply that can be stocked in an emergency medication kit for non-controlled substances?
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What is the maximum number of non-injectable medications that can be stocked in an emergency medication kit?
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Where should each emergency medication kit be kept?
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What happens if a verbal order is not signed by the prescriber within 48 hours?
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How should drugs and biologicals be stored in a facility?
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What is required for storage of controlled substances?
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How should poisons and medications for 'external use only' be stored?
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What should be done with medications whose shelf life has expired?
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What is a requirement for returning unused medications to a vendor pharmacy?
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What type of medication cannot be returned to a vendor pharmacy?
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What is required for drug products repackaged into unit-dose or multiple-dose 'blister packs'?
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What can be done with partially used 'blister packs'?
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What is required of the vendor pharmacy when unused medications are returned?
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What is the time limit for repackaging drug products into unit-dose or multiple-dose 'blister packs'?
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Study Notes
Pharmacy Services in Nursing Homes
- A nursing home facility must provide pharmaceutical services and develop policies to ensure accurate acquisition, receipt, dispensing, and administration of all drugs and biologicals.
- The facility must be licensed under Article 33 of the Public Health Law and Part 80 of this Title.
Service Consultation
- A registered pharmacist must be employed or contracted to provide consultation on pharmacy services.
- The pharmacist must establish a system of records for controlled drugs and maintain an account of all controlled drugs.
Drug Regimen Review
- A registered pharmacist must review each resident's drug regimen at least once a month.
- The pharmacist must report any irregularities to the attending physician and director of nursing.
- Psychotropic drugs can only be administered on a physician's order and as part of a plan of care.
Labeling of Drugs and Biologicals
- Drugs and biologicals must be labeled according to accepted standards of practice, including accessory and cautionary instructions and expiration dates.
- Labeling must comply with Article 137 of the State Education Law and 8 NYCRR Part 29.
Storage of Drugs and Biologicals
- Drugs and biologicals must be stored in locked compartments under proper temperature controls, with access only to authorized personnel.
- Controlled drugs must be stored in separately locked, permanently affixed compartments, except when using single-unit package drug distribution systems.
Return of Unused Medications
- Unused medications can be returned to the vendor pharmacy for redispensing if sealed, unopened, and within the recommended shelf life.
- Returned medications must meet specific criteria, including being repackaged with clear labeling and not being controlled substances.
Emergency Medications
- Emergency medication kits must be approved by the medical director, pharmacist, and director of nursing.
- Kits can contain up to a 24-hour supply of controlled substances, including injectable drugs, and must be secured within or near the nurses' station.
Medications for Leaves
- Medications can be released to discharged residents or those going on temporary leave, using the facility's medication supply.
Verbal Orders
- Medications must be ordered in writing by a legally authorized practitioner, except in unusual circumstances where a verbal order can be given to a licensed nurse or pharmacist, then immediately reduced to writing and authenticated by the nurse or pharmacist, and countersigned by the prescriber within 48 hours.
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Description
This quiz covers the regulations and policies governing pharmacy services in New York facilities. It includes the acquisition, receipt, dispensing, and administration of drugs and biologicals to meet the needs of residents.
