NY Pharmacy Services Regulations

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Questions and Answers

What is the primary responsibility of the registered pharmacist in the facility?

To administer drugs to residents

To provide consultation on all aspects of pharmacy services in the facility (correct)

To develop policies and procedures for pharmaceutical services

To act as a member of the quality assessment and assurance committee

How often must the drug regimen of each resident be reviewed?

At least once a week

At least once a quarter

At least once a month (correct)

At least once a year

What is required for the administration of psychotropic drugs?

A written order from a physician and a plan of care (correct)

A written order from a nurse

A standing order from the facility's policy

A verbal order from a physician

What is the purpose of the system of records of receipt and disposition of controlled drugs?

To maintain an account of all controlled drugs and periodically reconcile it Signup and view all the answers

What is the role of the quality assessment and assurance committee in relation to drug regimen review?

To regularly review findings and corrective actions related to drug regimen review Signup and view all the answers

What is the requirement for the facility to obtain drugs and biologicals?

The facility must obtain them under a contract as described in section 400.4 of Part 400 of this Subchapter Signup and view all the answers

What is required for the facility to provide pharmaceutical services?

A license under Article 33 of the Public Health Law Signup and view all the answers

Who receives the report of any irregularities found during drug regimen review?

The attending physician and the director of nursing Signup and view all the answers

Who needs to approve the contents of each emergency medication kit?

Medical director, pharmacist, and director of nursing Signup and view all the answers

What is the maximum number of different controlled substances that can be stocked in a sealed emergency medication kit?

10 Signup and view all the answers

Who can administer controlled substances in emergency situations?

Registered professional nurses, licensed practical nurses, or other practitioners licensed/registered under Title VIII of the Education Law Signup and view all the answers

What is the purpose of maintaining records of controlled substances in emergency kits?

To ensure compliance with Public Health Law and corresponding regulations Signup and view all the answers

What is the maximum duration of medication supply that can be stocked in an emergency medication kit for non-controlled substances?

24 hours Signup and view all the answers

What is the maximum number of non-injectable medications that can be stocked in an emergency medication kit?

5 Signup and view all the answers

Where should each emergency medication kit be kept?

Within or near the nurses' station Signup and view all the answers

What happens if a verbal order is not signed by the prescriber within 48 hours?

The order is terminated, and the facility ensures the resident's medication needs are promptly evaluated Signup and view all the answers

How should drugs and biologicals be stored in a facility?

In locked compartments under proper temperature controls Signup and view all the answers

What is required for storage of controlled substances?

Separately locked, permanently affixed compartments Signup and view all the answers

How should poisons and medications for 'external use only' be stored?

In a locked cabinet separate from other medications Signup and view all the answers

What should be done with medications whose shelf life has expired?

Disposed of or destroyed in accordance with State and Federal laws and regulations Signup and view all the answers

What is a requirement for returning unused medications to a vendor pharmacy?

The medication must be sealed in an unopened, individually packaged unit Signup and view all the answers

What type of medication cannot be returned to a vendor pharmacy?

Bulk medication in a dispensing container Signup and view all the answers

What is required for drug products repackaged into unit-dose or multiple-dose 'blister packs'?

The date of repackaging, lot number, and expiration date must be indicated on the package Signup and view all the answers

What can be done with partially used 'blister packs'?

Redispensed as returned Signup and view all the answers

What is required of the vendor pharmacy when unused medications are returned?

The vendor pharmacy must reimburse or credit the nursing home or purchaser for the unused medication Signup and view all the answers

What is the time limit for repackaging drug products into unit-dose or multiple-dose 'blister packs'?

90 days from the date of repackaging Signup and view all the answers

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.