Pharmacy Regulations on Injectable Medications

Questions and Answers

Who is authorized to administer injectable medications for mental health and substance use disorder?

A certified pharmacist with appropriate training (correct)

A certified pharmacy intern under supervision

A pharmacy technician with training

Any licensed pharmacist without restrictions

Which of the following is NOT a requirement for a certified pharmacist to administer injectable medications?

Having a valid patient-specific prescription

Completing prescribed training as defined by law

Holding a degree in pharmacy (correct)

Maintaining continued competency

What must occur before a certified pharmacy intern can administer injectable medication?

The certified pharmacy intern must have administered a medication previously.

The certified pharmacist must leave the area.

The patient must be informed and consent to the administration. (correct)

The administration must occur via telehealth consultation.

What is the role of a certified pharmacist during the administration of injectable medications by a certified pharmacy intern?

To be present and supervise the administration directly Signup and view all the answers

Which entity approves the injectable medications used for treatment?

The Federal Food and Drug Administration Signup and view all the answers

If a patient does not consent to the administration of an injectable medication by a certified pharmacy intern, what is required?

A certified pharmacist must administer the medication. Signup and view all the answers

What must certified pharmacists do to ensure they are qualified to administer injectable medications?

Engage in ongoing training related to medications and populations served Signup and view all the answers

What restricts a certified pharmacist from delegating the administration of injectable medications?

State education law and regulations Signup and view all the answers

What must a certified pharmacist verify before administering injectable medication?

The patient has received an initial dose and is eligible for maintenance treatment. Signup and view all the answers

Which method of communication is NOT acceptable for a prescriber to communicate patient eligibility?

Listening to a voicemail message Signup and view all the answers

What is one of the responsibilities of a certified pharmacist when administering injectable medication?

To ensure the availability of emergency anaphylaxis treatment agents. Signup and view all the answers

If a patient cannot provide written consent for injectable medication, who may provide consent?

The person legally responsible for the patient. Signup and view all the answers

What must pharmacists provide to patients regarding injectable medications?

Specific instructions for managing adverse reactions. Signup and view all the answers

What is the timeframe for notifying a prescriber about a missed injectable medication administration?

72 hours after the administration was scheduled. Signup and view all the answers

Which statement accurately reflects a pharmacist's duty regarding adverse medication reactions?

Pharmacists should notify the prescriber immediately in case of adverse reactions. Signup and view all the answers

Which of the following is NOT a requirement for pharmacists administering injectable medications?

To obtain consent from any healthcare provider present. Signup and view all the answers

What must a pharmacist document concerning communication with the prescriber?

All notifications regarding administration and adverse reactions. Signup and view all the answers

Which is true about the standards for administering anaphylaxis treatments?

They must adhere to both federal and state regulations. Signup and view all the answers

Study Notes

Injectable Medication and Pharmacy Practice

Injectable Medication Definition: Approved by the Federal Food and Drug Administration for mental health and substance use disorder treatment.
Certified Pharmacy Intern: Defined under Education Law §6806; must meet requirements in section 63.4(d) and obtain a certificate of administration as per section 63.9(a)(3).

Certification and Administration Authority

Certified Pharmacist Authority: Can administer injectable medications if trained as per Education Law §6801(3) and holds a certificate of administration.
Patient-Specific Orders: Administration requires a valid prescription or patient-specific order.
Competency Maintenance: Pharmacists must continue to stay competent regarding populations served and medications used.

Delegation and Supervision

Non-Delegation Rule: Certified pharmacists cannot delegate the administration of injectable medications, except to certified pharmacy interns under immediate supervision.
Patient Consent: Certified pharmacy interns must obtain patient consent for administration; if consent is refused, the pharmacist will administer the medication.

Pre-Administration Responsibilities

Initial Dose Verification: Pharmacists must confirm the patient has received an initial dose and is eligible for maintenance treatment, with documentation of eligibility from the prescriber.
Patient Information: Must inform the patient of common side effects, drug interactions, and injection site reactions both orally and in writing.
Contraindication Assessment: Pharmacists are responsible for assessing any contraindications before administration.
Emergency Preparedness: Must have anaphylaxis treatment agents and related supplies available.
Consent Documentation: Must obtain and document written consent from the patient or their legal representative.
Adverse Reaction Instructions: Patients should receive written instructions on managing adverse reactions or contraindications.
Privacy: Administration must occur in a private area to ensure patient confidentiality.

Reporting Procedures

Prescriber Notification: Pharmacists or their designees must notify the prescriber within five days after administration; if the scheduled medication is missed, this must be reported within 72 hours.
Documentation: All notifications and communications must be recorded in the patient's medication profile.
Adverse Reaction Reporting: Pharmacists are obliged to notify the prescriber immediately in the event of side effects or adverse reactions.

Anaphylaxis Treatment

Anaphylaxis Medication Administration: Certified pharmacists trained under Education Law §6801(3) can administer medications for treating anaphylaxis to patients receiving injectable medications.
Standards Compliance: Administration must follow specific standards, procedures, and reporting requirements outlined in section 63.9(b).

Professional Judgment

Refusal of Administration: Pharmacists may refuse to administer injectable medications if, in their professional judgment, it could endanger the patient's health due to potential adverse effects or interactions.

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Description

This quiz covers the definitions and regulations related to injectable medications for mental health and substance use disorder treatment, as well as certified pharmacy interns.