Podcast
Questions and Answers
Who must approve the contents of each emergency medication kit?
Who must approve the contents of each emergency medication kit?
What is the maximum number of different controlled substances that can be stocked in a sealed emergency medication kit?
What is the maximum number of different controlled substances that can be stocked in a sealed emergency medication kit?
Under what Article of the Public Health Law must a facility be licensed to provide pharmacy services?
Under what Article of the Public Health Law must a facility be licensed to provide pharmacy services?
Who can administer controlled substances from an emergency medication kit?
Who can administer controlled substances from an emergency medication kit?
Signup and view all the answers
How long must the records of controlled substances in emergency kits be maintained?
How long must the records of controlled substances in emergency kits be maintained?
Signup and view all the answers
Who is responsible for reviewing the drug regimen of each resident at least once a month?
Who is responsible for reviewing the drug regimen of each resident at least once a month?
Signup and view all the answers
What is the maximum number of noninjectable, prepackaged medications that can be included in an emergency medication kit?
What is the maximum number of noninjectable, prepackaged medications that can be included in an emergency medication kit?
Signup and view all the answers
What is the primary purpose of a drug regimen review?
What is the primary purpose of a drug regimen review?
Signup and view all the answers
Where must each emergency medication kit be kept?
Where must each emergency medication kit be kept?
Signup and view all the answers
Under what circumstances can psychotropic drugs be administered?
Under what circumstances can psychotropic drugs be administered?
Signup and view all the answers
What is the role of the quality assessment and assurance committee in relation to drug regimen reviews?
What is the role of the quality assessment and assurance committee in relation to drug regimen reviews?
Signup and view all the answers
What must be done when a verbal order is given for a medication?
What must be done when a verbal order is given for a medication?
Signup and view all the answers
What happens if a verbal order is not signed by the prescriber or a legally designated alternate practitioner within 48 hours?
What happens if a verbal order is not signed by the prescriber or a legally designated alternate practitioner within 48 hours?
Signup and view all the answers
What type of drugs must be accounted for and periodically reconciled?
What type of drugs must be accounted for and periodically reconciled?
Signup and view all the answers
What is the responsibility of the facility regarding the provision of pharmaceutical services?
What is the responsibility of the facility regarding the provision of pharmaceutical services?
Signup and view all the answers
Who is responsible for determining that drug records are in order and that an account of all controlled drugs is maintained and periodically reconciled?
Who is responsible for determining that drug records are in order and that an account of all controlled drugs is maintained and periodically reconciled?
Signup and view all the answers
What should be included in the labeling of drugs and biologicals?
What should be included in the labeling of drugs and biologicals?
Signup and view all the answers
How should controlled drugs and other drugs subject to abuse be stored?
How should controlled drugs and other drugs subject to abuse be stored?
Signup and view all the answers
What should be done with medications whose shelf life has expired or which are no longer in use?
What should be done with medications whose shelf life has expired or which are no longer in use?
Signup and view all the answers
What type of medications can be returned to the vendor pharmacy?
What type of medications can be returned to the vendor pharmacy?
Signup and view all the answers
What is required for drug products repackaged by the pharmacy into unit-dose or multiple-dose 'blister packs' to be returned for redispensing?
What is required for drug products repackaged by the pharmacy into unit-dose or multiple-dose 'blister packs' to be returned for redispensing?
Signup and view all the answers
What should be done with partially used 'blister packs'?
What should be done with partially used 'blister packs'?
Signup and view all the answers
What type of medications cannot be returned to the vendor pharmacy?
What type of medications cannot be returned to the vendor pharmacy?
Signup and view all the answers
Who should have access to stored drugs and biologicals?
Who should have access to stored drugs and biologicals?
Signup and view all the answers
What should be maintained by the pharmacy in the case of drug products repackaged in advance of immediate needs?
What should be maintained by the pharmacy in the case of drug products repackaged in advance of immediate needs?
Signup and view all the answers
What should the vendor pharmacy do with returned drug products?
What should the vendor pharmacy do with returned drug products?
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.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Learn about the pharmaceutical services and policies required in nursing homes, including licensing and pharmacist consultation. Understand the rules and regulations governing pharmacy services in these facilities.
