-The Omnibus Budget Reconciliation Act of 1987 (OBRA '87) established extensive revisions to the Medicare and Medicaid Conditions of Participation regarding long-term care facilities and the pharmacy. -patients receiving antipsychotic medication must receive gradual dose tapering.
Full Answer
What are the new regulations for pharmacists in the US?
“In order to maintain compliance with the new regulations, facilities will have to ensure that pharmacists have access to these records.” In addition, facilities must have reporting procedures for pharmacists, which include a response timeline from prescribers when immediate action is required based on a DRR.
How will the new regulation of pharmacy services affect your business?
“The new regulation expands pharmacist services, and in many cases will increase the costs to provide these services,” said Khristy McClelland, President of Guardian Pharmacy in Jacksonville, Florida.
Are there long-term care pharmacy rules for Medicare?
Medicare Adds New Long-Term-Care Pharmacy Rules Agency Passes Again on Pharmacist Independence Requirements Stephen Barlas Author informationCopyright and License informationDisclaimer Mr. Barlas is a freelance writer in Washington, D.C., who covers issues inside the Beltway. Send ideas for topics and your comments to ten.nozirev@salrabs.
What are the new independence rules for pharmacists and nursing homes?
While pharmacists and nursing homes will not have to contend with new independence rules, they will face additional requirements beyond those in the new pharmacy services section. For example, all LTC facilities will have to:
What functions do pharmacist provide for long-term care?
A long-term care pharmacist is engaged by a long-term care pharmacy to provide pharmacy, infusion, education, consulting, and related ser- vices for a specific patient population. These pharmacists can focus on dispensing/ management operations or consultant services.
What is the name of the entity that is responsible for the disposal of pharmacy waste?
Pharmaceutical Waste Stewardship - CalRecycle Home Page.
What are the essential elements of a CII prescription order?
All of the following must be included in a prescription for a controlled substance1:Issue date.Name and address of patient.Name, address, and DEA registration number of practitioner.Drug name.Strength of drug.Dosage form (ie, tablet, suspension, etc)Quantity prescribed.Directions for use.More items...•
What functions do pharmacists provide for long-term care quizlet?
The role of pharmacists in long-term care has been shown to: decrease overall medication costs. Total parenteral nutrition (TPN) consists of: amino acids.
What does RCRA stand for?
Resource Conservation and Recovery ActThe Resource Conservation and Recovery Act (RCRA) is the public law that creates the framework for the proper management of hazardous and non-hazardous solid waste. The law describes the waste management program mandated by Congress that gave EPA authority to develop the RCRA program.
Which organization governs the use storage and disposal of controlled substances?
Through the RCRA, the EPA regulates hazardous waste from the time the waste is created, all the way through transport, treatment, storage, and disposal.
Which of the following is a Schedule II controlled substance?
Schedule II/IIN Controlled Substances (2/2N) Examples of Schedule II narcotics include: hydromorphone (Dilaudid®), methadone (Dolophine®), meperidine (Demerol®), oxycodone (OxyContin®, Percocet®), and fentanyl (Sublimaze®, Duragesic®). Other Schedule II narcotics include: morphine, opium, codeine, and hydrocodone.
Which term refers to a set of standards or guidelines within which a facility functions?
Protocol. What term refers to a set of standards or guidelines within which a facility functions? Hippocrates.
What can pharmacist change on CII prescriptions California?
Pharmacists may add or change the patient's address upon verification, and modify the dosage form, drug strength, drug quantity, directions for use, or issue date only after consultation with the prescribing practitioner; this must then be noted on the prescription.
What reference is favored in hospital pharmacies?
Drug Facts and Comparisons. What reference is favored in hospital pharmacies? A. Martindale's Complete Drug Reference.
What are the three most common forms of home IV therapy?
The most common drug therapies administered at home are antibiotics/antivirals, pain management, total parenteral nutrition (TPN), and intravenous immunoglobulin (IVIG).
Which compound is used in about 80 of radioactive drugs?
The radioisotope most widely used in medicine is Tc-99, employed in some 80% of all nuclear medicine procedures. It is an isotope of the artificially-produced element technetium and it has almost ideal characteristics for a nuclear medicine scan, such as with SPECT.
What chapter is the practice of pharmacy?
Chapter 20. Regulations Governing the Practice of Pharmacy
How long do you have to return unused prescriptions to the pharmacy?
d. Long-term care facilities shall destroy discontinued or unused drugs or return them to the pharmacy within 30 days of the date the drug was discontinued.
How long does a record of destruction of a drug last?
The original of the record of destruction shall be signed and dated by the persons witnessing the destruction and maintained at the long-term care facility for a period of two years. A copy of the destruction record shall be maintained at the provider pharmacy for a period of two years.
Who witnesses drug destruction?
b. Drug destruction at the pharmacy shall be witnessed by the PIC and by another pharmacy employee. The pharmacy may transfer the drugs for destruction to an entity appropriately licensed to accept returns for destruction. Drug destruction at the facility shall be witnessed by the director of nursing or if there is no director, then by the facility administrator and by a pharmacist providing pharmacy services to the facility or by another employee authorized to administer medication.
Can you return a discontinued drug to a pharmacy?
a. Discontinued drugs may be returned to the pharmacy for resale or transferred to another pharmacy for redispensing to the indigent if authorized by § 54.1-3411.1 of the Code of Virginia and 18VAC110-20-400, or disposed of by appropriate means in compliance with 18VAC110-20-210 and with any applicable local, state, and federal laws and regulations.
Is the Virginia Administrative Code available online?
As a service to the public, the Virginia Administrative Code is provided online by the Virginia General Assembly. We are unable to answer legal questions or respond to requests for legal advice, including application of law to specific fact. To understand and protect your legal rights, you should consult an attorney.
Can a pharmacist share a Schedule VI prescription?
A pharmacist employed by or contracted with a pharmacy providing services to a long-term care facility may share a copy of a Schedule VI prescription or order with a pharmacist at another pharmacy for the purpose of dispensing an immediate supply of drugs, not to exceed a seven-day supply, without transferring the prescription pursuant ...
What act encouraged the creation of both generic and new medications?
Drug Price Competition and Patent term restoration act of 1984. encouraged the creation of both generic and new medications. streamlining the process for generic drug approval and by extending patent licenses. Prescription Drug marketing act of 1987.
What is the prescription drug marketing act?
Prescription Drug marketing act of 1987. prohibits the re-importation of a drug into the US by anyone except the manufacturer. prohibits the sale or distribution of samples to anyone other than those licensed to prescribe them. Required labels to appear on all medication for animals.
What amendment required all products to have adequate directions for use?
Amendment of FDCA 1938 . Require all products to have adequate directions for use. Don't need to have adequate directions for use if the drug/products must be dispense with a prescription (not over-the-counter) Separated drugs into Legend and Nonlegend (over the counter) Allows verbal prescriptions over the phone.
Can OTC drugs be opened by children?
to reduce accidental poisoning in children. Requires that most OTC and legend drugs be packaged in child-resistant containers --> can't be opened by 80% of children <5 yrs old but can be opened by 90% of adults. Occupational safety and health act (OSHA) of 1970.
Can you use an outside pharmacy for long term care?
Long term care residents may choose an outside pharmacy for their medication if the pharmaceutical service is not provided under their contract.
How long do you have to keep a drug history for a pharmacy?
Each pharmacy should make sure that every patient's record shows his or her entire available drug history for at least. five years. While most states allow pharmacies to sell hypodermic needles and syringes in any quantity, there are some states that allow pharmacies to sell no more than. ten at a time.
What are the duties of a state board of pharmacy?
State boards of pharmacy are responsible for all of the following, except. establishing academic standards for pharmacy technicians. According to the standards of the Joint Commission, non-pharmacist personnel must be assigned duties that are consistent with. their training.
What do pharmacy technicians do?
Pharmacy technicians should check the stock bottle's labeling and the NDC number in the computer system ...
What is the renewal of pharmacy technician certification?
Renewal of pharmacy technician certification requires: continuing education. The long-term care pharmacist supervises all aspects of the drugs required by residents of long-term care facilities, as regulated by: OBRA drug review requirements and state law.
Can a pharmacy board discipline a pharmacy?
The pharmacy board may discipline a pharmacy that is in violation of the law by. not issuing a renewal of the pharmacy permit. State boards of pharmacy are responsible for. renewal of licenses, approval of degree programs to teach the practice of pharmacy, and establishment of standards for purity and quality.
Do prescriptions have to have the signature of the prescriber?
They should have the signature of the prescriber stamped on them.
Do pharmacies give coupons?
They provide coupons to offer discounts for expensive medications.