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MA MPJE 2022 > Mid level and practitioners (what they can and cant do) > Flashcards

Mid level and practitioners (what they can and cant do) Flashcards

1
Q

What providers can dispense and administer medications?

A
  1. ) Physician (MD, DO)
  2. ) dentist (DDS, DMD)
  3. ) podiatrist (DPM)
  4. ) veterinarian (DVM)
  5. ) nurse practitioner
  6. ) physician assistant
  7. ) pharmacist
  8. ) psychiatric nurse mental health clinical specialist
  9. ) certified nurse midwife
  10. ) nurse anesthetist

● Practitioner must be practicing within good faith and in the course of professional practice

● Must be directed to alleviate pain/suffering of a disease

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2
Q

Can a provider dispense and deliver to the ultimate user a CII?

A

YES! This is possible for ANY CS (ii-v) but only in a single dose or quantity essential for treatment

A provider may dispense by delivering to an ultimate user a controlled substance (Schedule II-V) in a single dose or in a quantity that is, in opinion of the practitioner, essential for the treatment of a patient

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3
Q

Can a provider dispense and deliver to the ultimate user a CVI?

A

YES!

there are no limitations on doses or quantity (and unlike C3-5) as long as:

1. The provider is authorized to dispense CS

2. Dispensed in the manufacturer package provided

3. No charge to patient

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4
Q

Can a licensed dental hygienist administer local anesthesia?

A

YES

● A practitioner may instruct local anesthesia to be administered by a licensed dental hygienist

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5
Q

Can certified medical assistants administer immunizations?

A

YES

● A practitioner may instruct a certified medical assistance to administer an immunization

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6
Q

What records does a practitioner need to keep in regards to dispensing and administering medications

A
  1. ) name and quantity of any CS 1-3 received by the practitioner
  2. ) name and address of each pt each CS was administered or dispensed
  3. ) name, dosage, strength of each CS
  4. ) date dispensed/administered
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7
Q

Can pharmacies supply doctors offices with medications that the doctor will then give to the pts?

A

NO

medical offices must order from wholesale druggists

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8
Q

What is a mid-level practitioner

A

A practitioner (other than vet, pod, dent, phys) allowed to DISPENSE controlled substances in the course of professional practice

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9
Q

In MA what mid-level practitioners have controlled substance authority?

A
  1. NP (admin, prescribe, procure all CS)
  2. PA (admin, prescribe, procure all CS)
  3. OP (optometrist) (admin, prescript, procure and dispense 3N, 4 and 5 CS)
  4. Institutional RPh (prescribe all CS)
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10
Q

What CS authority does an NP have?

what is an NP?

A

Nurse Practitioner

Administer, prescribe, procure

All CS

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11
Q

What CS authority does a PA have?

What does PA stand for?

A

Physitians Assistant

Admin, prescribe, procure

All CS

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12
Q

What CS authority does a OD have?

What does OD stand for?

A

Optometrist

Admin, prescribe, procure, dispense

CS: 3N, 4, 5

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13
Q

What CS authority does an RPh have?

What does RPh stand for?

A

Registered Pharmacist

only INSTITUTIONAL pharmacists have authority

prescribe

all CS

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14
Q

What CS authority does a AMB have?

What does AMB stand for?

A

Ambulatory services

none

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15
Q

What CS authority does a AS have?

What does AS stand for?

A

Animal shelters

none

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16
Q

What CS authority does a DOM have?

What does DOM stand for?

A

doctor of oriental medicine

none

17
Q

What CS authority does an ET have?

What does ET stand for?

A

euthanasia technician

18
Q

What CS authority does a HMD have?

What does HMD stand for?

A

homeopathic physician

none

19
Q

What CS authority does MP have?

What does MP stand for?

A

Medical psychologists

none

20
Q

What CS authority does an ND have?

What does ND stand for?

A

naturopathic phsician

none

21
Q

What CS authority does a NS have?

What does NS stand for?

A

nursing homes

none

22
Q

Can a physician prescribe a CII to their family member?

A

only in an emergency

otherwise prescribing CII’s to direct family is prohibited

23
Q

What CS can a provider prescribe for themselves?

A

CV

Physicians are prohibited from prescribing controlled substances in Schedules II - IV for their own use.

24
Q

What does a school nurse need in order to administer prescription meds

A

they must be trained** and **documented as the responsible person for the administration of rxs

25
Q

Correctional Facilities dispensing rules?

A

The Health Service Unit (HSU) within the facility will have access to a pharmacy service that follows MA laws

Additionally, each HSU will have a specific procedure/policy that must be adhered to and can be found within the standard operating procedures/contractual medical provider’s pharmacy procedure manual.

Specific requirements

  1. ) Inmate must present identification or be identified by correction staff
  2. ) All rx administration must be recorded on either the medication administration record or on a medication log including date/time and signed by the individual that administers the medication
  3. ) Inmate should be observed and if hoarding is suspected the medication shall be crushed and mixed in water (unless prohibited by medication stability)
  4. ) If an inmate receives a time-released formula for a controlled substance (such as a patch) they may NOT be housed within general population
  5. ) Some OTC products are sold in canteens and do not require a physician order
  6. ) All injectable medications (besides insulin) must be administered by the responsible physician
26
Q

If an inmate is suspected of hoarding what should you do?

A

crush med and mix with water

(unless prohibited by med stability)

27
Q

If an inmate is prescribed a fentanyl patch, can they be housed in general population

A

NO

If an inmate receives a time-released formula for a controlled substance (such as a patch) they may not be housed within general population

28
Q

Does an inmate need to get their OTC medications from a physician?

A

NO

● Some OTC products are sold in canteens and do not require a physician order

29
Q

ALL injectable medications must be administered by the responsible physician BESIDES …?

A

insulin

MA MPJE 2022 (12 decks)

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