Hospitals & Other Institutional Dispensers Flashcards
(37 cards)
Controlled substances prescribed or ordered for a specific patient in quantities which would not exceed a 72-hour supply may be stored…
with the patient’s other medications at the patient care unit, provided that they are kept in a securely locked medication cart or other storage unit approved by the department.
Institutional dispensers and limited institutional dispensers can store controlled substances as floor stock on patient care units.
True
Schedule I, II, III and IV controlled substances shall be kept in stationary…
locked double cabinets. Both cabinets, inner and outer, shall have key-locked doors with separate keys; spring locks or combination dial locks are not acceptable. For new construction, cabinets shall be made of steel or other approved metal.
Schedule V controlled substances shall be stored in a stationary…
securely locked cabinet of substantial construction.
Limited supplies of controlled substances for use in emergency situations may be stocked…
in sealed emergency medication kits.
Schedule II controlled substances may…
not be stocked in medication carts.
Schedule I and II controlled substances shall be kept in either…
(i) A GSA class 5 rated steel cabinet or equivalent safe approved by the Bureau of Narcotic Enforcement
(ii) a vault, constructed of substantial masonry and having a multiple position combination lock, a relocking device or the equivalent, and a door having a thickness of steel plate of at least one-half inch.
Any cabinet or safe weighing less than 750 pounds shall be…
bolted or cemented to the floor or wall in such a way that it cannot be removed.
The door of the cabinet or safe shall contain…
a multiple position combination lock, a relocking device or the equivalent, and steel plate having a thickness of at least one-half inch.
For new construction, floor, walls and ceiling shall not be less…
than 8 inches of reinforced concrete, but less may be accepted where there are compensating extra safeguards.
Schedule III, IV and V controlled substances shall be stored in…
a stationary, securely locked cabinet of substantial construction.
Working stocks of controlled substances of a registered pharmacy may be dispersed throughout the stocks of noncontrolled substances.
True. Controls must be locked up if not dispersed.
For institutional dispensers (hospitals, veterinary hospitals and mental hospitals), P.R.N. orders for controlled substances are not valid…
beyond 72 hours and must be rewritten.
In an emergency situation in hospitals, a practitioner may have a controlled substance administered by oral order provided that such oral order shall be signed by the practitioner…
within 48 hours. A notation should be made of the emergency condition which required the administration of the drug.
In an institutional setting, each emergency kit may contain up to a 24-hour supply of…
a maximum of 10 different controlled substances in unit dose packaging (no more than 3 may be in an injectable form)
Each emergency kit shall be…
secured in a stationary, double-locked system or other secure method approved by the Department.
Medication carts may be utilized to stock Schedule III, IV and V controlled substances provided they are in a secure location and equipped with:
(a) . double-keyed locks;
(b) . when not in use, anchored to a floor or wall device or maintained in another secure location;
(c) . locked drawer system; and
(d) . independent locking device.
Access to medication carts shall be limited to an identified individual at all times. Such carts are to be used only…
in conjunction with a pharmacy maintained patient profile summary.
For all institutional dispensers (e.g. hospitals, veterinary hospitals, mental hospitals, or similar facilities) standing orders or specific controlled substances orders for individual patients to be administered at specified times shall not be valid after…
7 days and for continuing validity shall be rewritten at least every 7 days.
**Law also applies to patients in residential health care facilities, or in prisons, which possess class 3 controlled substances licenses.
Except that for a stabilized patient with convulsive disorders or chronic spasticity or minimal brain dysfunction in an institutional setting, and for patients in residential health care facilities, or in prisons, which possess class three controlled substances licenses, such orders shall be valid for…
30 days but shall be rewritten at least every 30 days.
Written controlled substances orders for hospitalized patients may, if permissible under the bylaws, rules and regulations of the hospital, be signed by a physician’s assistant for…
patients under the care of the physician or physicians to whom the registered physician’s assistant is assigned for supervision, subject to compliance by the registered physician’s assistant with any of the foregoing conditions set forth in this section that are applicable to his/her supervising physicians.
Written controlled substances orders shall be countersigned by the PA’s supervising physician within…
24 hours if deemed necessary and appropriate by the supervising physician or the hospital. Countersignature by the supervising physician is not required before the execution of the order.
Orders for PRN controlled substances in an institutional setting are valid for how many administrations?
Only one administration (can be given anytime within the 72 hours)
An institutional dispenser may dispense how much of controlled substance to a medical attendant accompanying a patient in a transfer if it is expected to exceed 3 hours?
A single dose of a controlled substance
