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PRACTICE QUESTIONS

First responders are allowed to administer naloxone under what?

A. A prescription

B. A standing order

C. Statewide Treatment Protocols

D. A physician's order

E. In an emergency

F. All of above

F. "All of the above"

Due to 2018 Chapter 208 "An Act for Prevention and Access to Appropriate Care and Treatment of Addiction"

A copy of any initial, modification or discontinuation of prescriptions by the pharmacist under a CDTM must be sent to the physician how soon?

A. In 48 hours

B. In 36 hours

C. In 7 days

D. In 24 hours

E. In 2 days

D. "In 24 hours"

700.003: Registrations for Specific Activities

  • Certified nurse practitioners, psychiatric nurse specialists, certified registered nurse anesthetist, or physician assistants can issue prescriptions for Schedules II-VI but must meet certain requirements which include:

    • Registration in the Department's Prescription Monitoring and Drug Control Program

    • Written prescriptions must be within the scope of practice of the prescriber

    • The person writing the prescription must identify their name and title to pharmacist and provide their registration number, work address, phone number, and name of the supervising physician.

The Department allows the administration of epinephrine, naloxone*, opioid antagonists, atropine, pralidoxime chloride or other nerve agent antidotes by:

  • First responders

  • Public employees or volunteers of an agency or municipality that functions in emergency preparedness and response

  • Authorized employee or volunteer to a facility or program which services include the administration of the above medications

*On August 2018, Chapter 208, "An Act for Prevention and Access to Appropriate Care and Treatment of Addiction", allows pharmacies to dispense opioid antagonists without a prescription to any person at-risk of experiencing an opioid-related overdose. Thus, all pharmacies must maintain a constant supply of naloxone rescue kits and there is no limit to the amount of naloxone that may be dispensed to an individual as a pharmacy may dispense naloxone to a patient-specific prescription or via a statewide standing order.

The administration of the above medications requires a prescription from a prescriber; however, first responders are allowed to administer these medications under the Statewide Treatment Protocols. In addition to this, the epinephrine and nerve agent antidote must be packaged in a prefilled, automatic injection device that allows for self-administration and the naloxone and opioid antagonists must be ...

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