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OUTSIDE ORDERS FOR MEDICATION ADMINISTRATION

Effective Date: 
Wed, 10/22/2014
Revised: 
Wed, 01/14/2015
Policy: 

The UCSC Student Health Services may follow through with outside provider orders for medication administration.  These orders must be reviewed, approved, and documented in the electronic medical record and a nursing order entered.

Also see "USE OF PATIENT'S OWN MEDICATIONS" policy.

Procedure: 

Any outside medication order must be reviewed by the Medical Director or designee and approved for administration by the RN.  The medication order should be documented in the electronic medical record (EMR) for Nursing staff to follow.  The original order should be signed by the medical director or designee and scanned into the EMR.

The UCSC Medical Director or designee will decide if the treatment ordered is medically appropriate to be administered by the SHS nursing professionals.  In cases in which the Medical Director judges the medication treatment to not be medically appropriate or administration requires skills and equipment not found at the Student Health Center, the Medical Director will contact the outside ordering clinician and an alternative disposition will be formulated. The student will be notified of the disposition and advised to contact their treating physician for an alternative plan. A referral off campus will be authorized when requested by the patient to facilitate treatment.

PHARMACIST DISPENSING OF EMERGENCY CONTRACEPTION, NICOTINE REPLACEMENT PRODUCTS AND NALOXONE UNDER PRESCRIPTION

Effective Date: 
Thu, 09/25/2014
Revised: 
Fri, 03/10/2017
Policy: 

Effective January 1, 2014, licensed pharmacists in the state of California have been given provider status under a bill signed by the Governor on October 1, 2013.  This bill, SB 493, allows pharmacists certain authorities in all practice settings, to include the following:

"The bill would authorize pharmacists to perform other functions, including, among other things, to furnish self-administered hormonal contraceptives, nicotine replacement products, and prescription medications not requiring a diagnosis that are recommended for international travelers, as specified."

Procedure: 

The UCSC Pharmacy follows all applicable pharmacy laws and regulations.

EMERGENCY CONTRACEPTION

The California State Board of Pharmacy has an established protocol in place for Pharmacists Furnishing Emergency Contraception.

Section 4052.3(a)(2) of the California Business and Professions Code authorizes a pharmacist to furnish emergency contraception prusuant to a protocol appproved by the California State Board of Pharmacy and the Medical Board of California.  Use of ths protocol satisfies that requirement: California Code of Regulations Title 16 ~ 1746. Emergency Contraception and is followed by UCSC SHS Pharmacists.  This protocol can be found in the UCSC SHS Pharmacy Compliance Manual for the State Board of Pharmacy.

 

NICOTINE REPLACEMENT PRODUCTS

The authority to furnish prescription nicotine replacement products for smoking cessation is pursuant to a statewide protocol if certain training, certification, recordkeeeping, and notification requirements are met.  Once a statewide protocol is developed by the California Board of Pharmacy and the Medical Board of California, it will automatically apply to all pharmacists and will be incorporatied by the UCSC SHS Pharmacy.  The protocol under review as of June 2014, currently includes the following:

Allows a pharmacist to furnish nicotine replacement products in accordance with a state treatment prococol, provided:

1. Records are retained of drugs and devices furnished for at least 3 years so as to notify health providers or permit monitoring of the patient

2. The pharmacist notifies the patient's primary care provider of drugs and devices furnished or into a patient record

3. The pharmacist must complete 1 hour of CE on smoking cessation therapy

 

NALOXONE

The authority to furnish prescription naloxone for opioid reversal is pursuant to a statewide protocol if certain training, certification, recordkeeeping, and notification requirements are met.  Once a statewide protocol is developed by the California Board of Pharmacy and the Medical Board of California, it will automatically apply to all pharmacists and will be incorporatied by the UCSC SHS Pharmacy.  The protocol under review as of February 2016, currently includes the following:

Allows a pharmacist to furnish naloxone in accordance with a state treatment prococol, provided:

1. Records are retained of drugs and devices furnished for at least 3 years so as to notify health providers or permit monitoring of the patient

2. The pharmacist notifies the patient's primary care provider of drugs and devices furnished or into a patient record and/or documents the process in the electronic medical record.

3. The pharmacist must complete 1 hour of CE on naloxone.

Until such time as the California Board of Pharmacy and the Medical Board of California formalize the protocol, the UCSC SHS Pharmacists, acting as delegate for E. Drew Malloy, MD, will act under an internal protocol adapted from the protocol currently under consideration from the California State Board of Pharmacy and the Medical Board of California.  This protocol can be found in the UCSC SHS Pharmacy Compliance Manual for the State Board of Pharmacy.

NICOTINE REPLACEMENT PROTOCOL

Effective January 1, 2014, licensed pharmacists in the state of California have been given provider status under a bill signed by the Governor on October 1, 2013.  This bill, SB 493, allows pharmacists certain authorities in all practice setting, to include the following:

B.2.

An established process for informing the patient of the status of the health care professional and obtaining patient consent for such person's participation in or observation of the patient's care.

Notes: 
P&P

B.1.

A definition close and adequate supervision of students and postgraduate trainees.

Notes: 
P&P

Z.

The organization follows established protocols for instructing patients in self-care after surgery and provides written instructions to patients.

Notes: 
P&P
Policy: 

Y.

The organization has written guidelines for internal transfer of care from one provider to another. These guidelines address:

1. Information to be transferred about a patient’s care, including treatment/ services, current condition, and any recent or anticipated changes.

2. How the information will be communicated among members of the health care team.

Notes: 
n/a

N.13.

Fire risks are identified and minimized, and staff members are prepared to address fire hazards, if necessary.

Notes: 
P&P

B.4.b.

A method of identifying designated locations of paper records throughout the organization in order to deter unauthorized access.

Notes: 
Medical Records

B.4.a.

A method of tracking who accesses the record in order to deter unauthorized access for electronic records.

Notes: 
Audits, EMR capabilities

I.F.

The governing body meets at least annually, or more frequently as determined by the governing body, and keeps such minutes or other records as may be necessary for the orderly conduct of the organization.

Notes: 
P&P
Location: 
Governance
Policy: 
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