Lec 19 - Miscellaneous Pharmacy Practice Topics

Explain who can administer a prescribed drug product or device in Wisconsin and the requirements these individuals must meet

Who can administer	What is required
Pharmacist	Prescription for drug product or device Completion of approved course of study and training in administration technique for injectable drug products  Notification of prescribing practitioner after administration
Post second year pharmacy student or out of state pharmacists who have applied for licensure	Prescription for drug product or device Completion of approved course of study and training in administration technique for injectable drug products  Notification of prescribing practitioner after administration Direct supervision of pharmacist who has also completed approved course of study and training

Explain who can administer a vaccine to pts 6 years and older and the requirements these individuals must meet

Pharmacists	12 hours of approved training  have liability insurance covering at least $1M per occurrence and $2M per year.
Pharmacy students & out-of-state pharmacists	12 hours of training  be supervised by a qualified healthcare provider (if a pharmacist, they must meet the same criteria as above).
Pharmacy technicians	2 hours of training direct supervision by a pharmacist basic life support/CPR certification, certified pharmacy technician status.

Explain who can administer a vaccine to pts under 6 years and the requirements these individuals must meet

Pharmacists

A prescription order must be issued within 29 days before vaccine administration. Pharmacists need 12 hours of training plus an approved course specifically for vaccinating children under 6. Must have liability insurance covering at least $1M per occurrence and $2M per year. Pharmacy students, licensure applicants, and technicians CANNOT administer vaccines to this age group.

List the federal requirements for vaccine administration

• Provide a Vaccine Information Statement (VIS) to the patient/guardian for each vaccine dose.

• Record vaccine details in the patient’s record or office log.

• Report adverse events following vaccination to VAERS.

Recorded Information Must Include:

1. Vaccine manufacturer

2. Lot number

3. Date of administration

4. Name, address, and title of the person administering

5. VIS edition date

6. Date VIS was given to patient/guardian

Describe when a pharmacist must make a report to their local health department or DHS in Wisconsin

A pharmacist (or pharmacy) must make a report to their local health department when:

•  there is an unusual increase in prescriptions for antibiotics,

• when a drug is dispensed for a relatively uncommon disease or may be associated with bioterrorism.

Describe the two ways a consumer could access a poison in Wisconsin

A consumer can access a poison through:

•  a prescription order,

• the “labeled delivery” process. The “labeled delivery” process requires labeling, recordkeeping, informing the customer of the poisonous nature of the substance, and determining the poison will be used for a lawful purpose.

Explain the procedure for selling prescription drugs outside of the normal course of business or practice

When selling prescription drugs outside of the normal course of business or practice, you must: 

• inform the board one week prior 

• provide a report of sale within 10 days after the sale.