Arkansas Administrative Code
Agency 070 - Board of Pharmacy
Rule 070.00.97-005 - Regulation 61 - Prescription Orders to Administer Medication and/or Immunizations
Universal Citation: AR Admin Rules 070.00.97-005
Current through Register Vol. 49, No. 2, February 2024
REGULATION 61
PRESCRIPTION ORDERS TO ADMINISTER MEDICATION AND/OR IMMUNIZATIONS
A. MEDICATION
ADMINISTRATION ADVISORY COMMITTEE:
1. The
purpose of the Medication Administration Advisory Committee shall include
functioning in an advisory capacity to assist the Board with implementation and
oversight of the provisions regarding medication administration
authority.
2. The Medication
Administration Advisory Committee shall be composed of five members, to be
approved by the Governor, who have the following qualifications:
a. Two members shall be licensed physicians
selected from a list of three names per position submitted jointly by the State
Medical Board and the Arkansas Medical Society.
b. Two members shall be licensed pharmacists-
one pharmacist shall be recommended by the Arkansas Pharmacists Association and
one pharmacist shall be a member of the Arkansas State Board of
Pharmacy.
c. One member shall be an
advanced practice nurse holding a certificate of prescriptive authority
selected from a list of three names submitted jointly by the State Nursing
Board and the Arkansas Nurses Association.
d. The Board may remove any advisory
committee member, after notice and hearing for incapacity, incompetence,
neglect of duty, or malfeasance in office.
e. The members shall serve without
compensation, but may be reimbursed to the extent special moneys are
appropriated therefor for actual and necessary expenses incurred in the
performance of their duties.
3. The five initial members appointed to the
committee shall draw lots to determine staggered lengths of their initial
terms. Successive members shall serve three (3) year terms.
B: AUTHORITY FOR PHARMACIST TO
ADMINISTER MEDICATIONS/IMMUNIZATIONS:
1.
Pharmacists may provide pharmaceutical care to patients over the age of
eighteen (18) by administering medications or immunizations to an eligible
patient upon a valid prescription order by a practitioner so authorized to
prescribe such medications or immunizations. A prescription order for a
medication or immunization shall constitute a unique class of prescriptions and
shall apply to any person over the age of eighteen (18) desiring a medication
or immunization. A prescription from a practitioner for administration, by a
pharmacist, of an approved medication or immunization will be known as an
"Authority to Administer."
2. An
Authority to Administer, once granted, is valid for a time period not to exceed
one (1) year-unless such an order is invalidated by the practitioner granting
the authority.
3. An Authority to
Administer is valid only for the pharmacist meeting the requirements set forth
by the Arkansas State Board of Pharmacy and is not transferable.
4. Unless otherwise specifically authorized,
by the Board, a person must possess the following qualifications to be
qualified to accept an initial Authority to Administer order:
a. obtain and maintain a license to practice
pharmacy issued by the Arkansas State Board of Pharmacy;
b. successfully complete a Board approved
course of study, examination; and certification consisting of a training
program that includes the current guidelines and recommendations of the Centers
of Disease ControI and Prevention. The Course of study should include, at a
minimum:
(i) basic immunology, including the
human immune response;
(ii) the
mechanism of immunity, adverse effects, dose, and administration schedule of
available vaccines and approved medication/immunization;
(iii) how to handle an emergency situation in
the event one should arise as a result of the administration of the medication
/immunization;
(iv) how to persuade
patients to be immunized and options for record keeping for patients that do
get immunized;
(v) how to
administer subcutaneous, intradermal, and intramuscular injection; and
(vi) record keeping requirements
for these medications as required by law or regulation.
c. obtain supervised instructions on the
physical administration of vaccines during such course of study and
certification;
d. obtain and
maintain current certification in Cardiopulmonary Resuscitation (CPR) or Basic
Cardiac Life Support (BCLS); and
e.
successfully complete the above described course of study which shall be a
minimum of 20 hours and shall qualify for continuing education credits. The
provider of said course of study shall provide participants a certificate of
completion which shall be displayed in the pharmacy at which the pharmacist is
working. A copy of said certificate shall be mailed to the Board of Pharmacy
offices and placed in the pharmacist's permanent file.
5. Continuing competency for certification
for Authority to Administer must be maintained. A minimum of six (6) hours of
the thirty (30) hour requirement for continuing education, every two years,
must be dedicated to this area of practice.
6. An Authority to Administer order shall
meet the following requirements:
a. must
properly identify the practitioner issuing the order;
b. must identify the medication or vaccine
covered in any such order
c. must
properly identify the patient to receive any medication or immunization, by
name, address, age, sex, and date of administration;
d. must identify the medication or vaccine
administered, site of the administration, dose administered, identity of
pharmacist administering the dose; and
e. must bear the date of the original order
and the date of each administration.
C. SEVEN CLASSIFICATIONS OF APPROVED
MEDICATIONS FOR ADMINISTRATION
1.
Immunizations
2. Vaccines
3. Allergy Medications
4. Vitamins
5. Minerals
6. Antihyperglycemics
7. Anti-nausea Medications
Disclaimer: These regulations may not be the most recent version. Arkansas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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