HI Ann,
What pharmacy does your unit dose packaging with individual patient names. Is that your state pharmacy or a contracted one?
Thanks
Diana
From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Monday, September 10, 2018 6:40 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
|
(Previous discussion continued) |
||
|
Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann
(10 Sep 2018 09:28 EDT) |
||
|
(Previous discussion continued) |
||
|
Fwd: FW: Webinar Registration Open: Tale of Two Doctors and Disseminated TB: When you really need a Case Manager! - Lorna Will
(10 Sep 2018 11:04 EDT) |
||
|
(Previous discussion continued) |
||
|
RE: Daily digest for tbnurses@ntca.simplelists.com - Bargman, Carolyn RN
(10 Sep 2018 12:29 EDT) |
||
Re: Daily digest for tbnurses@ntca.simplelists.com by
Scarpita - CDPHE, Ann (10 Sep 2018 09:28 EDT)
Reply to list
I can speak to our practice here in Colorado as we often have weekend doses packaged (by our pharmacy) for our patients to SA over weekends or holidays until we can get them to vdot (after 2 months of initial treatment).
We have asked the pharmacy to package weekend packets for the patient or parent to give for weekends, so they (or used to) package two sets for us, weekend doses and then the nurse observed doses. That said, we recently changed pharmacies and they are utilizing daily
packaged meds with the label on each bag so the pharmacy essentially sends us 30 individually labeled packages. When a small package is labeled with the patient name, information, medication, dosing instructions, etc., the nurse can give those packets to the
patient. It is only when they are not labeled which is why we used to have to have them prepare two bag sets in the past, prior to this new machine. This is a little more costly, but it meets the regulations in regards to dispensing and it is getting our patients
the weekend/holiday doses.
In regards to leaving medication in the home, I was taught that we shouldn't leave bottles in the homes over the weekend so as not to compromise the medication. In the cases we did not have access to individual
packaged and labelled medication, we would just do the 5 days per week with DOT knowing that holidays throw a snag in that plan. I am interested if other states have been more creative.
I hope our process as I explained it makes sense.
Have a wonderful Monday, everyone!
Ann
Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656| F 303.759.5538
"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,
confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning
the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Fri, Sep 7, 2018 at 6:35 PM, TB nurse communication <nobody@simplelists.com> wrote:
(Previous discussion continued) RE: Daily digest for tbnurses@ntca.simplelists.com - Keehr, Terri (07 Sep 2018 09:29 EDT) (Previous discussion continued)
RE: Daily digest for tbnurses@ntca.simplelists.com - Patricia Woods (07 Sep 2018 10:17 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com by
Keehr, Terri (07 Sep 2018 09:29 EDT)
Reply to list
Thanks Diana.
If you can’t do VDOT, and can’t get the pharmacy to prepackage weekend meds, do you just leave the client without medication for the weekend (and holidays?) I have been doing VDOT also which is a godsend, and fortunately all the
cases were appropriate for VDOT. Back in the old days (2012-2013) during our outbreak we had to do DOT 7 days a week on 27 cases. Still gives me nightmares!
Terri Keehr, BSN, RN
TB Program Manager
Grand Forks Public Health
151 South 4th Street Suite N301
Grand Forks, ND 58201
701-787-8120
From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Thursday, September 06, 2018 7:38 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Fortune, Diana, DOH (05 Sep 2018 22:18 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com - Katie Kelsch (06 Sep 2018 18:44 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com - BEHM Heidi (06 Sep 2018 10:48 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Fortune, Diana, DOH (05 Sep 2018 22:18 EDT)
Reply to list
Hi Teri,
On very rare occasions - ie we currently have a 5 month old with TB meningitis- one of the public health nurses actually goes and does DOT home visits on the weekends. Most time we don’t do weekend dosing at all - too complicated
and we don’t have physicians to sign off on SAT packets. Infrequently we do SAT packets for weekend dosing - with coinfected TB/HIV patients. Occasionally I can get our state pharmacists to do patient specific weekend SAT packets - but that is a struggle.
So no one answer - hope that helps a little ....
Wish it was easier! Oh and we have started doing some EMOCHA - so in that instance we CAN do video weekend DOT ....how could I have forgotten that.
Diana
On Sep 5, 2018, at 6:40 PM, TB nurse communication <nobody@simplelists.com> wrote:
(Previous discussion continued)
RE: Daily digest for tbnurses@ntca.simplelists.com - Keehr, Terri (05 Sep 2018 10:43 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com - Belinda Davis (05 Sep 2018 11:57 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com by
Keehr, Terri (05 Sep 2018 10:43 EDT)
Reply to list
Diana,
How do you manage weekends? Do you do Sat and Sun home visits for DOT, or leave the medication bottles with the client?
Terri Keehr, BSN, RN
TB Program Manager
Grand Forks Public Health
151 South 4th Street Suite N301
Grand Forks, ND 58201
701-787-8120
From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Tuesday, September 04, 2018 7:34 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Reply to list
Hi all,
In New Mexico it is exactly as Ann described. We cannot per state pharmacy rules repackage medications into SAT packets for weekend dosing without a pharmacist or MD physically signing the packets/bottles. That becomes dispensing
medications and is not allowed. For DOT workers or others who may be supervising DOT - the patient must open the bottle of medications and give themselves or (child) the medications while the DOT worker observes the dosage. Of course RNs can administer medications
just as we would in a hospital environment.
Not being able to send SAT packages for weekend dosing is inconvenient and difficult to manage. Wish there was an easier way to do so!
Diana Fortune
From: TB nurse communication <nobody@simplelists.com>
Sent: Monday, September 3, 2018 6:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Reply to list
Good Morning, All and Happy Labor Day!
Your question is a good one. Something I believe we have all questioned ourselves at some point. I have looked into this in the two states I have worked and as I understand the laws and our limitations in scopes of practice surrounding
dispensing of medications, RNs are not legally able to do legally do this. Only a pharmacist can dispense, including repackage and relabel medications. That said, you can immediately take from a bottle to a package if that is being given to the patient immediately
by the RN who is doing the preparing (as you would in a SNF). You cannot put into smaller packages and give to the patient to take at a later date (weekend doses). You cannot prepare packages given by other nurses.
California may have a different law related to dispensing. I think Ann Raftery would know that answer (for California) but am not sure she is in the office this week. I am eager to hear if it does and any policies surrounding the
application of RNs doing this in the field. It may be something we could propose expanding in other states.
So, I am sorry, I don't have what you are seeking and I commented but I believe you are bringing up a VERY good question and again, I am eager to hear more weigh in. For anyone sharing policies, procedures or protocols around this,
I would like to ask that they touch on how they arrived at those and if their state has laws which allow nurses to dispense (i.e. different dispensing definition).
Hope you all have a superb Labor Day!
Respectfully,
~Ann
Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656| F 303.759.5538
"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or
otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents
of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Fri, Aug 31, 2018 at 6:47 PM, TB nurse communication <nobody@simplelists.com> wrote:
Repacking Medications - Katie Kelsch (31 Aug 2018 11:16 EDT)
Repacking Medications by
Katie Kelsch (31 Aug 2018 11:16 EDT)
Reply to list
Hi all,
This is for small/medium size counties, without a chest clinic and without a pharmacy. We are looking for Policies and Procedures around RNs repacking medications in to the DOT Packets. We receive the medications from our patients
(filled at commercial pharmacies like CVS or Walgreens). We then create individual DOT packets in small plastic envelopes. Some concerns/questions that have come up are focused around:
· Labeling
· Child Poisoning Prevention Act
· The actual physical repackaging of medication
Thank you all! Have a safe Labor Day weekend.
Katie
Katie Kelsch, BSN, RN, PHN
Senior Public Health Nurse
Yolo County Health and Human Services Agency
Fax: 530-669-1549 (confidential)
Please consider the environment before printing this email.
YOLO COUNTY EMAIL DISCLAIMER:
This email and any attachments thereto may contain private, confidential, and privileged material for the sole use of the intended recipient. Any review, copying, or distribution of this email (or any attachments thereto) by other
than the County of Yolo or the intended recipient is strictly prohibited. if you are not the intended recipient, please contact the sender immediately and permanently delete the original and any copies of this email and any attachments.
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
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To reply to a posting, simply reply. To start a new thread, address it to
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You are on the daily digest setting for the listserve.The archives for
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If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
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If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
RE: Daily digest for tbnurses@ntca.simplelists.com by
Belinda Davis (05 Sep 2018 11:57 EDT)
Reply to list
Hello Everyone!
We had the same issue. We have the meds bubble packed and can request that the pharmacy do weekend packaging for the month. We keep the M-F packet at the clinic and the patient has the weekend packet at home. The pharmacy does
all the packaging.
Belinda Davis, RN, BSN
TB Nurse Case Manager
Pima County Health Department
520-724-8461 office
520-981-0631 cell
520-294-1092 fax
From: TB nurse communication <nobody@simplelists.com>
Sent: Tuesday, September 4, 2018 5:34 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
******* This message and sender come from outside Pima County. If you did not expect this message, proceed with caution. Verify the sender's identity before performing any action, such as clicking on a link or opening an attachment.
*******
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Reply to list
Hi all,
In New Mexico it is exactly as Ann described. We cannot per state pharmacy rules repackage medications into SAT packets for weekend dosing without a pharmacist or MD physically signing the packets/bottles. That becomes dispensing
medications and is not allowed. For DOT workers or others who may be supervising DOT - the patient must open the bottle of medications and give themselves or (child) the medications while the DOT worker observes the dosage. Of course RNs can administer medications
just as we would in a hospital environment.
Not being able to send SAT packages for weekend dosing is inconvenient and difficult to manage. Wish there was an easier way to do so!
Diana Fortune
From: TB nurse communication <nobody@simplelists.com>
Sent: Monday, September 3, 2018 6:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Reply to list
Good Morning, All and Happy Labor Day!
Your question is a good one. Something I believe we have all questioned ourselves at some point. I have looked into this in the two states I have worked and as I understand the laws and our limitations in scopes of practice surrounding
dispensing of medications, RNs are not legally able to do legally do this. Only a pharmacist can dispense, including repackage and relabel medications. That said, you can immediately take from a bottle to a package if that is being given to the patient immediately
by the RN who is doing the preparing (as you would in a SNF). You cannot put into smaller packages and give to the patient to take at a later date (weekend doses). You cannot prepare packages given by other nurses.
California may have a different law related to dispensing. I think Ann Raftery would know that answer (for California) but am not sure she is in the office this week. I am eager to hear if it does and any policies surrounding the
application of RNs doing this in the field. It may be something we could propose expanding in other states.
So, I am sorry, I don't have what you are seeking and I commented but I believe you are bringing up a VERY good question and again, I am eager to hear more weigh in. For anyone sharing policies, procedures or protocols around this,
I would like to ask that they touch on how they arrived at those and if their state has laws which allow nurses to dispense (i.e. different dispensing definition).
Hope you all have a superb Labor Day!
Respectfully,
~Ann
Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656| F 303.759.5538
"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or
otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents
of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Fri, Aug 31, 2018 at 6:47 PM, TB nurse communication <nobody@simplelists.com> wrote:
Repacking Medications - Katie Kelsch (31 Aug 2018 11:16 EDT)
Repacking Medications by
Katie Kelsch (31 Aug 2018 11:16 EDT)
Reply to list
Hi all,
This is for small/medium size counties, without a chest clinic and without a pharmacy. We are looking for Policies and Procedures around RNs repacking medications in to the DOT Packets. We receive the medications from our patients
(filled at commercial pharmacies like CVS or Walgreens). We then create individual DOT packets in small plastic envelopes. Some concerns/questions that have come up are focused around:
· Labeling
· Child Poisoning Prevention Act
· The actual physical repackaging of medication
Thank you all! Have a safe Labor Day weekend.
Katie
Katie Kelsch, BSN, RN, PHN
Senior Public Health Nurse
Yolo County Health and Human Services Agency
Fax: 530-669-1549 (confidential)
Please consider the environment before printing this email.
YOLO COUNTY EMAIL DISCLAIMER:
This email and any attachments thereto may contain private, confidential, and privileged material for the sole use of the intended recipient. Any review, copying, or distribution of this email (or any attachments thereto) by other
than the County of Yolo or the intended recipient is strictly prohibited. if you are not the intended recipient, please contact the sender immediately and permanently delete the original and any copies of this email and any attachments.
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
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If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
RE: Daily digest for tbnurses@ntca.simplelists.com by
Katie Kelsch (06 Sep 2018 18:44 EDT)
Reply to
list
Thank you Diana and Ann. Your answers are extremely helpful. A quick follow up question:
Do you have unlicensed personnel observe the patient taking the meds out of the bottles, or do you only used licensed staff?
Thank you!
Katie Kelsch, BSN, RN, PHN
Senior Public Health Nurse
Yolo County Health and Human Services Agency
Office: 530-666-8339 (direct)
Fax: 530-669-1549 (confidential)
Please consider the environment before printing this email.
YOLO COUNTY EMAIL DISCLAIMER:
This email and any attachments thereto may contain private, confidential, and privileged material for the sole use of the intended recipient. Any review, copying, or distribution of this email (or any attachments thereto) by other
than the County of Yolo or the intended recipient is strictly prohibited. if you are not the intended recipient, please contact the sender immediately and permanently delete the original and any copies of this email and any attachments.
From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Wednesday, September 05, 2018 5:40 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
RE: Daily digest for tbnurses@ntca.simplelists.com - Keehr, Terri (05 Sep 2018 10:43 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com - Belinda Davis (05 Sep 2018 11:57 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com by
Keehr, Terri (05 Sep 2018 10:43 EDT)
Reply to list
Diana,
How do you manage weekends? Do you do Sat and Sun home visits for DOT, or leave the medication bottles with the client?
Terri Keehr, BSN, RN
TB Program Manager
Grand Forks Public Health
151 South 4th Street Suite N301
Grand Forks, ND 58201
701-787-8120
From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Tuesday, September 04, 2018 7:34 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Reply to list
Hi all,
In New Mexico it is exactly as Ann described. We cannot per state pharmacy rules repackage medications into SAT packets for weekend dosing without a pharmacist or MD physically signing the packets/bottles. That becomes dispensing
medications and is not allowed. For DOT workers or others who may be supervising DOT - the patient must open the bottle of medications and give themselves or (child) the medications while the DOT worker observes the dosage. Of course RNs can administer medications
just as we would in a hospital environment.
Not being able to send SAT packages for weekend dosing is inconvenient and difficult to manage. Wish there was an easier way to do so!
Diana Fortune
From: TB nurse communication <nobody@simplelists.com>
Sent: Monday, September 3, 2018 6:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Reply to list
Good Morning, All and Happy Labor Day!
Your question is a good one. Something I believe we have all questioned ourselves at some point. I have looked into this in the two states I have worked and as I understand the laws and our limitations in scopes of practice surrounding
dispensing of medications, RNs are not legally able to do legally do this. Only a pharmacist can dispense, including repackage and relabel medications. That said, you can immediately take from a bottle to a package if that is being given to the patient immediately
by the RN who is doing the preparing (as you would in a SNF). You cannot put into smaller packages and give to the patient to take at a later date (weekend doses). You cannot prepare packages given by other nurses.
California may have a different law related to dispensing. I think Ann Raftery would know that answer (for California) but am not sure she is in the office this week. I am eager to hear if it does and any policies surrounding the
application of RNs doing this in the field. It may be something we could propose expanding in other states.
So, I am sorry, I don't have what you are seeking and I commented but I believe you are bringing up a VERY good question and again, I am eager to hear more weigh in. For anyone sharing policies, procedures or protocols around this,
I would like to ask that they touch on how they arrived at those and if their state has laws which allow nurses to dispense (i.e. different dispensing definition).
Hope you all have a superb Labor Day!
Respectfully,
~Ann
Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656| F 303.759.5538
"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or
otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents
of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Fri, Aug 31, 2018 at 6:47 PM, TB nurse communication <nobody@simplelists.com> wrote:
Repacking Medications - Katie Kelsch (31 Aug 2018 11:16 EDT)
Repacking Medications by
Katie Kelsch (31 Aug 2018 11:16 EDT)
Reply to list
Hi all,
This is for small/medium size counties, without a chest clinic and without a pharmacy. We are looking for Policies and Procedures around RNs repacking medications in to the DOT Packets. We receive the medications from our patients
(filled at commercial pharmacies like CVS or Walgreens). We then create individual DOT packets in small plastic envelopes. Some concerns/questions that have come up are focused around:
· Labeling
· Child Poisoning Prevention Act
· The actual physical repackaging of medication
Thank you all! Have a safe Labor Day weekend.
Katie
Katie Kelsch, BSN, RN, PHN
Senior Public Health Nurse
Yolo County Health and Human Services Agency
Fax:
530-669-1549 (confidential)
Please consider the environment before printing this email.
YOLO COUNTY EMAIL DISCLAIMER:
This email and any attachments thereto may contain private, confidential, and privileged material for the sole use of the intended recipient. Any review, copying, or distribution of this email (or any attachments thereto) by other
than the County of Yolo or the intended recipient is strictly prohibited. if you are not the intended recipient, please contact the sender immediately and permanently delete the original and any copies of this email and any attachments.
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
RE: Daily digest for tbnurses@ntca.simplelists.com by
Belinda Davis (05 Sep 2018 11:57 EDT)
Reply to list
Hello Everyone!
We had the same issue. We have the meds bubble packed and can request that the pharmacy do weekend packaging for the month. We keep the M-F packet at the clinic and the patient has the weekend packet at home. The pharmacy does
all the packaging.
Belinda Davis, RN, BSN
TB Nurse Case Manager
Pima County Health Department
520-724-8461 office
520-981-0631 cell
520-294-1092 fax
From: TB nurse communication <nobody@simplelists.com>
Sent: Tuesday, September 4, 2018 5:34 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
******* This message and sender come from outside Pima County. If you did not expect this message, proceed with caution. Verify the sender's identity before performing any action, such as clicking on a link or opening an attachment.
*******
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Reply to list
Hi all,
In New Mexico it is exactly as Ann described. We cannot per state pharmacy rules repackage medications into SAT packets for weekend dosing without a pharmacist or MD physically signing the packets/bottles. That becomes dispensing
medications and is not allowed. For DOT workers or others who may be supervising DOT - the patient must open the bottle of medications and give themselves or (child) the medications while the DOT worker observes the dosage. Of course RNs can administer medications
just as we would in a hospital environment.
Not being able to send SAT packages for weekend dosing is inconvenient and difficult to manage. Wish there was an easier way to do so!
Diana Fortune
From: TB nurse communication <nobody@simplelists.com>
Sent: Monday, September 3, 2018 6:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Reply to list
Good Morning, All and Happy Labor Day!
Your question is a good one. Something I believe we have all questioned ourselves at some point. I have looked into this in the two states I have worked and as I understand the laws and our limitations in scopes of practice surrounding
dispensing of medications, RNs are not legally able to do legally do this. Only a pharmacist can dispense, including repackage and relabel medications. That said, you can immediately take from a bottle to a package if that is being given to the patient immediately
by the RN who is doing the preparing (as you would in a SNF). You cannot put into smaller packages and give to the patient to take at a later date (weekend doses). You cannot prepare packages given by other nurses.
California may have a different law related to dispensing. I think Ann Raftery would know that answer (for California) but am not sure she is in the office this week. I am eager to hear if it does and any policies surrounding the
application of RNs doing this in the field. It may be something we could propose expanding in other states.
So, I am sorry, I don't have what you are seeking and I commented but I believe you are bringing up a VERY good question and again, I am eager to hear more weigh in. For anyone sharing policies, procedures or protocols around this,
I would like to ask that they touch on how they arrived at those and if their state has laws which allow nurses to dispense (i.e. different dispensing definition).
Hope you all have a superb Labor Day!
Respectfully,
~Ann
Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656| F 303.759.5538
"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or
otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents
of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Fri, Aug 31, 2018 at 6:47 PM, TB nurse communication <nobody@simplelists.com> wrote:
Repacking Medications - Katie Kelsch (31 Aug 2018 11:16 EDT)
Repacking Medications by
Katie Kelsch (31 Aug 2018 11:16 EDT)
Reply to list
Hi all,
This is for small/medium size counties, without a chest clinic and without a pharmacy. We are looking for Policies and Procedures around RNs repacking medications in to the DOT Packets. We receive the medications from our patients
(filled at commercial pharmacies like CVS or Walgreens). We then create individual DOT packets in small plastic envelopes. Some concerns/questions that have come up are focused around:
· Labeling
· Child Poisoning Prevention Act
· The actual physical repackaging of medication
Thank you all! Have a safe Labor Day weekend.
Katie
Katie Kelsch, BSN, RN, PHN
Senior Public Health Nurse
Yolo County Health and Human Services Agency
Fax: 530-669-1549 (confidential)
Please consider the environment before printing this email.
YOLO COUNTY EMAIL DISCLAIMER:
This email and any attachments thereto may contain private, confidential, and privileged material for the sole use of the intended recipient. Any review, copying, or distribution of this email (or any attachments thereto) by other
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RE: Daily digest for tbnurses@ntca.simplelists.com by
BEHM Heidi (06 Sep 2018 10:48 EDT)
Reply to list
Per the Board of Pharmacy in Oregon we can either have the patient sign a waiver stating the container doesn’t need to be childproof or place medications in a childproof container.
We purchased childproof envelopes. They can be reused. Medications are left in there if no waiver. Here’s an example:
https://www.clearbags.com/bags/child-resistant
From: TB nurse communication <nobody@simplelists.com>
Sent: Wednesday, September 5, 2018 5:40 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
RE: Daily digest for tbnurses@ntca.simplelists.com - Keehr, Terri (05 Sep 2018 10:43 EDT)
RE: Daily digest for tbnurses@ntca.simplelists.com - Belinda Davis (05 Sep 2018 11:57 EDT)
RE:
Daily digest for tbnurses@ntca.simplelists.com by
Keehr, Terri (05 Sep 2018 10:43 EDT)
Reply to list
Diana,
How do you manage weekends? Do you do Sat and Sun home visits for DOT, or leave the medication bottles with the client?
Terri Keehr, BSN, RN
TB Program Manager
Grand Forks Public Health
151 South 4th Street Suite N301
Grand Forks, ND 58201
701-787-8120
From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Tuesday, September 04, 2018 7:34 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Re:
Daily digest for tbnurses@ntca.simplelists.com by
Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Reply to list
Hi all,
In New Mexico it is exactly as Ann described. We cannot per state pharmacy rules repackage medications into SAT packets for weekend dosing without a pharmacist or MD physically signing the packets/bottles. That becomes dispensing
medications and is not allowed. For DOT workers or others who may be supervising DOT - the patient must open the bottle of medications and give themselves or (child) the medications while the DOT worker observes the dosage. Of course RNs can administer medications
just as we would in a hospital environment.
Not being able to send SAT packages for weekend dosing is inconvenient and difficult to manage. Wish there was an easier way to do so!
Diana Fortune
From: TB nurse communication <nobody@simplelists.com>
Sent: Monday, September 3, 2018 6:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Reply to list
Good Morning, All and Happy Labor Day!
Your question is a good one. Something I believe we have all questioned ourselves at some point. I have looked into this in the two states I have worked and as I understand the laws and our limitations in scopes of practice surrounding
dispensing of medications, RNs are not legally able to do legally do this. Only a pharmacist can dispense, including repackage and relabel medications. That said, you can immediately take from a bottle to a package if that is being given to the patient immediately
by the RN who is doing the preparing (as you would in a SNF). You cannot put into smaller packages and give to the patient to take at a later date (weekend doses). You cannot prepare packages given by other nurses.
California may have a different law related to dispensing. I think Ann Raftery would know that answer (for California) but am not sure she is in the office this week. I am eager to hear if it does and any policies surrounding the
application of RNs doing this in the field. It may be something we could propose expanding in other states.
So, I am sorry, I don't have what you are seeking and I commented but I believe you are bringing up a VERY good question and again, I am eager to hear more weigh in. For anyone sharing policies, procedures or protocols around this,
I would like to ask that they touch on how they arrived at those and if their state has laws which allow nurses to dispense (i.e. different dispensing definition).
Hope you all have a superb Labor Day!
Respectfully,
~Ann
Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656| F 303.759.5538
"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or
otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents
of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Fri, Aug 31, 2018 at 6:47 PM, TB nurse communication <nobody@simplelists.com> wrote:
Repacking Medications - Katie Kelsch (31 Aug 2018 11:16 EDT)
Repacking Medications by Katie Kelsch (31 Aug 2018 11:16 EDT)
Reply to list
Hi all,
This is for small/medium size counties, without a chest clinic and without a pharmacy. We are looking for Policies and Procedures around RNs repacking medications in to the DOT Packets. We receive the medications from our patients
(filled at commercial pharmacies like CVS or Walgreens). We then create individual DOT packets in small plastic envelopes. Some concerns/questions that have come up are focused around:
· Labeling
· Child Poisoning Prevention Act
· The actual physical repackaging of medication
Thank you all! Have a safe Labor Day weekend.
Katie
Katie Kelsch, BSN, RN, PHN
Senior Public Health Nurse
Yolo County Health and Human Services Agency
Fax: 530-669-1549 (confidential)
Please consider the environment before printing this email.
YOLO COUNTY EMAIL DISCLAIMER:
This email and any attachments thereto may contain private, confidential, and privileged material for the sole use of the intended recipient. Any review, copying, or distribution of this email (or any attachments thereto) by other
than the County of Yolo or the intended recipient is strictly prohibited. if you are not the intended recipient, please contact the sender immediately and permanently delete the original and any copies of this email and any attachments.
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at
http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
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RE:
Daily digest for tbnurses@ntca.simplelists.com by
Belinda Davis (05 Sep 2018 11:57 EDT)
Reply to list
Hello Everyone!
We had the same issue. We have the meds bubble packed and can request that the pharmacy do weekend packaging for the month. We keep the M-F packet at the clinic and the patient has the weekend packet at home. The pharmacy does
all the packaging.
Belinda Davis, RN, BSN
TB Nurse Case Manager
Pima County Health Department
520-724-8461 office
520-981-0631 cell
520-294-1092 fax
From: TB nurse communication <nobody@simplelists.com>
Sent: Tuesday, September 4, 2018 5:34 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
******* This message and sender come from outside Pima County. If you did not expect this message, proceed with caution. Verify the sender's identity before performing any action, such as clicking on a link or opening an attachment.
*******
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Re:
Daily digest for tbnurses@ntca.simplelists.com by
Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Reply to list
Hi all,
In New Mexico it is exactly as Ann described. We cannot per state pharmacy rules repackage medications into SAT packets for weekend dosing without a pharmacist or MD physically signing the packets/bottles. That becomes dispensing
medications and is not allowed. For DOT workers or others who may be supervising DOT - the patient must open the bottle of medications and give themselves or (child) the medications while the DOT worker observes the dosage. Of course RNs can administer medications
just as we would in a hospital environment.
Not being able to send SAT packages for weekend dosing is inconvenient and difficult to manage. Wish there was an easier way to do so!
Diana Fortune
From: TB nurse communication <nobody@simplelists.com>
Sent: Monday, September 3, 2018 6:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Reply to list
Good Morning, All and Happy Labor Day!
Your question is a good one. Something I believe we have all questioned ourselves at some point. I have looked into this in the two states I have worked and as I understand the laws and our limitations in scopes of practice surrounding
dispensing of medications, RNs are not legally able to do legally do this. Only a pharmacist can dispense, including repackage and relabel medications. That said, you can immediately take from a bottle to a package if that is being given to the patient immediately
by the RN who is doing the preparing (as you would in a SNF). You cannot put into smaller packages and give to the patient to take at a later date (weekend doses). You cannot prepare packages given by other nurses.
California may have a different law related to dispensing. I think Ann Raftery would know that answer (for California) but am not sure she is in the office this week. I am eager to hear if it does and any policies surrounding the
application of RNs doing this in the field. It may be something we could propose expanding in other states.
So, I am sorry, I don't have what you are seeking and I commented but I believe you are bringing up a VERY good question and again, I am eager to hear more weigh in. For anyone sharing policies, procedures or protocols around this,
I would like to ask that they touch on how they arrived at those and if their state has laws which allow nurses to dispense (i.e. different dispensing definition).
Hope you all have a superb Labor Day!
Respectfully,
~Ann
Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656| F 303.759.5538
"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or
otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents
of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Fri, Aug 31, 2018 at 6:47 PM, TB nurse communication <nobody@simplelists.com> wrote:
Repacking Medications - Katie Kelsch (31 Aug 2018 11:16 EDT)
Repacking Medications by Katie Kelsch (31 Aug 2018 11:16 EDT)
Reply to list
Hi all,
This is for small/medium size counties, without a chest clinic and without a pharmacy. We are looking for Policies and Procedures around RNs repacking medications in to the DOT Packets. We receive the medications from our patients
(filled at commercial pharmacies like CVS or Walgreens). We then create individual DOT packets in small plastic envelopes. Some concerns/questions that have come up are focused around:
· Labeling
· Child Poisoning Prevention Act
· The actual physical repackaging of medication
Thank you all! Have a safe Labor Day weekend.
Katie
Katie Kelsch, BSN, RN, PHN
Senior Public Health Nurse
Yolo County Health and Human Services Agency
Fax: 530-669-1549 (confidential)
Please consider the environment before printing this email.
YOLO COUNTY EMAIL DISCLAIMER:
This email and any attachments thereto may contain private, confidential, and privileged material for the sole use of the intended recipient. Any review, copying, or distribution of this email (or any attachments thereto) by other
than the County of Yolo or the intended recipient is strictly prohibited. if you are not the intended recipient, please contact the sender immediately and permanently delete the original and any copies of this email and any attachments.
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at
http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
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You are on the daily digest setting for the listserve.The archives for
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To reply to a posting, simply reply. To start a new thread, address it to
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RE: Daily digest for tbnurses@ntca.simplelists.com by
Patricia Woods (07 Sep 2018 10:17 EDT)
Reply
to list
HI All,
It is pretty much the same here in NJ to what has been stated. Some clinics have decided to leave the bottles in the home with the patient and observe. Must patients understand this and comply. It would be the same if they were
on E-DOT.
Some clinics will bring the bottles with them to have the patient open them and the observe and leave the bottles for the weekend or collect on Monday.
Patty
Patricia Woods, RN, MSN
Nurse Manager
NJMS Global Tuberculosis Institute, ICP, 1st Floor, East Wing
Lattimore Clinic
Rutgers, State University of
New Jersey
225 Warren St, Newark, NJ 07103
p. 973-972-3830 f. 973-972-3832
Website:
globaltb.njms.rutgers.edu
From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Tuesday, September 04, 2018 8:34 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Re:
Daily digest for tbnurses@ntca.simplelists.com by
Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Reply to list
Hi all,
In New Mexico it is exactly as Ann described. We cannot per state pharmacy rules repackage medications into SAT packets for weekend dosing without a pharmacist or MD physically signing the packets/bottles. That becomes dispensing
medications and is not allowed. For DOT workers or others who may be supervising DOT - the patient must open the bottle of medications and give themselves or (child) the medications while the DOT worker observes the dosage. Of course RNs can administer medications
just as we would in a hospital environment.
Not being able to send SAT packages for weekend dosing is inconvenient and difficult to manage. Wish there was an easier way to do so!
Diana Fortune
From: TB nurse communication <nobody@simplelists.com>
Sent: Monday, September 3, 2018 6:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Reply to list
Good Morning, All and Happy Labor Day!
Your question is a good one. Something I believe we have all questioned ourselves at some point. I have looked into this in the two states I have worked and as I understand the laws and our limitations in scopes of practice surrounding
dispensing of medications, RNs are not legally able to do legally do this. Only a pharmacist can dispense, including repackage and relabel medications. That said, you can immediately take from a bottle to a package if that is being given to the patient immediately
by the RN who is doing the preparing (as you would in a SNF). You cannot put into smaller packages and give to the patient to take at a later date (weekend doses). You cannot prepare packages given by other nurses.
California may have a different law related to dispensing. I think Ann Raftery would know that answer (for California) but am not sure she is in the office this week. I am eager to hear if it does and any policies surrounding the
application of RNs doing this in the field. It may be something we could propose expanding in other states.
So, I am sorry, I don't have what you are seeking and I commented but I believe you are bringing up a VERY good question and again, I am eager to hear more weigh in. For anyone sharing policies, procedures or protocols around this,
I would like to ask that they touch on how they arrived at those and if their state has laws which allow nurses to dispense (i.e. different dispensing definition).
Hope you all have a superb Labor Day!
Respectfully,
~Ann
Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656| F 303.759.5538
"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or
otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents
of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
On Fri, Aug 31, 2018 at 6:47 PM, TB nurse communication <nobody@simplelists.com> wrote:
Repacking Medications - Katie Kelsch (31 Aug 2018 11:16 EDT)
Repacking Medications by Katie Kelsch (31 Aug 2018 11:16 EDT)
Reply to list
Hi all,
This is for small/medium size counties, without a chest clinic and without a pharmacy. We are looking for Policies and Procedures around RNs repacking medications in to the DOT Packets. We receive the medications from our patients
(filled at commercial pharmacies like CVS or Walgreens). We then create individual DOT packets in small plastic envelopes. Some concerns/questions that have come up are focused around:
· Labeling
· Child Poisoning Prevention Act
· The actual physical repackaging of medication
Thank you all! Have a safe Labor Day weekend.
Katie
Katie Kelsch, BSN, RN, PHN
Senior Public Health Nurse
Yolo County Health and Human Services Agency
Fax: 530-669-1549 (confidential)
Please consider the environment before printing this email.
YOLO COUNTY EMAIL DISCLAIMER:
This email and any attachments thereto may contain private, confidential, and privileged material for the sole use of the intended recipient. Any review, copying, or distribution of this email (or any attachments thereto) by other
than the County of Yolo or the intended recipient is strictly prohibited. if you are not the intended recipient, please contact the sender immediately and permanently delete the original and any copies of this email and any attachments.
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
this list are at
http://ntca.simplelists.com/tbnurses.
If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
tbnurses@ntca.simplelists.com and put in a concise subject line.
You are on the daily digest setting for the listserve.The archives for
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If you have problems with the listserve, please contact Lorna
Will at lwill@tbcontrollers.org
To reply to a posting, simply reply. To start a new thread, address it to
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You are on the daily digest setting for the listserve.The archives for
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If you have problems with the listserve, please contact Lorna
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To reply to a posting, simply reply. To start a new thread, address it to
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Fwd: FW: Webinar Registration Open: Tale of Two Doctors and Disseminated TB: When you really need a Case Manager! by
Lorna Will (10 Sep 2018 11:04 EDT)
Reply
to list
Please note this webinar - registration ends WEDNESDAY! Listen in for a fascinating case study.
---------- Forwarded message ---------
From: Fong, Jeannie <Jeannie.Fong@ucsf.edu>
Date: Fri, Aug 17, 2018 at 14:52
Subject: FW: Webinar Registration Open: Tale of Two Doctors and Disseminated TB: When you really need a Case Manager!
To: Patricia Woods <paw101@njms.rutgers.edu>, Wegener, Donna (CDC
tbcontrollers.org <dhwegener@tbcontrollers.org>,
lorna.will@gmail.com <lorna.will@gmail.com>, Raftery, Ann <Ann.Raftery@ucsf.edu>, Quintero, Jessica (CDC
uthct.edu <jessica.quintero@uthct.edu>, Anita Khilall <khilalan@njms.rutgers.edu>, Setzer, Donna (CDC
medicine.ufl.edu <donna.setzer@medicine.ufl.edu>, Simpson,Karen Dianne <Karen.Simpson@medicine.ufl.edu>
CC: Ott, Stephanie (CDC uthct.edu <Stephanie.Ott@uthct.edu>, Jennifer Kanouse <jkanouse@tbcontrollers.org>, Musoke, Kelly <Kelly.Musoke@ucsf.edu>
HI, everyone
Please distribute this on your listserv. Thanks so much for all your input for the marketing.
Have a great weekend!
Best,
-jeannie
From: To provide notices to our constituents <TBCENTER@LISTSRV.UCSF.EDU> On Behalf Of TB Center, Resource Mailbox
Sent: Friday, August 17, 2018 12:42 PM
To: TBCENTER@LISTSRV.UCSF.EDU
Subject: Webinar Registration Open: Tale of Two Doctors and Disseminated TB: When you really need a Case Manager!
Thursday, September 27, 2018
11:30 am – 12:30 pm (Pacific Time)
A National Webinar
Registration
Deadline: Wednesday, September 12. (Note: Registration will be on a first come, first served basis until the webinar capacity is reached.)
Cost: There is no fee for this training.
Credit: This training is approved for up to 1.00 nursing continuing education hour.
Target Audience: This training is intended for tuberculosis nurses, nurse case managers, and public health nurses who manage tuberculosis patients. This training opportunity is available to a national audience.
Description: This case presentation will discuss the many complicated factors a Nurse Case Manager navigated to ensure quality treatment and care of a patient with disseminated tuberculosis. This webinar is part of the collaborative
Nurse Education Series. The 4 Tuberculosis Centers of Excellence for Training, Education, and Medical Consultation (TB
COEs) have partnered with NTNC
to offer a tuberculosis nurse case conference series.
Objectives:
By the end of the webinar, participants will be able to:
describe several case management challenges encountered while coordinating treatment and care for a patient with disseminated tuberculosis state three nursing case management interventions applied to ensure the
patient's medical and psycho/social needs were addressed
Presenter:
Alba Suárez, RN, BSN
Public Health Nurse
Tuberculosis and Refugee Health
Snohomish Health District
Everett, WA
Co-Facilitators:
Ann Raftery, RN, PHN, MS
Associate Medical Director
Curry International Tuberculosis Center
University of California, San Francisco
Oakland, CA
Lana Kay Tyer, RN, MSN
Tuberculosis Nurse Consultant
Division of Disease Control & Health Statistics
Washington State Department of Health
Olympia, WA
Please look for announcements from the TB COEs and NTNC for upcoming sessions in the Nurse Education Series. Here are some of the upcoming sessions:
2018
October 17 (1:00-2:00 pm Eastern Time) Managing Adverse Event from TB Medications, Part 2 with Dr. Fraimow. Webinar also includes reactions to 3HP. Hosted by NTNC.November 9 (12:00-1:30 pm Eastern Time): The Gift
that Keeps on Giving-Compounding Complexities with Denise Dodge, RN - TB Nurse Consultant, Division of TB and Newcomer Health, Virginia. Hosted by: Global Tuberculosis Institute at Rutgers (GTBI).
2019
January NTNC February case conference by Southeastern National TB Center (SNTC)March NTNCApril 23-26, 2019 National TB Conference. Hosted by National TB Controllers Association and Association of Public Health Laboratories.May
case conference by Heartland National TB Center (HNTC)June NTNC
The Curry International Tuberculosis Center is approved as a provider of continuing education by the California State Board of Registered Nurses, Provider Number CEP 12308. This training is approved for up to 1.00 continuing education
hours. Board requirements prevent us from offering CE credit to people who arrive more than 15 minutes after the start of the training, or leave the training early. Therefore, partial credit will not be awarded.
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RE: Daily digest for tbnurses@ntca.simplelists.com by
Bargman, Carolyn RN (10 Sep 2018 12:29 EDT)
Reply to list
We have the pharmacy make up weekend packets for us (they are all in baggies with labels) that we give to the patients to take SAT on weekends, holidays etc.
Carolyn Bargman, RN-C, MA / cbargman@dhha.org
Denver Metro TB Clinic / Phone: 303 602-7243
Boulder County Public Health TB Control / Phone: 303 413-7516
I am in the Denver office on Wednesday and Thursday and the Boulder office on Monday and Tuesday.
I am off on Fridays.
From: TB nurse communication [mailto:nobody@simplelists.com]
Sent: Tuesday, September 04, 2018 6:34 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Fortune, Diana, DOH (03 Sep 2018 22:14 EDT)
Reply to list
Hi all,
In New Mexico it is exactly as Ann described. We cannot per state pharmacy rules repackage medications into SAT packets for weekend dosing without a pharmacist or MD physically signing the packets/bottles. That becomes dispensing
medications and is not allowed. For DOT workers or others who may be supervising DOT - the patient must open the bottle of medications and give themselves or (child) the medications while the DOT worker observes the dosage. Of course RNs can administer medications
just as we would in a hospital environment.
Not being able to send SAT packages for weekend dosing is inconvenient and difficult to manage. Wish there was an easier way to do so!
Diana Fortune
From: TB nurse communication <nobody@simplelists.com>
Sent: Monday, September 3, 2018 6:22 PM
To: tbnurses@ntca.simplelists.com
Subject: Daily digest for tbnurses@ntca.simplelists.com
(Previous discussion continued)
Re: Daily digest for tbnurses@ntca.simplelists.com - Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Re: Daily digest for tbnurses@ntca.simplelists.com by
Scarpita - CDPHE, Ann (03 Sep 2018 11:15 EDT)
Reply to list
Good Morning, All and Happy Labor Day!
Your question is a good one. Something I believe we have all questioned ourselves at some point. I have looked into this in the two states I have worked and as I understand the laws and our limitations in scopes of practice surrounding
dispensing of medications, RNs are not legally able to do legally do this. Only a pharmacist can dispense, including repackage and relabel medications. That said, you can immediately take from a bottle to a package if that is being given to the patient immediately
by the RN who is doing the preparing (as you would in a SNF). You cannot put into smaller packages and give to the patient to take at a later date (weekend doses). You cannot prepare packages given by other nurses.
California may have a different law related to dispensing. I think Ann Raftery would know that answer (for California) but am not sure she is in the office this week. I am eager to hear if it does and any policies surrounding the
application of RNs doing this in the field. It may be something we could propose expanding in other states.
So, I am sorry, I don't have what you are seeking and I commented but I believe you are bringing up a VERY good question and again, I am eager to hear more weigh in. For anyone sharing policies, procedures or protocols around this,
I would like to ask that they touch on how they arrived at those and if their state has laws which allow nurses to dispense (i.e. different dispensing definition).
Hope you all have a superb Labor Day!
Respectfully,
~Ann
Ann Scarpita BSN, MPH
TB Nurse Consultant
Tuberculosis Program
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South, Denver, CO 80246
P 303.692.2656| F 303.759.5538
"Wisdom is knowing the right path. Integrity is taking it." ~M.H. McKee
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On Fri, Aug 31, 2018 at 6:47 PM, TB nurse communication <nobody@simplelists.com> wrote:
Repacking Medications - Katie Kelsch (31 Aug 2018 11:16 EDT)
Repacking Medications by
Katie Kelsch (31 Aug 2018 11:16 EDT)
Reply to list
Hi all,
This is for small/medium size counties, without a chest clinic and without a pharmacy. We are looking for Policies and Procedures around RNs repacking medications in to the DOT Packets. We receive the medications from our patients
(filled at commercial pharmacies like CVS or Walgreens). We then create individual DOT packets in small plastic envelopes. Some concerns/questions that have come up are focused around:
· Labeling
· Child Poisoning Prevention Act
· The actual physical repackaging of medication
Thank you all! Have a safe Labor Day weekend.
Katie
Katie Kelsch, BSN, RN, PHN
Senior Public Health Nurse
Yolo County Health and Human Services Agency
Fax: 530-669-1549 (confidential)
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