Section 12 AAC 44.447 - Advanced practice registered nurse dispensing standards(a) An advanced practice registered nurse APRN or with prescriptive and dispensing authority may dispense a prescription within the APRN's scope of practice only.(b) An APRN with prescriptive and dispensing authority may dispense a medication prepackaged by a pharmacy or pharmaceutical manufacturer. A prepackaged medication must be dispensed in its original package.(c) If an APRN dispenses less than the prepackaged quantity of a medication, the APRN shall adjust the label on the container to show the quantity dispensed. The APRN shall also dispose of the excess medication in accordance with established professional standards.(d) When dispensing a prescription, an APRN with prescriptive and dispensing authority is responsible for(1) selection of the medication;(2) proper labeling of the container as required in (c) and (j) of this section;(3) delivery of the prescription; and(4) counseling the client, including giving the client information on(A) the name, dosage, and purpose of the prescribed drug;(B) the duration of the prescribed drug therapy;(C) common side or adverse effects or food or drug interactions that may be encountered, how to avoid those effects or interactions, and what actions should be taken if those effects or interactions occur;(D) the expected outcome of the prescribed drug therapy; and(E) the plan for follow-up care.(e) An APRN with prescriptive and dispensing authority shall keep a readily retrievable written record of prepackaged medication prescriptions dispensed, including lot number.(f) An APRN may delegate the delivery of a prescription to another individual if the (1) APRN has developed a protocol on drug delivery and reviewed the protocol with the individual delivering the prescription;(2) APRN has provided orientation and training on drug delivery to the individual delivering the prescription;(3) APRN supervises the individual delivering the prescription; the supervision may be in person or by telephone; and(4) individual to whom the APRN has delegated the delivery of a prescription (A) is 18 years of age or older; and(B) can read and write the language of the APRN.(g) An APRN who delegates delivery of a prescription and does not meet the requirements of (f) of this section is subject to disciplinary action by the board.(h) An APRN with prescriptive and dispensing authority may dispense a prescription packaged from a bulk supply of medication if the prescription was packaged according to the following standards: (1) an individual licensed or certified in the administration of medications packaged the prescription;(2) a health care professional with prescriptive authority supervised the packaging of the prescription and initialed the prescription on the same day that it was packaged;(3) at the time of packaging, the prescription package was labeled with the information required in (j) of this section.(i) An APRN who dispenses a prescription packaged from a bulk supply of medication shall keep a readily retrievable record of packaging procedures for that prescription, including the(2) manufacturer, lot number, and expiration date of the medication;(3) signature of the individual who packaged the prescription; and(4) signature of the individual with prescriptive authority who supervised the packaging of the prescription.(j) The label for a prescription that is to be dispensed by an APRN and that (1) is a prepackaged medication must include (A) the dispensing APRN's name and address;(B) directions to the patient or a blank space for the instructions of the prescriber;(C) a blank space for the name of the patient and, if applicable, the patient's identification number; and(D) a blank space for the name of the prescriber;(2) was packaged from a bulk supply of medication must include the information required in (1) of this subsection and(A) the name, strength, and quantity of the medication in the container;(B) a blank space for the date of delivery to the patient;(C) a blank space for the initials of the person delivering the prescription to the patient;(D) the manufacturer's lot number;(F) warning labels appropriate to the specific medication in the container;(G) the name, address, and phone number of the health care facility at which the prescription was packaged;(H) the date the prescription was packaged; and(I) the initials of the health care professional with prescriptive authority who supervised the packaging of the prescription.(k) For the purposes of this section, (1) "delivery of a prescription" means completing the blank spaces on the label of the prescription drug container and actually handing the container to the client or an individual who is 18 years of age or older who is designated as the client's representative;(2) "supervise the packaging of a prescription" means to(A) be available to assist the individual packaging the prescription; and(B) examine the prescription when the packaging is completed to verify its accuracy.Eff. 4/9/94, Register 130; am 4/30/94, Register 130; am 6/22/96, Register 138; am 5/16/2018,Register 226, July 2018In 2010 the revisor of statutes, acting under AS 01.05.031, renumbered former AS 08.68.410 as AS 08.68.850. As of Register 196 (January 2011), the regulations attorney made a conforming technical revision under AS 44.62.125(b)(6), to the authority citation that follows 12 AAC 44.447, so that the citation to former AS 08.68.410 now refers to the renumbered statute, AS 08.68.850.
Authority:AS 08.68.100
AS 08.68.850