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It presents background on enabling legislation passed in 1985 and related administrative rules codified under 21 NCAC 46.2400, then organizes core topics including enabling statutes, key definitions, medication and health department provisions, nurse training requirements, prescription order requirements, labeling and packaging, dispensing records, patient counseling, pharmacy permit requirements, and accountability.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/nurse-dispensing-in-local-health-department-manual-background-information-revised-july-2024/437524/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/nurse-dispensing-in-local-health-department-manual-background-information-revised-july-2024/437524.png","ImageObject",300,407,{"name":92,"@type":93},"Aditya","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What authority allows registered nurses in local health department clinics to dispense drugs and devices in North Carolina?","Question",{"text":113,"@type":114},"North Carolina legislation passed in 1985 granted registered nurses limited authority to dispense drugs and devices, codified as General Statute (G.S.) 90-85.34A. Related rules passed in 1987 are codified in the North Carolina Administrative Code as 21 NCAC 46.2400.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What training outcomes are participants expected to achieve after completing Part 1 and the other required parts?",{"text":118,"@type":114},"Participants are expected to demonstrate knowledge of laws and rules governing RN dispensing, explain legal differences between prescription and non-prescription products, state legal requirements for prescription orders, packaging and labeling, and recordkeeping. The objectives also include discussing consequences of noncompliance and describing proper dispensing and training requirements for additional nurses.",{"name":120,"@type":111,"acceptedAnswer":121},"What topics are covered regarding prescriptions, packaging, labeling, and records?",{"text":122,"@type":114},"The manual includes sections on prescription order requirements, prescription label and packaging, and prescription records. It also addresses patient counseling, pharmacy permit requirements, and responsibilities tied to proper documentation and dispensing practices.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},437524,1791031619,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},962085564549,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","DISPENSING OF DRUGS BY PUBLIC HEALTH REGISTERED NURSES  \nPart I  \nBACKGROUND INFORMATION  \nRevised: July 2024  \nContents  \nIntroduction ........................................................................................................................... 3  \nObjectives .............................................................................................................................. 4  \nEnabling Legislation.............................................................................................................. 5  \nDefinitions ............................................................................................................................. 6  \n§ 90-106.2. Treatment of overdose with opioid antagonist; immunity.............................. 14  \n115C-375.2A. School supply of epinephrine auto-injectors................................................ 15  \n.2401 MEDICATIONS IN HEALTH DEPARTMENTS .................................................. 16  \n.2402 TRAINING OF HEALTH DEPARTMENT NURSES............................................. 17  \n21 NCAC 46 .2403 DRUGS AND DEVICES TO BE DISPENSED ................................. 18  \nPOISON PREVENTION PACKAGING ACT OF 1970 (PPPA) ....................................... 19  \n21 NCAC 46 .2301 PRESCRIPTION: DRUG ORDER REQUIREMENTS...................... 20  \nG.S. 106.134.1(4) Prescriptions required, label requirements, ............................................ 20  \nPRESCRIPTION LABEL AND PACKAGING ................................................................. 22  \nPRESCRIPTION RECORDS ............................................................................................. 25  \nDRUG PRODUCT SELECTION ....................................................................................... 29  \nPATIENT COUNSELING .................................................................................................. 31  \nPHARMACY PERMIT REQUIREMENTS ....................................................................... 35  \nRESPONSIBILITIES OF THE PHARMACIST-MANAGER ........................................... 39  \nVIOLATIONS ..................................................................................................................... 44  \nDISCIPLINARY AUTHORITY ......................................................................................... 45  \nAPPENDIX I-RELATIONSHIP BETWEEN THE PHARMACISTS, PUBLIC HEALTH NURSES AND THE HEALTH DEPARTMENT ADMINISTRATION ........................... 47  \nAPPENDIX II-PROPER DISPENSING TECHNIQUES ................................................. 49  \nAPPENDIX III-RECOMMENDED REFERENCE LIBRARY ........................................ 52  \nAPPENDIX IV – SAMPLE MEDICATION DISTRIBUTION LOG ............................... 53  \nIntroduction  \nIn 1985, legislation passed by the North Carolina General Assembly granted registered nurses in local health department clinics limited authority to dispense drugs and devices. Codified as General Statute (G.S.) 90-85.34A, the law provides a unique opportunity for the public health community by increasing the number of options available to meet the needs of the health department patients. In addition, rules passed in 1987 which further explain the provisions of the statute are codified in the North Carolina Administrative Code as 21 NCAC 46.2400.  \nThis is intended to serve as a training document for registered nurses who dispense drugs and devices in public health departments as outline in North Carolina General Statute and Administrative Code. This document is considered Part 1 of training for a Registered Nurse to review prior to participating in a training by the local health department pharmacist that has been approved by the NC Board of Pharmacy.  \nUpon completion reviewing this Part 1 document, the pharmacist will provide classroom instruction. After completing Par 1 and Part 2, the registered nurse should complete the Post-Test for RN Dispensing. After completion of the ","cbCaioAOvaeGJgZW","https://ap.wps.com/l/cbCaioAOvaeGJgZW","pdf",1046064,54,"English","# Introduction\n## Objectives\n## Enabling Legislation\n## Definitions\n## Medication Provisions in Health Departments\n## Training of Health Department Nurses\n## Drugs and Devices to be Dispensed\n## Poison Prevention Packaging Act of 1970 (PPPA)\n## Prescription: Drug Order Requirements\n## Prescription Label and Packaging\n## Prescription Records\n## Drug Product Selection\n## Patient Counseling\n## Pharmacy Permit Requirements\n## Responsibilities of the Pharmacist-Manager\n## Violations\n## Disciplinary Authority\n## Appendix I Relationship Between Pharmacists, Public Health Nurses and Health Department Administration\n## Appendix II Proper Dispensing Techniques\n## Appendix III Recommended Reference Library\n## Appendix IV Sample Medication Distribution Log","[{\"question\":\"What authority allows registered nurses in local health department clinics to dispense drugs and devices in North Carolina?\",\"answer\":\"North Carolina legislation passed in 1985 granted registered nurses limited authority to dispense drugs and devices, codified as General Statute (G.S.) 90-85.34A. Related rules passed in 1987 are codified in the North Carolina Administrative Code as 21 NCAC 46.2400.\"},{\"question\":\"What training outcomes are participants expected to achieve after completing Part 1 and the other required parts?\",\"answer\":\"Participants are expected to demonstrate knowledge of laws and rules governing RN dispensing, explain legal differences between prescription and non-prescription products, state legal requirements for prescription orders, packaging and labeling, and recordkeeping. The objectives also include discussing consequences of noncompliance and describing proper dispensing and training requirements for additional nurses.\"},{\"question\":\"What topics are covered regarding prescriptions, packaging, labeling, and records?\",\"answer\":\"The manual includes sections on prescription order requirements, prescription label and packaging, and prescription records. It also addresses patient counseling, pharmacy permit requirements, and responsibilities tied to proper documentation and dispensing practices.\"}]","Nurse Dispensing in Local Health Department Manual - Background Information - Revised July 2024 | PDF",1790682218,136]