Frequently Asked Question Regarding the Role of the RN and LPN in filling a MEDISET

QUESTION: Is it within the Scope of Practice for the Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) to prepare a medication device (e.g. Mediset, pillbox) for the purpose of facilitating the ultimate user’s self-administration or subsequent taking of the medication?

ANSWER: It is within the Scope of Practice for the RN and/or LPN to prepare a medication device such as a Mediset to facilitate the self administration of subsequent medications as long as a physician has prescribed the medication and the medications have been properly compounded, packaged, labeled, and delivered to the ultimate user. The nurse is not considered dispensing when a medication is taken from the ultimate user’s labeled package and placed in a device to facilitate the ultimate user’s self administration.

QUESTION: Is it within the Scope of Practice for the RN and/or LPN to teach an individual how to prepare his/her own medication device (e.g. Mediset/pillbox)?

ANSWER: It is within the Scope of Practice for the RN and/or LPN to instruct the individual or caregiver, the correct method for preparing a medication device such as a Mediset to facilitate the self-administration of subsequent medications.

RATIONALE: Assisting the ultimate user’s independence and compliance with prescribed treatment modality is an important nursing function.

REFERENCES:
Lam, A. Y., Anderson, K., Borson, S. & Smith, F. L. (2011). A pilot study to assess cognition and pillbox fill accuracy the community-dwelling older adults. The Consultant Pharmacist, 26(4), 256-263.

Leendertse, A. J., Egberts, A.C., Stoker, L. J., van den Bemt, P.M., & HARM Study Group. (2008, September). Frequency of and risk factors for preventable medicationrelated hospital admissions in the Netherlands. Archives of Internal Medicine, 168(17), 1890-6. Retrieved from www.ncbi.nlm.nih.gov/pubmed/18809816

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