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Newbern pharmacy, pharmacist disciplined by state

Thursday, April 18, 2013

A Dyer County pharmacist and the pharmacy she works for have been disciplined by the Tennessee State Board of Pharmacy after an on-site inspection in November revealed several violations related to sterile and non-sterile compounding, out-of-date medication and prescription practices.

Christy R. Newbaker, D.Ph., and Main Street Family Pharmacy in Newbern were both listed on the Tennessee Department of Health's Disciplinary Action Report, released on Monday, April 16.

Newbaker was also disciplined in May 2012 for several violations of Tennessee pharmacy law, including allowing a nurse to work as a pharmacy technician in her facility without proper registration for four years and three months.

This March, the Tennessee State Board of Pharmacy placed Newbaker's license on probation for two years. The pharmacist was assessed $12,800 in civil penalties and must also meet certain terms and conditions throughout the probation.

Main Street Family Pharmacy in Newbern was also placed on probation. The pharmacy's license will remain on probation for three years, with $25,600 in civil penalties assessed per license. Main Street Family Pharmacy may also be responsible for other assessed costs.

A consent form, signed by Newbaker on Feb. 27 and approved by a majority quorum of Tennessee Board of Pharmacy on March 13, states Newbaker served as the pharmacist-in-charge at Main Street Family Pharmacy, located at 126 E. Main St., in Newbern.

On Dec. 6, 2011, board investigators inspected Main Street Family Pharmacy and observed the following violations to Tennessee pharmacy law:

* the condition of the laminar flow hood at the facility was not compliant with board regulations

* 89 expired medications were found on the pharmacy shelves

* 20 of these expired medications were used in drug compounding

* facility had shipped 11 compounded prescriptions directly to physicians' offices for use; however, none of these prescriptions were patient-specific as required by board rules

* a nurse had been working as a pharmacy technician in the facility without proper registration for four years and three months

The Tennessee Board of Pharmacy reviewed the facts concerning the violations on May 17, 2012. Civil penalties were assessed in the amount of $5,100 for the unregistered pharmacy technician and a letter of warning was issued pertaining to the compounding practices and the condition of the laminar flow hood. Newbaker signed the consent order on July 3, 2012 and the consent order was ratified by a majority quorum of the board on July 27.

In November, board investigators conducted an on-site inspection of Main Street Family Pharmacy in Newbern and discovered 109 out-of-date or deteriorated medications on the shelves.

Of these 109 medications, 107 were compounded drugs or drug powder materials including:

* 18 vials of expired estradiol pellets

* 56 expired powder and/or cream mixtures

* six powder and/or cream mixtures with no expiration date, lot or batch numbers indicated on the containers

* 19 bottles of expired medication in the facility's refrigerator and freezer

* eight expired vials of an injectable compound, Methione/Inositol/Choline B Complex with Lidocaine

In addition, investigators found 11 prescriptions dispensed by Newbaker that were not written on tamper-resistant paper and eight prescriptions dispensed by Newbaker that were emailed and unsigned.

These findings violated regulations concerning outdated and deteriorated drugs, medical and prescription orders, facsimile or electronic medical and prescription orders and tamper-proof prescriptions, constituting unprofessional conduct.

Newbaker's license was placed on a two-year probation effective March 13, 2013. The pharmacist is ordered to pay $12,800 in civil penalties.

At press time, the consent form for Main Street Family Pharmacy was not yet available through the Tennessee Department of Health website.

The pharmacy was listed on the Monthly Disciplinary Action Report for failing to comply with duly promulgated rules of the board. Its license was placed on probation for three years, with pharmacy officials ordered to meet certain conditions and assessed costs. Main Street Family Pharmacy was also assessed $25,600 in civil penalties per license.

Each month, the State Gazette receives a Disciplinary Action Report from the Tennessee Department of Health. The newspaper reports on all Dyer County cases.

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wish the state gazette would pay as much attention to area nursing homes (walk in w/camera taking pics), the dyer county health department (like how much danger we have with s-t-d's like aids, etc), and keeping watchful eye on our governments (more than just attending meeting). not saying that the pharmacy allerts are not important.

-- Posted by closerlook on Thu, Apr 18, 2013, at 9:10 AM

I also wish they'd pay as much attention to Dyersburg Regional and their hospitalist who could care less about their patients health. They run in the room and run out before you get a look at their face, not to mention the kind of care they order for you. I had to go in because I was extremely dehydrated after I finished my chemo. I lost down to 99 lbs and was very weak. I couldn't eat or drink anything for a week because of the sores in my throat which everything I tried to eat or drink burned so bad and would just come back up. I was sent there because it was close to home. I got there early that afternoon and at almost midnight they still hadn't started the IV's and refused to give me my regular pain med's my oncologist had me on for my pain. I tried to explain to them if I didn't take my medication on time, my pain got out of control. I usually took them around 9:00 every night before I went to bed. I was exhausted and when I complained he told the nurse to give me a double dose of something he wanted me to have to knock me out instead of my medicine my doctor had me on. He didn't want to be told by anybody, not even another doctor what I had to take. He told her to just knock me out. The medicine was like putting plain water in my I'V so I'm not even sure someone didn't slip into their medicine ordered for patients and giving patients nothing. I did get IV's in my system though finally to at least get me hydrated. I wasn't even brought in any ice. I had to ask for it. Everything in the room was broke down. The bed didn't work, the TV didn't work, not that I cared to watch any but I'm sure they charged my insurance company for many things I didn't even get. I couldn't even get tissue. I had to use bathroom paper. I do not like hospitalist being the only ones who can care for you in this hospital. They have really gone downhill, not to mention rude. The nurses were fine. They do what these so called hospitalist shoudl do without the pay. I had good nurses that couldn't help what they were ordered to do. This hospital should be investigated for all and more that is in this write up about the pharmacy. At least they will even deliver if you are not able to come and get your meds. When I was bedfast, they helped me a lot and went above and beyond to help their patients and a lot nicer also. Go do a write up on this sorry hospital we have and how run down they let it get. Penalize them for the drugs they are not giving their patients at all.

-- Posted by soundc51 on Sat, Apr 20, 2013, at 4:44 AM

Oh I forgot, the Dyersburg hospital does know how to use a computer. They spent hours in my room taking down crap that didn't have anything to do with my care. Some of the questions was downright stupid and unnecessary and unrelated to my health. Do you really believe I felt like answering stupid unrelated guestions for hours instead of what I went in there for? I finally told the girl, enough was enough and I was in serious pain and if she didn't go tell that hospitalists to do something then, I'd be better off at home. I can understand now why people don't want to go there. They did send me an outragious bill for their computer abilities. That is how they keep their doors open by ripping off patients. We no longer have anywhere to go close by.

-- Posted by soundc51 on Sat, Apr 20, 2013, at 4:52 AM

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