Reporting + colored books Flashcards
Each pharmacy that delivers a CII-V and gabapentin to the ultimate user shall electronically submit WHAT information according to the Prescription Monitoring Program?
- ) customer identification number (taken from a govt issued ID card and recorded at time of pick up)
- ) pharmacy identifier
- ) insurance
- ) date of fill
- ) prescriber name
- ) quantity
- ) days supply
What is the name of the Prescription Monitoring Program used in MA?
Massachusetts Prescription Awareness Tool (MassPAT)
Could a pharmacist dispense a C2-5 or gabapentin WITHOUT checking the customers identification?
YES
if the pharmacy has reason to believe that the failure to dispense would result in serious hardship for the ultimate user*** or ***agent of the ultimate user
(+) documents the reason
(+) the ultimate user or agent of the ultimate user prints their name and address on the reverse side of the prescription and signs his or her name thereto, or in the case of an electronic prescription, provides an electronic signatuare
(+) and the pharmacy provides to the Department those informational fields required by the Department.
When does info about dispensed controlled substances have to be submitted to the PMP?
How should such info be submitted?
The information required by 105 CMR 700.012 shall be transmitted to the Department or its agent in accordance with any procedures established by the Commissioner by the end of the next business day
(+) shall include data for all controlled substances dispensed since the previous transmission or report or as otherwise specified in guidelines of the Department,
by use of encrypted electronic device or electronic transmission method in a format approved by the Commissioner.
When is the pharmacist not required to report dispensed medications to the PMP
105 CMR 700.012 shall not apply to the dispensing of a controlled substance to an inpatient in a hospital
Can veteranarians use the PMP
NO
what are other scenarios where the PMP does not need to be used?
- ) providing care for a hospice patient
- ) providing care for patients < 8 years old (96mo)
- ) emergency** scenarios where use of PMP will **result in patient harm
- ) treating a patient in the ED where the provider does not anticipate giving the pt an rx
- ) patient is being given medications for immediate use (i.e. getting numbed at the dentist)
- ) when the power or program is out
How long do pharmacies have to report improper dispensing
15 business days after DISCOVERY of dispensing error that resulted in serious injury or death
What constitutes a “serious injury”
Serious injury = life threatening,** results in serious disability or **death and/or requires patient to undergo significant additional treatment measures
● Serious disability = _i_njuries requiring _major intervention_ and _loss or limitation of bodily function for >7 days_
How long do pharmacies need to keep dispensing errors reports
2 years
what is a QRE (quality related event)?
incorrect dispensing of a prescription medications that is RECEIVED by the patient
- a variation in what was ordered
- failure to manage DUR
What does a pharmacist have to do once they realize a QRE?
- ) notify patient (or rep of pt)
- ) notify prescriber
- ) provide directions for correcting the error
- )Provide instructions on minimizing the negative impact
- ) Document QRE on the day it was discovered
What does an RPh have to document for a QRE
- ) Date
- ) Name of person who notified rph
- ) Name of documentor
- ) description of QRE
- ) Document contact with patient, provider and other healthcare members
Who must report ADRs?
Compounding pharmacists
Facilities (hospitals, MD office)
Rules for compounding pharmacists to report ADRs
Must report to Dept of Public Health
any improper dispensing that resulted in serious injury/death within 7 business days of discovery
