854 Final Flashcards by Brianna Kuskova

A NM pharmacist who is also licensed as a PhC but does not have an active prescriptive protocol is required to have how many CE hours upon renewal of their RPh and PhC licenses?

50 hours to include 30 hours of live CE

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A PhC prescriptive authority protocol must contain which of the following?

Scope of practice

Quality assurance program

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Which of the following is not a requirement for licensure as a pharmacist clinician (PhC)?

a. Completion of a Board-approved physical assessment course
b. Completion of an ASHP-accredited residency training program
c. New Mexico licensure as a registered pharmacist
d. None of the above

Completion of an ASHP-accredited residency training program

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Which of the following is/are true regarding pharmacist prescriptive authority?

a. Requires documentation of patient informed consent
b. Documentation must be kept for 3 years
c. Requires initial training and certification followed by continuing education
d. All of the above are true

All of the above

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A NM pharmacist who provides immunizations and tobacco cessation prescriptive authority services would need how many ACPE hours for license renewal every 2 years?

34 hours

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Who may administer properly prescribed vaccines to patients?

Pharmacist Intern
Any pharmacist
Pharmacist with prescriptive authority for vaccines,

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Which of the following is required to maintain prescriptive authority for all protocols with the exception of tuberculosis testing?

2 hrs ACPE-accredited CE per renewal period

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A patient comes to the pharmacy reporting that his sister is a heroin user and he would like to have naloxone therapy to use on her in case of potential overdose, what are your next steps?

tell the patient you can dispense a naloxone prescription for him to use on her

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A 12 year old patient would like hormonal contraception prescribed to them after confirming she is sexually active, prescribed to them and you have clearly identified that based on their preferences and disease state(s) combined hormonal contraception is not a safe option in this patient. You do determine that progesterone only is a safe and effective contraceptive method, what are your next steps?

prescribe POP to this patient and report sexual activity to CYFD following the duty to report law

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A 11 year old boy and mom are at your pharmacy for his tdap shot for school. The boy is very scared and continues to put his arm under his shirt to avoid getting the vaccine. Mom is prompted to restrain the boy, but is not doing as asked and is expecting you to “do your job.” In an attempt to vaccinate, you have spent 30 minutes with the boy and mom without success, and a line of patients has begun to form. What are your next steps?

refuse and refer them to a more suitable location

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A patient presents at the pharmacy claiming that your colleague gave her the old Shingles vaccine, Zostavax, IM instead of SQ, what are your next steps?

listen to the patient concern, research if this is an issue if such an error had occurred

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A patient presents with an urgent request for the Rabies vaccine, Rabavert, for her son, she reports that her son has just gotten bit by a wildcat and urgently needs this vaccine. What are your next steps?

I would not be able to administer this vaccine, as it is post exposure

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A patient is headed off to college to live in a dorm room, which is a distinct indication for receiving the meningococcal vaccine, the patient presents from her pediatrician with a hard copy script for Bexsero, is this patient eligible and would she benefit from this Meningocccal B vaccine at this time?

the patient is eligible, but she would benefit from both the MCV and Men B vaccines at this time

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You prescribe a patient varenicline after discussing the possible side effects. The patient and you together agree that this is the best option for their quitting attempt, one week later, the patient reports back that they developed bruising on various parts of their body as a result of the varenicline use. What is your response based on the Pharmacist Tobacco Cessation Prescriptive Authority Protocol?

tell the patient to immediately DC the varenicline and reach out to the PCP to discuss further

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A patient presents to your pharmacy wanting a tobacco cessation aid prescribed to them to assist them in the quitting process. They are strongly suggesting they would like you to prescribe clonidine, an off label medication commonly used for tobacco cessation and have had good experiences with this medication in the past for a previous quit attempt. What is your response based on the Pharmacist Tobacco Cessation Prescriptive Authority Protocol?

I cannot prescribe that agent

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You have been regularly partial filling Schedule II prescriptions for patients on home hospice services and a DEA inspector wants to review your records related to that dispensing. What will the DEA be looking for?

o To make sure that your system has immediate (real time) updating of the prescription record each time a partial filling of the prescription is made

o To make sure that your system has the ability to perform online retrieval of partially filled Schedule II prescription information

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What information is required to be submitted by the pharmacist to the Prescription Monitoring Program (PMP) for all controlled substance prescriptions dispensed?

· Dispenser NPI, NCPDP AND DEA numbers
· Patient name, address, DOB, gender
· Reporting status (new, revised, void)
· Prescription number
· Date prescription written and filled
· Refills authorized
· Refill number
· Product ID (NDC) + product ID qualifier
· Quantity dispensed
· Days supply
· Drug dosage units
· Transmission form of Rx origin
· Payment type
· Prescriber NPI and DEA numbers

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You receive a telephone prescription from a physician you are familiar with for Tylenol #3, quantity 60 for a regular patient. The directions are for 1tab PO TID prn, with 3 refills. The patient has not been on this medication previously. Can you fill this prescription? Why or why not?

Cannot fill because phoned in opioid limited to 10-day supply with no refills

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You receive a request from a patient to transfer a lorazepam prescription from another Walgreens in Colorado. You see that it has been filled there twice. Is this allowable? Why or why not? (note: it has not been transferred before from another competitor)

Yes, being transferred between shared electronic system and has been filled at original location twice before with refills remaining

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You are opening the pharmacy one morning and notice that a window has been broken and the locked controlled substances cabinet is open with several bottles missing. What are you required to do at this point?

Notify local DEA office in writing within one business day. Not specifically required by federal law or regulations but should also notify local law enforcement and BOP. Complete DEA Form 106

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How often and when is inventory of controlled substances required in NM?

Annually on May 1

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You receive a call from a physician who says his patient is out of hydromorphone and he is unable to provide a written or electronic prescription due to being out of the country. He would like to call in a 10-day supply and says he can get the prescription to you in 2 weeks when he returns. Does this constitute an “emergency situation” for dispensing of a CII? Why or why not?

Duration of treatment is longer than emergent need and a script would be needed within 7 days

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When selling your pharmacy over to a different owner, who is responsible for transferring controlled substances and what form is used?

Complete inventory taken on day of transfer which documents drug name, form, strength, quantity and date transferred
Receiving registrant issues DEA form 222

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What actions may lead to suspension or revocation of a DEA license?

· materially falsified the application
· been convicted of a felony relating to a controlled substance or a List I chemical*
· had a State license or registration suspended, revoked, or denied (or recommended to be) committed an act which would render the DEA registration inconsistent with the public interest
· been excluded (or directed to be excluded) from participation in a Medicare or Medicaid program

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Which of the follow are/is true regarding Title 16 Chapter 19 Part 25 of the New Mexico administrative code regarding Pharmacist and adverse events?

The Board of pharmacy will maintain confidentiality of the information relating to both the reporter and the patient

Which of the follow is/are true about VAERS?

Initiated as a response to the National Childhood Vaccine injury act

Which of the follow are examples of the limitation of the VAERS system a. VAERS is subject to bias. For example, adverse events that are common or mild are underreported. b. The quality and completeness of VARES data are variable. c. Causality is never determined by using VAERS data. d. All of the above are true

All of the above

An adverse event following immunization (AEFI) consists of all of the following except:

An untoward medical occurrence which follows immunization where a causal relationship must exist.

In the FDA Medwatch video, Dr. Marks describes how Medwatch received multiple reports of pancreatitis associated with the use of Depakote. The Take home message from this story is that:

This added boxed warning is an example of why all medical products need to continually assess for safety

Who is required to report adverse events to Medwatch?

Drug Manufacturers

A complete Medwatch adverse event form should include the following information except: a. Description of the adverse event b. Product NDC or Name and strength c. When the adverse event started d. The outcome of the adverse event and who reported it. e. All of the above should be included

All of the above

Medical Devices were required to be approved for safety in 1976, later in 1990, the Safe Medical Devices Act legislation was passed and required medical devices to:

Be tracked and surveyed in the post market introduction

After many babies were born with devastating birth defects as a result of being exposed to thalidomide during pregnancy, two senators fought to get this amendment passed. With the passing, manufacturers were legally required to provide "proof-of-efficacy" in order to market drugs in the U.S.

Kefauver-Harris Amendment of 1962

In 1937 more than 100 people, including children, died as the result of taking Elixir Sulfanilamide. The drug was made, sold over state lines and was marketed without studies done on safety. This incident hastened the approval of this law, the foundation of most further amendments and drug laws.

Food Drug and Cosmetic Act of 1938

List all the components of an Rx

Name & address of prescriber name & address of patient name & strength of drug, quantity prescribed directions for use date of issue & preferably diagnosis/indication

Practitioners wishing to prescribe and dispense FDA approved schedule II controlled substances (i.e., methadone) for maintenance and detoxification treatment must obtain a separate DEA registration as a Narcotic Treatment Program via which DEA Form?

DEA Form 363

The total number of dosage units of all controlled substances distributed by a pharmacy may not exceed ____ percent of all controlled substances dispensed by the pharmacy during a calendar year - if it exceeds this percent, the pharmacy is required to register as a distributor.

If a partial supply of a C-II controlled substance is dispensed, how long does the dispensing pharmacy have to dispense the remaining quantity that they owe the patient?

72 hours

Which of the following would NOT be acceptable forms of identification under the Combat Methamphetamine Epidemic Act of 2005? Select all that apply. a. UNM student ID b. A birth certificate c. A US passport d. A driver's license e. Voter registration card

a birth certificate

The prescription must include the patient's full name and address, and practitioner's full name, address, and DEA number. The prescription must also include all of the following except: ``` A. drug name B. directions for use C. Strength D. dosage form E. lot number ```

lot number

This law became effective April 13, 2009 and as of that date, it is illegal under federal law to deliver, distribute or dispense a controlled substance by means of the internet unless the online pharmacy holds a modification of DEA registration authorizing it to operate as an online pharmacy.

Ryan Haight Online Pharmacy Consumer Protection Act of 2008

What task can pharmacy technicians perform in the hospital when there is not a pharmacist present? ``` A. Fill medication B. Make IVs C. Final medication check D. Organize Files E. Dispense controlled substances to floors ```

Organize files

Which of the following is not part of a pharmacy technician's required initial training? A. Ethical and professional standards of practice B. Indications of commonly used drugs C. Terminology, abbreviations, and symbols used in a prescription D. Basic comprehension of pharmacology E. Dosage forms and routes of administration

Indications of commonly used drugs

What is the minimum required pharmacy floor space (excluding office area) for a hospital with an average daily census of >500 patients?

1500 sq. ft

To place an order for controlled substances, one must complete which form?

DEA form 222

The pharmacist in charge within a hospital pharmacy is responsible for maintaining up-to-date reference materials or electronic access to reference publications, which include all of the following EXCEPT: a. a drug interactions text b. an injectable drug text c. The New Mexico Pharmacy Law and Rules and Regulations and all available revisions d. a drug information text specific to pediatric patients e. A general drug information text

a drug information text specific to pediatric patients

Records for medications dispensed from the emergency room of a hospital should include all of the following EXCEPT: a. Name of the prescribing physician b. The name and strength of the drug c. The date the drug is dispensed d. The name and address of the patient e. The manufacturer and lot number of the drug dispensed

The manufacturer and lot number of the drug dispensed

In the event that an automated dispensing device within a hospital pharmacy experiences system malfunction, a downtime log shall be maintained and must include which of the following? a. Patient b. Drug/dose c. Nurse signature d. Beginning and ending counts e. All of the above

All of the above

Which of the following items are correct? A.The pharmacy policy and procedure of the facility is prepared by the board of pharmacy B.Pharmacist in charge must visit the pharmacy every 72 hours, unless the board of pharmacy approves otherwise C.Pharmacist in charge must be a full time employee D.Only a pharmacist can access the pharmacy in an emergency

Pharmacist in charge must visit the pharmacy every 72 hours, unless the board of pharmacy approves otherwise

How many pharmacy technicians may be present in the hospital facility when a pharmacist is not present?

``` Which of the following DO NOT need to be on a prescription? A - Prescriber name and address B - Patient name and address C - Patient phone number D - Name of drug E - Strength of drug ```

Patient phone number

An electronic prescription image must be retrievable for a minimum of _____.

10 years

Hard copies for non-controlled prescriptions are kept on pharmacy premises _____.

120 days

Hard copy for controlled substances is kept on pharmacy premises for

2 years

``` Which of the following DO NOT need to be conspicuously displayed in a pharmacy? A. Pharmacy license B. Hours of operation C. Controlled substance license D. Patients' bill of rights E. Prohibition of return of drugs ```

Hours of Operation

How many days does a pharmacist have to report to a patients primary care provider after prescribing and dispensing Naloxone

15 days

Your patient that you recently tested for TB came back positive. What is the BEST choice of what to do now?

Contact the patient's PCP and the DOH

Pharmacists in New Mexico with proper trainings and certifications (NOT pharmacist clinicians) may independently prescribe all of the following except: ``` A.Fluzone Quadrivalent vaccine B.Nicorette for smoking cessation C.Narcan for opioid reversal D.Amoxicillin for Strep throat E. Ella for hormonal contraception ```

Amoxicillin for Strep Throat

``` Prescriptive authority means the authority to do what with drug therapy: A. Prescribe B. Adminnister C. Monitor D. Modify E. All of the above ```

All of the above

To obtain initial Pharmacist Clinician certification, how many preceptor supervised hours of patient contact is needed?

150

Mid-level practitioners (MLPs) are registered and authorized by the DEA and the state in which they practice to dispense, administer, and prescribe controlled substances in the course of professional practice. All are possible prescribers EXCEPT

All are able to prescribe controlled substances

When can a prescription for a schedule II-controlled substance be faxed?

A. When it's for a compound and directly administered to a patient via parenteral, intravenous, intramuscular, or subcutaneous infusion B. When it's for a patient enrolled in a hospice program and it's noted on the prescription that the patient is a hospice patient

Under which DEA Schedule do anabolic steroids fall under?

Schedule III

How long after the date written are C-III-IV controlled substance prescriptions valid?

6 months

The board of pharmacy shall monitor the dispensing of all:

Schedule II-V Substances

Upon the change of a pharmacist-in-charge, an inventory of all controlled substances shall be taken within ___ hours, by the new pharmacist-in-charge?

A pharmacist's delegate who can obtain data from the Prescription Monitoring Program can include which of the following?

Certified pharmacy technician | Registered intern

Board of Pharmacy must be notified within _____ of termination of a pharmacy technician.

10 days

Which duties can be completed by a pharmacist AND pharmacy intern?

Professional consultation with the prescriber

A certified pharmacy technician is:

Any technician who has completed the training and certification approved by the board of pharmacy.

All drugs and chemicals used in the manufacturing process or held for sale shall conform to what?

Drug, Device and Cosmetic Act

In the absence of stability information applicable for a specific drug or preparation in the USP/NF, water containing oral formulations stored at controlled cold temperatures, the Beyond Use Date will be many days?

14 days

In the absence of stability information applicable for a specific drug or preparation in the USP/NF, water containing topical, dermal, mucosal, and semisolid formulations the Beyond Use Date will be many days?

30 days

Non-sterile compounding: Every record required shall be kept by the pharmacy for at least _____.

3 years

The Beyond Use Date of non-sterile compounding is based on criteria in what USP chapter?

USP 795

New Mexico Pharmacy Rules and Laws 16.19.27 Dishonorable Conduct applies to:

B. Pharmacy technicians C. Pharmacist interns D. Business-licensed facility

Any pharmacist exercising prescriptive authority for hormonal contraception drug therapy shall complete a minimum of _________ CEU of ACPE approved hormonal contraception drug therapy related continuing education every ___________.

0.2, two years

`Which of the following actions are considered unprofessional or dishonorable conduct in the pharmacy? (Select all that apply)

A. Violation of the Drug and Cosmetic Act as determined by the board. B. Failure to train or supervise adequately supportive personnel or the use of supportive personnel in activities outside the scope of their permitted activities. E. Failure to perform a prospective drug review as described in Subsection D of 16.19.4.17 NMAC and document steps taken to resolve potential problems.

According to the NM Board of Pharmacy, pharmaceutical care includes all of the following except:

Reducing harm and dispensing error

Out of the 30 CEs required for RPh license renewal every two years, how many hours have to be live sessions?

Any registrant or licensee shall report in writing any change of address or employment to the board within:

10days

Pharmacies permanently closing shall notify the public and the Board of Pharmacy of the closure at least 30 days prior to the final day of service. The notice shall include the following: EXCEPT

Name of the pharmacist-in-charge of the location where patient records will be transferred and/or stored

If the pharmacist in charge is terminated, by when must the pharmacy owner notify Board of Pharmacy?

Immediately

A pharmacist must check the Prescription Monitoring Program (PMP) in any of the following prescription scenarios EXCEPT which one of the following?

Requesting pseudoephedrine

854 Final Flashcards

(84 cards)