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Jurisprudence > Exam 3 - Indiana Administrative Code > Flashcards

Exam 3 - Indiana Administrative Code Flashcards

(67 cards)

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1
Q

IAC defines pharmacist presence in a pharmacy as…

A

being physically present in the area specified as the dimensions of the pharmacy in the relevant pharmacy permit application

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2
Q

reasonable visual and vocal distance

A

a pharmacist being physically present within the licensed permitted area or by a means that provides for adequate supervision of techs as individually approved by the board

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3
Q

pharmaceutical care

A

dispensing legend drug product and delivery of cognitive services

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4
Q

cognitive serices

A

MTM
prospective drug review
DUR
drug interaction review
collaborative practice
pharmacist prescribing
patient counseling
patient education
patient adherence
preventative health
medication error reduction
continuous quality improvement

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5
Q

real-time online database

A

continuously updated in real time and allows users to share and store patient information and interface w/ each other in a secure environment over the internet

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6
Q

unlicensed person

A

not HIPPA trained and
does not hold a valid license/cert/permit/registration

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7
Q

can unlicensed person perform any pharmacy dispensing functions related to legend drugs

A

no

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8
Q

IAC exam requirements

A

-completion of pharmacy school and 1500 hours of experience
-application to the board
-take and pass NAPLEX and MPJE in English

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9
Q

if applicant fails naplex and mpje and wishes to retake, they must…

A

complete a new application

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10
Q

after failure of 2 sittings, applicant must…

A

appear before the board for consultation and receive written permission from the board

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11
Q

max attempts for NAPLEX and MPJE

A

5

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12
Q

IAC reciprocity

A

complete application for license transfer
pass Indiana MPJE
pass NAPLEX if not actively practice in the 12 months prior to application

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13
Q

who decides additional fixtures/equipment for pharmacy

A

qualifying pharmacist

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14
Q

if the board determines pharmacy has not met requirements, they will notify…

A

qualifying pharmacist and must be corrected in 30 DAYS of notification

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15
Q

if a pharmacy needs to change their hours, what must they do with their permit?

A

get a new permit

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16
Q

prescription department may be locked or secured while remainder of pharmacy remains open to public if…

A

-reasonable barriers
-not enclosed floor to ceiling –> secured and monitored by an electronic monitoring device
-violations recorded and reported to board within 72 hours
-back up power for no less than 36 hours
-electron monitoring system activated or inactivated only by key or combination

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17
Q

pharmacist shall maintain record stating any hours that…

A

pharmacy was open for business without a pharmacist on duty if those hours vary from the hours listed on the application

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18
Q

record of pharmacist off duty must be maintained for how long

A

no less than 2 years from date of last entry in the record

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19
Q

for a medication to have properly stored and securely maintained to qualify for a return, it must…

A

been under the control of licensed nursing personnel the entire time

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20
Q

IAC prescription labeling requirements

A

-name, address, and phone number of establishment
-date of fill
-rx number
-name of prescriber
-name of patient (if animal do species and owner’s name)
-direction for use as stated in prescription
-name of drug in compliance with IC

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21
Q

what are techs prohibited from

A

-any duty required to be done by pharmacist
-provision of advice to prescriber or provider
-provision of advice to patient
-dispensing drug info to patient
-receipt of verbal rx from prescriber
-final check on all aspects of a completed RX

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22
Q

how must techs identify themselves

A

wear identification and identify themselves verbally

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23
Q

for remote practice you must…

A

have a dedicated office space not used for another purpose, and open to inspection by the board

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24
Q

all pharmacists who are renewing license must complete…

A

30 hours of CE each biennium

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25
CE biennia run from...
jan 1 of even year to dec 31 of odd year
26
if pharmacist fails to complete 30 hours during a CE biennium...
they may used hours completed during a succeeding biennium and apply them to previous biennium (can't double dip)
27
how long is the biennium offset and why
6 months from jan 1 even to june 30 even to make up any deficit
28
CE stipulations
-no more than 1/5 business, management, or computer course -at least 4/5 must be pharmacy practice related -at least 1/2 of total hours must be ACPE approved
29
if initial licensure occurs within a biennium, you should accrue...
1.25 hours of CE for each month you are licensed from the date of licensure to the end of the biennium
30
if licensed in the last 6 months of the biennium...
no CE required for the biennium
31
define cabinet
mechanical storage device for dispensing
32
consultant pharmacist
pharmacist who practices pharmacy at LTCF or other residence other than a supplying pharmacist
33
consulting
provision of non supply related cognitive services
34
emergency drugs
drugs required to meet immediate therapeutic needs and are not available from another source in sufficient time to prevent harm
35
pharmacist in charge
pharmacist who directs activities of the institutional pharmacy
36
quality-related event
inappropriate provision of pharmaceutical services which may result in adverse health incident
37
reversible condition
condition that required intervention to resolve in a reasonable time
38
sentinel event
unexpected occurrence involving a serious adverse effect
39
temporary condition
condition that resolves in a reasonable time without invervention
40
pharmacist in charge must
establish and carry out performance improvement develop policies and procedure manual
41
committee review of quality related events must happen how often
at least every 3 months
42
cabinets as a source for drugs
-must be properly labeled and prepackaged sufficient for a max of 24 hours -must be tied to a physicians order or record -must be reviewed by pharmacist not more than 24 hours later -policies and procedures must be established to implement this section
43
one supervisory licensed nurse in any shift may have access to pharmacy and remove drugs and record...
name and strength of drug amount date and time signature of the nurse copy of the order
44
for any emergency drugs, pharmacy policy and procedures must assure the following...
availability control security
45
procedures for emergency drugs at minimum must include...
determination of drugs and quantities to be included labeling for expiration date process for restocking security measures
46
additional rules for drug kits at LTCF
drug name drug strength or size quantity included expiration date of the kit (earliest date in the kit)
47
drugs in kit for LTCF must be labeled with...
drug name drug strength or size name of manufacturer, packer, distributor lot number expiration date
48
nurse in LTCF removing drugs from emergency kit must document...
name of patient name of drug strength of drug quantity removed date and time of removal
49
records of anything relating to quality related events must be maintained for at least...
2 years
50
documentation requirements of quality related events must include...
-each event document by pharmacist to whom its first reported to on the same day as described -description of event -pharmacist in charge shall summarize efforts to improve processes -no patient or employee names should be included in reporting -member of board can review documentation
51
all drugs other than unit of use packaged dispensed by an institutional pharmacy must be labeled with:
patient Identification drug name strength if applicable route of admin quantity pharmacists initial location of patient within the institution
52
unit of use packages in institutional setting must have on their label:
drug name strength, if applicable control number and/or expiration date
53
a patient may only self admin in institution if...
authorized by physician patient's knowledge has been evaluated patient has received training in the proper manner of self-admin by pharmacist or policy AN NO RISK OF HARM TO PATIENT
54
can an institutional pharmacy touch drugs that are brought in by patient
no
55
when can a patient's brought in meds be used
patient can maintain own meds at bedside or under control of nurse AND nurse in charge witness the admin and maintains records
56
requirements for sterile compounding
environment control capable of at least ISO class 5 sink w/ hot and cold water outside buffer area disposal containers biohazard containers fridge w thermometer infusion devices documentation of cleaning ISO Class 8 conditions in buffer area
57
sterile compounding supply requirements
-needles, syringes, and supplies for admixture -disinfectant cleaning tools and solutions -antibacterial hand washing -disposable towels or wipes -filters -spill kit -gowns and gloves
58
sterile produce reference requirements
at a minimum: handbook on injectables king's guide to parenteral admix board approved database
59
if prepping hazardous drugs, what must be kept
OSHA requirements for handling hazards
60
sterile product patient profile requirements
-patient name, DOB/Age, weight, sex -product dispensed -drug content and quantity -directions for patient -identification of dispensing pharmacist and personnel responsible for prep -drug therapy info -drug allergies -primary diagnosis
61
sterile product labeling for inpatient
-date of prep -patient name and bed number -name of each drug in preparation, strength, and amount -expiration date of preparation (and time) -dispensing pharmacist and whoever prepped -storage requirements or special warnings
62
what are the additional labeling requirements for sterile products if patient is at home
prescription number prescriber's full name name, address, and telephone number of the pharmacy directions for use (rate and date and time of admin)
63
where must fax machines be located
nonpublic area of licensed pharmacy
64
pharmacist may not refuse to transfer unless...
transfer would go against professional judgement
65
what does indiana uniquely require for all types of transfers
DEA numbers
66
what is an appropriate offer to counsel
-pharmacist counsels -intern counsels then offers to talk to pharmacist -written notice of offer recorded -any person in the pharmacy makes an offer for the pharmacist to counsel
67
security features for CS blanks
-practice logo in corner -practitioner name and state issued license number -fill area -rx void if more than one rx written per blank rx log (3/4 x 1/8 x 5/16) -4 1/4 inch tall x 5 1/2 inch wide -void watermark

Jurisprudence (18 decks)

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