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Jurisprudence > Exam 3 - Indiana Pharmacists, Pharmacies & Drug Stores > Flashcards

Exam 3 - Indiana Pharmacists, Pharmacies & Drug Stores Flashcards

(91 cards)

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1
Q

define counseling

A

effective communication between a pharmacist and a patient concerning the contents, DDIs, route, dosage, form, directions for use, precautions, and effective use of a drug or device

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2
Q

define drug regimen review

A

retrospective, concurrent and prospective review by a pharmacist of a patient’s drug history that evaluates orders for:
-allergies, CI, appropriate use, and duplicative therapies
-for interactions
-for adverse drug reactions
-for proper utilization and therapeutic outcomes

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3
Q

define drug utilization review (DUR)

A

program designed to measure and assess on a retrospective and prospective basis the proper use of drugs

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4
Q

what part of OBRA does DRR satisfy the requirement

A

prospective DUR

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5
Q

what part of OBRA does DUR satisfy the requirement

A

retrospective DUR

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6
Q

define pharmacy

A

facility, department, or other place where prescriptions are filled or compounded which has its principal purpose the dispensing of drug and health supplies intended for the general health, welfare, and safety of the public

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7
Q

define the practice of pharmacy

A

patient oriented health care profession in which pharmacists interact w/ and counsel patients with other health care professionals concerning drugs and devices used to enhance patients’ wellness, prevent illness, and optimize the outcome of a drug or device

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8
Q

what are the practice of pharmacy actions

A

-compounding, labeling, administering, dispensing, or selling of drugs and devices for the ultimate consumer
-provision of acts, decisions, and services necessary to maintain all areas of a patient’s pharmacy related care
-provision of MTMs

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9
Q

can pharmacists administer meds

A

yes, independently

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10
Q

define MTMs

A

a distinct service or group of services that optimize therapeutic outcomes for individuals

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11
Q

what services includes MTMs

A

-perform/obtain assessment
-formulate a medication plan
-selecting, initiating, modifying, or administering medication therapy
-monitoring patient responses to therapy
-perform comprehensive medication reviews
-documenting care delivered and communicating w/ other health care providers
-educating and training patients
-increasing patient adherence
-coordinating care w/ broader health
-providing other patient care services

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12
Q

define qualifying pharmacists

A

the pharmacist who will qualify the pharmacy by being responsible to the board for the legal operations of the pharmacy under the permit

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13
Q

how many members are on the board of pharmacy

A

7 members

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14
Q

describe the membership of the board of pharmacy

A

1 general public
5 pharmacists (at least 1 in hospital)
1 pharmacy tech

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15
Q

who appoints board members

A

the governor

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16
Q

how often does the board have to meet

A

at least 8 times and 4 must present for a quorum

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17
Q

how much is quorum for BoP

A

4 people

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18
Q

“may” duties of the BoP

A

adopt rules (IAC)
refuse to issue, deny, suspend, revoke, or place on probation a license or permit
establish tests for applicants
regulate the sale of drugs and devices
prevent distribution of drugs or devices deemed unfit for use or dangerous to health
establish minimum standards of the physical characteristics of a pharmacy
subpoena witnesses and schedule and conduct hearings on behalf of the public

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19
Q

“must” duties of the board

A

establish standards for:
-competent practice of pharmacy
-pharmacist to counsel patients
-ensure a pharmacist has an agreement for the return of expired legend drugs and controlled drugs
-electronic transmission of prescriptions
-OTC sale of ephedrine/pseudoephedrine

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20
Q

who helps with impaired pharmacists

A

the board

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21
Q

is information w/ rehab for pharmacists public?

A

all information is privileged and confidential UNLESS disciplinary or criminal proceedings

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22
Q

rehab programs must immediately report to the board any pharmacists the program believes…

A

constitutes an imminent danger to the public or themselves

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23
Q

rehab programs must report in a timely manner…

A

any pharmacist who refuses to cooperate, submit to treatment, or is not substantially alleviated through treatment

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24
Q

If you are in rehab, you may continue to practice w/o any impact to your license if…

A

you are voluntarily working with IPRP and are not a danger to yourself or others

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25
define a pharmacist intern
a person permitted to practice pharmacy under supervision of pharmacists, graduate of certain college, qualified applicant awaiting examination for licensure, participating in a residency or fellowship
26
define a pharmacy technician
means an individual who works under the direct supervision of a pharmacist to assist the pharmacist with clinical activities that do not require the professional judgement of the pharmacist
27
pharmacy intern licensure requirements
-actively enrolled in ACPE college -obtained a foreign pharmacy certificate -awaring exam results
28
how long is intern registration valid for
1 year
29
pharmacy intern license expiration
sept 30th of each year
30
to apply for tech license you must...
18 years old graduated from high school/GED not convicted of crime w/ direct bearing on ability to practice
31
if you have completed any of the following, you are eligible for direct licensure as a pharm tech
-graduated from competency-based pharm tech program -completed an employer training program approved by the board -successfully passed the PTCB exam or equivalent
32
expiration of tech license
expire biennially june 30th of even-numbered years
33
how long can a tech work after submitting application
30 days w/o receiving the permit
34
tech in training licensure expiration
nonrenewable and expire 12 months after date of issuance
35
eligibility to pharmacist licensure
-be at least 18 years of age -not have a conviction for crime w/ direct bearing on pharmacy -graduated from an ACPE college or FPGECC -satisfactorily complete a board approved pharmacist intern program THEN apply and complete exams required by board
36
reciprocal pharmacist licensure
-must be registered w/ NABP -graduated from an ACPE or FPGECC -complete exam on federal and indiana rules
37
active pharmacist
pays their fees and is complying w/ continuing education requirements
38
inactive pharmacist
pays their fees bus is not completing CE requirements
39
on renew, what must be indicated
if inactive, must indicate so or else board will assume active status
40
how can you switch from inactive to active
completing CE
41
when do pharmacists licenses expire
expire biennially on June 30th of even numbered years
42
if not renewed, when do licenses expire
July 1st of event numbered years, you cannot practice on an expired license
43
when can a pharmacist refuse to honor a prescription
in professional judgement -be contrary to law -be against the best interest of the patient -aid or abet an addiction or habit -be contrary to health and safety of the patient
44
what are the 3 categories of pharmacies in Indiana
Category I, II, III
45
category I pharmacy
provides care to general public by dispensing of a drug or device
46
category II pharmacy
provides inpatient care under a drug order or to an outpatient of the institution under a prescription
47
category III
provides closed door operations that are not open to the general public. may include traditional and non traditional pharmacy functions
48
when do pharmacy permits expire
every 2 years on december 31st of odd numbered years, renewals similar to the pharmacist renewal products
49
category I can offer drugs or devices to
outpatient and certain inpatient LTC health facility assisted living facility
50
who can category II pharmacists offer outpatient rxs to
pursuant to an Rx -employee, student, volunteer of the hospital or health system -retiree participating in a retirement or benefit program -independent contractor exclusively working w/ hospital -member or the hospital's governing board -member of the hospital's medical staff -any dependents of the individuals listed above
51
board requirements to receive pharmacy permit
-engage in practice of pharmacy; noting hours open to general public -maintain a sufficient stock of emergency and frequently prescribed drugs -have a registered pharmacist in attendance and on duty at all times -pharmacy shall be separate and apart from any area containing merchandise not offered for sale under the pharmacy permit
52
physical requirements of the pharmacy permit
-be stationary -be sufficiently secure and able to detect and deter entry when pharmacy is closed -be well lit and ventilated and clean -sink w/ hot and cold running water, sewage outlet, refrigeration -big enough -have other equipment as required by the board to operate in compliance w/ state and federal law
53
what does the pharmacy permit application include
-name and occupation of the persons requesting the permit -location of pharmacy -any other information the board requires
54
who is responsible for ensuring adequate staffing of the pharmacy
permit holder
55
can pharmacies share permits
no separate application for each pharmacy must be filed
56
what has to happen before a pharmacy opens and an application has be approved
must submit to an inspection by a representative of the board
57
what does immediate and personal supervision mean
within reasonable visual and vocal distance of the pharamcst
58
what is the max a pharmacist can supervise
8 interns and teach at any given time no more than 3 of the 8 supervised may be techs in training
59
what category pharmacies can request to be open to the general public w/o a pharmacist on duty
category I and III
60
requirements for being open w/o pharmacist on duty
obtain approval from the board securely lock all legend drugs prominently displayed sign only a pharmacist has access to the secured area
61
what are the requirements for the pharmacist off duty sign
20" x 30" sign stating Prescription Department Closed, No Pharmacist on Duty
62
what words cannot be used when pharmacy is closed
any thing that might cause public to believe that pharmacy is being practiced
63
how must licensures be displayed
conspicuously
64
can pharmacy permits be transferred
no
65
how soon must an application be submitted to transfer the ownership
within 10 days of the change of ownership of a pharmacy
66
if the new owner moves the pharmacy what must happen with the permit
an application for a permit for the new location must be filed
67
once a new permit is issued, what happens to the old permit
must be returned to the board within 10 days
68
if a pharmacy will be closed for 5 days or more...
the permit holder must notify the board of the closure and secure drugs as directed by the board
69
if a pharmacy is permanently closed, owner must...
-notify the board at least 20 days before the transfer of any controls and submit inventory form to board -remove all legend drugs from stock -submit licensed premises to an inspection by the board -remove any symbols and signs alluding to pharmacy -return pharmacy permit to board within 10 days after all drugs and devices are removed from the premises
70
upon request of a patient, can a pharmacy transfer prescriptions
yes even C-IIs as long has they have not been filled
71
when can transfers not happen
prohibited by prescriber or prohibited by federal law
72
prescription for a patient may be transferred electronically or by fax if...
pharmacies don't share a common data base (not C2s)
73
can techs transfer a prescription
yes, including verbal transfer as delegated by the pharmacist
74
electronic prescriptions may be transferred to another pharmacy even if they have never been filled if...
-allowed by state law -prescription was electronically prescribed -if communicate between 2 pharmacists -if prescription is maintained in electronic form
75
non electronic controlled transfers are limited to what
CIII-V prescriptions must have been filled at least once before being eligible to be transferred
76
all original prescriptions shall be organized, maintained, and accessible at the pharmacy for...
at least two years and must be available for inspection
77
a prescription may not be refilled without...
written, electronically transmitted, or oral authorization of a licensed practitioner
78
conditions for pharmacist to authorize refill w/o authorization
-made every reasonable effort to get authorization -failure to provide refill will be detrimental to the patient's health -original rx has refills and were all dispensed/expired -prescription was originally filled at pharmacy where request is made or real time online database -drug is prescribed and taken properly -pharmacist documents all information -pharmacist notifies original prescriber by the next business day -refill quantity limited to most recent fill quantity or 30 day supply -max of one refill every 6 months -drug is not a control
79
if prescriber writes "no emergency refill" what can you do
no refills
80
when can a pharmacist dispense up to 90 day supply
-patient requests more than 30 days -not a control -prescriber does not indicate that quantity cannot be changed -patient completes initial 30-day supply of drug therapy -prescription and included refills allow the pharmacist to dispense at least a 90-day supply of the med -prescription is valid for not more than 1 year after the original date of issue
81
when can a med be resold, resued, or redistributed after return to pharmacy
-was dispensed to someone in a facility -was properly stored and securely maintained -is returned unopened and was dispensed in original container or in multiple dose blister container or unit dose -dispensed by the same pharmacy -not expired -not a control
82
what can a pharmacist change on a script
change quantity change dosage form complete missing information extend a maintenance drug for the limited quantity necessary *not for CONTROLS, compounds, biologics, or prescriber noted not ok*
83
qualifications for changing quantity of medication
quantity or package size is not commercially available quantity is related to change in dosage form quantity reflects intended day supply
84
what are the FDA-approved devices or supplies a pharmacist can prescribe
spacer nebulizer medical device supplies normal saline or sterile water diabetes blood sugar testing supplies pen needles syringed for medication use
85
a pharmacy may not dispense epi or glucagon unless...
product has an expiration date or not less than 12 months from date dispensed person consents to shorter expiration date
86
what can a pharmacist substitute epi for
therapeutic alternative
87
pharmacists may dispense epi pursuant to a...
standing order as long as individual has completed training
88
pharmacists can give vaccines under a...
standing order or prescription
89
pharmacists can give vaccines according to a protocol approved by physician for
flu shingles pneumonia Tdap HPV meningitis MMR varicella Hep A & B hib COVID
90
pharmacist giving vaccines under protocol must...
notify physician who authorized immunization and pcp not give vaccines under 11 and not pneumonia under 50 must receive consent from patient or guardian
91
the board may suspend provisions of a statute or rule that would delay care if...
state of emergency is declared by the governor or president

Jurisprudence (18 decks)

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