EXAM 3 Lecture 18

Question 1

Counseling definition

Answer 1

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

Question 2

Drug Regimen Review (DRR)

Answer 2

retrospective, concurrent, and prospective review by a pharmacist of prescriptions or drug orders:

• For allergies, contradictions, appropriate use, and duplicative therapies
• For interactions
• For ADRs
• For proper utilization

Question 3

Drug Utilization Review (DUR)

Answer 3

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

• DRR in Indiana satisfies the requirement of an OBRA ‘90
  Prospective DUR
• DUR in Indiana satisfies the requirement of an OBRA ‘90
  Retrospective DUR

Question 4

The practice of pharmacy important roles

Answer 4

• 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 medication therapy management

Question 5

Pharmacy & The Practice of
Pharmacy: Important Points

Answer 5

• “Pharmacy” is a space. “The practice of pharmacy” is the description of the profession and what pharmacists may do.
• Pharmacists may independently administer medications
• “The practice of pharmacy” allows pharmacists to perform any acts authorized under IC 25-26, so long as they pertain to a patient’s pharmacy related care

Question 6

Medication Therapy Management

Answer 6

means a distinct service or group of services that optimize
therapeutic outcomes for individuals. includes the following:

• obtaining assessments on patient’s health
• formulating treatment plans
• selecting/modifying med therapy
• monitoring response to therapy
• medication review
• documentation of health care
• patient education
• providing legal patient care services

Question 7

Qualifying pharmacist definition

Answer 7

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

Question 8

Indiana board of pharmacy

Answer 8

Made up of 7 members

• One member to represent the general public, who is not at all related to pharmacy
• Five members who are pharmacists (at least one practicing hospital pharmacist)
• One member who is a pharmacy technician

Question 9

The Board may:

Answer 9

• Adopt rules (Indiana Administrative Code)
• Refuse to issue, deny, suspend, revoke, or place on probation a license or permit
• 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

Question 10

The board must adopt rules:

Answer 10

• For the competent practice of pharmacy
• For a pharmacist to counsel patients
• To ensure a pharmacist has an agreement for the return of expired legend drugs and controlled drugs
• For the electronic transmission of prescriptions
• For the OTC sale of ephedrine and/or pseudoephedrine

Question 11

The board shall assist in the rehabilitation of an impaired or a licensed pharmacist.

Answer 11

All info shared is privileged and confidential unless:

• disciplinary or criminal proceedings are instituted, and may be used only in the exercise of the proper functions of the board.

Question 12

The board may designate a rehabilitation program to assist impaired pharmacists. This program shall:

Answer 12

• Immediately report to the board any pharmacist the program believes constitutes an imminent danger to the public or themselves
• Report in a timely manner any pharmacist who refuses to cooperate, submit to treatment, or is not substantially alleviated through treatment

Question 13

Pharmacy intern definition

Answer 13

A person who

• permitted to practice under supervision of pharmacist
• student in college for pharmacy
• qualified applicant waiting for examination
• is participating in a residency or fellowship

Question 14

Pharmacy technician definition

Answer 14

Who works under the pharmacist that assist in clinical activities that do not require professional judgement

Question 15

Pharmacy intern licensure

Answer 15

• Actively enrolled in ACPE accredited college of pharmacy
• Has obtained a Foreign Pharmacy Graduate Examination Committee Certificate
• Or awaiting examination for lincensure as pharmacist

Registration is valid for 1 year

Question 16

Pharmacy technician licensure

Answer 16

To apply for a technician license:

• 18 years old
• High school graduate or GED
• Not convicted of crime with direct bearing on practice (felony involving controlled substance)

Technician licenses expire biennially on June 30th of even numbered years

Question 17

Direct Licensure as a pharmacy technician

Answer 17

• Graduated from a competency-based pharmacy technician education training program
• Completed an employer training program approved by the board
• Successfully passed Pharmacy Technician Certified Board (PTCB) Exam or other nationally recognized certification

Question 18

Pharmacy Tech in training license

Answer 18

nonrenewable and expire 12 months after date of issuance

Question 19

Initial Pharmacist Licensure

Answer 19

• 18 years old
• Not convicted for a crime with a direct bearing on pharmacy practice
• Graduated from an ACPE accredited US college or graduated from another program to obtain FPGECC
• Satisfactorily complete a board approved pharmacy intern program

Question 20

Reciprocal Pharmacist Licensure

Answer 20

If you are already licensed in another state, the barriers to licensure are less:

• Must be registered with National Association of Boards of Pharmacy (NABP)
• Graduated from an ACPE accredited US college or graduated from another program and obtained an FPGECC
• Successfully completed an examination on federal statutes and regulations as well as Indiana Statutes and rules governing practice of pharmacy

Question 21

Pharmacist licensure CE

Answer 21

• Pharmacist licenses expire biennially, on June 30th of even-numbered years. Pharmacists attest to completion of required CE.
• If not renewed, licenses are expired July 1st of even-numbered years. You cannot practice on an expired license.

Question 22

Pharmacists Professional
Judgement

Answer 22

Pharmacists are immune to criminal prosecution if they act in good faith. Not in good faith:

• Be contrary to the law
• Be against the best interest of the patient
• Aid or abet an addiction or habit
• Be contrary to the health and safety of the patient