Exam Three: Indiana Law Flashcards
(186 cards)
1
Q
Citing Indiana Code
A
IC-Title-Article-Chapter-Section
2
Q
Citing Indiana Administrative Code
A
Title IAC Article-Chapter(Rule)-Section
3
Q
Definition of Sale
A
- manufacturing, processing, transporting, handling, packing, or any other production, preparation, or repackaging
- exposure, offer, or any other proffer
- holding, storing, or any other possession
- dispensing, giving, delivering, or any other supplying
- applying administering or any other using
4
Q
What can be described as a sale?
A
- placing a legend drug outside the pharmacy in a publicly accessible area
- administering a medication to a patient
- transporting a drug from one pharmacy to another
5
Q
IC 25-1-9-2 Practitioner Definition
A
A person that holds:
1. unlimited license, certificate, registration, or permit
2. a limited or probationary license, certificate, registration, or permit
3. a temporary license, certificate, registration or permit
4. an intern permit
5. an inactive license
6
Q
IC 16-42-19-5 Practitioner Definition
A
- physician
- veterinarian
- a dentist
- a podiatrist
- an optometrist
- an APRN
- a PA
7
Q
IC 16-42-22-4.5 Practitioner Definition
A
- a physician
- a dentist
- a podiatrist
- an optometrist
- an APRN
8
Q
Big Four Prescribers
A
- physicians
- dentists
- podiatrists
- veterinarians
9
Q
APRNs are….
A
- nurse practitioners
- certified nurse midwives
- clinical nurse specialists
10
Q
APRNs must work under what type of practitioners?
A
- physicians
- podiatrists
- dentists
11
Q
In addition to working under a supervising practitioner, APRNs must:
A
- apply for prescribing authority within the state
- have collaborative practice agreement on file with Indiana state board of nursing
12
Q
APRN scope of practice
A
limited to prescribing within scope of practice speciality of the supervising practitioner
13
Q
Can APRNs prescribe controlled substances?
A
YES so long as they have a DEA number and an Indiana Controlled Substance Registration (CSR)
14
Q
Prescriptions written by APRNs
A
prescriptions written by APRNs from any state are honored in IN, as long as it is legally written from the APRN’s state of licensure
15
Q
Physician Assistants must work under what provider?
A
only physicians
16
Q
How must a physician assistant be supervised?
A
- must be in direct supervision by physician in person
- in the same location OR
- via electronic method where the physician is immediately available via telecommunications
17
Q
Physician Assistant prescribing
A
- can only prescribe things directly delegated by collaborative practice agreement on file with the medical licensing board of Indiana
18
Q
What can’t physician assistants prescribe?
A
- ophthalmic devices under any circumstance
- prescribe or administer general anesthesia or deep sedation
19
Q
Can physician assistants prescribe controlled substances?
A
YES so long as they have DEA number AND Indiana Controlled Substance Registration (CSR)
20
Q
Prescriptions written by physician assistants
A
can be honored if written by PAs from other state, so long as they are written legally from the PAs state of licensure
21
Q
What type of providers are optometrists?
A
mid-level
22
Q
How can optometrists prescribe?
A
- independently without a supervising practitioner
- ONLY can do this according to a formulary
23
Q
Optometrist Formulary tiers
A
- independent prescribing
- dependent prescribing by notification: must notify the patient’s PCP of prescribing
- dependent prescribing by consult: must call and consult with patient’s PCP before prescribing a listed medication
24
Q
Optometrists Prescribing Formulary
A
- any legend drug for the treatment of the eye or associated structures of the eye
- all formulary drugs may be independently prescribed
- Controlled substances as defined in IC 35-48-1 are prohibited from use by optometrists
- but can prescribe tramadol
25
When there is a direct conflict between IAC and IC
- follow IC
- IAC is derived from actions of the general assembly, who writes IC
26
Filling an optometrist prescription
- cannot fill a a prescription written by an optometrist who is not licensed in Indiana
27
What can pharmacists prescribe?
- inhaler spacer
- nebulizer
- supplies for medical devices
- normal saline and SWFI
- diabetes blood sugar testing supplies
- pen needles
- syringes for medication use
- hormonal contraceptives
28
Pharmacist Statewide Standing Orders
- auto-injectable epinephrine
- vaccines
- naloxone
- tobacco cessation
29
How can pharmacists act as prescribers?
collaborative practice agreements (protocols) with a physician, APRN, PA as long as protocol is signed by physician and applies to patient(s) specified by physician.
30
Filling Pharmacist-prescribed Drugs:
cannot fill a prescription written by a pharmacist who is not licensed in Indiana
31
Which midlevel practitioners can you not fill prescriptions for?
- naturopaths
- dietitians
- chiropractors
32
What is the main goal of the board of pharmacy?
protect the public and enforce the laws and rules that govern phrmacy
33
What must the board of pharmacy act upon?
- evidence of fraud
- conviction of a crime with a direct bearing on competent practice or public safety
- knowing violation of any state statute or rule, or federal statute or regulation
- continuing to practice while unfit
- lewd or immoral conduct connect to delivery of services to the public
- authorization of improper use of name or license (outside of scope)
- disciplinary action in any state or jurisdiction on similar grounds to Indiana
- drug diversion
- aiding or abetting an addiction or habit
34
Who's responsibility is it to show a practitioner has done something requiring a sanction?
- the state's responsibility
- typically have hearing where BoP will present evidence against practitioner
35
What are the sanctions?
- revocation
- suspension
- probation
- letter of reprimand
- censure
- fine
36
Revocation
license taken away permanently
37
Suspension
- license taken away temporarily
38
Probation
can practice but with limits or additional requirements
39
Letter of Reprimand
written expression of disapproval
40
Censure
verbal expression of disapproval
41
Fine
up to $1000 for each violation
42
What is not considered a sanction?
- surrender
- surrender license rather than having a hearing
43
Which sanctions can you not practice?
- suspension
- revocation
44
If there is a clear and immediate danger to public health and safety, the board can summarily suspend a practitioner's license for how many days?
90 (can be renewed)
45
Can the board mandate a physical/mental exam?
YES, but it must stem from a disciplinary hearing
46
Refusal of Licensure
- applicant has been disciplined or could by another state or jurisdiction
- violation the applicant may have been disciplined for has direct bearing on the applicant's ability to practice in Indiana
- anyone who has practiced without a license may also be refused a license
47
Probationary License
- report regularly to the board on the matters requiring a probationary license
- limit practice to those areas prescribed by the board
- continue or renew professional education
- engaged in community service as directed by the board
- perform, or refrain from performing, an act that the board considers appropriate to public interest
48
How are prescribers required to transmit controlled substances?
electronically
49
Which prescribers are not required to transmit controlled substances electronically
medical residents and veternarians
50
If a prescriber has a waiver that allows them to write controlled prescriptions in written, faxed or oral format, what needs to be included?
- write waiver number on the prescription
- write DEA and CSR numbers on the prescription
51
Telehealth Prescribers
- physician
- PA
- APRN
- optometrist
- podiatrist
- dentist
- veternarian
52
Approved telehealth modalities
- secure videoconferencing
- store and forward technology
- remote patient monitoring technology
53
Unapproved Telehealth Modalities
- email
- instant messaging
- facisimile
- internet questionnaire
- internet consultation
54
A prescription issued after a telehealth appointment is valid if:
- prescriber meets the standard of care in treating the patient
- prescription is issued within the prescriber's scope of practice
- the prescription is not for an abortion drug
- if the prescription is for a medical device, the prescriber must use technology that is sufficient to allow for an informed diagnosis and treatment plan
55
A telehealth prescription may not be what type of controlled substance?
- an opioid
- unless it is a partial agonist that is used to treat or manage opioid dependence
56
Limitations in prescribing opioids in Indiana
- may not be written for greater than 7 days
- if the prescription is for an adult being prescribed an opioid for the first time by that prescriber
- children < 18 years
- prescription is for an animal for the first time by the vet
57
7-day limitation for prescribing opioids does not apply:
- cancer patients
- palliative care
- SUD
- condition exempted by medical licensing board
- prescribers professional judgement that the patient requires more than the prescription limitations
58
Partial fill of opioids upon the request of:
- patient
- patient's rep
- guardian of the patient
59
If an opioid is partially filled, the pharmacist must:
- comply with 21 USC 829
- document that a request for a partial fill was made by one of the people listed above
60
Can a prescription be refilled if the prescriber does not indicate the number of refills on the prescription
- NO
- unless the pharmacist is subsequently authorized to do so by the practitioner
61
Drug Order
written order for a drug or device for a patient in an inpatient institution
62
Prescription
- written order for a drug or device for an outpatient setting
63
Who is able to prescribe?
- physicians
- veterinarians
- podiatrists
- optometrists licensed in Indiana
- APRNs
- PAs
64
Drug Order Requirements
- name and bed number of the patient
- name and strength/size of drug
- amount to be dispensed in quantity or days
- adequate directions for the proper use of the drug
- name of prescriber
65
Prescription Requirements
- name and address of the patient
- name and strength/size of the drug or device
- amount to be dispensed
- adequate directions for use
- name of the practitioner
- written or electronic signature of practitioner
66
Prescription Label Requirements
- name, address, phone number of dispensing pharmacy
- date on which the prescription was filled
- the prescription number
- the name of the practitioner who prescribed the drug
- the name of the patient
- if an animal, name of the species
- the directions for use
- a statement that the drug is an opioid
- the name of the drug
- the owners name if an animal
67
Practitioner Label requirements if dispensed from office
- directions for use of the drug
- name and address of the practitioner
- name of the patient
- species of animal (if appropriate)
68
When are prescriptions for anabolic steroids valid?
used for a legitimate medical purpose
69
Mechanical Storage devices can only be utilized within a:
- pharmacy that holds permit issued by BoP
- remote location under the jurisdiction of the Indiana BoP
- licensed health care facility
70
Is OTC insulin allowed in Indiana
YES
71
Indiana BoP members and employees may
- carry a firearm when performing official duties
- execute and serve warrants and subpoenas
- make arrests without a warrant for suspected controlled substance felony
- seize property
- perform other enforcement duties as designated by the BoP
- audit controlled substance inventory/supply
72
Samples/Coupons in Indiana
- Bans the sale, purchase, or trade of drug sample
- bans counterfeiting of drug coupons
- practitioners must ask for drug samples in writing
- community pharmacies cannot have drug samples at anytime
- established recordkeeping, storage, and handling requirements for drug samples
73
What does Indiana specify in addition to PDMA
- you cannot remove a sample from its OG packaging, repackage it, and then sell it/exchange it
- you cannot deliver a drug sample to someone after its expiration date
74
Which prescriptions can a generic substitution not be performed?
if written a veterinarian
75
"Dispense as written" is on the (right/left)
left
76
"May substitute" is on the (right/left)
right
77
How are substitutions indicated on phone orders?
practitioner muse indicate whether substitution is permitted
78
How are substitutions indicated on electronic submissions?
practitioner must state either dispense as written or may sub
79
The pharmacist must substitute the product that results in the lowest price for medicaid and CHIP patients unless:
- brand medically necessary are written or electronically transmitted on the prescription in the practitioner's own handwriting
- orally stating that a generic equivalent may not be substitute AND subsequently forwarding a covering prescription that has "brand medically necessary" include
80
A biologic can be substituted if:
- a product has been determined to be interchangeable by the FDA via Purple Book
- prescribing practitioner has indicated may substitute
- pharmacist has informed the customer of the substitution
- after completing the substitution, the prescriber is informed of the name and manufacturer of the biologic product dispensed
81
Do prescribers need to be informed before a pharmacist substitutes a biologic product?
no, but must be notified after the product is dispensed
82
Pharmacists and pharmacies may register as Naloxone entities as long as they provide these drugs to:
- a person at risk of experiencing an opioid-related OD
- a family member, friend, or any other individual in a position to assist an individual who may be at risk of experiencing an opioid-related overdose
83
Naloxone Entity Requirements
- register annually with the state department or local health department
- instruct the individual receiving the product to summon emergency services immediately
- provide education and training on drug overdose response and treatment
- provide drug addiction treatment and referral information
84
Counseling
effective communication between a pharmacist and a patient concerning:
- contents
- drug to drug interactions
- route
- dosage
- form
- directions for use
- precautions
- effective use of a drug or device
85
Drug Regimen Review
- retrospective, concurrent, and prospective review by a pharmacist
- for allergies, CIs, appropriate use, and duplicative therapies
- for interactions
- for adverse reactions
- for proper utilization and therapeutic outcomes
86
Drug utilization review
program designed to measure and assess on a retrospective and prospective basis the proper use of drugs
87
completing a DRR in Indiana satisfies what requirement of OBRA
prospective DUR
88
completing a DUR in Indiana satisfies what requirement of OBRA
retrospective DUR
89
Pharmacy
- facility, department, or other place where prescriptions are filled or compounded and are sold, dispensed, offered, or displayed for sale
- has its principle purpose in dispensing of drug and health subpplies
90
Practice of Pharmacy
a patient oriented health care profession in which pharmacists interact with and counsel patients and with other health care professionals concerning drugs and devices
- enhance patients' wellness, prevent illness, and optimize the outcome of a drug or device
91
What is the responsibility of pharmacist
- 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 MTM
92
MTM
means a distinct service or group of services that optimize therapeutic outcomes for individuals that are independent of, but may occur in conjuction with, the provision of a medication or medical device
93
MTM Services
- performing or obtaining assessments on an individual's health
- formulating a medication treatment plan
- selecting, initiating, modifying, or administering medication therapy
- monitoring patient responses to therapy
- performing comprehensive medication reviews
- documenting care delivered and communicating with other health care providers
- increasing patient adherence through training and support
- coordinating care with broader health care services
- providing other patient care services allowable by law
94
Qualifying pharmacist
- pharmacists who will qualify the pharmacy by being responsible to the board for the legal operations of the pharmacy under the permit
95
Indiana BoP is made up of
- 7 members
- one member to represent the general public not related to pharmacy
- five members who are pharmacists (at least one of which is a practicing hospital pharmacist)
- one member who is a pharmacy technician
96
How many times a year does the BoP meet
- required 8 times/year
- four members for quorum
97
The BoP may
- adopt rules (IAC)
- refuse to issue, deny, suspend, revoke, or place on probation a license or permit
- prevent distribution of drugs or devices deemed unfit for the 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
98
The BoP MUST
adopt rules to establish standards:
- 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
99
The board shall assist in the rehabilitation of an impaired or licensed pharmacist so long as
all information shared is privileged and confidential, unless disciplinary or criminal proceedings are instituted and may be only used in the exercise of the proper functions of the board
100
The board may designate a rehab program to assist impaired pharmacists and the program shall
- immediately report to the board any pharmacist the program believes constitutes as 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
101
What is the primary rehab program that partners with the Indiana BoP
IPRP
102
How can pharmacists still practice if in IPRP
if the pharmacist is voluntarily working with IPRP and are not a danger to themselves or others
103
Pharmacy intern applicant must demonstrate that they:
- are actively enrolled in an ACPE accredited college of pharmacy
- has obtained a FPGECC OR
- are awaiting examination for licensure as a pharmacist
104
How long is a pharmacy intern license valid for
1 year
105
What date do pharmacy intern licenses expire?
September 30th of each year
106
To apply for a technician license, you must be:
- 18 years old
- graduated from high school or received a GED
- not convicted of a crime with a direct bearing on the ability to practice or felony involving CS
107
How long are technician licenses valid for?
2 years
108
What date do technician licenses expire
June 30th of even numbered yeaars
109
Can you work after submitting a tech-in-training application
YES, for up to 30 days
110
When can you renew a tech-in-training license?
never, expire 12 months after the date of issuance
111
To be eligible for licensure as a pharmacist, a person must:
- be at least 18 years of age
- not have a conviction for a crime with a direct bearing on pharmacy practice
- graduated from an ACPE accredited US college or obtained a FPGECC
- satisfactorily complete a board approved pharmacist intern program
112
Reciprocal Pharmacist Licensure
- must be registered with NABP
- graduated from ACPE accredited US college or obtained FPGECC
- successfully completed an examination on federal statutes and regulations as well as Indiana statutes and rules governing the practice of pharmacy
113
Active Pharmacist
- pays fees
- complying with CE
114
Inactive Pharmacist
- pays fees
- not completing CE
115
How long are pharmacist licenses valid for
biennially
116
What date do pharmacist licenses expire?
June 30th of even numbered years
117
If not renewed, when do pharmacist licenses expire?
July 1st of even numbered years
118
Category 1 permit
pharmacy that provides pharmaceutical care to the general public by dispensing of a drug or device
119
Category II permit
a pharmacy that provides inpatient care under a drug order or to an outpatient of the institution under a prescription
120
Category III
a pharmacy that provides closed door operations that are not open to the general public and may include traditional and nontraditional pharmacy functions
121
When do pharmacy permits expire
December 31st of odd-numbered years, biennially
122
Category I Pharmacies
- provide drugs or devices to outpatients under a prescription however can fill inpatient prescriptions in unique circumstance
123
A category I pharmacy may offer drugs or devices to
- long term care facility
- health facility
- assisted living facility
124
Category II pharmacies
- provide pharmaceutical care to inpaatients under a drug order but can also fill outpatient prescriptions in unique circumstance
125
A category II pharmacy may offer drugs or devices to specific individuals pursuant to a prescription
- an employee, student, or volunteer of the hospital or health system
- a retiree participating in a retirement or benefit program administered by the hospital
- an independent contractor exclusively working with the hospital
- a member or the hospital governing board
- a member of the hospital medical staff
- any dependents of the individual's listed above
126
Pharmacy shall be separate and apart from what under a pharmacy permit
any area containing merchandise not offered for sale
127
Physical Requirements of the Pharmacy to be eligible for a pharmacy permit
- be stationary
- be sufficiently secure, and able to detect and deter entry when the pharmacy is closed
- be well lighted and ventilated and otherwise cleanly
- be equipped with a sink with hot and cold running water, a proper sewage outlet and refrigeration
- be of sufficient size to allow for the practice of pharmacy
- have other equipment as required by the board to operate in compliance with state and federal law
128
Pharmacy Permit Application requirements
- the name and occupation of the persons requesting the permit
- the location of the pharmacy
- any other information the board requires
129
The permit holder is responsible for:
- ensuring adequate staffing of the pharmacy
130
When shall the board grant or deny a permit
no later than 120 days after the application
131
What needs to happen after an application is approved
- submit to an inspection by a rep of the board
- before the pharmacy is open
132
A pharmacist must not supervise more than
- 8 interns, techs, or techs in training at any time
- no more than 3/8 individuals supervised may be techs in training
133
Which permits must request to be open to the general public without a pharmacist on duty
- category I and III
134
Licensure display
- must be displayed conspicuously
- visible from the front of the pharmacy
- cannot use words in a title which might cause the public to believe pharmacy is being practiced
135
Can pharmacy permits be transferred?
no
136
When pharmacies change hands..
- within 10 days of the change of ownership, application must be submitted to transfer ownership
- old permit must be returned within 10 days
137
If a pharmacy will be closed for 5 days or more, what must the permit holder do
notify the board of the closure and secure the drugs as directed by the board
138
If a pharmacy is to be permanently closed, the owner msut:
- notify the board at least 20 days before the transfer of any CS and submit an inventory form required by the DEA
- return permit to board within 10 days after all drugs and devices are removed
139
Transfering Prescriptions
a pharmacy shall transfer to another pharmacy a prescription for a patient (including CII) that the pharmacy has received but not filled
140
How can a prescription be transferred?
- electronically or by fax if pharmacies dont share a common data base
141
Electronic Controlled Substance Transfers
- electronic prescriptions may be transferred to another pharmacy even if they have never been filled
- if allowed by state
- prescription was electronically prescribed
- if communicated between two licensed pharmacists
- if prescription is maintained in an electronic format
142
Non-electronic controlled substance transfers
- CIII-CV
- must have been filled at least once before being eligible to be transfered
143
How long should OG prescriptions be organize, maintained, and accessible at the pharmacy
for at least 2 years and be available for inspection to any member of the board or agent of the board
144
When can a prescription that does not have any refills left be refilled
- failure to provide a refill will would be detrimental to patients health
- OG Rx authorized refills
- OG Rx filled at the pharmacy where the request for refill is received, or affiliate
- drug is not PRN
- drug is taken correctly by the patient
- documents required refill info, dates and times attempts to contact prescriber, and that pharmacist dispensed a refill without prescriber authorization
- refill quantity is limited to most recent fill or 30 day supply
- max of 1 pharmacist-initiated refill for a signle prescription every 6 months
- NOT A CONTROLLED SUBSTANCE
145
Refill documentation
- name and dosage form of the drug
- date of each refill
- quantity dispensed
- identity of the pharmacist who dispensed the refill
- total number of refills for that prescription
146
30 to 90 day supply
- the patient requests a supply of more than 30 days
- the prescription is not a controlled substance
- the prescriber does not indicate on the prescription that the quantity of the prescription may not be changed
- the patient has completed an initial 30-day supply of the drug therapy
- the prescription included refills allow the pharmacist to dispense at least a 90 day supply of the medication
147
Demise of Prescriber
pharmacist may not knowingly dispense a prescription after the demise of the prescriber unless the pharmacist judges it to be in the best interest of the patient's health
148
Can a medication be resold, resold, reused, or redistributed after being returned to the pharmacy
No unless:
- was dispensed to individual residing in an institutional facility, hospice program, county jail or DoC
- not expired
- not controlled
- OG packaging, not opened
149
What can the pharmacist change on a prescription?
- change the quantity of the medication prescribed
- dosage form if in the best interest of the patient so long as prescribers directions are also modified
- complete missing information
- extend maintenance drug for the limited quantity necessary
- NOT CONTROLLED, compounded , or biologic
150
A pharmacy may not dispense epinephrine or glucagon unless
- product has expiration date not less than 12 months from the date dispensed
151
Immunizations approved according to protocol
- flu
- shingles
- pneumonia
- Tdap
- HPV
- meningitis
- MMR
- Varicella
- Hep A
- HepB
- Hib
- COVID
152
Pharmacy interns must be directly supervised by who before giving a vaccine
- pharmacist
- physician
- PA
- APRNs
- registered nurse
153
856 IAC
lists the rules written and reviewed by the Indiana BoP which have the force of law in the state of indiana
154
In personal attendance
means being physically present in the area specified as the dimensions of the pharmacy in the relevant pharmacy permit application
155
Pharmacists in non-mgmt roles are responsible for what?
only what happens under them when they are on duty
156
Cognitive Services
- 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
157
Unlicensed Person
- is not HIPAA trained
- does not hold a valid license, certification, permit or registration issued by the board
- unlicensed persons cannot perform any pharmacy dispensing functions related to legend drugs in the pharmacy
158
Exam Requriements
- 1500 hours of practical experience
- submit application
- take and pass NAPLEX and MPJE in english
159
maximum attempts for NAPLEX and MPJE
5
160
Reciprocity completion
- application for license transfer
- pass indiana MPJE
- if not actively practicing in the 12 months prior to the application, NAPLEX
161
if BoP determines the pharmacy has not met requirements for each pharmacy, how long must the issue be corrected
within 30 days of notification
162
Any violation or breach of a secured area needs to be recorded and reported to the board within...
72 hours
163
Backup power msut be provided and capable of continuing for no less than
36 hours
164
prescription labeling according to 856 IAC 1-23
- name, address, and telephone number of the establishment from which the drug was sold
- date prescription was filled
- the prescription number
- the name of the patient, species, and owners name (if applicable)
- directions for use
- name of the drug in compliance with IC 16-42-22
165
CE biennia run from
January 1st of even number year to December 31 of the following odd numbered year
166
Licensure bieenium
July 1 even year - june 30th 2 years later
(2024-2026)
167
CE Catchup window
January 1 - June 30th the year the license will expire
168
CE Stipulations
- no more than 1/5 of total hours may be business, mgmt, or computer courses (6 hours)
- at least 4/5 of total hours must be pharmacy practice related (24)
- at least 1/2 of total hours must be ACPE approved (15)
169
If initial licensure occurs within a biennium,
you should accrue 1.25 hours CE for each month you are licensed from the date of licensure to the end of the biennium
170
If licensed in the last 6 months of the biennium
no need to do CE required
171
Pharmacist in charge responsibilities
- establish and carry out a performance improvement program
- develop a policies and proceedures manual
- develop policies and procedures to be performed by pharmacy technicians
172
Pharmacists in category II and III permits
- must check all drug orders within 24 hours of written date
- participate in drug research
- obtain patient drug histories and drug profiles
173
Absence of a pharmacist cabinet access
- all drugs in cabinet must be properly labeled and prepackaged in sufficient amounts for 24 hours of use
- tied to physician orders
- reviewed by pharmacist no more than 24 hours after returning
174
Who can access a pharmacy in the absence of a pharmacist
- supervisory nurse
- name and stregnth of the drug
- amount
- date and time
- signature of the nurse
- a copy of the order
175
Emergency Drugs in the absence of a pharmacist
- must assure the availability, contorl and security of drug carts, kits, or boxes in the pharamacy
176
LTCF Drug Kit must be labeled with
- drug name
- drug strength or size
- quantity included
- expiration date
177
LTCF Emergency Drug kits
- drug name
- drug strength or size, if applicable
- name of the manufacturer, packer, or distributor
- lot number
- expiration date
178
a nurse removing drugs from an emergency kit must document
- name of the patient
- name of the drug
- strength of the drug
- quantity removed
- date and time removed
179
Institutional Drug Labeling requirements (not unit dose)
- patient id
- drug name
- strength if applicable
- route of administration
- quantity
- pharmacist initials
- location of patient
180
Institutional drug labeling of unit dose
- drug name
- strength
- control number/expiration date
181
Sterile physical requirements
- ISO class 5 at least
- sink with hot and cold running water
- refrigerator with thermometer
- infusion devices if appropriate
- environmental control capable of at lease ISO class 8 conditions in buffer area
182
Sterile Supply Requirements
- needles, syringes, all supplies needed for aseptic admixture
- disinfectant cleaning tools and solutions
- antibacterial cleaning tools and solutions
- disposable towels or wipes
- filters and filtration equipment if utilized
- hazardous drug spill kit if hazardous drugs are prepared
- disposable gowns and gloves
183
Sterile reference requirements
- handbook on injectable drugs published by ASHP
- king's guide to parenteral admixtures or
- another board approved printed or electronic database
- they must have a copy of OSHA requirements for handling hazardous drugs
184
Sterile Labeling inpatient
- date of prep
- patient name and bed number
- name of each drug, strength, and amount
- expiration date of the prep (including time)
- ID of the dispensing pharmacist and personnel responsible for preparing product
- storage requiremnt or special wanrigns
185
Sterile labeling if patient resides at home
also must contain
- prescription number
- providers full name
- name address and telephone number of pharmacy
- directions for use, including infusion rate and date and time of admin
186
