General Pharmacy Laws and Rules Pt 2 Flashcards
Pages 68-98 (108 cards)
What ages can pharmacists/interns administer any vaccine to without a prescription?
Ages 13+
What ages can pharmacists/interns administer any vaccine to with a prescription?
Ages 7-13
What ages can pharmacists/interns administer flu and COVID vaccines to without a prescription?
Ages 7+
T/F: Pharmacists can administer allergy shots.
False
At what age can a pharmacist/intern administer a Shingles vaccine based on the FDA approved labeling?
Ages 50+
T/F: Pharmacists/interns can administer an initial dose of the rabies vaccine.
False, can only administer follow-up vaccines and pre-exposure vaccines
For all non-flu vaccines given to adults, the pharmacist/intern must notify the pt’s family physician within how many days?
30 days
What must a pharmacist complete to be able to administer vaccines?
Must complete a 5 hour board approved course that contains at least 1 hour of instruction and physical participation in administration techniques and a test of mastery
Physician-established vaccine protocols must:
Hint - 6 things
1) Describe the length of time a pt must be monitored for after a vaccine
2) Include a method to manage emergencies (anaphylaxis, needle sticks, etc.)
3) Be signed by the physician and maintained by the pharmacist
4) Be reviewed by pharmacist and physician every 2 years
5) Be able to be immediately retrieved for board review when requested
6) List the locations that a pharmacist/intern may given vaccines
For each vaccine to be administered, a vaccine protocol must contain:
Hint - 7 things
1) Name and strength
2) Precautions and contraindications
3) Intended audience or pt population
4) Dose
5) Administration schedules
6) Route(s) of administration
7) Injection sites
For each vaccine administered, what must be included in the records for the encounter?
Hint - 10 things
1) Pt’s name and address
2) Pt’s age and DOB
3) Gender
4) Allergy info
5) Date of administration
6) Vaccine name, strength, and dose
7) Vaccine lot and exp date
8) Route and location of administration
9) Positive ID of administering pharmacist
10) Documented informed consent
Records from the previous 12 months must be retrievable by when?
Must be immediately retrievable
Records from >12 months ago must be retrievable by when?
Must be able to provide within 3 business days
How long must immunization records be kept for?
3 years
T/F: Prescriptions can be dropped off into a secured area within the pharmacy building when a pharmacist is not on duty.
True, so long as a pharmacist is the only person with access to the area and the prescription department hours are posted
T/F: A pharmacy must have a physical barrier or alarm system approved by the board.
True
How often must an alarm system be tested?
Biannually (every 6 months)
How long must alarm testing records be maintained for?
3 years
T/F: All protocols must be approved by the State Board of Pharmacy
True
T/F: All treatment guidelines must be approved by the State Board of Pharmacy
True
T/F: Treatment guidelines can be used to start a patient on a new medication.
False. Treatment guidelines only apply to adjusting a dose or frequency of a specific drug that a prescriber has previously ordered.
T/F: All pharmacists who take care of patients are required to be registered with OARRS
True
What drugs must be reported to the board of pharmacy?
1) CII
2) CIII
3) CIV
4) CV (with Rx and wholesale)
5) gabapentin
6) Medical marijuana
7) Naltrexone products (does not include combo products like Suboxone)
What info must be submitted to the board for OARRS with each Rx?
Hint - 12 things
1) Pharmacy’s DEA #, NPI #, name, address, phone number
2) Pt’s name, address, phone number, DOB, gender
3) Prescriber’s name, NPI #, and DEA #
4) Date Rx was written
5) Date Rx was dispensed
6) Indication of “new” or “refill”
7) # of the refill being dispensed
8) Quantity dispensed
9) Days supply
10) Rx number
11) Source of payment
12) ICD-10 or CDT codes (NC if no code)
