Lecture 18 Flashcards
(24 cards)
Know these definitions
know all definitions in IC 25-26-13-2.
Counseling
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 to improve the therapeutic outcome of the patient
through the effective use of the drug or device.
You must communicate effectively with a patient to successfully counsel. If the patient doesn’t get the information they need, you did not successfully counsel the patient.
Drug Regimen Review (DRR)
“Drug regimen review” means the retrospective, concurrent, and prospective review by a pharmacist of a patient’s drug related history that includes evaluation of prescriptions or drug orders:
- For allergies, contradictions, appropriate use, and duplicative therapies
- For interactions
- For adverse drug reactions
- For proper utilization and therapeutic outcomes
Drug Utilization Review (DUR)
Drug utilization review” means a program designed to measure and assess on a retrospective and prospective basis the proper use of drugs
*Completing a DRR in Indiana satisfies the requirement of an OBRA ‘90 Prospective DUR
*Completing a DUR in Indiana satisfies the
requirement of an OBRA ‘90 Retrospective DUR
Pharmacy
“Pharmacy” means any facility, department, or other place where prescriptions are filled or compounded and are sold, dispensed, offered, or displayed for sale and which has as its principal purpose the dispensing of drug and health supplies intended for the general health, welfare, and safety of the public, without placing any other activity on a more important level than the practice of pharmacy.
The 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 used to enhance patients’ wellness, prevent illness, and optimize the outcome of a drug
or device, by accepting responsibility for performing or supervising a pharmacist intern or an unlicensed person under section 18.5 of this chapter to do the following acts, services, and operations:
What the Practice of Pharmacy consists of
- Interpreting, evaluating, or implementing prescriptions or drug orders
- Compounding, labeling, administering, dispensing, or selling of drugs and devices for the ultimate consumer
- Safe storage and distribution of drugs and devices
- Maintaining proper records related to drugs and devices
- Counseling patients and health care providers
- Assessing and reporting events related to drug or device use
- Provision of acts, decisions, and services necessary to maintain all areas of a patient’s pharmacy related care as authorized to a pharmacist under this article
- Provision of medication therapy management
Pharmacy and the Practice of Pharmacy: Important Points
Pharmacists may independently administer medications under Indiana state law, so long as that administration does not violate other state or federal law.
“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
Pharmacists may perform “medication therapy management”
Medication Therapy Management
- 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
- Educating and training patients on their medications
- Increasing patient adherence through training and support
- Coordinating care with broader health care services
- Providing other patient care services allowable by law
Qualifying Pharmacist
Qualifying pharmacist” means the pharmacist who will qualify the pharmacy by being responsible to the board for the legal operations of the pharmacy under the permit
Indiana Board of Pharmacy
Compiled of 7 members
** 5 pharmacist (1 within a hospital setting)
** 1 certified tech
** 1 public member
What is the Board of Pharmacy required to do?
establish standards for competent practice of pharmacy
establish standards for a pharmacist to counsel individuals
establish procedures for returning expired drugs
adopt rules & procedures regarding the electronic transmission of prescriptions
adopt rules & emergency rules concerning OTC sale of ephedrine or pseudoephedrine
Rehabilitation of Impaired Pharmacists
The board shall assist in the rehabilitation of an impaired or a licensed pharmacist
All information 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.
The board may designate a rehabilitation program to assist impaired pharmacists.
This program shall:
* 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
What program is used for rehabilitation services for pharmacists?
Indiana Professionals Recovery Program
Pharmacist intern
Permitted to practice pharmacy under the supervision of a pharmacist
A graduate of an accredited college or has established equivalent education and is obtaining experience as a requirement for licensure
A qualified applicant awaiting examination for licensure
An individual participating in a residency or fellowship
Pharmacist Intern licensure
Are actively enrolled in an ACPE accredited college of pharmacy
Has obtained a Foreign Pharmacy Graduate Examination Committee Certificate (FPGECC); or
Are awaiting examination for licensure as a pharmacist
Registration is valid for 1 year and may be renewed so long as the fee is paid and ACPE enrollment or FPGECC proof can be demonstrated. (Board lists the expiration date as September 30th of each year)
Pharmacy Technician Licensure
Must be:
- 18 years old (can be waived for a good cause)
- graduated from HS or have GED
- not convicted of a crime with a direct bearing on the ability to practice
What must a pharmacy tech do to be eligible for direct licensure?
Graduated from a competency-based pharmacy technician education and training program
Completed an employer training program approved by the board
Successfully passed the Pharmacy Technician Certification Board (PTCB) exam or another nationally recognized certification approved by the board
Technician licenses expire biennially, on June 30th of even-numbered years
Pharmacy Technician in Training Licensure
Can work for 30 days after submitting a tech-in-training application without receiving a permit
Once you have received the permit, you must complete a training program as approved by the board
Tech-in-training licensures are nonrenewable and expire 12 months after the date of issuance
Initial Pharmacist Licensure
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 U.S. college or graduated from another (international) program and obtained an FPGECC; and
Satisfactorily complete a board approved pharmacist intern program
Then you must apply, and successfully complete examinations required by the board to become licensed
Reciprocal Pharmacist Licensure
If you are already licensed in another state, the barriers to licensure are less:
Must be registered with the National Association of Boards of Pharmacy (NABP);
Graduated from an ACPE accredited U.S. college or graduated from another (international) program and obtained an FPGECC; and
Successfully completed an examination on federal statutes and regulations as well as Indiana statutes and rules governing the practice of pharmacy
Inactive Pharmacist
Pharmacist who pays their fees but is not completing CE requirements
Must indicated inactive status on renewal, otherwise the board assumes active
When do Pharmacist license 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
Pharmacists Professional Judgement
The pharmacist is immune from criminal prosecution or civil liability if he, in good faith, refuses to honor a prescription in his professional judgment
because honoring of the prescription would:
1. Be contrary to law
2. Be against the best interest of the patient
3. Aid or abet an addiction or habit; or
4. Be contrary to the health and safety of the patient
