State Law Wilson Exam 3 Flashcards

Question

How many hours of CE is required for annual renewal of license?

Answer 1

within 10 days

Answer 2

``` – Interpret the original prescription – Perform prospective DUR – Determine product selection – Prepare certain IV or sterile products – Certify the completed prescription – Provide patient counseling ```

Answer 3

end of each 240 hours

Answer 4

- must have certificate on display - subject to Board inspection - cannot be on probation or suspension - must submit all reports as required by the Board

Answer 5

``` – Completed High School education or have G.E.D. – Good moral character – Non-impaired – Adequate education to perform duties – Complete on-the-job training ```

Answer 6

– All auxiliary staff duties – Count medications – Prepackage and properly label medications – Affix the prescription label to the container – Reconstitution of medications – Not an all inclusive list

Answer 7

All persons, other than pharmacists, interns, and technicians, who work or perform tasks in the pharmacy that do not require a permit or license

Answer 8

``` – Retrieve prescriptions or files – Clerical or secretarial tasks – Accounting tasks – Inventory control – Cleaning and organization ```

Answer 9

– Size: at least 125 square feet, commercial location – Sanitary: sink with hot and cold running water (not part of restroom) – Balances: capacity form 1/10 grain to at least 1 ounce (exception if proves no weighing will occur) – Graduates: scaled in both metric and apothecary – Spatulas, Mortars and pestles – Refrigeration capabilities – Exempt narcotic book (if needed) – Poison book (if needed) – Filing: for prescriptions – Library

Answer 10

• OK state law • Dangerous Drugs Control Rules. • A recent copy of ANY 2 of the following – see law for full list – USP/NF (3 years or latest edition) – Merck Manual (3 years or latest edition) – Facts and Comparisons (2 years) – ASHP, American Hospital Formulary Service (AHFS) Drug Information (2 years) – Drug Information Handbook (2 years) – Thomson Micromedex, USP-DI (2 years) – Current computer professional pharmacy reference program, approved by the Board (not duplicating a hard copy reference)

Answer 11

– Provide adequate staffing | – Allow for routine inspections and investigations during reasonable business hours

Answer 12

– Supervision of employees – Establishing policies and procedures for safekeeping pharmaceuticals – Proper record keeping – Proper license displaying – Controlled substance inventories – Maintaining prescription files – One PIC may only serve only one store at a time – Present in the store at least 20 hours weekly or 50% of time open if less than 40 hours weekly.

Answer 13

– Ensure filler of prescription is known – Establish and maintain effective controls against misfills or errors – Notify board if employment changes caused by drug or pharmacy-related issues – Responsible for automated pharmacy systems – Responsible for personnel identification – Establish and maintain effective controls against diversion – Supervision of all employees as they relate to the practice of pharmacy – Implement and follow a written drug diversion policy

Answer 14

* Allow anyone other than a licensed pharmacist to certify a prescription * Institute or manage a pharmacy other than a licensed pharmacist or without one in charge * A licensed pharmacist may only manage, supervise, or be in charge of 1 pharmacy * Cannot substitute without authority of prescriber or purchaser * Only a pharmacist can practice pharmacy * No person can subvert the authority of the PIC

Answer 15

* Comply with laws * Substitute only with authority of prescriber or purchaser * Conduct themselves at all times in a manner which will entitle them to the respect and confidence of the community in which they practice * No unprofessional promotion * Fair fee for professional services * Maintain confidentiality within legal requirements * Refrain from practicing medicine * Oppose secret arrangements between pharmacist and any practitioner/physician * Promote the profession * Make professional services available in projects beneficial to public health or the welfare or defense of the country * Recognize the State Board of Pharmacy as the governing body of the practice of pharmacy in Oklahoma

Answer 16

* Directly or indirectly violate Title 59 and related laws * Failure to establish and maintain controls against diversion * Submitting fraudulent insurance claims * Not attempting to address the possible addiction or dependency of a patient * Discrimination between patients or groups of patients * Violating patient confidentiality * Knowingly dispensing prescription drug refills after the death of a physician * Failure to establish and maintain effective controls to prevent errors or misfills * Departing from standard of care * Allowing non-pharmacist to perform duties of pharmacists * Failure to adequately supervise support staff

Answer 17

* Competency training for: Preparation and sterilization of parental medications, Medicine incompatibilities * HIPAA and confidentiality training * Repackaging drug products * Establishing procedures for procurement of medicines * Participating in development and maintenance of a formulary * Meeting all requirements of the Oklahoma Pharmacy Act * Establishing guidelines for safe and effective distribution of medicines

Answer 18

– Overutilization or underutilization – Therapeutic duplication – Drug disease contraindications, if disease is known – Drug drug contraindications – Incorrect drug dosage or duration of drug treatment – Drug allergy interactions – Clinical abuse/misuse

Answer 19

– When deemed appropriate in the pharmacist’s professional judgement or when required by applicable federal or state laws and rules – Upon receipt of a new prescription and following review of the patient’s record

Answer 20

– Name and description of the drug – Dosage form, dose, route of admin, and duration of therapy – Intended use, if known, and expected action – Special directions and precautions – Common severe side effects or interactions or contraindications – Techniques for self-monitoring drug therapy – Proper storage – Refill information – Action to take if dose is missed – Additional comments by the pharmacist

Answer 21

Promptly recorded in writing by the pharmacist which shall constitute as the original prescription

Answer 22

the patient

Answer 23

* Name and address of the pharmacy * Date of filling * Name of patient * Name of prescriber * Directions for use * Prescription number * Trade or generic name of drug * Prescribed quantity * Strength of drug (except with otherwise directed by the prescriber)

Answer 24

* Name, address, telephone number, date of birth or age, and gender * Individual history where significant: allergies, Comprehensive medicine and device list * Additional relevant comments regarding the patient’s drug use (including failure to accept pharmacist’s offer to counsel)

Answer 25

5 years from the date of the last refill

Answer 26

- write "Void" on the face of the prescription - write the following information on the back of the prescription: • Name and address of pharmacy transferred to • Last name of registration number of the pharmacist transferring • Date of the transfer

Answer 27

- one time only | - if real-time online database, may transfer up to the maximum number of refills permitted by law and the prescription"

Answer 28

- Occurs when the governor declares a disaster or emergency and the Board finds the disaster or emergency disrupts the normal prescription drug distribution channels in Oklahoma - For non controlled prescription, if cannot get a hold of prescriber and pharmacist deems it necessary, can give 30d supply; mark rx as emergency • For CDS, if the prescriber cannot be reached, the DEA and OBN must confirm the emergency dispensing of CDS has been approved • If approved AND the pharmacist feels the medication is essential to the patient’s health and safety, a 10 day supply can be dispensed

Answer 29

– To ensure that all compounders meet the training, testing, and education requirements (must be renewed annually) – Have written policies and procedures for all steps: storage, handling, clothing, personal hygiene, hand washing, quality assurance, expiration dating

Answer 30

– Ensure product strength, quality, and purity – Review all compounding records and check for errors – Ensure proper beyond-use dating – Ensure proper maintenance, cleanliness, and use of all equipment – Accuracy of calculations – Use of proper solutions and additives – Absence of particulate matter, precipitates, turbidity, discoloration, and evidence of contamination

Answer 31

Only a prescriber or purchaser may substitute a medication for its generic (NOT by a pharmacist)

Answer 32

- need written physician orders and proof of use | - inventory and review of activity conducted at least monthly

Answer 33

– Determining the legitimacy of a prescription – Counseling – Supplying controlled substances for emergencies

Answer 34

– Responding to legal requirements | – It is in the best interest of the patient

Answer 35

collaborative agreement

Answer 36

– Complete approved training – Receive registration from board – Be CPR certified – Keep appropriate records

Answer 37

* Must be licensed as a dispenser * Dispense in container with appropriate labeling * Keep record for at least 5 years

Answer 38

– Prescription and immunization records | – Nightly reports

Answer 39

– Patient records | – Invoices and inventory records

Answer 40

– Required for all controlled substances – Shall be verified, signed, and dated by the pharmacist – These reports must be kept for 5 years

Answer 41

– Full name of the patient – Address and telephone number – Age or date of birth – A list of all prescription drug orders obtained by the patient at that pharmacy during the previous 6 months, showing the prescription number, the name of the drug/device, its strength, quantity and date received, and the name of the prescriber – Any pharmacist comments relevant to the patient’s drug therapy

Answer 42

according to state law, MUST be exact count

Answer 43

every two years

Answer 44

inventory of all CS

Answer 45

- Practitioner name, address, DEA # - Date of issuance - Name of medication, dosage, strength - Name and address of patient - Directions for use - Cautionary statements - Refills allotted, if any - For veterinary, must include species, name and address of owner

Answer 46

- Patient’s address or age (all schedules) - Prescriber’s DEA # (CIII-CV) - Generic name, if used (all schedules)

Answer 47

- Strength, dosage form, quantity, directions | - Must call prescriber and confirm to add DEA # on C-IIs

Answer 48

- Being filled by a home infusion pharmacy - The patient is in a long-term care facility - The patient is in a hospice program

Answer 49

– Initial fills for acute and chronic pain – Limit of 7 day supply initially – Patient-provider agreement established – Review the PMP – Second Rx no sooner than 7 days – Third Rx required a pain management agreement

Answer 50

* Permissible if pharmacy is unable to supply full quantity | * Pharmacy must supply remaining quantity within 72 hours

Answer 51

- Name and address of purchaser - Date of each purchase - Name or initials of pharmacist

Answer 52

- Recipient's name - Recipient's identification number (e.g., DL #) - NDC - Date of dispensing - Quantity - Prescriber's DEA # - Dispenser's registration number and location

Answer 53

– 3.6 grams per day – 7.2 grams per 30 days – 60 grams per year

Answer 54

Purchaser must show valid ID and be approved through submitting the purchase request to the electronic log and Methamphetamine Registry

Answer 55

– Supervising physician on blank for PA and APNs – May NOT dispense or prescribe CDS for themselves or immediate family members – Only midlevel practitioners licensed in OK may prescribe for controlled substances – Must follow prescribing limit rules according to their degree

Answer 56

- CII: Limited to orders for immediate or ongoing administration - CIII-V: 30d supplies, no refills - Legend drug for new diagnosis: 30 day supply with 2 refills - Legend drug for established diagnosis: 90 day supply with 3 refills

Answer 57

- CII: not allowed - CIII-V: 30d supplies, no refills; May be less than a 30 day supply will refills, but not to exceed a total of 30 days’ supply

Answer 58

– May select, order, obtain, and administer drugs ONLY in perioperative and periobstetrical periods – C-II through C-V – May not write outpatient prescriptions

Answer 59

– May select, order, obtain, and administer drugs ONLY in perioperative and periobstetrical periods – C-II through C-V – May not write outpatient prescriptions

Answer 60

– Hydrocodone-containing products: Up to a 5 day supply – C-III, C-IV, C-V: Up to a 7 day supply, No refills without follow-up exam – Must be for abnormalities of the eye

Answer 61

* Practitioner MAY NOT prescribe a CS for a patient within the 1st or 2nd degree, whether by blood or marriage * Practitioner MAY prescribe a CS for a patient within the 3rd degree or below

State Law Wilson Exam 3 Flashcards

(92 cards)