Ch 5, 7, & 9 LABOP rules Flashcards
How to apply to be a pharmacist?
Must give at least 30 days and it expires 1 year after submission
How many attempts are allowed for the naplex and mpje?
5
When should the board notify renewal of license?
Prior to nov 1st
What are the different types of pharmacist licenses?
Active: was renewed by dec 31st
Inactive: Pharmacist requested to be inactive prior to dec 31st
Expired: Was not renewed prior to dec 31st
What can military folks receive?
They must make a decision for their license within 30 days and they can receive a special work pass (120 days) if they ask.
Who qualifies for a special work pass?
They must have all other pharmacist qualifications, be active duty or dependent (<24 in college, < 21 not in college, financially dependent, or spouse)
Person may be civil service
Must hold license in another jurisdiction for at least 1 year
Must be stationed in LA
How many hours of CE are required for pharmacists every year?
15 hours of CPE per year (3 are live)
OR
20 hours of CPE per year (if less than 3 hours live)
What must the pharmacist document on for their CEs?
CPE monitor
When must you notify the board if you move or change employment?
10 days
What is an impaired pharmacist?
Alcoholism, substance abuse or addiction, mental illness, or physical illness
What are the seven parts of a DUR?
1) Drug over-utilization or under-untilization
2) Therapeutic duplication
3) Drug-disease contraindication
4) drug-drug interactions
5) Inappropriate drug dosage or treatment duration
6) Drug-allegy interactions
7) Clinical abuse/misuse
What must be included in a counsel to the patient?
1) Name and description of the medication
2) Dosage form, dosage, route of administration, and duration of therapy
3) Special directions and precautions for preparation, administration, and use by the patient
4) common severe SEs
5) Techniques for self-monitoring
6) Storage of meds, refills, what happens if you miss a dose
Is there a requirement to document the offer to counsel?
no
What info must a pharmacist obtain prior to filling a script for a patient?
Name, address, and a telephone number
DOB, gender
Allergies/drug reactions, disease state
List of all current meds
How long are emergency refills allowed for?
90 days and must be written down with the words “emergency prescription”
Can outside pharmacists work in La during a state of emergency?
Yes they must obtain a special work permit from the board and must do legit relief work. They must notify the board of time in state and approximate location and must have some sort of proper ID
Can a pharmacist administer medications?
Yes if the physician writes an “authority to administer” prescription
The authority to administer document must have?
Practitioner’s name, address, and phone number
Patient’s name, address, gender, and DOB
Med, dose, route
Pharmacist name
Date of original administration
What are the requirements of the pharmacist to administer a vaccine?
Be licensed with the board.
Complete a APhA course (20 hours)
AHA BCLS (BLS)
Provide documents of completion to the board, display certificate, and must have 1 hour in field each year/
Renewal is tied to BLS certification
When should an immunization be documented in LINKS?
within 72 hours
What happens if a pharmacist fails to report to links?
They will be punished per vaccine administered
When should immunizations be notified to PCP of patient?
within 24 hours.
Name/address of patient if under 14 yo
Name of pt’s PCP, name, address, and phone number of administering pharmacist
Name, manufacturer, lot number, amount, date, route, and site
When can an intern give shots?
If both pharmacist and intern are certified
What is collaborative drug therapy management?
This allows pharmacist to coordinate with a physician to care for the physician’s patients.
What are the examples of CDTM?
Monitoring/modifying specific drug therapy
Collecting/reviewing patient history
Obtaining/reviewing vital signs
Ordering/evaluating/applying results of lab work
Providing disease or condition specific patient education and counseling
How does on register to provide CDTM?
Must have a pharmacist license and must be actively practicing in the state.
When does a CDTM cease to exist?
When a pharmacist or physician dies, loses license, action against either license, or notify they don’t want to do it any longer
Who may NOT be a CDTM patient?
Any patient without a patient specific physician plan
Under 18 yo (except smoking and immunizations)
CS
Have a drug substituted for another without the consent of physician
What do you have to tell the patient about the CDTM?
Patient must understand they are being treated by a pharmacist
They have a right to refuse enrollment
Written disclosure of financial arrangements between physician and pharmacist
What goes into CDTM agreement?
Names, licenses, phone numbers, email address, date of signing/termination
Circumstances of agreement
Disease to be managed
Drugs used
Exact procedures
Who is accountable for what
How the status of patient will be reported to physician
A plan for record keeping
A plan for assessing effectiveness
What records of CDTM must be kept in the pharmacy?
Rx or order of CDTM
Written protocol
Documentation of all the things done by pharmacist
Consultations and reports by and bw rx and md
Documentation of informed consent
What cant a pharmacist do with a CDTM?
Issue prescriptions
Assume independent responsibility
or engage in the practice of medicine
What is a cognitive service?
Drug regimen reviews
Counseling
Creating policy
Education of HCPs
What are the rules dealing with the registration of pharmacy interns?
Intern must submit application PRIOR to the end of the FIRST semster
Display permit at preceptor site
Update employment and address within 10 days
When do pharmacy intern licenses expire?
1 year after graduation or once the intern is a licensed pharmacist
Foreign graduates: two years
How many “intern” hours must a pharmacy intern accrue to get licensed as a pharmacist?
1740 hours from a Pharm.d. program (1500 hours must be from clinical experience)
If you don’t get your hours form a pharmd program, where can you get it from?
Experience under a preceptor, but the pharmacist must have 2 years of experience. It can be accumulated up to 50 hours a week
When do hours expire?
Two years after intern license
What may a pharmacy intern do in a pharmacy?
Any duty of a pharmacist while supervised by a pharmacist BUT the intern can’t present as a pharmacist, sign or initial any doc meant for a pharmacist, independently supervise techs, and administer immunizations unless certified
What is the ratio for interns to pharmacists?
1 intern to one pharmacist
What is a PTC?
Pharmacy tech candidate
What are the requirements to be a PTC?
Register with the board
18 or older
HS graduate or GED
What is the eligibility criteria for a PTC?
Proof of enrollment in a nationally-accredited and board-approved PT training program
Proof of completion of program
Proof of crentialing from another state and one year of practice and completion of a program
What is the lifespan of a PTC license?
24 months, it is non-renewable
What if a PTC leaves a program?
The license dies but if they re-enter the program, the license can be revived
How many attempts are allowed for a tech?
unlimited
When are pharmacy tech licenses renewed?
June 30th
What is the PTC ratio to pharmacists?
No more than one tech candidate per pharmacist
What is the tech ratio to pharmacists?
No more than 2 per pharmacist, unless there’s no PTC then 3 techs per pharmacist
What CAN’T PTCs do?
Receive verbal initial script orders
Give or receive verbal transfers of scripts
Interpret prescription orders
Compound high-risk sterile preparations
Counsel patients
Release a verbal script order for processing until it is reduced to written form and initialed by receiving tech and supervising pharmacist
What can a CPT do that a PTC can’t?
Receive verbal initial orders
Give or receive verbal transfers of prescription orders
Compound high-risk sterile preps
How many hours of CE must a CPT have per year?
10 hours
Where should the pharmacist report immunization AEs?
a. the Vaccine Adverse Events Reporting System (VAERS),
b. the cooperative program of the United States Centers for Disease Control and Prevention (CDC) and
c. the United States Food and Drug Administration for vaccine safety (USFDA)
Should a refusal to counsel be documented?
yes
An emergency oral prescription for Schedule II controlled drugs must be mailed to dispensing pharmacy by an authorized prescriber within:
7 days
If a tech is not in a program, how many hours do they need?
at least 600 hours (not 900 hours) of practical experience under the supervision of a pharmacist
Who may administer the central computer system to facilitate the monitoring of sales of nonprescription products containing ephedrine, pseudoephedrine, or phenylpropanolamine?
The Department of Public Safety and Corrections
Material used to grind with the MJ waste may include:
A. yard waste
B. plastic waste
C. soil
D. sand
E. cardboard waste
What are requirements for an approved safe and vault?
i. 30 man-minutes against surreptitious entry;
ii. 10 man-minutes against forced entry;
iii. 20 man-hours against lock manipulation; and
iv. 20 man-hours against radiological techniques;
An on-site pharmacy may obtain centralized prescription dispensing services from a remote dispenser provided the pharmacies:
a. have the same owner or
b. have entered into a written contract or agreement that outlines the services to be provided and the responsibilities and accountabilities of each pharmacy in compliance with federal and state laws, rules, and regulations; and
c. share a common electronic file or have appropriate technology to allow access to sufficient information necessary or required to provide the requested services.
A telepharmacy dispensing site permit shall authorize the permit holder to:
I. hold such items for immediate administration directly to a patient pursuant to an order from a lawful prescriber.
II. dispense such items to a patient for later use upon the order of a practitioner with prescriptive authority.
III. distribute such items to another entity with lawful authority to procure and possess such items.
In which of the following instances, is a patient counseling NOT REQUIRED?
inpatients of a hospital or institution where a nurse or other licensed health care professional is authorized to administer medication(s)
When the Governor issues, or renews, a “State of Emergency”, a pharmacist may work in the affected parish(es) and may dispense a one-time emergency prescription of up to:
90 days
Which of the following requires DME permit to sale to patients?
a. Oxygen and oxygen delivery system;
b. Ventilators;
c. Respiratory disease management devices;
d. Continuous positive airway pressure (CPAP) devices;
e. Electronic and computerized wheelchairs and seating systems;
f. Apnea monitors;
g. Transcutaneous electrical nerve stimulator (TENS) units;
h. Low air loss cutaneous pressure management devices;
i. Sequential compression devices;
j. Feeding pumps;
k. Home phototherapy devices;
l. Infusion delivery devices;
m. Distribution of medical gases to end users for human consumption;
n. Hospital beds;
o. Nebulizers;
Telepharmacy system shall include which of the following types of technology?
I. Audio and video
II. Still image capture
III. Store and forward
All pharmacy benefit manager permits shall expire ________ years after the date of its initial issuance.
2
A substance classified in Schedule I which is marijuana, tetrahydrocannabinols, or chemical derivatives of tetrahydrocannabinols, or synthetic cannabinoids for an amount of an aggregate weight of less than ___________, shall be imprisoned, with or without hard labor, for not less than one year nor more than ten years, and pay a fine of not more than fifty thousand dollars.
2.5 pounds or LESS
28 grams or LESS
An aggregate weight of __________, shall be imprisoned at HARD labor for not less than one year nor more than twenty years and may, in addition, be required to pay a fine of not more than fifty thousand dollars.
twenty-eight grams or MORE
2.5 lbs or MORE
Each wholesaler of consumable hemp products shall apply for and obtain a permit from the ____________________.
office of alcohol and tobacco control
No pharmacy authorized to dispense marijuana for therapeutic use shall dispense more than__________ ounces of raw or crude marijuana every 14 days to any individual patient.
2.5 ounce or 71 grams
A facility changing ownership shall notify the board in writing _________ calendar days prior to the transfer of ownership.
15 days
Pharmacy technicians shall not:
- release a verbal prescription order for processing until it is reduced to written form and initialed by the receiving technician and supervising pharmacist;
- interpret prescription orders (however, a technician may translate prescription orders);
- counsel patients.
What is an AMS?
An automated Medication System is a mechanical system that performs operations or activities, other than compounding or administration, relative to the storage, packaging, or delivery of medications, and which collects, controls, and maintains all transaction information.
Requirement for Registration of AMS:
I. A pharmacy intending to supply medications for use within an automated medication system shall obtain an automated medication system (AMS) registration.
II. A pharmacy intending to supply controlled substances for use within an automated medication system shall obtain a controlled dangerous substance (CDS) license in addition to the AMS registration.
III. The pharmacy shall obtain a federal registration from the U.S. Drug Enforcement Administration (DEA) prior to placing controlled substances within the automated medication system.
A prescription ______ be issued or dispensed in order for an individual practitioner to obtain controlled substances for supplying the individual for the purpose of general dispensing or administration to patients.
shall not
What should be included on a controlled medication?
I. All prescriptions for controlled substances shall be dated as of, and signed on, the day when issued.
II. All prescriptions for controlled substances shall contain name, address, telephone number and DEA registration number of the prescriber.
III. A prescription issued for a Schedule III, IV, or V narcotic drug approved by FDA specifically for “detoxification treatment” or “maintenance treatment” must include the identification number issued by the DEA.
How do you apply for a satellite pharmacy?
- A hospital pharmacy may establish a hospital off-site satellite pharmacy within a facility bearing the same hospital license number as the facility housing the provider pharmacy.
- The provider pharmacy, acting through its pharmacist-in-charge, shall make application for the hospital off-Site satellite pharmacy permit using a form and process specified by the board.
What happens when there is a change in provider pharmacies for a satellite pharmacy?
In the event a provider pharmacy sustains a change of ownership sufficient to require a new pharmacy permit, the hospital off-site satellite pharmacy shall also obtain a new pharmacy permit.
In the event a provider pharmacy closes permanently and surrenders its permit, the hospital off-site satellite pharmacy shall also close and surrender its permit.
What can MJ treat?
glaucoma, spastic quadriplegia, or symptoms resulting from the administration of cancer chemotherapy treatment
Medications stored in a drug cabinet shall bear a label with the:
a. drug name;
b. dosage form;
c. strength;
d. name of manufacturer and/or distributor;
e. manufacturer’s lot or batch number;
f. pharmacist’s initials; and
g. expiration date
Who decides what goes in the EDK?
the pharmacist, medical director and the director of nursing services
A non-patient-specific standing order for the facilitated distribution of naloxone or other opioid antagonist issued by a medical practitioner licensed by the State of Louisiana shall expire __ year(s) after the date of issuance.
one
Who may not sale hypodermic syringes/needles to a patient?
techs
The transfer of original prescription information for a controlled substance listed in Schedules III, IV, or V for the purpose of refill dispensing can be communicated between who?
shall be communicated directly between two licensed pharmacists/pharmacy interns or a licensed pharmacist and a licensed pharmacy intern.
