Class A Pharmacies Flashcards
Pharmacy classes?
Class A - retail pharmacies/community Class B - nuclear Class C - institutional Class D - clinic Class E - non-resident Class F - freestanding emergency medical center pharmacy
Pharmacy personnel?
owner PIC staff pharmacists interns technicians
Pharmacy owner’s responsibility?
Responsible for all administrative and operational functions of the pharmacy.
(all policies & procedures, providing necessary equipment, hiring a PIC)
By law, each employee must wear a ___ ___ that identifies their ___/___ in the pharmacy.
name badge
role/title
The PIC must be employed ___-time.
How many PICs per pharmacy?
How many pharmacies per PIC?
full
one
one
PIC’s responsibility?
Responsible for the pharmacy’s compliance with all laws and rules even when off the clock.
A pharmacist may be the PIC of more than one Class A if…
the pharmacies are not open for services simultaneously.
A pharmacist may be the PIC of up to 2 Class A pharmacies open simultaneously if…
the PIC works at least 10 hrs/wk in each pharmacy.
Has a 30 day allotment while company finds another PIC.
Staff pharmacists’ responsibilities?
Comply with all laws and regulations while they’re there
Pharmacist licenses are valid for __ years and must be ___ ___ with renewal certificate in primary place of business.
2
publicly displayed
Pharmacists are required to complete __ hours of CEs every renewal period.
How many CE hour(s) a required for: Naplex = \_\_ ( \_\_ CEUs) CPR (Red Cross or AHA) = \_\_ TSBOP meeting attendance = \_\_ >Max of \_\_/renewal
30 30; 3 1 3 6
List the duties of pharmacists and supervised interns
- ___ oral prescription drug orders
- ___ prescription drug orders
- ___ drug product
- ___ final check*
- patient counseling
- ___, ___, and ___ patient medication records
- perform ___ ___ reviews
- verify receipt of ___ substances
receive interpret select perform obtain, record, maintain drug regimen controlled
A pharmacy technician trainee must register with the ___, and may only register __ time, with ___ renewals.
Registration is valid for __ years, no extension
Must take and pass the national certification or other approved exam.
board; 1; no
2
Long-term pharmacy technicians are ___ from examination if employed as a tech for at least __ consecutive years prior to __/__/___. This exemption is ___ ___; one must ___ for it.
Ph.T.R: ___ ___ ___
exempt; 10; 9/1/2001
not automatic; apply
registered pharmacy technician
List the responsibilities of a tech
- may perform ___ ___ duties associated with the preparation and distribution of prescription drugs (supervised/verified by pharmacist)
- receiving patient refill requests*
- electronic transfers or refills from ___ ___ pharmacies
- prescription ___
non-judgmental
system sharing
preparation
List a few non-judgmental tasks a tech may perform.
- ___ and ___ refill authorization requests
- initiating store to store electronic ___
- data ___
- ___ a stock bottle from the shelf
- ___ and ___ meds (counting, pouring, licking, sticking etc.)
- ___ containers
- ___ medications
- loading robots as long as the pharmacist verifies proper loading ___to use
- ___ non-sterile and sterile preps
- bulk compounding
initiating; receiving transfers entry taking preparing; packaging labeling reconstituting prior compounding
Pharmacy tech training must be overseen by the ___ and must have ___ protocol that follows and shows the ___ of the technician
PIC; written; progression
List a few judgmental tasks a tech may not perform.
- ___ drug information to patient or patient representative
- ___ the package of a non-prescription drug and selling a portion of the drug
- ___ prescriptions between pharmacies by fax or phone
- ___ the patient profiles, prescription drug orders and performing DRRs
- take oral prescriptions INCLUDING ___
- ___ drug products, even brand vs generic
- ___ receipt of controlled substances by initiating and dating invoices. (interns can’t do this either)
provide break transfer interpret voicemails select verify
Pharmacy techs must complete __ hours of CEs each renewal period (exempt for CEs for ___ renewal); at least 1 hour must be ___ ___.
Registration ___ must be publicly displayed in the pharmacy.
20; first; pharmacy law
certificate
What is the ratio for a pharmacy that does not dispense more than 20 different types of medications, and does not produce IV or IM dosage forms on site?
1:5
What is the Class A ratio for
pharmacist: tech?
pharmacist: tech trainee?
pharmacist: pharmacist intern?
1: 3
1: 2
1: 1
Class A pharmacies serving the public must display the word “___” or a similar word or symbol (___, ___, or ___).
pharmacy
Hygeia, caduceus, asclepius
Class A pharmacies must have:
- a sink with running ___ and ___ water exclusive of the restroom facilities
- an area for patient ___
- must be ___ (no animals except ___ and ___ animals)
- required equipment must be kept in ___ working order
- must be well ___ and ventilated
hot; cold counseling clean; fish; service good lit
Required equipment:
- ___ processing system including a printer, or comparable equipment
- refrigerator
- child-resistant & light resistant ___
- the patient must ___ a ___ if they don’t want one
- prescription, ___, and other aux. labels
- equipment necessary for the proper ___ of prescriptions
- ___-___ (mg to grains) weight and measure conversion charts
data containers sign; waiver POISON preparation metric-apothecary
Required library:
1. All of the following Legal/Regulatory. Which are? (4)
Texas Pharmacy Act and Rules
Texas Dangerous Drug Act and Rules
Texas Controlled Substances Act and Rules
Federal Controlled Substances Act and Rules (or other official publication describing the requirements of the FCSA)
Required library:
2. At least one from each of the following classes. Which are? (3)
- Patient information
- Drug interactions
- General information reference text
Required library:
3. Basic ___ information and the phone number for the nearest ___ ___
#1-800-___-____
antidote; poison control
222-1222
Required products: DRUGS!
The ___ is responsible for the procurement and storage. Proper ___ must be maintained as per USP/NF.
PIC; temperatures
Drug storage:
A dry place does not exceed __% average relative humidity at controlled room temperature would equal the water vapor pressure at other temperatures.
40
The pharmacy must contain a ___ ___ to prevent unauthorized access when a pharmacist is ___ on-site.
locking mechanism; not
If the pharmacy has hours different from the rest of the store, it must be physically (barriers at least __‘__” high) or electronically (___ ___) if licensed after 6/1/09.
9’6”; motion detectors
The key or combination may not be ___ without the authorization of the PIC or owner.
duplicated
The pharmacy must have a basic ___ system with off-site monitoring and perimeter and motion sensors.
___ ___ are exempt from these requirements
alarm
call centers
When only one pharmacist is on duty, a pharmacy can remain open for ___ periods of time without the pharmacist present as long as:
- a pharmacist remains on-site and ___ available
- at least one ___ remains in the pharmacy
- the pharmacist must reasonably believe ___ will be upheld
- notice is posted regarding ___ of the pharmacist
short immediately technician security return
Required library:
Examples of patient information?
United States Pharmacopeia Dispensing Information, Vol II
or
a reference text/leaflets providing patient info
Required library:
Example of drug interactions?
Drug Interaction Facts
Required library:
Examples of general information reference text?
Facts and Comparisons USP, Vol I Drug Information for Healthcare Providers Clinical Pharmacology American Hospital Formulary Service Remington's Pharmaceutical Science
