Exam 3 lecture 1 Flashcards
What is the definition of a sale
1) manufacturing, processing, transporting, handling, packing or any other production, preparation or repackaging
2) Exposure, offer or any other proffer
3) Holding, storing, or any other possession
4) Dispensing, giving, delivering or any other supplying
5) Applying, administrating or any other using
What are the 3 differeint sections that define the word “practitioner”
IC 25-1-9-2
IC 16-42-19-5
IC-16-42-19-4.5
What is a practitioner according to IC 25-1-9-2
A person that holds:
1. An unlimited license, certificate, registration or permit (morticians, anyone who is licensed to do what they do)
- A limited or probationary license, certificate, registration or permit
- A temporary license, certificate, registration or permit
- An intern permit
- An inactive license
According to IC 16-42-19-5
A physician
A veterenarian
A dentist
A podiatrist
An optometrist
An advanced practice RN
A physician assistant
People that can prescribe meds in IN
According to IC 16-42-22-4.5, what are the different definitions of a provider
A physician (including physician assistants)
A dentist
A posiatrist
An optometrist
An advanced practive RN
People that we can do generic substitution for (we can not provide substitutions for veterenarians)
What are the big 4 prescribers
Physicians
Dentists
Podiatrists
Veterinarians
So long as they are licensed and within their scope
Includes US territories and other states
What are the APRNs (advanced practice registered nurses)
Nurse practitioners
certified nurse midwives
Clinical nurse specialists
Who must APRNs work under
Physicians
Podiatrists
Dentists
Difference between APRNs and physician asistants in prescribing
-PAs must work only under a physician (no other prractitoner)
PAs must be directly supervised by physician in person (in same location or via electronic method)
(APRNs can practice independently from supervising practitioner)
PAs can only prescribe things directly delegated by collaborative practice agreement on file with medical licensing board of Indiana
Cannot prescribe opthalmic devices under any circumstances, and cannot prescribe or administer general anesthesia or deep sedation
Difference between optometrist and opthalmologist
Optometrist are mid level practitioners
Opthalmologist are physicians with specialty in eye related issues
Describe the prescribing power of optometrists
Optometrists can presribe independently without a supervising practitioner but may only do so according to formulatory
Define formulary drugs that an optometrist can prescribe according it indiana law
any legend drug for the tx of the eye or associated structures of the eye. They may all be prescribed independently by optometrist
Can optometrists prescribe CS?
No, only Ultram (tramadol)
When the IAC and the IC conflict what do we do?
Indiana code overrides IAC when the two are in conflict
Can we accept prescription from optometrist who is not licensed in IN? APRN? PA?
You may NOT fill a prescription written by an optometrist who is NOT licesned in IN
What section recognizes the things pharmacists can prescribe? What are those devices?
- Inhalation spacer
- nebulizer
- Supplies for medcal devices
- Normal saline and sterile water for irrigation
- Diabetes blood sugar testing supplies
- pen needles
- syringes for medication use
What meds can pharmacist prescribe? What section states that
Hormonal contraceptives
IC 25-26-25
What are standing orders pharmacists havethe authority to grant without prescription
Vaccines
Naloxone
Tobacco cessation
Auto injectable epinephrine
How to cite IC? IAC?
IC- Title- article- chapter- section
Title- IAC- Article- chapter- section
What other ways may pharmacists act as prescribers?
under collaborative practice agreements (also called protocols)
Who can pharmacists enter protocols with
physicians
APRNs
PAs
so long as the protocol is signed by a physician and applies to a single patient or group of patients as specified by physician
Can we fill a prescription written by pharmacist who is not licensed in IN
no
Can we fill a prescription by other mid level practitioners licensed out of IN?
No
