Exam 3 lecture 4 Flashcards
What does counseling mean
Means effective communication between pharmacist and patient concerning the contents, drug to drug interactions, ROA, precautions etc..
What does drug regimen review mean (DRR)
Means the reyrospective, concurrent and prospective review by pharmacist of a patients drug related history that includes evaluation of prescriptions or drug orders
what are things reviewed by pharmacist in DRR
- allergies, contraindications, sppropriate use and duplicative therapies
- interactions
- ADRs
- Proper utilization and therapeutic outcomes
What is DUR (drug utilization review)
A program designed to measure and assess on a retrospective and prospective basis the proper use of drugs
Which laws do DURs and DRRs satisfy
Completing a DRR in IN satisfies the requirement of an OBRA 90 prospective DUR
Completing a DUR in IN satisfies the requirement of an OBRA 90 retrospective DUR
define pharmacy
a facility, department, or other place where prescriptions are filled or compounded and are sold, dispensed, offered or displayed for sale. Principal purpose the drug is dispensed is for the general health welfare and safety of public
define practice of pharacy
patiet oriented healthcare orofession in which pharmacists interact with and counsel patoents and with other healthcare professionals concerning drugs and deviced to enhance wellness, prevent illness and optimize drug outcome
What are acts of practice of pharmacy
compounding, labeling, administering, dispensing or selling
provision of acts, decisions and services necessary to maintain all areas of a patients pharmacy related care
Provision of medication therapy managemnet
Can pharmacists independently administer medications
yes
What does the practice of pharmacy allow pharmacists to perform
The practice of pharmacy allows pharmacists to erfrom any acts under IC 25 26, so long as they pertain to a patients pharmacy related care and do not violate other laws
what does MTM mean
a distinct service or group of services that optimize therapeutic outcomes for individuals.
What services are included in MTM
- performing or obtaining assessments on an individuals health
- formulating a medication tx plan
- Selecting, initiating, modifying or administering medication
- monitoring patient response to thrapy
- Performing comprehensive medication reviews
- Documenting care delivered and communicating with other health care providers
- Educating and training patients on their meds
- increasing patient adherence through training and support
- soordinating care with borader health care services
- Providing other pt care services allowable by law
Can a pharmacist independently write a prescription i=for torvastatin? why or why not? What part of law states this?
No, due to definition of practitioner in IN 16-42-19-5
What is a qualifying pharmacist
The pharmacist who will qualify the pharmacy by being responsible to the board for the legal operations of the pharmacy under the permit
How many people is the Indiana board of pharmacy made of? What do they do/represent?
7 members
1 member to represent the general public (not related to pharmacy)
5 members who are pharmacists (atleast 1 is a practicing hospital pharmacist)
one member who is a pharm tech
What are things the board of pharmacy may do (can)
Adopt rules (IAC)
Refuse to issue, deny, suspend, revoke or place on probation a license or permit
Prevent distribution of drugs or devices deemed unfit for use or dangerous to health
Establish minimum standards of the physical characteristics of a pharmacy
Subpoena witness and schedule a conduct hearings on behalf of public
What are things the board shall (must) do
The board shall adopt rules to establish standards
- for the competent practice of pharmacy
- for a pharmacist to cousel patients
- to ensure a pharmacist has an agreement for the return of expired legend drugs and controlled drugs
- for the electronic transmission of prescriptions
- For OTC sale of ephedrine and/or pseudoephedrine
With regard to rehabilitation of impaired pharmacists, what mus the board do?
A board shall assist in the rehabilitation of an impaired or licensed pharmacist.
Is information shared between impaired pharmacist and BoP private?
All information shared in priviledge and confidential, unless disciplinary or criminal proceedings are instituted, and may be only in exercise of the proper functions of the board.
With regard to rehabilitation of impaired pharmacists, what may the board do?
May designate a rehabilitation program to assist impaired pharmacists.
For progams assisting impaired pharmacist what shall the programs do?
Immediately report to the BoP any pharmacist the program believes constitutes an immenent danger to the public or themselves
Report in a timely manner any pharmacist who refuses to cooperate, submit to tx or is not substantially alleviated through tx
Definition of pharmacist intern and technician
Interns can use professional judgement under supervision of pharmacist, techs assist in activities that do not require professional d=judgement of pharmacist
What must pharmacy intern applicants demonstrate
- are actively enrolled in an ACPE accredited college of pharmacy
- Has obtained a foreign pharmacy graduate examination committee certificate
- Are awaiting examination for licensure as pharmacist
How long is registration valid for for pharmacy interns
Registration is valid for 1 yr and may be renewed so long as the fee is paid and ACPE enrollment for FPGECC proof can be demostrated.
Expiration date for pharmacy intern license
sept 30 each year
requirements to apply for technician licensure
18 years olf
graduated for HS or GED
not convicted of a crime with direct bearing on ability to practice
What things allow people to be eligible for direct licensure as pharm tech
graduated for a competency based pharmacy tech education and training program
Completed an employer training program approved by the board
Successfully passed the pharm tech certification board exam (PTCG) or anotehr nationally recognizefd certificaton approved by board
When do pharm tech licenses expire
Biennially ( every 2 years) on even numbered years
If a techincian did not complete one of the 3 requirements to be licensed what will happen
eligible for tech in training license.
Non renewable and expire 12 months afyer date of issuance (one time thing)
To be eligible for licensure as a pharmacist what must a person do
be atleast 18
Not have a conviction for a crime with a direct bearing on pharmacy practice
Graduated from an ACPE accredited US college or graduated from another international program and obtained FPGECC and
Satisfactory complete a board approved pharmacist intern program
If a pharmacist is already licensed in another state, the barriers to licensure in indiana include
Must be registered with the national association of boards f pharmacy (NABP)
Graduated form an ACPE accredited US college or graduated from another intercational program and obtained an FPGECC
Successfully completed MPJE
When do pharmacist licenses expire
biennially on june 30th of even numbered years. Pharmacists attest to completion of required continuing education,
If not renewed, pharmacist licenses are expired when? Can we practice?
If not renewed, licenses are expired on july 1st of even numbered years. You cannot practice on an expired license
When would a pharmacist be immune from criminal prosecution or civil liability
If he, in good faith, refuses to honor a prescription in his professional judgement because honoring of the prescription would
1. be contrary to law
2. Be against best interest of patient
3. aid or abet an addiction or habit
4. be contraru to health and safety of patient
