JP Flashcards
What is a profession?
A person who has undergone training to obtain a set of skills and governed by a set of laws.
Has ethics and self-regulation.
What is the primary role of the College of Pharmacists of Manitoba?
To protect the public from the pharmacists.
Protection is accomplished via being a resource for pharmacists, standards of practice (laws) and field complaints against pharmacists from the public.
What makes up the Council?
There are 15 members. Governing board of CPhM.
1 Past President
1 Dean
5 Public Representatives (1/3 of Council)
8 Elected Pharmacists
Who is the registrar?
The head of the staff of the College. No staff on council.
What is “Professional Judgement”?
A thought process through which a member of the Association, aware of the standards governing the Association and qualified to consider the merits of a specific circumstance of a chain of events makes a decision that he/she feels his/her peers would, considering all elements involved, readily agree.
What is an important rule for provincial law compared to federal law?
Provincial law can strengthen federal law but cannot weaken it.
What are the 7 core skills of a pharmacist?
Communication, critical thinking, problem solving, decision making, professionalism, self-assessment and collaboration
Who is exempt from the Language Proficiency Requirement? What is the exception?
Those who have completed a degree in a Canadian or US program. Testing is only required if a “trigger” is presented.
What year was the Manitoba Pharmaceutical Act passed?
1878
Who composes the executive committee of the CPhM?
President, Vice-president, Executive Treasurer and Past President
Can pharmacists administer tests?
No
How are Manitoba regulations approved?
Must be approved by members and then the cabinet or executive council
Need to have 5% (71-78) CPhM members to make a forum to have a decision made
Who must the code of ethics be approved by?
By all members of the MPhA
What is the Patented Medicine Prices Review Board (PMPRM)?
When a new drug comes onto the market, they will look at how much they charge all around the world and argue with the manufacturer to get a comparable price.
Good for consumers and pharmacists, bad for companies who do not set prices
What is the legislation for physician assisted dying?
It will be legal for a physician to assist a competent adult to die where the person consents and has a medical condition that incurs suffering that is intolerable to the person.
What is NAPRA?
The national collection of all the colleges that regulate the scheduling of drugs and other things.
What are schedule I drugs?
Drugs that require a prescription for sale and are provided to the public by the pharmacist following the diagnosis by a practitioner.
What are schedule II drugs?
Drugs that require intervention from the pharmacist at the point of sale and possibly referral to a practitioner.
What are schedule III drugs?
Drugs that may present risks to certain populations for self-selection. In self-selection area but must be under direct supervision by a pharmacist. Can close off area when pharmacist is gone.
What are unscheduled drugs?
Drugs that can be sold without professional supervision.
Is a prescription by a practitioner for a drug unrelated to their practice valid?
No. It is legal, but not valid so do not fill. Practitioners shouldn’t be prescribing outside of their scope of practice (dentists only for dental health procedures or surgery)
What is an orphan drug?
A drug that has been around for a long time so their patent is expired. May come back onto the market to treat another condition. Not many manufacturers.
What should you do if you receive a prescription outside of a prescriber’s scope of practice?
Inform the practitioner that you cannot fill the prescription and that they are prescribing outside of their scope of practice. Can report them to their respective college if they aren’t apologetic.
When can you give a continued care prescription?
When you are not able to contact the doctor to authorize a refill or the patient cannot go in for an appointment in a timely manner and the patient meets certain conditions.
What are some of the criteria for a continued care prescription?
Must be for a chronic condition or continuing need
Patient history hasn’t changed
Patient has has no adverse reactions
Prescription has been previously filled at the pharmacy
What must you do after filling a continued care prescription?
Notify the practitioner that you issued a continued care prescription.
What happens if a patient not known to you requires a continued care prescription?
You may not do the continued care prescription. Get them to go to usual pharmacist, try to contact practitioner for them for refill, refer to DPIN to see if it’s a chronic medication, send to walk in clinic or (last option) use your professional judgement and supply a 24-48 hour supply to help until they can get to their regular pharmacy.
What are the rules about medications containing pseudophedrine?
No medication with psuedophedrine as the single active ingredient (schedule 2?) mat be sold retail.
What can be done when you receive an invalid prescription for a schedule II or III drug?
You can still provide the medication with proper counselling without the prescription. Will not be able to bill to a 3rd party provider.
Which drug schedules can pharmacists prescribe?
Schedule II and II as long as you following the regulations for prescribing
How would prescribing schedule II and III drugs be helpful?
Would allow a patient to charge their 3rd party provider or the pharmacist to give a different dosage or pill amount than the bottle.
How can a pharmacist become an extended practice pharmacist?
Register with the College. Must be qualified as a specialist (currently practicing, has practiced 1000 hours in 2 years) or have a certificate in specialty pharmacy or postgraduate clinical degree (PharmD, Masters, PhD) or be a certified diabetes, respiratory or anticoagulant educator (currently practicing, has practiced 5000 hours in last 5 years)
Practice in a collaborative practice (with a doctor or extended practice registered nurse)
What medications can an extended practice pharmacist prescribe? For who?
They can prescribe Schedule I drugs within the scope of their practice for any patient within their collaborative practice.
Is a prescription from an extended practice pharmacist not signed by a doctor valid?
Yes. As long as the medication is within the scope of their practice. Must have time of issue, treatment goal and diagnosis/clinical indication written on the prescription.
What is a pharmacist responsible for in a hospital?
Determining the authenticity and appropriateness of the medication before dispensing
Selection of auxilliary labels and/or cautions
Monitoring patient profiles for inappropriate drug therapy
Final check on all orders
What are the rules around ward stock medications (Pyxis machines) in hospitals?
The pharmacist must first assess the order and authorize it before a nurse or qualified staff member may retrieve it. Does not need to be dispensed.
The pharmacy makes a list of ward stock medications and reviews on an annual basis.
What is medication reconciliation?
A formal process in which healthcare providers work together to review all of the medications being added, changed or discontinued as a patient is leaving the hospital.
A copy of the med rec form is sent to physician and pharmacist.
What is the value of medication reconciliation to patient care and safety
Makes all health care providers are aware of the medications the patient is currently taking.
Ensures no mistakes are made and best patient care. Not legally required.
How can you get the information needed to do a medication reconciliation?
Ask the health care provider, refer to DPIN
Try to keep information updated.
Who composes the complaints committee?
The chair of the committee, other members of the college and public representatives (1/3)
Must have at least 5 people on the panel with 3 being voting members and 2 being public representatives
Who must be present for a meeting of the complaints committee to begin?
All public reps must be there so the decision from the meeting is not perceived as only being in the best interest of pharmacists.
In certain situations (storm), the public rep can be electronically present.
Who can file a complaint?
Any person, including an inspector can make a complaint in writing (not email) to the registrar about the conduct of a pharmacist, students, interns or owners.
What can be done to someone who has had a complaint filed against them?
Refer to discipline committee or not, can accept voluntary surrender of licence, censure (written warning) the investigated person if they’ve agreed, refer to mediation between complainant, agreement that provides investigation, counselling or treatment, monitoring or supervision or requirement for completion of a specified course or training or conditions on right to practice.
Can the authority of the complaints committee be avoided with the ownership of a pharmacy changing after the fact?
Complaints can be dealt with within 5 years of a change in ownership. As long as the complaint was made while the member’s license was still valid.
Can a pharmacy run with just technicians?
A pharmacy must close if a pharmacist is not present.
What are the laws surrounded expired medications in a pharmacy?
It is illegal to dispense or have an expired drug in the areas of sale in the pharmacy. Must be taken off shelf at the end of the month and disposed of.
What are the obligations of a pharmacy owner?
Ensure a member of the college is physically present at all times, ensure the license of the pharmacy and the pharmacist license of every member employed is okay, notify registrar of the name of all employed and notify changes, comply with other requirements
What is the code of ethics VII?
Pharmacists shall hold the health and safety of each patient to be the primary consideration.
What information are investigators allowed to access?
Anything relating to the investigation. The pharmacy should be recording all medication errors (date, prescription number, incident number, summary).
What determines if a pharmacist should lose their right to practice?
If the registrar believes that the matter is likely to present a serious risk to the public, the registrar can suspend the license or pend a review of the matter by the complaints committee, who can choose to suspend.
What is done when the suspect appeals the decision made ?
The complaints committee must refer to the discipline committee.
What can the complaintant do if they are not satisfied with the discipline action?
Can appeal the decision to the appeal committee within 30 days and mail it to registrar.
Who composes the appeal committee?
3 members, 2 are members of the council and one public representative. A member of the panel (not from complaints committee) is appointed to be chair.
What does the appeal committee do?
Lets the suspect and complaintant an opportunity for written submission. No hearing or oral submission.
What is the Provincial Apology Act?
Not pharmacy or healthcare specific. Will be an admission of guilt, but is not admissible in court.
Say what you are going to do to avoid doing this in the future.
What is the difference between a qualifying and evaluating PEBC?
Qualifying tests the program you graduated from
Evaluating tests your pharmaceutical ability
What must a registered pharmacist do in order to practice?
Must apply for a licence, serve internship, undergo professional development/continuing education requirements, have liability insurance and prove you do not have drug or alcohol addictions (if you do, prove you are managing/getting help)
What information/documentation is needed to be registered as a pharmacist with the College?
Must be a graduate of a pharmacy education program, pass the evaluating PEBC exam and qualifying PEBC exam (if from outside Canada), satisfy that they haven’t been suspended from any profession (letter of standing), English or French fluency, JP exam, a letter from another jurisdiction they have a licence in, abuse check, criminal record check. BE TRUTHFUL
What happens when a pharmacist holds a license in another jurisdiction?
May be granted a temporary license for 72 hours to practice in Manitoba if there is an urgent need for pharmacists that cannot be met by another
What is a non patient care license for?
To engage in a practice that requires pharmaceutical knowledge outside of a patient care setting.
What is conditional registration?
Only for Mantioba grads if they do not successfully pass their PEBC, they may be required to go through a second internship and then will be placed on a conditional register, allowing them to practice on their own (cannot act as manager)
What does the Labour Motility Act allow?
Allows professionals to move between provinces without needing to show proof of graduation, etc.
What is Pharmacists at RIsk?
An advocacy group that works with (does not report to) the college that protects pharmacists that may have problems (substance abuse). Assist with workplace management
What are some reasons for you to do a prescription adaptation?
The drug is not commercially available or temporarily unavailable, adaptation will increase patient adherence or will enable benefits from third party coverage.
What are the requirements for a product to be interchangeable?
Must contain a drug or drugs in the same or similar amounts of the same or similar dosage form as another product directed by a prescription
