JP Flashcards
1
Q
What is a profession?
A
A person who has undergone training to obtain a set of skills and governed by a set of laws.
Has ethics and self-regulation.
2
Q
What is the primary role of the College of Pharmacists of Manitoba?
A
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.
3
Q
What makes up the Council?
A
There are 15 members. Governing board of CPhM.
1 Past President
1 Dean
5 Public Representatives (1/3 of Council)
8 Elected Pharmacists
4
Q
Who is the registrar?
A
The head of the staff of the College. No staff on council.
5
Q
What is “Professional Judgement”?
A
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.
6
Q
What is an important rule for provincial law compared to federal law?
A
Provincial law can strengthen federal law but cannot weaken it.
7
Q
What are the 7 core skills of a pharmacist?
A
Communication, critical thinking, problem solving, decision making, professionalism, self-assessment and collaboration
8
Q
Who is exempt from the Language Proficiency Requirement? What is the exception?
A
Those who have completed a degree in a Canadian or US program. Testing is only required if a “trigger” is presented.
9
Q
What year was the Manitoba Pharmaceutical Act passed?
A
1878
10
Q
Who composes the executive committee of the CPhM?
A
President, Vice-president, Executive Treasurer and Past President
11
Q
Can pharmacists administer tests?
A
No
12
Q
How are Manitoba regulations approved?
A
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
13
Q
Who must the code of ethics be approved by?
A
By all members of the MPhA
14
Q
What is the Patented Medicine Prices Review Board (PMPRM)?
A
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
15
Q
What is the legislation for physician assisted dying?
A
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.
16
Q
What is NAPRA?
A
The national collection of all the colleges that regulate the scheduling of drugs and other things.
17
Q
What are schedule I drugs?
A
Drugs that require a prescription for sale and are provided to the public by the pharmacist following the diagnosis by a practitioner.
18
Q
What are schedule II drugs?
A
Drugs that require intervention from the pharmacist at the point of sale and possibly referral to a practitioner.
19
Q
What are schedule III drugs?
A
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.
20
Q
What are unscheduled drugs?
A
Drugs that can be sold without professional supervision.
21
Q
Is a prescription by a practitioner for a drug unrelated to their practice valid?
A
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)
22
Q
What is an orphan drug?
A
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.
23
Q
What should you do if you receive a prescription outside of a prescriber’s scope of practice?
A
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.
24
Q
When can you give a continued care prescription?
A
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.
25
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
26
What must you do after filling a continued care prescription?
Notify the practitioner that you issued a continued care prescription.
27
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.
28
What are the rules about medications containing pseudophedrine?
No medication with psuedophedrine as the single active ingredient (schedule 2?) mat be sold retail.
29
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.
30
Which drug schedules can pharmacists prescribe?
Schedule II and II as long as you following the regulations for prescribing
31
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.
32
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)
33
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.
34
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.
35
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
36
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.
37
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.
38
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.
39
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.
40
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
41
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.
42
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.
43
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.
44
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.
45
Can a pharmacy run with just technicians?
A pharmacy must close if a pharmacist is not present.
46
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.
47
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
48
What is the code of ethics VII?
Pharmacists shall hold the health and safety of each patient to be the primary consideration.
49
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).
50
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.
51
What is done when the suspect appeals the decision made ?
The complaints committee must refer to the discipline committee.
52
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.
53
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.
54
What does the appeal committee do?
Lets the suspect and complaintant an opportunity for written submission. No hearing or oral submission.
55
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.
56
What is the difference between a qualifying and evaluating PEBC?
Qualifying tests the program you graduated from
| Evaluating tests your pharmaceutical ability
57
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)
58
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
59
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
60
What is a non patient care license for?
To engage in a practice that requires pharmaceutical knowledge outside of a patient care setting.
61
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)
62
What does the Labour Motility Act allow?
Allows professionals to move between provinces without needing to show proof of graduation, etc.
63
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
64
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.
65
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
66
What is an adaptation prescription?
An alteration of the dose strength, interval or formulation of a prescribed drug.
67
What information is required in a transfer?
Name and address of patient, name and strength of medication, complete directions including quantity and number of refills available, physicians information, date of prescription and date of last refill.
Narcotics and controlled substances cannot be transferred. Pharmacist or tech can transfer.
68
What is the special access program?
A program that can be used to give patients access to a drug that is not approved in Canada. Very slow
69
What must be done if a patient requests to transfer to another pharmacy?
Must transfer with refills and all other information required for smooth continuity of care (have up to 7 days). Act in a professional manner. Must keep information about the date transferred.
70
What is an electronic order system?
A computerized system where physician/prescriber can put the prescription into the system, you know they have authority to prescribe. (Not in MB)
71
What are electronic transmissions?
Faxing and scanning
72
What are the 5 principles of electronic transmission?
Maintain confidentiality, verify authenticity of prescriber, verify prescription authenticity, only sent to 1 pharmacy, patient decides which pharmacy it is sent to
73
In which situations can verbal prescription orders be done?
Between physician and pharmacist: New prescriptions, non-triplicate oral narcotic renewals, non-triplicate controlled drug renewals, all drugs in any schedule, any changes to a prescription.
74
What must be done when you receive a verbal order prescription?
Make a physical record of it. Date of prescription, name and address of person who it is issued to, name of drug and quantity, name of practitioner and how many refills
75
What is the earliest time frame that you could open a pharmacy?
The applicant should submit for a pharmacy license needed at least 30 days prior to anticipated opening
76
How does a clinical assistant's prescribing authorities differ from a physician?
They cannot prescribe narcotics or controlled substances. Cannot exceed 3 months supply.
77
What must be on a prescription from a clinical assistant?
Name and signature of clinical assistant, contact number, name of supervising physician, treatment goal and/or diagnosis and/or clinical indication.
78
What are some facility (physical) requirements for a community practice pharmacy?
Private counselling area, "it's your right to know" sign visible, 150+ square feet, internet access, fridge, sink, 12 square feet of counter space for medication prep and compounding
79
What information must be given to the CPhM when applying for a pharmacy license?
Pharmacy address and intended practice, hours of operation, name of pharmacy manager, whether you intend to have a lock and leave component, insurance, evidence that the pharmacy is accessible to the public
80
How do hospital and community pharmacy applications differ?
A hospital pharmacy must be located within a hospital and be able to meet the hour requirements of the associated hospital.
81
What is a pharmacy technician?
Must be 18, graduated from a pharmacy technician training program approved by council or a bridging program. Pass examinations, submit application to registrar, pay fees.
82
What must be done when a pharmacy closes?
Pharmacy owner and manager must work together to notify registrar, notify patients in writing where records are being kept (patients must be able to access), store for 5 years, notify patients 30 days before closure (allow them to transfer medications)
83
What is a pharmacy assistant?
A person who has received additional knowledge and/or training in drug preparation and distribution. No formal training.
84
What information does DPIN not contain?
OTCs, dosage, drugs dispensed at hospital pharmacies and outpatients at CancerCare
85
What is the DPIN system?
A network that connects all MB community pharmacies through an online point of sale system. Accessed using a patient's PHIN
86
What information does DPIN contain?
Patient identification, physician's name, drug name, drug strength, quantity, date last filled, coverage info and cost
87
What must you do if you decide you will not dispense a certain medication?
You must inform the pharmacy manager. Give the patient an option to have the medication to be dispensed by another pharmacist.
88
What must be done if you access DPIN without a prescription?
Record it. Must have a purpose for accessing PHI though
89
What must you do if you decide you will not dispense a certain medication?
You must inform the pharmacy manager. Give the patient an option to have the medication to be dispensed by another pharmacist.
90
What is a sample? Who can distribute them?
A trial package of medication that is distributed without cost. Physicians, dentists, vets or pharmacists can distribute.
91
When do you not have to give notice for terminating a patient relationship? What should you usually do?
Should usually give 7 days notice and explain reasons for terminating. But do not have to if patient is a threat to safety.
92
How do treatment of samples differ between drug schedules?
Can't be a narcotic, controlled drug.
Schedule I needs a prescription.
Schedule II, III or unscheduled only require assessment by pharmacist.
93
Who are the "new class of practitioners"? What are their prescribing restrictions?
Midwives (cannot prescribe narcotics or controlled substances and outside of scope of practice), nurse practitioners (can prescribe only if authorized by their college), podiatrists (no prescribing authority as of yet)
94
What drugs can you not advertise for?
Cannot advertise a narcotic or controlled substance to the general public. Can be to health care professionals with N in upper left hand.
95
What are some issues with samples?
Not entered into DPIN, may not be dose specific to patient, interactions missed, skips pharmacist, brand persuasion.
96
What are the T1 sale guidelines?
The preparation must have two additional medicinal ingredients at full minimum single dose or half minimum single dose or 3 other additional ingredients other than a narcotic in a regular single dose or 1/3 single dose for each.
Must say preparation contains codeine and shouldn't be administered to children.
97
What are some guidelines for advertising for drugs?
Must be approved for advertisement by Health canada. Ad should be approved by college. Can use descriptive words for prices as long as it doesn't encourage large quantity purchases. Shouldn't restrict patients to purchase on a certain day, promote improper usage or storing of excess medication. Factual. Don't use "professional", "trusted", "cheap". Don't market as a cure for schedule A ailments.
98
What are the requirements for a M3P?
Signed and dated by authorized prescriber on proper form (their own, but can be used if there is a legitimate reason), only 1 drug prescribed and clear and accurate record of name and dosage form of drug, quantity to be dispensed, directions for use and intervals to be given out.
99
What can be done for a patient without a PHIN?
Use a pseudo PHIN (888888884) on DPIN
100
Why would a patient not have a PHIN?
From outside the province, new resident to MB, don't want it entered in DPIN or simply refusing to give it out.
101
What are some M3P dispensing requirements?
Prescription must be dated within 3 days of being presented to pharmacy, pharmacist must do final check, must enter into DPIN. Only in MB
102
Why would a patient not have a PHIN?
From outside the province, new resident to MB or simply refusing to give it out.
103
Who decides which drugs are covered by the M3P program?
The council and College of Physicians and Surgeons of Manitoba
104
What must you do if you cannot dispense the drug?
Advise patient and prescriber that it will not be filled, record on DPIN as drug utilization only (quantity 1, days supply 1), write and sign refusal to fill on hard copy and retain prescription or copy (if they ask for it back)
105
What can you suggest as an alternative to M3P narcotics for minor pain?
T1 (narcotic)
| For someone with a narcotic history, give NSAIDS.
106
What are the guidelines for refills of narcotic and controlled substances?
Narcotic prescriptions cannot be refilled. Controlled drugs (part I) must have the number of repeats and an interval. May be able to take phone orders in other provinces.
107
What happens when a physician or pharmacist is put on "federal notice"?
Prevented from dispensing or prescribing controlled drugs. Listed under the CDSA.
108
What is a designated drug?
Amphetamine, benzphetamine, methamphetamine. Can be used to treat narcolepsy, hyperkinetic disorders in children, epilepsy, parkinsons and hypotensive states from anesthesia
109
What are advanced methods of administration?
Requires additional training (renew annually).
Intradermal, subcutaneous or intramuscular injection
Intraveneously through established device
Rectally
110
When can a pharmacist begin giving injections?
Must complete a certified program, but can begin administering part way through training under supervision.
111
What are some guidelines when a pharmacist administers a drug?
Can give injections to children 7 and older, can do other drug administration to children 5 and older. Listed under schedule II, provided under provincial immunization program (free of charge).
112
What should be recorded when you give an immunization?
Patient info, name of drug and total dose given, ID of manufacturer, lot number, expiry date, route of administration, location administered, name of administrator, date and time, adverse events and price (if charged) Send to MIMS and DPIN and Panorama
113
What must the pharmacist do when giving the injection?
Collaborate with the patient and get permission (written consent), be certified in emergency first aid and CPR C, ensure right drug, right reason, right dose, right time and right route, have a readily accessible supply of epinephrine, diphenhydramine, cold compresses and non-latex gloves
114
What are some schedule 2 drugs?
HPV, Tetnus-diptheria-pertussis, pneumococcal, influenza
115
What are the guidelines around automation in the pharmacy?
It is the pharmacy manager's responsibility to ensure all automated or computerized systems used in any component of the pharmacy are in good working order and perform their tasks safely, securely and effectively.
116
Can pharmacists administer drugs or vaccines to their family?
Not to a family member unless it is an emergency situation.
117
What is a pharmacist's role in self-administered testing?
Verify the patient's understanding, interpret the results, educate on appropriate care of test and how to use, factors which may cause false tests.
118
How does the pharmacist's role change if they ordered the self-administered test for the patient?
The pharmacist cannot interpret these results. This must be done by another health care practitioner.
119
What are the guidelines for a pharmacy advertising their services?
You are allowed to advertise your services, info just has to be factual and don't claim exclusivity or superiority. Don't use 'specialist'. If usual, say "as required by law".
120
How does the pharmacist's role change if they ordered the self-administered test for the patient?
The pharmacist cannot interpret these results. This must be done by another health care practitioner.
121
Who can counsel patients?
Can only be done by licensed pharmacists, academic registrant or intern. Students can with supervision.
122
When must counselling be done?
For all schedule I and II drugs (even when not new), when appropriate for non-prescriptions or medical devices or when information is requested by the patient.
123
What must be said when counselling a patient?
Must be in person unless not practical, confirm patient identity, name and strength of drug, purpose, how to use, importance of adherence, missed doses, possible side effects, storage, monitoring
Counselling for refills is under professional judgement
124
Who can prescribe methadone?
Physicians who have undergone proper education and training.
| 1-2 day course and work shifts in a methadone clinic.
125
What can pharmacists prescribe?
Schedule II, III (training program for self-limiting conditions-smoking cessation) or unscheduled drugs and medical devices
126
Can tobacco products be sold in a pharmacy?
No, cannot be supplied or offered. Must have a separate entrance from the pharmacy.
127
What type of drug can methadone be considered?
An exemption drug (requires special training for a physician to prescribe) when used for addiction, analgesia or both.
128
What is a verbal prescription narcotic?
A drug that contains, in addition to the narcotic, 2 or more medicinal ingredients in a recognized therapeutic dose. Not methadone.
129
What must a pharmacist do before they can dispense methadone?
Complete the Opioid Tolerance Treatment course and have a knowledge of methadone.
130
What must be done when a patient comes in for their daily methadone dose?
Identify patient, ensure patient is okay (no drugs or alcohol), witness ingestion and have conversation afterwards, document time, dose, number (if trust and has lock box) and report unusual behaviour.
131
What is methadone?
An oral substitute for heroin and other opioid narcotics. Prevents withdrawal and reduces cravings. No high. Harm reduction and risk management.
Can also be used as an analgesic treatment in cancer pain.
132
What is the difference in methadone dosing for the 2 different uses?
```
Narcotic withdrawal (1 dose/day)
Analgesic (every 8 hours)
```
133
What are some requirements for an online pharmacy?
On website, clearly show the pharmacy accredited and who by, physical location of the pharmacy, name of pharmacy manager
Can only accept verbal orders or fax
Pharmacist must be readily available for consultation
134
How can a pharmacist order narcotics?
By written order, through a computer from a remote or input device or verbal order (only for verbal prescription products). Specify name and quantity of narcotic. Sign and date order, should be given within 5 days.
135
What does a pharmacy require if they want to do medication packaging?
Must apply for a central fill component on their pharmacy license (will store and prepare drugs for other pharmacies)
Won't directly interact with patients whom the prescriptions are for.
136
What was changed on the formulary on October 22, 2015?
Suboxone was added and considered interchangeable with methadone.
137
Who is eligible to have a "Lock and Leave" component to their pharmacy license?
If located within a larger operation and will close off pharmacy and schedule III drugs while larger operation is running.
138
What are some requirements for a "Lock and Leave" component to the pharmacy license?
Operating a minimum 25 hours over 4 days per week
Pharmacist must be available at least 37.5 hours per week
Wall extending minimum 10 feet with complete security securing dispensary and schedule III drugs.
139
What must be done if an online pharmacy is intended for patients outside of MB?
Apply for a distance care component.
| Follow practice regulations
140
What are the guidelines for dispensing Schedule I medications in emergency situations?
Give out enough to get through emergency situation (no more than what was filled last time-DPIN). Document, let regular pharmacy know what you did.
Put "emergency supply" on the label
Only when in a declared emergency situation
141
What may pharmacists be allowed to do in emergency situations?
If a public health emergency is declared, pharmacists may be approved to prescribe schedule I
142
What are restricted drugs used for?
Experimental purposes only. No therapeutic use.
| Amphetamines (LSD)
143
Why can't a pharmacy distribute to other pharmacies?
Because they are not an establishment licensed business.
144
What are the guidelines for dispensing Schedule I medications in emergency situations?
Give out enough to get through emergency situation (no more than what was filled last time-DPIN). Document, let regular pharmacy know what you did.
Put "emergency supply" on the label
Only when in a declared emergency situation
145
What may pharmacists be allowed to do in emergency situations?
If a public health emergency is declared, pharmacists may be approved to prescribe schedule I
146
What are the guidelines for dispensing narcotics and controlled substances in emergency situations?
Not done by emergency continued care prescriptions.
Use professional judgement, only if they have part fills or refills left on prescription. Do not exceed previous amount filled.
Write emergency supply on the label, record as emergency supply, enter into DPIN and notify original pharmacist and practitioner.
147
How many times can you transfer a targeted substance?
Benzodiazipenes, once.
148
What must a pharmacy do if they dispense medications from a central fill component?
Must advise the patient that their medication was prepared at another location and provide with central fill location name.
Must authorize with patient for information sharing.
149
Where do the records go for central fill pharmacies?
Central fill has the original prescriptions. The dispensing pharmacy has copies of the prescriptions.
150
How many days prior must a pharmacy apply for a new license component?
30 days before doing the things that the component allows
| Unless needed by community, registrar can waive
151
Which drugs cannot be packaged through central fill?
Narcotics and controlled substances cannot because they cannot be transferred. You could get original prescription to central fill first.
152
What can an intern do?
Engage in any aspect of pharmacy under direct or indirect (there if questions) supervision of a pharmacist
Can't make them do something they aren't satisfied they have the knowledge to do.
153
What are the categories of the prescription drug list?
Human Use and Veterinary Use
| Requires a prescription for human use, not necessarily vet use
154
What does on a label mean?
Controlled substance
155
What does T/C on a label mean?
Targeted substance
156
When can a pharmacist sell a controlled drug?
To a medical practitioner if it's for their office use.
157
What are restricted drugs used for?
Experimental purposes only. No therapeutic use.
158
What must you do when you receive a controlled drug shipment in the pharmacy?
Record name and quantity received and name and address of whom it was received from
159
What must you do in the case of a theft of narcotics and controlled substances?
Report within 10 days of discovery. Includes forged prescriptions, robbery, staff theft
160
Do prescription have an expiration date?
No.
| Targeted substance prescriptions will only last 12 months after being written, afterwards they will be void
161
How many times can you transfer a targeted substance.
Benzodiazipenes, once.
162
What do you do if a colleague may be unfit to practice?
Due to disorder or condition (alcoholic). You are obligated to report to the registrar. Safe from suing.
If you don't notify, you could be liable
163
How often must a tech be assessed?
Must be assessed by pharmacy manager every 2 years.
164
What is a MB specific thing that can only be sold by pharmacists?
Non-potable intoxicating substances (rubbing alcohol-Schedule 2), stomach bitters
