Maine Laws/Rules

Question 1

6 Standards for minimum eye examination

Answer 1

1) Case Hx
2) VA sc and BCVA, OD and OS
3) Cover test/EOMs
4) Refraction - objective AND subjective
5) SLE/DFE
6) Tx/referral

Question 2

Pt requests exam records, including Rxs and programs given at time of exam. How far back must you keep their records?

Answer 2

10 years

Question 3

5 Minimum Glasses/CL Rx requirements

Answer 3

1) Glasses or CL Rx - ALL NECESSARY RX INFO TO DISPENSE - sph/cyl/axis/prism etc
2) Pt name
3) Date
4) Name of Doc / Practice Location
5) Expiration Date

Question 4

8 requirements for prescribing pharmaceuticals

Answer 4

1) Name of pt
2) Date
3) Drug NAME (conc not specified), DOSAGE, QUANTITY
4) DIRECTIONS for use
5) Refills
6) DEA number
7) Provider name/signature
8) Sequential number

Question 5

CL expiration date is not to exceed __ months. Those who fill the CL Rx must keep CL Rx on file for a minimum of __ years. Improperly filled CL Rx yields a fine of ___-___

Answer 5

24 months; 5 yrs minimum; $250 - $1,000 fine

Question 6

Practicing w/o a license = Class __ crime.

Answer 6

Class E. Brought to SUPERIOR court regardless of whether proceedings have been instituted, and regardless of the status of proceedings

Question 7

Must renew license ANNUALLY, not to exceed ___ dollars. Can be up to __ days late, but must pay late fee of __ IN ADDITION to current __ renewal fee.

T/F: MUST display active license (and any diagnostic/therapeutic/adv therapeutic licenses) in a CONSPICUOUS part of the office in which you practice

Answer 7

400; 60 days late; $75 + $350

TRUE

Question 8

CE courses MUST be __ to __ hours/yr. If you’re authorized to use therapeutic pharmaceutical agents, your CE requirement is __ hrs/yr. AT LEAST __ of these hours must be in TMOD, __ hrs are allowed to be practice mgmt. You must submit these hours when?

Answer 8

15-30; 25 required for therapeutic pharm agents. 15 req’d in TMOD if you hold ADV THERApeutic license, 2 allowed in practice mgmt.

Submit annually w/ license renewal BFEORE APRIL 1.

Question 9

With an ADVANCED THERAPEUTIC LICENSE, you may prescribe ANY therapeutic agent, INCLUDING schedule __, __, and __ drugs, EXCEPT for Tx of ____ (disease) unless you’ve met the requirements.

You can also prescribe ONE __-day supply of schedule III, IV, or V oral analgesic

Answer 9

III, IV, V; except glaucoma

5-day supply oral analgesics allowed - one supply

Question 10

Requirements for ADV therapeutic license:

1) WITHOUT therapeutic license
2) WITH therapeutic license

Answer 10

WITHOUT therapeutic:

1) “transcript quality course” in gen/oc pharm - 100 hours, 25 supervised clinical training hrs, ophthalmologist present
2) graduate of optom school w/ completed NBEOs
3) “Lancaster course” in Glc - 25 hrs, AND 3 didactic glaucoma-only pharm hrs - anytime after 2nd yr of optom school

WITH therapeutic:

1) Lancaster course as above: 25 +3 glc pharm
2) Passage of TMOD after July 1991

Question 11

If you graduated BEFORE 1996; you must prove __ or less glaucoma consultations consisting of what 4 key points?

Answer 11

30 or less consultations w/ “physician” - licensed physician practicing diseases of the eye

1) Glc pt/suspect examined by OD
2) OD forms Tx plan/forwards it to physician
3) Physician sees same pt; forms own plan and reviews ODs plan
4) Pt/OD/physician agree and document Tx plan

Question 12

Complaint filed against you? Board notifies you w/i __ days; you must respond w/i __ days.
Four actions board can take?

Answer 12

60 days; 30 days

1) “Consent agreement”- period of time/terms of probation to rehab/educate licensee
2) “Negotiate stipulations” for terms/conditions of reinstatement of VOLUNTARILY surrendered license
3) If board states “modification” or “nonrenewal” necessary: must hold “adjudicatory hearing”
4) If board states “suspension” or “revocation”: file complaint w/ Administrative Court

Question 13

Grounds for discipline (15): name them quickly

Answer 13

1) fraud/deceit in obtaining license
2) substance abuse affecting pt safety
3) mental/physical condition affecting pt safety
4) aiding practice as a “licensed optometrist” when not actually licensed
5) incompetence: a) lack of ability to do perform your duty as an OD, or b) lack of knowledge to apply principles/skills to do your job
6) unprofessional conduct - violates commonly understood standard
7) conviction of crime involving dishonesty/false statement - up to ONE YEAR jail time
8) false advertising
9) practicing in practice w/o proper materials
10) practicing under a name different than the one on your license
11) representing your title as something OTHER than an OD
12) 3+ offices w/o consent of the board
13) failure to display diagnostic/therapeutic license
14) splitting/dividing fee w/ anyone other than associate, OR accepting/giving a rebate to an optician

Question 14

UNAUTHORIZED associations (5):

Answer 14

1) Associations: with another individual/practice NOT licensed to practice optometry
2) Aiding unauthorized practice
3) Loaning your license (to someone who isn’t licensed)
4) Mercantile employment (commercial practice)
5) CONTINUING unauthorized associations

Question 15

T/F: Licensed ODs, under CORPORATE practice, can’t association w/ an unlicensed OD, firm, or corporation for profit that allows the OD to practice optometry

Answer 15

TRUE - can’t do that.

Question 16

Three acceptable titles when succeeding in practice:

Answer 16

Note - NEW OD IS RESPONSIBLE FOR PRACTICE:

1) “succeeded by”
2 “successor to”
3) “succeeding”

Can only use this for TWO YEARS (or less)

Question 17

CE courses defined as category __ and approved by what 5 entities do NOT require board approval.

Answer 17

Category 1. AOA, AMA, AAO, American Council on PHARMACEUTICAL Education, COPE (council on optometric practictitioner education)