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Minnesota Rules Flashcards

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1
Q

What must a valid prescription contain?

A

Date of issue
Name and address of the patient
Name and quanitity of the drug prescribed
Directions for use
Name and address of the practitioner
Telephone number of the practitioner
Practitioner’s manual signature (written or printed prescription only)
Practitioner’s electronic signature (electronic prescription)

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2
Q

What must a valid chart order contain?

A

Name of the patient
Another patient identifier (birth date, medical record number)
Drug ordered
Any directions concerning strength, dosage, frequency, and route
Manual or electronic signature of the practitioner (can be at a later date in the case of verbal orders)

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3
Q

Definition of “high-alert drug”

A

Drug that bears a heightened risk of causing significant patient harm when it is used in error

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4
Q

Do out-of-state pharmacies need to be liscensed by the BOP?

A

“No person or persons shall conduct a pharmacy in or outside of Minnesota that dispenses drugs for MN residents unless liscensed by the Board of Pharmacy” (the MN resident must be receiving the drug in the state of MN)

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5
Q

What must be received by the BOP prior to opening a pharmacy and when?

A

A new pharmacy license application (including a blueprint showing the size, layout, and security) and a check for the proper fee
At least 60 days prior to the proposed opening date of the pharmacy

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6
Q

When do pharmacy licenses need to be renewed and what happens when they are renewed late?

A

Each license expires on June 30 and must be renewed annually by filing an application for renewal on or before June 1 of each year
Renewal applications received on or after July 1 are subject to a late filing fee (50% of the renewal fee)

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7
Q

Do pharmacies need to post their liscenses?

A

Each pharmacy license shall be posted in a conspicuous place in the pharmacy

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8
Q

Pharmacy square footage requirement

A

250 square feet in the dispensing and drug storage area

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9
Q

Size of prescription dispensing counter requirement

A

At least 18 inches deep and providing 2 linear feet (must be kept clear and free of all merchandise and other materials no currently in use)

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10
Q

Number of dispensing counters requirement

A

Must be one dispensing counter for each pharmacist and technician working concurrently on compounding and dispensing

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11
Q

Size of pharmacy aisles requirement

A

Aisle behind the prescription dispensing counter must be at least 36 inches wide and extend the full length of the counter (must be kept free of obstruction at all times)

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12
Q

Pharmacy wall requirements

A

Must be surrounded by a continuous partition or wall extending from the floor to the permanent ceiling with doors capable of being securely locked to prevent entery when pharmacy is closed

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13
Q

Patient consultation area requirements

A

Must allow for reasonable assurance of privacy
If using partitions, they must be sound-dulling and at least 7 feet high and 24 inches deep and there must be a partition on both sides of the patient
Consultation areas cannot contain any item for sale unless requried for counseling

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14
Q

Pharmacy lighting requirements

A

Must be lighted to a level no less than 75-foot candles measured in the major work areas

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15
Q

How does a pharmacy go about changing location?

A

Before a liscensed pharmacy changes its location, it must submit a new application for license to the BOP explaining the changes (must be submitted at least 60 days before the proposed change in location)

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16
Q

How does a pharmacy go about changing its physical dimensions?

A

Before a liscensed pharmacy changes its dimensions, it must submit a new application for license to the BOP explainging the changes (must be submitted at least 60 days before the proposed change in location)
BOP has 30 days to respond and if no response, the changes are assumed to be approved

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17
Q

Counseling requirements for a new prescription

A

Pharmacist must initiate counseling
Must be in person whenever applicable, may be suplemented with written material
Must include:
Name and description of the drug
Dosage form, dose, route, duration
Intended use and expected action
Special directions and precautions
Common severe side effects or interactions including their avoidance
Techniques for self monitoring
Proper storage
Prescription refill information
Action to be taken in the event of a missed dose
Pharmacist comments relavent to the patient’s drug therapy

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18
Q

Counseling requirements for refills

A

Pharmacist must counsel if deemed necessary according to the pharmacist’s professional judgement
Must be in person whenever applicable

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19
Q

Requirements for counseling documentation

A

If there is any material variation from the minimal information required or consultation is not provided, that fact and the circumstances must be noted on the prescription, in the patient’s records, or in a specially developed log

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20
Q

How to counsel when prescription is being mailed or delivered

A

Provide written information about the drug and the availability of a pharmacist to answer questions (must be a toll-free number for long distance calls)

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21
Q

Can pharmacists charge for counseling services

A

Yes - nothing in the 6800 rules prhibits this

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22
Q

When must a pharmacy notify the BOP before closing indefinitely

A

14 days prior to closing

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23
Q

Notice of pharmacy closure requirements

A

Notice must include the specific date of closure and the name, address, and telephone number of the pharmacy to which prescription files will be transferred
This can be:
A newspaper publication for 1 week prior to the closing date
A direct mailing to patients who have had at least 1 prescription filled at that pharmacy during the previous 6 months prior to closing (must reach patients no later than 1 business day prior to closing)
Distrubtion of the notice to patients who are picking up prescriptions at least 30 days prior to the closing date

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24
Q

Required reference books

A

Most recent editions of the laws relating to the practice of pharmacy
The rules of the BOP
Current copy of the DEA regulations
Code of federal regulations title 21, parts 1300-1316
Pharmacotherapy referece
Dosage and toxicology reference (at least one must be in hard copy form and appropriate to the majority of the patient base of the pharmacy)
General reference
Current reference materials for sterile products and USP 797 (if coumpounding sterile products)

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25
Q

Goodman and Gilman’s The Pharmaceutical Basis of Therapeutics

A

pharmacotherapy reference

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26
Q

Applied Therapeutics: The Clinical Use of Drugs

A

pharmacotherapy reference

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27
Q

Pharmacotherapy: A Pathophysiologic Approach

A

pharmacotherapy reference

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28
Q

American Hosptial Formulary Service
(Reference)

A

dosage and toxicology reference

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29
Q

Conn’s Current Therapy
(Reference)

A

pharmacotherapy reference

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30
Q

Facts and Comparisons
(Reference)

A

dosage and toxicology reference

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31
Q

Drug Information Handbook
(Reference)

A

dosage and toxicology reference

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32
Q

Handbook of nonprescription drugs
(Reference)

A

general reference

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33
Q

Physician’s desk reference
(Reference)

A

general reference

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34
Q

Remington: the science and practicy of pharmacy

A

general reference

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35
Q

United states pharmacopeia

A

general reference

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36
Q

Orange book

A

general reference

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37
Q

The Merk Manual

A

general reference

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38
Q

Minimum equipment requirement

A

One prescription balance (Class A) with accurate metric weights from 50 mg to 100 g or an electronic balance of equal or greater accuracy
Measuring devices capable of accurately measuring 1 mL to 500 mL
Mortars, pestles, spatulas, funnels, sitrring rods, and heating apparatus
Other compounding equipment required by USP 795
Refrigerator used only for drug storage with temperature recording equipment
Sink with hot and cold running water
Toilet with hand-washing lavatory and disposable towels in a reasonably accessible location

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39
Q

When do pharmacist licenses need to be renewed and what happens when they are renewed late?

A

Licenses expire on March 1 and must be renewed annually by filing an application for renewal on or before February 1
Renewal applications received after March 1 are subject to a late filing fee (50% of the renewal fee)

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40
Q

How much does it cost to renew a pharmacist license

A

$105

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41
Q

Do pharmacy licenses need to be posted?

A

Each pharmacist license shall be posted in a conspicuous place in the pharmacy (if practicing in a community pharmacy, this must be visible to the public)

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42
Q

How can a pharmacist with a license on inactive status reactivate their MN license?

A

If maintaining an active license in another state, inactive individuals can show compliance with the continuing education requirements of that state
If not maintaining an active license in another state, inactive indiciduals must show that continuing education has been completed at a rate of 15 hours per year for each year the license has been on inactive status (to a maximum of 75 hours)
If inactive for longer than 5 years, pharmacist must take and pass the MPJE

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43
Q

Licensure requirements for new graduates (from ACPE accredited schools)

A

Eligibility application
Affidavits of internship
Copy of official and certified birth certificate
Recent photograph
Certified final transcript
Application fee
NAPLEX and MPJE pass

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44
Q

Licensure requirements for foreign pharmacy graduates

A

Pass the foreign pharmacy graduate equivalency exam and become certified by the FPGEC, including demonstrating proficiency in English by passing the TOEFL
Obtain 1600 hours of internship after becoming certified by FPGEC
Submit completed application, copy of birth certificate, recent photograph, application fee
Pass the NAPLEX and MPJE
(cannot be a graduate of a four-year pharmacy school)

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45
Q

Do you need a SSN to become a licensed pharmacist?

A

Yes

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46
Q

Maximum exam failures

A

After failing 3 times, must petition the board

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47
Q

Deadline for passing the NAPLEX and MPJE

A

18 months (after which would have to submit a new application)

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48
Q

Licensure eligibility (Before 1/1/1973, between 1/1/1973 to 5/1/2003, and after 5/1/2023)

A

Before 1973: 2080 hours of practical pharmacy experience
1973 to May 1, 2003: 1500 hours of experience (400 may be acquired)
After May 1 2003: 1600 hours of experience (800 in traditional compounding)

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49
Q

If a pharmacist seeks licensure in MN but does not meet the internship hours requirement what must they have?

A

Practice as a licensed pharmacist for 40 hr/week for each week of internship hours lacked

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50
Q

When would a pharmacist seeking reciprocity in MN need to take the NAPLEX?

A

If they haven’t engaged in pharmacy practice as a licensed pharmacist for 2 years immediately prior to the application

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51
Q

Do manufacturers need to be licensed in MN?

A

Yes, and even if they do not ship drugs into MN directly, they must obtain a license if they do business with any accounts in MN

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52
Q

Do wholesalers need to be licensed in MN?

A

Yes

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53
Q

When do manufacturer/wholesaler licenses expire?

A

June 1 of each year (must be renewed by May 1 of each year)
Renewal applications received on or after June 1 are subject to a late filing fee (50% of the renewal fee)

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54
Q

Do manufactuerers/wholesalers need to post their license?

A

Yes

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55
Q

Which facilities of wholsesalers must comply with licensure requirements?

A

All facilities at which drugs are stored, warehoused, handles, held, offered, marketed, or displayed

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56
Q

What must wholesalers do with damaged/outdated/adulterated drugs?

A

Keep them seperate from other drugs until they are destroyed or returned to their supplier

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57
Q

How long must wholesalers keep records of drug receipt and distribution?

A

2 years

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58
Q

Which procedures are required for wholesalers?

A
  1. How to ensure oldest stock of a drug product must be distributed first
  2. What to do if their is a recall
  3. Preparation for any crisis affecting security or operation (strike, fire, flood)
  4. How to ensure outdated drugs are segregated from other drugs (documentation must be maintained for 2 years)
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59
Q

Continuing education requirement for pharmacists

A

30 hours every 2 years (reported by Sept. 30 of each even-numbered year)

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60
Q

Continuing education requirement for technicians

A

20 hours every 2 years (reported by July 31 of each odd-numbered year)

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61
Q

Who makes up the continuing education advisory task force?

A

3 pharmacists designated by the MN state pharmaceutical assocation
3 pharmacists designated by MSHP
2 pharmacists designated by the COP
2 pharmacists designated by the board

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62
Q

What is the maximum number of continuous hours someone can work?

A

12

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63
Q

Break requirements

A

30 minutes for every 6 hours worked

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64
Q

Restroom break requirements

A

Must be allowed adequate time to use the restroom every 4 hours

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65
Q

What can happen during a pharmacist break?

A

Close the pharmacy or if the pharmacist stays in the building – techs, interns and support staff can continue to perform duties except those that require a pharmacist’s judgement
Medications can be dispensed if they have been certified by a pharmacist (except those that require counseling)

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66
Q

Specific requirements for dispensing medications when the pharmacist is on break

A

Must be a list of drugs not allowed to be dispensed without the patient receiveing counseling
Patients are told the pharmacist is on break and offered to wait to receive counseling
If patient declines to wait, obtain phone number they can be reached and pharmacist must make a reasonable effort to contact them and provide counseling
Document that counseling was done or why it was not done

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67
Q

How long do counseling logs need to be retained

A

2 years

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68
Q

Breaks when more than one pharmacist is on duty

A

Must be staggered so the pharmacy can remain open

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69
Q

Hours and breaks during emergencies

A

Staff can be required to work more than 12 hours
Break requirements do not apply

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70
Q

Can a pharmacist refuse to fill medications?

A

Pharmacists cannot refuse to dispense drugs that may reasonably be expected to be dispensed in pharmacies by pharmacists

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71
Q

Can pharmacists refuse to counsel

A

No

72
Q

Can the price of a drug be advertised by a pharmacy

A

Yes as long as nothing about its efficacy/safety/indication is mentioned and it is not a controlled substance

73
Q

How long after insepction must a pharmacy respond and with what

A

The pharmacist-in-charge must provide within 30 days a written document explaining the steps taken or proposed to fix the issue

74
Q

Can a pharmacist be the pharmacist-in-charge of more than one pharmacy

A

No, unless it is in a hosptial or on a part-time basis

75
Q

Who must notify the board that a pharmacist-in-charge has been terminated?

A

The pharmacist-in-charge themselves and the pharmacy

76
Q

How quickly must a new pharmacist-in-charge file the proper forms to the BOP?

A

10 days

77
Q

How quickly must a pharmacist or pharmacy intern notify the BOP of a new job or place of residence?

A

Immediately

78
Q

How soon before the use of a dispensing device or system must the BOP be notified

A

60 days

79
Q

How long does the BOP have to repsond to a request to use a dispensing device or system?

A

60 days

80
Q

Can drugs be removed from an automated drug distribution system without a pharmacist’s review and approval?

A

Yes, if this is allowed by the P&T comittee (they must specify the patient care circumstances when this is allowed and which drugs are able to be accessed)

81
Q

What records must an automated drug distribution system maintain?

A

Identity of who accessed it (including any witnesses), reason for access, date and time of access, name/strength/dosage form/quanitity of drug reomved/returned, name of the patient the drug is for, any other info deemed necessary by the PIC

82
Q

Who determines which drugs can be kept in an automated drug distribution system?

A

The P&T comittee (including whether or not any high-alert drugs can be kept there)

83
Q

Which drugs cannot be kept in an open matrix drawer?

A

Controlled substances (unless they are all the same drug) and look-alike products

84
Q

Requirements for high-alert drugs to be removed from an automated drug distribution system

A

Second licensed health care professional checks the drug is correct
Pharmacist reviewed and approved the drug
Prescriber says there is no time for the above

85
Q

Does a pharmacist need to cetify the drugs going into an automated drug distribution system?

A

Yes, unless barcoding is used (or another fail-safe process)

86
Q

Can a nurse restock an automated drug distribution system?

A

No, only designated pharmacy personnel with required certification

87
Q

What must be assessed of an automated drug distribution system and how often?

A

Drugs are in the right location
Outdated drugs are removed or replaced
Only approved drugs are in the device
Inventory levels are appropriate
The device is secure
Monthly (but do not have to be done at the same time)

88
Q

How often must an audit of controlled substances be done for an automated drug distribution system?

A

Monthly

89
Q

Can drugs be returned to the pharmacy to be reused?

A

No, unless within a hospital when the drug never left the span of control of the pharmacy

90
Q

Can drugs from nursing homes and assisted living facilities be returned to the pharmacy for reuse?

A

Yes, if the consultant pharmacist can ensure proper storage conditions and security of the drugs, the facility has 24/7 on-site RN coverage, the drugs are returned to the same pharmacy from which they were dispensed, the integrity of the packaging remains intact – manufacturers packaging or unit-dose pakacging(no reconsituted, refrigerated or controlled drugs may be returned)

91
Q

What is the issue caused by commingling of returned medications?

A

Misbranding

92
Q

Where can filled prescriptions be delivered to?

A

The office or home of the prescriber, the residence of the patient, the hospital or long-term care facility in which the patient is confined, the place of employment of the patient or caregiver (if documented authorization by the patient/caregiver, delivered directly to the patient/caregiver, and PHI is protected)

93
Q

Under what conditions would a drug be deemed adulterated?

A

Fire, water, or extreme temperature

94
Q

What record must be maintained for a faxed prescription?

A

Either a copy generated by the fax machine that is readily readable for at least 5 years, the original hard copy (received within 72 hours of the fax) or the pharmacistt can reduce the order to writing of permanent quality

95
Q

Can a prescription be left via voicemail?

A

Yes, only by the prescriber or the prescriber’s agent (can only be retrieved by a pharmacist or pharmacy intern OR a technician if the prescription is a refill and no other changes have been made – not other clerical personnel)

96
Q

Who can verify a prescription drug order?

A

A pharmacist or pharmacy intern under the direct supervision of the pharmacist

97
Q

Who can select the drug to be used in filling a prescription drug order?

A

A pharmacist or pharmacy intern under the direct supervision of the pharmacist

98
Q

Who can establish and validate the intial formulation record of a compounded preparation?

A

A pharmacist or pharmacy intern under the direct supervision of the pharmacist

99
Q

Who can certify a filled prescription drug order?

A

A pharmacist or pharmacy intern under the direct supervision of the pharmacist

100
Q

What records must be maintained when filling a prescription and for how long?

A

The unique identifier of each pharmacist, pharmacy intern, or technician who preforms any portion of the filling process (and which part of the process they did)
At least 2 years

101
Q

Do pharmacies need to tell patients that they utilize a central service pharmacy?

A

Yes

102
Q

For whom does a patient profile record need to be maintained in a pharmacy’s system?

A

All patients for whom filled prescriptions were dispensed
One profice can be maintained for all members of a family if they live at the same address and have the same last name

103
Q

What must be on the patient profile record?

A

Reasonable efforty must be made for:
Name, address, telephone number, DOB or age, gender
Individual history where significant (disease states, allergies, medication list, name of the prescriber)
Pharmacist comments relevant to the individual’s drug therpay (needs of care, services rendered by the pharmacist, pharmacist’s impression of the drug therapy)

104
Q

When is a patient profile record not required?

A

Residents of a licensed nursing home where a consultant pharmacist performs regular reviews

105
Q

How long must a patient profile record be maintained?

A

2 years from the date of the last entry

106
Q

What must be done by the transferring pharmacist/intern when transferring a prescription?

A

Write the word VOID across the prescription (or voild remaining electronic refills)
Record on the reverse side (or in the electronic record) the name, address, and telephone number of the receiving pharmacy and the name of the receiving pharmacist/intern (and name of transferring person and DEA of pharmacy where the drug is being transferred to if CIII-CV)
Record the date of transfer

107
Q

What must be done by the receiving pharmacist/intern when transferring a prescription?

A

Write “transfer”, “copy”, or a word similar on the face of the transfered prescription
Obtain this information: date of issuance and first fill, original number of refills, refills remaining, date of last refill, original prescription number, the transferring pharmacy’s name, address, telephone numer, and name of transferring person (and transferring pharmacy’s DEA number if CIII-CV)

108
Q

How long must a transferring/receiving pharmacy maintain a prescription?

A

2 years from the date of last filling

109
Q

What record must be maintained when a pharmacy sharing a database with another pharmacy dispenses a drug from that shared database?

A

The filling pharmacy must generate a hard copy record of each prescription transferred or accessed and maintain this record

110
Q

Can a prescription that has not been dispensed yet be transferred?

A

Yes, extra information recorded includes the unique identifer of the person who entered the prescription and of the pharmacist who certified this entry

111
Q

Can a pharmacist refuse to transfer a prescription?

A

No

112
Q

What is required to be recorded for prepackaged drugs?

A

Date, drug name, doage form, manufacturer, lot number, strength, and expiration date, container specification, copy of the label, unique identifer of the packager and the supervising pharmacist, quantity per container and an internal control number

113
Q

What is required to be recorded when cells or cassettes are filled in an automatic counting device?

A

Date, drug name, doage form, manufacturer, lot number, strength, and expiration date, unique identifer of the filler (and the supervising pharmacist if pharmacy policy is to have pharmacist verify the filling), quantity per container and an internal control number

114
Q

What is required to be on the label of cells or cassettes in an automatic counting device?

A

Drug name, strength, name of manufacturer, physical description or bar code, beyond use date and internal control number

115
Q

Beyond use date of prepackaged vials

A

1 year or expiration date

116
Q

Beyond use date of unit-dose packages

A

1 year or expiration date

117
Q

What needs to be on a small container label?

A

Patient name and prescription number

118
Q

How far back must records go for a pharmacy dispensing outpatient IV drugs

A

5 years

119
Q

Refill limitations

A

No drug can be refilled more than 12 months after a prescription was issued

120
Q

When must a technician’s registration be renewed?

A

Registration expires on December 31 of every year and renewal is due on or before December 1 (late fee applies)

121
Q

How soon must technicians report changes in name, residence or place of employment to the BOP?

A

Within 10 days of the change

122
Q

Are technicians required to wear a name badge desgnating them as a technician?

A

Yes, except during sterile compounding

123
Q

Do technicians need to post their registration in the pharmacy?

A

Yes, in a conspicuous place

124
Q

Minimum age of technicians?

A

18

125
Q

What is required for technician registration?

A

High school diploma or GED

126
Q

What is required for technician registration renewal?

A

Completion of an approved technician training program

127
Q

How often must technician training protocols be updated?

A

Every 5 years or whenever there is a substantial change

128
Q

How long do records of technician training need to be maintained?

A

2 years

129
Q

Pharmacist to technician ratio

A

3:1

130
Q

Who is not counted toward the pharmacist to technician ratio?

A

Interns and those performining only clerical duties

131
Q

What records must be available from electronic data processing equipment in regard to controlled substances

A

Must produce a hard copy daily summary of controlled substance transactions and must be able to produce a hard copy printout of legend drug transactions going back 2 years
Refill-by-refill audit trail of any controlled substance
Must record all dates of refills of any prescription and unique identifer of the pharmacist
Patient profile including dates and quantities of fills and refills

132
Q

Where can patient specific records be kept

A

Inside the pharmacy or in a secure area outside the pharmacy area

133
Q

QA process and when can it happen

A

Pharmacist or intern must compare the origiinal prescription (or an image of it) to the information entered into the computer
Can be done immediately if done by a second person or after 2 hours if done by the same person who did the intiial certification (MUST be done within 72 hours)

134
Q

How soon must the board be notified of lost dispensing information due to unscheduled system interuption?

A

Within 72 hours

135
Q

Do central service pharmacies located in another state (who provides services to MN pharmacies) need to be licensed by the BOP?

A

Yes, they need to be licensed as a nonresident pharmacy

136
Q

Requirements for use of a central service pharmacy

A

Both parties have the same owner or a written contract
Both parties share a common electronic file or have appropriate technology to allow access to sufficient information
The central service pharmacy is liscensed by the BOP
Policies and procedures are sent to the BOP within 30 days before services begin

137
Q

When using a central service pharmacy, who is responsible for certifying the completed prescription drug order?

A

The pharmacist or intern who dispenses the prescription

138
Q

When using a central service pharmacy, who is responsible for counseling?

A

The pharmacist or intern who dispenses the prescription

139
Q

What labels must be on a controlled substance

A

“Caution: Taking this drug alone or with alcohol may impair your ability to drive.”
“Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed.”

140
Q

What must be recorded for a partial dispense for a terminally ill/long-term care patient?

A

Date of partial dispensing
Quantity dispensed
Remaining quantity authorized to be dispensed
Unique identifier of the dispensing pharmacist
“Terminally Ill” or “LTCF”

141
Q

How long are schedule II prescription drug orders valid for a terminally ill or LTCF patient?

A

60 days (or less if discontinued)

142
Q

When do drug researchers using controlled substances need to be registered and how much does it cost?

A

By June 1 of each year
$25

143
Q

How often does a CII perpetual inventory need to be reconciled and how long do these records need to be maintained?

A

Every month
2 years

144
Q

When do pharmacies need to report loss or theft of controlled substances? Who do they report to and what to they report?

A

Anytime there is theft or significant loss that cannot be attributable to inadvertent error
Report in writing to tthe DEA immediately (must contain why (if known), date it occured, what is being done to prevent future loss, and inventory of missing drugs)

145
Q

When does preceptor registration expire?

A

Every other year on the anniversary of its issuance

146
Q

What training is required to be a pharmacist preceptor (2 options)

A

They are participating in the experiental education program at the COP as an approved preceptor OR
they have completed at least 4000 hours of practice as a licensed pharmacist, with at least 2000 hours of that practice occuring in MN

147
Q

What are the general requirements to be a pharmacist preceptor?

A

Currently in practice at least 20 hours per week as a pharmacist
Have a history of exemplary practice with respect to compliance with state and federal laws
Provide time on a regular basis (at least 3 times each month)
Have participated in an instructional program for preceptors within the previous 24 months (for renewal only)

148
Q

Maxiumum number of interns a pharmacist can precept

A

2 (unless one is doing something that requires direct supervision)
Supposedly if this is a part of the OEE then they can watch 2 even if compounding

149
Q

Can an intern give recommendations on their own

A

Yes but they need to be approved by a pharmacist

150
Q

How many internship hours must focus on traditional compounding, dispensing and patient counseling?

A

800

151
Q

How must schedule II drugs be ordered for patients in a LTCF

A

Receipt of an original written prescription manually signed by prescriber OR
Oral order reduced to writing in an emergency situation if immediate administration is necessary, no appropriate alternative treatment is available and it is not reasonably possible for the prescriber to provide a written order prior to dispensing

152
Q

How often must a consulting pharmacist submit a report as to the status of the facility?

A

Quarterly

153
Q

Whose property are drugs in an emergency kit once dispensed?

A

They remain property of the pharmacy

154
Q

An emergency kit can contain up to a how many days supply of each drug?

A

3 (72 hours)

155
Q

What is the preferred route of administration in an emergency kit?

A

Parenteral (if no parenteral form is available, then an alternate dosage form may be provided)

156
Q

What is the maximum number of oral medications that can be in an emergency kit?

A

15 (not counting oral antibiotics)

157
Q

What type of oral medications are allowed in an emergency kit?

A

They must be in a therapeutic category related to symptomatic patient distress or emergencies

158
Q

What is the maximum number of oral antibiotics that can be stocked in an emergency kit?

A

Unlimited (but still only 72 hour supply)

159
Q

What must happen when an emergency kit is used?

A

The pharmacist must be notified
The drugs must be replaced (by submitting a prescription drug order for used items) by the pharmacist within 72 hours

160
Q

How often must emergency kits be inventoried?

A

Monthly

161
Q

What is the maximum amount of controlled substances that can be in an emergency kit?

A

No more than 6 single doses of any controlled substance

162
Q

What is needed in order to keep controlled substances in an emergency kit?

A

Pharmacy must be registered with the DEA
Must be in a locked area with access only to pharmacists, nurses, or medical practitioners
The pharmacy keeps a complete record of each controlled substance stored
The facility keeps a complete record of each controlled substance used (for 2 years)
Also the same things needed to dispense an emergency controlled substance to a resident of LTCF (immediate, no other options, doc can’t write a script in time)

163
Q

What cannot be stored in an emergency kit?

A

Controlled substance stimulants in oral dosage forms

164
Q

How often must a remote pharmacist visit the hospital pharmacy?

A

Weekly

165
Q

How often must areas of a hospital where drugs are stored be inspected by the pharmacy?

A

Monthly

166
Q

How quickly must hospital pharmacies respond to a recall?

A

Within 24 hours

167
Q

How often must hospital pharmacies printout a narcotics transaction log?

A

Weekly (unless there is a secure daily 24-hour backup performed which allows for restoration of required information in case of system failure

168
Q

What is required for narcotic wasting?

A

Two licensed individuals who are allowed to access drugs must document the wasting and include their signitures or other unique identifiers

169
Q

How many day supplies is required to be issued by a hospital pharmacy when a patient is going on leave from the facility?

A

3 days (72 hours)

170
Q

Who can access the pharmacy in emergency situations only?

A

Disaster - the hospital administrator can allow access
Emergencies - designated registered nurse in any given shift

171
Q

Do satellite pharmacies in a hospital need additional licenses?

A

No, as long as the PIC informs the board and assumes responsibility

172
Q

What training is required for a nuclear pharmacist?

A

Completion of a nuclear pharmacy course and/or acquired experience in programs approved by the board
Certification by the board OR
At least 200 hours of instruction in nuclear pharmacy, at least 500 hours of clinical nuclear pharmacy training under supervision of a qualified nuclear pharmacist, and submission of an affidavit to the BOP

173
Q

What must be on a radiopharmaceutical label?

A

Radiation symbol and “Caution - Radioactive Material”
Radiopharmaceutical name or its abbreviation
Radiopharmaceutical lot number

174
Q

How long does the BOP have to notify a defendent of their decision after a hearing?

A

60 days

175
Q

When adding a drug to a parenteral solution, what must be visible when the supplemental label is added?

A

Name, type of solution, and lot number on the manufacturer’s label

176
Q

How often must a hospital comittee discuss medications that cannot be in an automated counting machine?

A

Annually

Law (5 decks)

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