NAVMED P-117 ch 21 pharm ops Flashcards
Who assigned the number of pharmacy techs assigned to each facility?
BUMED
What chapter of P117 is pharmacy operations and drug control?
21
What are the three ways that a pharmacy may be operated without a pharmacist?
1) by military trained pharmacy techs
2) using a tele-pharmacist
3) remote pharmacist
Checking orders
Managing standards
Who is responsible for the operation of the pharmacy?
Commanding officer
Do DOD MTFs have to abide by state and federal laws?
Yes
When a commissioned officer pharmacist is not assigned to an MTF who will be responsible for the pharmacy?
Civilian pharmacist or HM-8482
What is the NEC for pharmacy tech?
8482
What will the CO of a BSO-18 MTF without an active duty pharmacist assigned have to do?
Ensure that pharmacy operations are revised through site visits and inspections
For non-BSO-18 activities without a pharmacist, the CO may assign responsibility to whom?
Enlisted pharmacy tech under the supervision of a physician or nurse practitioner
Who’s responsibility is it to establish policies to ensure rational prescribing, quality of drugs prescribed are not excessive, and drug dispensing is based on the scope of care of the MTF?
Commanding officer
Who’s responsibility is it to ensure that the staffing levels, funding and pharmacy scope of practice Aligned to meet the mission of the MTF?
CO
Who’s responsibility is it to ensure safe medication use I’d in compliance with pharmacy regulator and accreditation standards?
CO
Who’s responsibility is it to ensure safeguards are adequate to mitigate or prevent drug diversion?
CO
Who’s responsibility is provide drug information to authorized individuals in the proper writing of prescriptions?
Pharmacy department
How frequent is the pharmacy department required to conduct inspections of all areas where pharmaceutical are dispensed?
At least monthly
Pharmacy inspections should include:
5
1) adequate labeling
2) appropriate storage condition
3) stock levels,
4) evaluation of condition and potency based of expiration
5) check markings of storage areas for expired drugs
How should medications be dispensed?
In ready to administer form to the maximum extent possible
How much, of most medications, should be available at a patient care area at any given time? Unless an automated due lending system is in place?
Not more than 24 hour supply
Who’s responsibility is it to ensure prescription are filled only for eligible beneficiaries?
Pharmacy department
What happens I’d a specific. Pharmaceutical is not in a government co tract?
The mtf shall purchase the item that offers he beat value for the government.
How are authorized generic medication rated in the orange book?
A/B
What ordering system shall MTFs use to order medications?
DMLSS
defense medical logistics standard support
The pharmacy and therapeutics committee is a function of _______ and will meet at least ____.
Medical staff
Quarterly
Who makes up the The pharmacy and therapeutics committee?
4
Representatives from: Medical Nursing Risk management Pharmacy
The local The pharmacy and therapeutics committee shall ensure compliance with what?
TRICARE uniform formulary policies
Who develops and recommends policies and procedures relating to selection, distributing, handling, use and administration of drugs?
The pharmacy and therapeutics committee
Who is responsible for minimizing unnecessary duplication of drugs, Drug combinations or therapeutic equivalence?
The pharmacy and therapeutics committee
Who is responsible to oversee drug usage evaluations and reviews
The pharmacy and therapeutics committee
Who participates in risk management and quality improvement activities related to medication use
The pharmacy and therapeutics committee
DoD authorize prescribers may include who
Medical and dental Corps officers optometrists physician assistants pharmacist physical therapist podiatrist nurse practitioners Veterinarians Civilian physicians employed by the Navy
When can prescriptions written by civilian practitioners other than those employed by the DOD be filled?
The prescription item is on the MTF formulary and a pharmacist verifies the prescription per currently Regulations
True or false:
Pharmacies will fill all valid non-controlled prescriptions that are presented regardless of the geographical location of the beneficiary or prescriber.
True
Medical department personnel shall not countersign more rewrite non-MTF Practitioners prescriptions without doing what?
the provider serving care for the patient for the diagnosis supported the specific medication needs
Who shall authorize IDCs in writing to prescribe or provide medications?
The IDCs assigned Physician supervisor
What instruction series provides guidance for training certifying and supervising IDCs?
OPNACINST 6400.1
What electronic order entry form must authorize prescribers. Use to prescribe medications?
DD form 1289
Can retired military physicians possessing a current license use the DD form 1289 to write prescriptions for personal use?
Yes
What information must be provided on the DD form 1289?
8
Patients full name
Date prescription was written
patients age or date of birth and wait under 12 years or younger
Name of drug
form of drug dosage size written a metric system
quantity of dispensed
Clear directions for the Patient
Valid legible signature of the prescriber
Outpatient prescription containers must be labeled properly with what 11 things?
- The MTF dispensing the prescription to include phone number
2) Identification prescription number
3) Patients name
4) Date the prescription is originally filled and date refilled
5) Full name of drug strength and quantity dispensed
6) Prescriber’s name
7) Fillers and checkers initials
8) Number of refills remaining
9) Beyond use date
10) Proper cautionary labels as indicated
11) Other requirements per federal law
When can telephone or oral prescriptions be accepted?
In an emergency or under exta-ordinary situations
Under what circumstance will prescriptions for animals be filled?
If they are owned by the government
How will prescription medications for oral use by outpatients be dispensed normally?
Child resistant containers Unless patient or prescribing physician requested conventional caps
In what year was the poison prevention packaging act signed and amended?
1970 2008
Can MTF pharmacies provide medications intended for the purpose of home intravenous infusion?
No,
Patients should be referred to case management to seek benefits advisory staff to Coordinate home health care services
Can MTF pharmacies. Dispense pharmaceutical samples from sale representatives to patients?
No
What conditions would be present for a pharmacy personnel to not fill prescription?
(6)
Ineligible, incompatible, if there is a question of: dosage, interaction, allergy, or method of administration
How many forms of identification are required to receive medications
2
How should pharmacy personnel report and record all medication errors including near misses?
Via commands error reporting mechanism and BUMED guidance
A prescription for schedule two medications must be filled within how many days of the Date originally written?
30
The pharmacy can fill prescriptions for controlled substance classification Three, four, or five as long as filled within how many months of the date originally written?
6
Schedule two through five medications are not limited to a reasonable quantity of medication as defined by MTF policy not to exceed how many days supply?
100
Deploying members may receive up to how many days supply of medication schedule 3 to 5 medications?
180
A prescription for non-control medication shall be filled within how long of original date Written?
1 year
