Pages 91-end DS book Flashcards
What one place can a technician work where they are not required to obtain registration?
Federal facility
When do registered pharmacy technician registrations expire? Even or odd years?
March 31st, even years
When do certified technician licenses expire? Even or odd years?
September 30th, even years
How long is a technician trainee license good for?
Valid for one year
How many CE hours do registered techs need to do?
Ten hours total, 2 in law and 2 in med safety
What 5 things can a certified tech do that a trainee/registered tech cannot?
1.) Accept new verbal Rx’s for non-controlled drugs
2.) Accept verbal refill authorizations as long as no change to OG script
3.) Send/receive transfers for non-controlled drugs
4.) Contact prescriber/agent for clarification as long as no professional judgement nec.
5.) Perform diagnostic lab testing
What two things can a pharmacy technician trainee not do that a registered tech can?
1.) Stock automated drug dispensing cabinets, crash carts, floor stock
2.) Request refill authorizations with no change from OG script
If a pharmacist/intern license is revoked, suspended or refused how soon shall they return their ID card/license to the Board?
Within 10 days
At what age can retailers sell dextromethorphan products to customers?
18 or older
What 3 criteria must be met that prohibits pharmacists from dispensing certain non-self injectable cancer drugs directly to a patient?
1.) Drug is indicated for treatment of cancer or cancer related illness
2.) Must be administered IV or subQ
3.) Cannot reasonably be self-administered by patient or caregiver
4 requirements associated with a request to BOP for off-site record keeping
1.) Terminal distributor number of the pharmacy
2.) License # of the requestor
3.) Name and address of the alternative location
4.) The time frame of the records to be moved off-site
Which 2 situations is it reasonable to dispense naloxone without a prescription?
1.) To an individual who there is reason to believe is experiencing or at risk of experiencing an overdose
2.) A family member, friend, or other person in a position to assist an individual who they believe is at risk of experiencing an overdose
There must be a physician approved protocol in place for dispensing naloxone without a prescription. What 6 items must this protocol include?
1.) Description of clinical pharmacology of naloxone
2.) Indications for use of naloxone as rescue therapy, including eligible candidates
3.) Precautions and CIs concerning dispensing naloxone
4.) Assessment/follow-up actions by the pharmacist or intern
5.) Naloxone products authorized to be dispensed including name of product, dose, route of admin, required delivery device and directions for use
6.) Any patient instructions in addition to counseling requirements
What counseling is required when dispensing naloxone without a prescription? (8 items)
1.) Risk factors for overdose
2.) Strategies to prevent overdose
3.) Signs of overdose
4.) Steps in responding to overdose
5.) Info on naloxone
6.) Procedures for administering naloxone
7.) Proper storage and exp. of naloxone product dispensed
8.) Info on where to obtain referral for substance abuse treatment
When dispensing naloxone occasionally to state/local law enforcement agencies, does the pharmacy making the occasional sales have to count these towards the 5% rule?
No, does not apply to these types of sales
What are the 5 types of injections that pharmacists can administer to patients as long as a physician approved protocol is in place?
1.) LAI opioid antagonist used for treatment of drug addiction/alcohol dependence (could be initial or subsequent doses)
2.) LAI antipsychotic drug
3.) Hydroxyprogesterone caproate for PREGNANT women
4.) Medroxyprogesterone acetate for NON-PREGNANT women
5.) Vit B12 injections
Must renew protocol every 2 years FYI
T/F: The pharmacist that administered a non-immunization injection to a patient has 5 days to notify the physician
False, 7 days
Record keeping required for all injections given by pharmacist (11 items). How long must these be kept?
1.) Full name/address of pt
2.) DOB or age
3.) Gender
4.) Allergies
5.) Date of admin.
6.) Name, strength, and dose of drug admin.
7.) Lot # and exp. date of drug
8.) Route
9.) location of injection site
10.) Positive ID of pharmacist administering drug
11.) ID of person who provided permission to administer the drug
Records must be kept for 3 years
How much time of live or home study coursework must be completed to administer one of the five injections a pharmacist could hypothetically give?
1.5 hours of live or home study (7.5 hrs for all 5) with 30 minutes including review of sterile technique in injectable dosage preparation and administration
MTM main objectives (5 things)
1.) Enhance appropriate medication use
2.) Improve medication adherence
3.) Increase detection of adverse drug events
4.) Improving collaboration between prescriber and pharmacist
5.) Improving outcomes
How soon must suspicious wholesaler orders be submitted to the BOP electronically?
Within 5 days of the order being identified as suspicious
If there are no suspicious orders found during a month of review, when does a zero report have to be filed by?
The 15th of the next month
When dispensing naltrexone without a prescription how soon must you notify the prescriber and is there a limit to the number of times a pharmacist can dispense it without a prescription?
Within 5 days of dispensing; Unlimited amount (up to RPH discretion)
How long must records of naltrexone dispenses be kept?
At least one year