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Winter P1 > Pharm 728 Final > Flashcards

Pharm 728 Final Flashcards

1
Q

OAR Division 11

A

Health Professional’s Service Program

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2
Q

OAR Division 19

A

Pharmacists*

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3
Q

OAR Division 21

A

Continuing Pharmacy Eduation

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4
Q

OAR Division 25

A

Certified Pharmacy Technicians and Pharmacy technicians

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5
Q

OAR Division 31

A

Internship Regulations

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6
Q

OAR Division 41

A

Operations of Pharmacies (ambulatory and Residential Drug Outlets)

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7
Q

OAR Division 45

A

Sterile and Non-sterile compounding

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8
Q

OAR Division 80

A

Schedule of controlled substances

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9
Q

Notice of Proposed Rule (855-001-0000)

A

The Board must provide a reasonable opportunity for interested persons to be notified of the agency’s proposed action

  • Includes Oregon State Pharmacist Association and Oregon Society of Health System Pharmacists
  • Associated Press

Notification Deadlines

  • Bulletin, at least 21 days prior
  • Those requested, at least 28 days prior
  • Those specified, at least 49 days prior
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10
Q

Duty to Cooperate (855-001-0035)

A

Every Licensee/Registrant shall respony fully and truthfull to inquiries/requests from the board, subject only to any applicable right or privilege.

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11
Q

Inspections (855-001-0040)

A

Board and representatives may Enter/search and premises or where records stored
Refusal is grounds for denial, suspension or revocation of registration

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12
Q

Duty to Report (689.455)

A

Unless a confidentiality Law conflict, pharmacists must report
Any Suspected violations of ORS 689; 475
Any prohibited conduct of ORS 676

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13
Q

Prohibited Conduct (ORS 676)

A
  • Constitutes a criminal act against a patient or client
  • Constitutes a criminal act that creates a risk of harm to a patient or client
  • Conduct unbecoming a licensee or detrimental to the best interest of the public, including conduct contrary to recognized standards of ethics of the licensees profession or conduct that endangers the health, safety or welfare of a patient or client.
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14
Q

Oral Counseling (OAR 855)

A

an oral communication process between pharmacist and patient or patient’s agent that identifies patient/agent an provides professional advice regarding safety and use for purpose of assuring therapeutic appropriateness

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15
Q

Drug Utilization Review (OAR 855)

A

Evaluating Prescription Drug Order for the purpose of promoting therapeutic appropriateness:

  • Over/Under utilization
  • Therapeutic duplication
  • Drug-disease contraindication
  • drug-drug interaction
  • Incorrect dosage/duration of treatment
  • drug-allergy interactions
  • clincal abuse/misuse
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16
Q

Supervision by a Pharmacist (OAR 855)

A

Being stationed in the same work area as the pharmacy technician or certified pharm tech/Intern and be able to control and be responsible for their actions.

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17
Q

Continuing Pharmacy Education Requirements

A

50min = 1 contact hour
10 contact hours = 1 CEU
3 CEU required every 3 yrs
(minimum 2 hrs acquired in pharm and drug law)
(minimum 2 hrs acquired in patient safety)

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18
Q

Certified Pharmacy Technicians must have:

A
  1. Nation Examination certification
    a) PTCB test
    or
    b) NHA test
  2. 10 contact hours per term
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19
Q

Pharmacy Technicians

A

Assist Pharmacist, have not completed specialized education program

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20
Q

Both CPhT and Pharm Techs must:

A

be 18
Complete a Board application and provide a valid Email address
Have no board restrictrions from any healthcare regulatory board

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21
Q

Difference Between:
Pharm Techs (PT)
Certified Pharm Techs (CPhT)
Certified Oregon Pharm Tech (COPht)

A

PT - No special skills, just recognized by board
CPhT - Passed National Exam
COPhT - Passed exam and recognized by board as having done such

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22
Q

Shared Pharmacy Services agreement includes:

A 
Dispensing
Drug Utilization Review
Claims Adjudication
Refill Authorization
Compounding
Therapeutic Intervention
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23
Q

Category Risks for Compounding 1-5

A

1 - Nonsterile, generally mixing two or more products (not compounding)
2 - Nonsterile, enerally compounding w/ calculations required
3 - Sterile (low risk, 3 ingredients)
4 - Sterile (medium risk, 3+ ingredients)
5 - Sterile, (High Risk, nonsterile ingredients –> sterile)

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24
Q

Pharmaceutical Manufacturers requirements

A

Transaction History
Transaction Information
Transaction Statement

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25
Q

What is a Suspect Product?

A

A product for which there is reason to believe is:

  • counterfeit, diverted, stolen
  • adulterated
  • subject of fraudulent transaction
  • otherwise unfit for distribution
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26
Q

Class I Wholesaler

A

Anywhere where Prescription Drugs

27
Q

Class II Wholesaler

A

Anywhere Non-prescription drugs

28
Q

Class III wholesaler

A 
Drugs for Veterinary use,
Devices w/o drugs,
Oxygen/Other gases
IV for fluid/electrolyte/calorie
Medical convenience kits
29
Q

FDA Approval of Condoms

A

prior to 1997, FDA relied upon OBP to test condoms, now mostly FDA does these tests that Oregon set standard of.

30
Q

Schedule of Controlled Substances

A

I - No medicinal Purpose, High abuse potential (Bath Salts)
II - Medicinal Value, High abuse potential (Marijuana)
III - Medicinal Value, less abuse potential (Pseudoephedrine)
IV - Medicinal Value, lesser abuse potential (Carisoprodol)
V - No abuse potential

31
Q

Prior to Pharmacist Licensure…

A
  • Provide evidence for completing graduation requirements
  • 1440 hours of school based rotational interships
  • Passed NAPLEX exam (>75)
  • Passed MPJE exam (>75)
  • Submit completed application
32
Q

NAPLEX Score Transfer

A
  • applicant for score transfer must be graduate of a school and had a score of >75
  • applicant must apply to have their score transferred
33
Q

General Responsibilities of a Pharmacist include:

A
  • Drug Utilization Review
  • Counseling
  • Drug Regimen Review
  • Medication Therapy Management
  • Collaborative drug therapy management
  • Practice pursuant to State drug therapy management protocols
  • Ordering intrepreting and monitoring of a laboratory test
  • Oral receipt or transfer of a prescription
  • final verification of work performed under their supervision
34
Q

Pharmacist Practice and Duty to self Report required if…

A
  • Convicted of a misdemeanor or a felony

- If they are arrested for a felony

35
Q

Components of a Drug Utilization Review

A

a) Full name of the patient
b) address and telephone number
c) Gender, age/DOB
d) Chronic medical conditions/disease states
e) list of all drugs/devices
f) known allergies/ADRs
g) comments relevant to drug therapy
h) additional information

  • must be kept 3 yrs
  • DR prior to dispensing or preparing any prescription or refill
36
Q

When is counseling required?

Who may counsel, how do you record?

A
  • New prescription
  • any changes in therapy (strength/directions etc)
  • New Pharmacy
  • Pharmacist or approved Intern may counsel or receive denial to counsel
  • document the interaction
37
Q

What is Medication Therapy Management?

A

Intended to optimize the therapeutic outcomes of a patient.

  • enhancing appropriate medication use
  • Improving medication adherence
  • Increasing detection of ADRs
  • Improving collaboration between practicioner and pharmacist
  • Improving Outcomes
38
Q

Elements of a Prescription

A
  1. Patient Information
  2. Drug Therapy Instructions/Protocol
  3. Prescriber’s authorization (signature)
39
Q

Administration of Vaccines Record Keeping and Reporting requirements

A
  • must fully document administration in patient’s permanent record
  • must report to OHA alert Immunization information system within 15 days of administration.
40
Q

Duties and requirements of PIC

A
  • every pharmacy must have a PIC at one point in time.
    and
  • must have at least 1 yr of practice
    or
  • must have board approved PIC training course
41
Q

Grounds for discipline

A
  1. Unprofessional conduct
  2. Repeated or gross negligence
  3. Impairment
  4. Board violation
  5. guilty of a felony
  6. guilty of OAR or ORS violation
  7. Fraud or misrepresentation
  8. practicing w/o a license
  9. aiding and abetting an individual engage in practice of pharmacy
  10. violation of provisions to ORS or rules adopted thereto
  11. Failure to preform duties of a pharmacist
42
Q

Prescriptive Authority rule

A

855-019-0400

Qualified Pharmacists may prescribe hormonal contraceptives.

43
Q

Prescriptive authority Training Program

A

Must complete ACPE for prescribing contraceptives and submit a copy of certificate of completion of training to board within 15 days of completion.

44
Q

Prescriptive Authority Requirements

A

Must be 18, or if under 18 has evidence of previous prescription from PCP

45
Q

Internship Regulations/Requirements

A
  • Must have a Preceptor Present
  • Must complete Application, including background check, fingerprints, confirmation that applicant is enrolled in a course of study
46
Q

Internship Responsibilities for TPI and SRI

A

Traditional Pharmacy-Practice Internship (TPI)
- must have completed first year of school of pharmacy
School Based Rotational Internship (SRI)
- may not work more than 48hrs a week

  • PRECEPTOR MUST BE CURRENTLY LICENSED W/ BOARD
47
Q

Division 41, Operation of Pharmacies Important inclusions

A
  • Distribution of Emergency Medication
  • Central Fill Drug Outlets
  • Remote processing drug outlets
  • Consulting or Drugless pharmacies
  • Expedited Partner Therapy
  • Retail Drug Outlet for home dialysis supplies
  • Remote Dispensing
  • Remote Distribution Facilities
  • Residential Drug Outlets
  • Technician Checking Validation Program
  • Hospitals w/ Pharmacies
  • many many more
48
Q

Oregon Pharmacy Recovery Network Mission

A

Pharmacists Helping Pharmacists, seek to assist colleagues overcome physical and mental impairment by chemical dependency.

49
Q

Positive Alcohol Screen Criteria

A

Men: 15+ drinks a week
Women: 8+ drinks a week
Men/Women who have 5/4 drinks per occasion one or more times a week

50
Q

BAC Levels

A
  1. 05% - judgement impaired
  2. 08% Driving limit
  3. 1% Motor Skills Clumsy
  4. 2% Behavior/Emotions highly affected
  5. 3% Confusion/Stupor/Death
51
Q

Addiction Influenced by:

A 
Genetics
Psychosocial Factors (stress, motivation, perceptions)
Environmental Factors (Acess, Neighborhood, etc)
52
Q

Five Theories of Addiction

A 
Genetic Vulnerability
Incentive-Sensitization Reward
Pathology of Learning and Memory
Stress and Allostasis
Pathology of Motivation and Choice
53
Q

Addiction is a disorder of:

A 
Choice
Stress
Memory
Pleasure
Genes
54
Q

Addiction vs Abuse

A

Addiction acts as if a switch in brain that flips at some point as a result of drug use

55
Q

Is there a cure to addiction disease?

A

No, a lifetime disease, that can be controlled

56
Q

Characteristics of Impaired Health Professionals

A
  • Massive Denial
  • Higher Shame
  • Feel they are Care givers, not takers
  • Perceive themselves as only ones who can do their job
  • Community holds them in high regard
  • Have good skills to cover up their behaviors (try to look good)
57
Q

Factors for High Incidence of Health Professional Abuse

A 
Availbility
Stress/Perfectionism
Knowledge (superman mentality)
Caretaker personality
Genetics (38% w/ family history)
58
Q

Pharmacist’s Abuse excuse Hooks

A

Self medicate to treat pain
I know more than anyone else (drug expert)
I can do this safely, docs call me w/ drug questions
Always think they can control it

59
Q

Pharmacist Professional Duties:

A
  1. Do no Harm
  2. Warn: Patient RIsk manger
  3. Warn: Safety Net
  4. Protect Confidentiality
60
Q

Continuous Quality Improvement (CQI) checkpoints

A

Identify RIsk
Select Best Practices
Train and Implement
Monitor, record errors, near misses and then make changes.

Avoid, Manage, Transfer

61
Q

Best Practice - Take 5

A

1-3) Check the name 3 times

4) Check the NDC Numbers
5) Show and Tell during Counseling

62
Q

Best Practice - Mark It

A
  • Identify prescription items that cause problems

- Highlight problem with Tall man lettering, marked bottles, marked shelves etc.

63
Q

Best Practice - Counseling and Patient Care

IHS prime questions

A

What did your doctor tell you this was for?
How did your doctor tell you to take it?
Did the doctor go over possible side-effects?

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