Pharmacy Exam Section 3 Flashcards
T/F: If a pharmacist is not physically present in an establishment and is not on duty a prescription cannot be dispensed
True
What is an after hour cabinet
Locked cabinet or other enclosure outside the pharmacy area containing minimal supply of frequently used medication (only authorized personnel by the institution can access it)
When is the only time an after hour cabinet should be used
In the absence of a pharmacist
If a medication is removed from an after hour cabinet what must be placed in the cabinet
Written physician order’s authorizing the removal of the medication must be placed in the cabinet after medication is removed
T/F: There is a log book in an after hours cabinet as well with the medication and it should be logged everytime someone removed a medication from the after hours cabinet
True
What are the three things required for a log book inside of the after hours cabinet
1) Signature of the person who took the medication
2) What medication was taken along with strength and quanity
3) THE TIME OR REMOVAL
Who is responsible for supplying and maintaining the emergency kit
A pharmacist
Who are the people who are allowed to remove drugs from an emergency kit
1) Authorized pharmacy personnel
2) People who are authorized to administer medication pursuant to a valid physician order
3) A physician who is licensed to practice all branches of medicine in Illinois
T/F: Emergency kits should be sealed in some manner that allows for indicating when a kit has been opened
True
What is the expiration date of any emergency kit
The earliest expiration date of any drug that is inside of the kit
T/F: If an emergency kit has been used, upon discovery that the seal has been broken or the expiration date the emergency kit will be returned to the pharmacy to be checked or restocked
True
T/F: A practicioner cannot self prescribe controls BUT can prescribe controls to family members as long as there is a valid practioner-patient relationship
True
When is a faxed C2 acceptable
Direct administration to a patient who: 1) Is at an LTCF 2) Infusion pharmacy 3) In a hospice care facility as defined by Medicare (must note they are hospice on the prescription)
T/F: If a drug is not available in the after hour cabinet and the emergency kit the drug may be removed from the pharmacy by an authorized nurse
True
When a medication is removed from the pharmacy by an authorized nurse what must the nurse leave behind at the pharmacy, where is it placed
A copy of the physician’s order authorizing the removal of said drug will be visibly placed right next to the container from which the drug was removed
If an authorized nurse removes a drug from the pharmacy after receiving a physician order what must they do before leaving
Enter into a form/log their signature, the drug they removed along with its strength and its quantity,
When is the only time a prescriber can dispense medication from an emergency room, what is the max day supply
Outpatient institutional pharmacy services are not available, 72 hours
A prescriber has a 72 hour supply limit on medication that is dispensed from the emergency room but what are the exceptions to the 72 hour supply limit
Antimicrobial agents and unit of use packages (inhalers, opthalmics, otics, etc.)
T/F: Under the Illinois State Pharmacy Law, a prescription may not be issued for the dispensing of narcotic drugs listed in any Schedules to a narcotic drug dependent person for the purpose of continuing his dependence upon such drugs
True
T/F: If a physician is giving three 30 day supplies of a C2 they must indicate in the medical record of the patient the medical necessity for the amount and duration of the 3 sequential 30-day prescriptions for Schedule II narcotics
True
What does the term prepackaged mean
Any drug removed from the original manufacturer container and placed in a dispensing container for use other than the immediate dispensing to a patient
What must be on the label for a prepackaged drug
1) Name and strength of the drug
2) Name of the manufacturer or distributor
3) BUD or expiration
4) Lot number
T/F: Maximum beyond use date allowed for prepackaged drugs shall be the manufacturer’s beyond use date or 12 months, whichever is less
True
For every prescription record what should be recorded if the drug is dispensed
Name, initials, or other unique identifier of the pharmacist who dispensed it
T/F: Whenever a prescription is dispensed by a registered pharmacy technician under the supervision of a pharmacist, the prescription record shall contain the names, initials or other unique identifier of both the supervising pharmacist and the registered pharmacy technician
True
If a refill is done for a prescription what should be entered on the prescription
1) Name and dosage form of the drug
2) The date of each refilling
3) The quantity dispensed
4) The name or initials of the pharmacist and pharmacy technician
5) Total number of refills remaining
Who notifies the pharmacist in charge by mail at the address of the closing pharmacy the department’s intent to confiscate all legend drugs
The seceretary of the divsion
T/F: For Illinois Law pharmacists are not allowed to dispense controls for emergency fills
True
T/F: If a pharmacist does give out an emergency refill it is there responsibility to tell the patient that future refills will require prescriber authorization AND must record in the patient prescription record along with informing the prescriber about the emergency refill
True
Before dispensing an opioid antagonist, a pharmacist shall complete a training program approved by the Department of Human Services
True
What is a pharmacy kiosk
A device that maintains individual patient prescription drugs that were verified and labeled at the home pharmacy
T/F: A home pharmacy may only use a kiosk with prior approval from a patient
True
What license does a kiosk work under if it located on the same premise as its home pharmacy, what if it is not
The home pharmacy license, It must be registered with the division with its own license
T/F: When not located on the same premise as a home pharmacy a kiosk will inform a patient that the home pharmacy is closed BUT immediately direct any questions and concerns regarding the prescription to a licensed pharmacist via a pharmacy provided audio/video link
True
What is the key unique aspect of remote consultation sites
There is no prescription inventory
What are the only prescriptions available at a home pharmacy
Filled prescriptions with final patient labeling (filled by the home pharmacy)
T/F: Remote consultation sites must be staffed with a pharmacy technician or certified pharmacy technician who has the knowledge necessary to use computer audio/video link for dispensing and consultation to occur
True
What is the time limit that written prescriptions received by the remote consultation site must be delivered to the home pharmacy
72 hours
T/F: Prescriptions that are at a remote consultation site must be maintained by a separate lock drawer or cabinet
True
T/F: Record keeping shall be conducted by the pharmacist (time/date) when dispensing and counseling occurred at the remote counseling site
True
T/F: Remote consultation sites shall have a room for patient consultation exclusive of any waiting area
True
T/F: Remote consultation sites must have a sign clearly identifying it as a remote consultation site
True
How often must a PIC check remote telepharmacy dispensing machine sites
Once a month
T/F: A remote automated pharmacy system must be licensed with the division as an automated pharmacy system and is subject to random inspection by pharmacy investigators
True
For purposes of random inspections, a pharmacist with access to the system must be available at the site how soon must a pharmacist be available
Within one hour
Prior to issuance of a pharmacy license to practice as a nuclear pharmacy, the pharmacy shall provide a copy of what
Illinois Radioactive Material License issued by the Illinois Emergency Management Agency
T/F: An individual practitioner may administer or dispense directly a controlled substance listed in Schedule II in the course of his or her professional practice
True
Who issues a commercial nuclear pharmacy license
Illinois Emergency Management Agency (IEMA)
When a pharmacist has dispensed a biological product they shall make an entry of the specific product provided to the patient within how many days
5 (must include the name of the product and manufacturer)
T/F: The Department shall maintain a link on its Internet website to the current list of all biological products determined by the United States Food and Drug Administration to be interchangeable with a specific biological product.
True
Labels on all medications dispensed by the pharmacy for immediate dispensing to a patient being discharged, emergency room patient and/or employee shall contain the following
1) Name and dosage form of the drug
2) The date filled
3) The quantity dispensed
All medication prepared by the pharmacy for immediate dispensing to a specific patient or resident in the institution or facility shall be identified as
Brand/generic name and strength
T/F: All medication dispensed to a specific patient in the institution shall be dispensed in a container identified with the name of the patient and the patient’s location
True
