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
