Quiz One Flashcards
Pharmaceutical Care
Differentiate between legal & ethical duties
related to patient rights, especially patient
confidentiality
Systems Management
Identify record-keeping requirements related
to pharmaceutical products, including
requirements for protecting patient
confidentiality
Confidentiality
“done or communicated in confidence or secret”
HIPAA (Health Insurance Portability & Accountability Act)
Legal & ethical principles recognize a patient’s
right of confidentiality…
Protects patient
Demonstrates respect for patient as an individual
Builds trust within patient-provider relationship
Candid disclosure of information to caregivers
UNMC Code of Conduct
Expectation that all faculty, staff and students conform
to highest ethical standards & meet all legal obligations
in performance of their duties
Compliance
Areas of regulatory responsibility
applicable to UNMC include, but are not limited to:
Health & safety in workplace
Conflict of interest
Confidentiality of student, patient and other proprietary
information
UNMC – College of Pharmacy
Statement on Patient Confidentiality
Ethical responsibility to protect patient privacy and
confidentiality rights
Extends to pharmacy students during experiential training
&/or workplace; “Semper discretus”
Breach
Information about any patient provided to
any individual who does not have legitimate use for (or
need to know) that information
Consequences for any breach of
confidentiality…
Failure of the practice experience or
course where breach occurred
Additional disciplinary actions
What constitutes breach of confidentiality?
Photocopying part of patient’s medical
record
Inappropriate purposes for discussion
Identification of patient by name when
discussed outside confines of patient care
team or meetings with preceptors (use ‘initials only’)
Inappropriate locations for discussions
Snooping
Access to those who do not need it
Celebrities as patients / families (Entitled to same confidentiality, privacy and
dignity as less well-known individuals)
According to the Nebraska Pharmacy Statutes…‘Practice of Pharmacy’ means…
Interpretation, evaluation, & implementation of a medical order, Dispensing of drugs and devices, Drug product selection, Administration of drugs or devices, Drug utilization review, Patient counseling, Provision of pharmaceutical care, Medication therapy management, and Responsibility for compounding and labeling of dispensed or repackaged drugs and devices, proper and safe storage of drugs and devices, and maintenance of proper records.
Nebraska Pharmacy Statutes… Pharmacy Practice persons expected…
As authorized by the Uniform Credentialing Act, the
practice of pharmacy may be engaged in by a
pharmacist, a pharmacist intern, or a practitioner with
a pharmacy license.
The practice of pharmacy shall not be construed to include:
- Practitioners, who dispense drugs or devices as an
incident to the practice of their profession, except that if such
practitioner regularly engages in dispensing such drugs or
devices to his or her patients for which such patients are
charged, such practitioner shall obtain a pharmacy license; - Persons who sell nonprescription drugs
Pharmacist Licensure
- To be eligible to take the pharmacist licensure
examination, every applicant must present proof of
graduation from an accredited pharmacy program. - Every applicant shall:
Pass a licensure examination approved by Board
Have graduated from accredited program
Present proof of: Passing examination, active practice, board certification or other competency demonstration approved by the Board. - Proof of qualifications shall be made to the
satisfaction of the department, with the
recommendation of the Board
Graduation from an accredited program shall be certified by the college of pharmacy by issuance of a degree
Notes: In NE- Certification of Education are signed off by COP Administration (ADSA)
Final transcript with degree issued posted to transcript
Pharmacist Intern shall be:
Student currently enrolled in accredited college/school of pharmacy or
Graduate of accredited college/school of pharmacy serving internship
Graduate of program outside U.S. who has successfully passed equivalency exams
Pharmacy Intern Expiration
Registration based on enrollment or graduation expires not later than 15 months after date of graduation or at time of professional licensure, whichever comes first
Supervision of Pharmacy Intern Requirements
A Pharmacist Intern may compound
& dispense drugs & fill prescriptions only in
presence of & under immediate personal
supervision of licensed pharmacist
A pharmacist may supervise any combination of pharmacy technicians and pharmacist interns at any time up to a total of three people.
Such pharmacist shall be:
1. A person to whom pharmacy license is issued or person in actual employ of the license
2. Delegating pharmacist designated in a delegated dispensing
agreement by a hospital with a delegated dispensing permit
3.Supervising pharmacist’s license must be free
from disciplinary measures at time of supervision
Scope of Pharmacy Internship
Performance as a Pharmacist Intern under supervision
of pharmacist shall be predominantly related to practice of
pharmacy & shall include keeping of records & making of reports as
required by state & federal statutes
No person other than a licensed pharmacist, a pharmacist intern, or a
practitioner with a pharmacy license shall provide pharmaceutical care, compound and dispense drugs or devices, or dispense pursuant to a medical order.
A pharmacist intern shall be supervised at all times while
performing the functions of a pharmacist intern which may
include all aspects of the practice of pharmacy unless otherwise
restricted.
This section does not apply to a pharmacist intern who is receiving
experiential training directed by the accredited pharmacy program in
which he or she is enrolled.
Intern shall not supervise another intern nor a technician
Sale of Syringes/Needles
It shall be unlawful for any person to deliver, possess with
intent to deliver, or manufacture with intent to deliver, drug
paraphernalia, knowing, or under circumstances in which one
reasonably should know, that it will be used to manufacture,
inject, ingest, or inhale or otherwise be used to introduce
into the human body a controlled substance.
This section shall not apply to pharmacists, pharmacist
interns, pharmacy technicians, & pharmacy clerks who sell
hypodermic syringes or needles for the prevention of the
spread of infectious diseases.
Mandatory Reporting
Every credential holder shall report name of every person without credential that he/she has reason to believe is engaged in practicing any profession for which a credential is required by the UCA (Class III felony)
Every credential holder, shall, within 30 days of an occurrence, report to the department whenever he/she:
Has first-hand knowledge of facts giving reason to believe that any
person in his/her profession-
Gross incompetence/negligence; Incompetent conduct; Unprofessional conduct; Practice while impaired; Violations of other regulatory provisions of the profession
Interns exempted from reporting above, but technicians required to report impaired practice in own profession & other professions
Self Reporting
Loss or limitation of privileges; Resignation from staff; Loss of
employment; Adverse judgment/settlement due to professional
liability claim; Loss of membership in professional organization; Conviction of felony or misdemeanor in any state; etc
Interns & technicians exempted from self-reporting as described above
Controlled Substances Regulations
The term pharmacist means any
pharmacist licensed by a State to dispense
controlled substances, and shall include
any other person (e.g., pharmacist intern)
authorized by a State to dispense
controlled substances under the
supervision of a pharmacist licensed by
such state.
