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MPJE > Reading 14 & 15 - Indiana Prescribers and Professional Standards > Flashcards

Reading 14 & 15 - Indiana Prescribers and Professional Standards Flashcards

1
Q

Definition of Sale includes:

A

-manufacturing, processing, transporting, handling, packing, preparation or repackaging
-exposure or offer
-holding, storing, or possession
-dispensing, delivering, or other supplying
-applying, administering, or other using

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2
Q

Examples of unexpected sales

A

-setting out a drug for a patient to pick it up andpotentially buy it
-administering a B-12 injection

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3
Q

Who has prescribing authority in Indiana?

A

Physicians (MD/DO)
Dentists (DDS/DMD)
Podiatrists (DPM)
Veterinarians (DVM)
Advanced Practice Registered Nurses (APRN)
Physician Assistant (PA)
Optometrists (OD)

**prescribers still must prescribe within their scope of practice
**the prescriptions must be valid as written based on the laws in the state they are working in

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4
Q

APRNs must work under a protocol with a supervising practitioner, excluding which practitioners with prescribing rights:

A

-veterinarian
-physician assistant
-another APRN

they CAN work under:
-podiatrists
-physicians
-dentists

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5
Q

What is the Indiana CSR?

A

Indiana Controlled Substance Registration

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6
Q

What are the requirements for a PA and their collaborating physician?

A

-MUST be directly supervised in person or via an electronic method (meaning ready available)
-MUST have a protocol on file
-only allowed to prescribe within the physician’s scope of practice
-NEVER prescribe ophthalmic devices (glasses, contacts, low-vision devices)
-NEVER interact with CS I drugs

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7
Q

Can we accept prescriptions from APRNs and PAs from other states?

A

YES, as long as they are licensed to prescribe legally within that state

*** they have to sign the prescription with their name, credentials, and license number

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8
Q

Optometrists Formulary to Prescribe in Indiana

A
  • Independently prescribe === does not have to notify a PCP
  • Dependently prescribe by notification of the PCP (write it on prescription)
    -Dependently prescribe by consulting the PCP (write it on prescription)
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9
Q

What controlled substance can an OD prescribe if a DEA number and Indiana CSR is present?

A

Tramadol

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10
Q

What prescriber can we fill prescriptions ONLY from Indiana and nothing from out of state?

A

Optometrists (OD)

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11
Q

What midlevel providers are NOT able to prescribe in Indiana?

A

-Naturopaths
-Pharmacists
-Dieticians
-Chiropractors

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12
Q

Standards of Practice applies to which practitioners?

A

ANYONE with a license including pharmacy interns and technicians

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13
Q

Santions can be given to who?

A

ANYONE with a license

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14
Q

The sanction involving a written recorn of what you did wrong sent to you and put on your permanent file:

A

Letter of Reprimand

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15
Q

The sanction involving you license being taken away permanently

A

Revocation

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16
Q

After a revocation of a license what are the requirements to reapply, if possible?

A

-Wait 7 years
-You need to retake all exams
-Reapply with the board and they do NOT have to accept your application

17
Q

The sanction involving maintaining licensure with restrictions or mandatory actions (including community servise, CE, reporting to the board, etc)

A

Probation

18
Q

The sanction involving inability to practice but ability to apply for reinstatement after a certain point

A

Suspension

19
Q

If a pharmacist is a imminent danger to the public, the BoP can issue:

A

Emergency Suspension for 90 days

20
Q

The sanction involvinng verbal expression of disapproval and on your official record

A

Censure

21
Q

What are the two ways a practitioner can avoid a hearing?

A

-Request a settlement
-Apply to surrender their license

22
Q

What practitioners are NOT covered under the new electronic prescription law for controlled substances?

A

Medical residents
Veterinarians

23
Q

What instances can we NOT accept a written prescription for controlled substances?

-electronic failure
-research protocol
-patient request
-prescriber outside indiana
-prescriber with a waiver from the board
-drug orders

A

patient requests and drug orders

24
Q

What medications CANNOT be prescribed over telehealth?

A

Opioids and abortion inducing drugs

25
Q

Which of the following is NOT a requirement when prescribing controlled substances through telehealth?
- conducted with audiovisual and two way interactive, real time communication
- issued medication for legitimate purpose
- patient must be 18 years or older
- complies with INSPECT

A

patient must be 18

26
Q

If a patient is receiving an opioid for the 1st time, what should the days supply NOT exceed?

A

7 days

27
Q

If an animal is receiving an opioid for the first time what should the days supply not exceed?

A

7 days

28
Q

If a patient is a minor (<18 years old) and received a prescription for opioids, what should the max days supply be?

A

7 days

29
Q

What are some exceptions to the 7 days supply rule for opioids?

A
  • if patient is an adult who has already received an opioid prescription
  • Cancer or Palliative care
  • Substance use disorder
  • conditions stated by licensing board
  • Prescriber’s professional judgement
30
Q

If a precriber wrote a prescription for a 16 year old for Demerol x 15 days for pain after surgery. What would you need to do in order to fill this legally?

A

Reach out to the doctor and document WHY thte prescriber wrote for over 7 days

31
Q

Who can request partial fills for opioids?

A

Patient, legal representative, or guardian

DOCUMENT THIS

32
Q

A patient wants a partial fill of her Tylenol #3 written for 30 tablets 2 months ago. The patient is requesting 5 tablet now and will fill the remaining quantity later. Is this allowed?

A

Yes, Tylenol #3 is a C-III OPIOID substance that can be partially filled as many times within the 6 months of active prescription as long as it does not exceed the written quantity

33
Q

A patient requests for a partial refill of Dilaudid prescription written for #14 tablets 2 months ago. The patient is requesting 7 tablets nowand 7 tablets later. Can you partially fill both times?

A

NO, Dilaudid is a opioid C-II substance can cannot fulfill a remaining partial fill after 30 days the prescription was written

MPJE (11 decks)

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