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PHRM 871: Law > Reading 15 > Flashcards

Reading 15 Flashcards

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1
Q

What is the definition of Board?

What are the 18?

IC 25-1-9-1

A
  • Any entity in IC 25-0.5-11
  • Board of Dentistry, Medical Licensing Board of Indiana, Indiana State Board of Nursing, Indiana Optometry Board, Indiana Board of Pharmacy, Board of Podiatric Medicine, Indiana Board of Veterinary Medical Examiners, and Physicians Assistant Committe
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2
Q

What is the definition of Practitoner?

A
  • Anyone that holds a license of permit [restrictive or not]

Pharmacy, Pharmacist, Interns and Techs are technically Practitioners

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3
Q

What are the 15 general actions that can causes disciplines?

A
  • Fraud toward practice
  • Convicted of crime
  • Knowingly violating rules
  • Practicing imcompetently or lack of knowledge
  • Lewd or Immoral acts for service
  • Practicing beyond scope
  • Disciplined in other states
  • Diverting a drug or device
  • Selling narcotics to substance abusers
  • Practicing on suspended license
  • Sex with patient
  • Collecting money when you shouldnt [HMO]
  • Helping with disciplinary acts
  • NOT reporting child abuse
  • NOT reporting human trafficking

all of these can lead to SANCTIONS

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4
Q

Is it important to just be upfront with any criminal history with the Board of Pharmacy?

A
  • YES = not telling them is seen as a lie [disciplined]
  • They run background checks; showing all things - even those remove from record
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5
Q

What are some of the sanctions that can happen due to dicipline?

A
  • Revocation
  • Suspension
  • Summary or Emergency Supsension
  • Probation
  • Letter of Reprimand and Censure
  • Fine
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6
Q

What is does revocation mean in terms of a sanction?

A
  • License is permanetly gone
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7
Q

If your license if revoked can you get it back?

A
  • NO; you number is gone
  • BUT you can wait 7 Years and apply for a new one [re-taking all board exams]

NOT GUARANTEED

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8
Q

What is does suspension mean in terms of a sanction?

A
  • License is supsended indefinitely so you cant practice
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9
Q

Can a suspened license be reinstated?

A
  • YES, if the Board believe that you are able to practice with skill and safety to the public
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10
Q

What is does summary or emergency suspension mean in terms of a sanction?

A
  • License is supsended for 90 days only when its a clear and immediate danger to the public
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11
Q

Who are some of the practitioners that need to be notified about an emergency supsenion, and why?

A
  • Physicians, Vets, PAs
  • Becuase they have patients that need their help

Doesnt apply to pharmacist becuase literlly anyone can fill our spot

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12
Q

What is does probation mean in terms of a sanction?

What are the probation conditions?

A
  • Can still practice with license BUT must meet the conditions
  • Conditions: Limits practice area, report to Board, do professional education, do things without pay, community service
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13
Q

What is does letter of reprimand and censure mean in terms of a sanction?

A
  • LoR: Written record saying a license is disciplined and why [mailed]
  • Censure: Verbal disapproval [infront of Board]
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14
Q

What is does fine mean in terms of a sanction?

A
  • $1000 for violations; except if you phyiscally or mentally disabled
  • NOT paid = suspended licenses
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15
Q

What is a surrender?

When they want to avoid hearing??

A
  • Need written approval from the Board which the board can impose
  • This can lead to NEVER practicing again
  • LAST LINE OPTION

RISKY RISKY

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16
Q

What are some of the ways that the Board can refuse issuing a license?

Section 16 & 17

A
  • Section 17: may appear infront of board
  • Section 16: If already disciplined which effects their ability to practice, or if practicing without a license
17
Q

Do all controlled substance prescriptions need to be electronic?

Other states? Who dont have too?

A
  • YES; all need to be electronic by Indiana Prescribers
  • Out of State isnt required
  • ONLY prescribers that dont are Vets and Medical Residents [orally, fax, written]
18
Q

What are some of the ways when an oral, writtnen or fax control is good?

A
  • Techonology failure
  • Pharmacy cannot receive the Rx
  • Dr is outside Indiana
  • Dr and RPh are the same person
  • Dr gets a wavier from Board [must write the wavier number]
19
Q

Within the Telehealth chapter who are considered prescribers?

IC 25-1-9.5

A
  • Physicians, Physicians Assisants, APNs, Optonetrists, Podiatrists, Dentists, and Vets
  • So can Pharmacist & Students?
20
Q

What is the definition of telehealth?

IC 25-1-9.5-6

A
  • Delivering health care services via interactive electronic communication
  • “Secure Video-Conferencing, store and foward technology, remote patient monitoring”
21
Q

What are some of the things that are not considered to be “Telehealth”, and who CANNOT do a telehealth?

A
  • Email, Instant messaging, Fax, Questionnaire [has to be Face-to-Face]
  • Cant be done by Employee of Dr or person that is employed by the person that employees the Dr
22
Q

When and when cant a prescriber issue a prescription to a patient that is using Telehealth if they havent been seen in person?

A
  • Dr has to be satisfied with treatment for patient
  • Rx is within the scope of practice
  • Rx meets subsection about controls [a different card] and NOT for an opioid (unless its a partial agonist)
  • NOT an abortion drug
  • is for a medical device
23
Q

When a prescriber is issuing a controlled substance for a patient over telehealth what are some of the requirements that they should follow?

A
  • Dr has vaild registeration under Controls
  • Meets conditions in 21U.S.C 829
  • Telehealth is used properly
  • Dr uses INSPECT
  • follows all other laws
24
Q

Can opioids be prescribed via a telehealth visist?

-

A
  • NO; unless it is a partial agonist
  • Buprenophine/Naloxone Combo is the most common

Most of the time pharmacist are unsure if the Rx is or isnt from telehealth; IC 25-1-9.5-11 protects the pharmacist

25
Q

When a Prescriber is out of state and using telehealth, what is telehealth supposed to do?

A
  • Telehealth CANNOT have the Rx fill if out of state, BUT if certified by IPLA they can

Must be renewed when renewing the license

26
Q

What are limitations on the prescribing of opioids, and when are some of the times that these limitations DO NOT apply?

A
  • 1st time using Opioid = only 7 days
  • For >18 yo = only 7 days
  • 1st time for Animals = only 7 days
  • DO NOT APPLY for cancer, palliative care, assisting in substance disorders, condition exempted by the board or Dr professional judgement
27
Q

What does the Indiana law state about Partial Filling opioids?

Who can ask? C-III to V? C-II?

A
  • Patient, Patient Representative, or Patient Guardian can ask too
  • C-III to V: partially fill as many times as long as not expired [6m from date]
  • C-II: remaining needs fill within 72h to 30d

PHRM 871: Law (19 decks)

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