Reading 17/18 Flashcards
What is the definition of Adminnistering in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Direct application to the body [injection, inhalation, ingestion..]
What is the definition of Board in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Board of Pharmacy…
What is the definition of Controlled Drugs in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Those that are C-I to C-V
What is the definition of Coronavirus Disease in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Severe respiratory syndrome from SARS-CoV-2
What is the definition of Counseling in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Communication between pharmacist and patient about drugs
First noted with OBRA ‘90
effective communication
What is the definition of Dispensing in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Giving drug to patient with proper labels
What is the definition of Drug in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Recognized by USP… for a diagnosis/cure… that affects the function of body
What is the definition of Drug Order in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Rx for a patient in hospital; written by Dr; written by pharmacist
What is the definition of Drug Regimen Review in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Review by pharmacist of patient drug history [looking at allergies, interactions, side effects]
looking at that regimen in THAT EXACT MOMENT
What is the definition of Drug utilization Review in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Looking at patient proper use of drugs
both prospective [before] and retrospective [after] for giving medications
What is the definition of Device in the Pharmacists, Pharmacies, and Drug Store Chapter?
- NOT a drug but a THING that does the same things as a drug [USP; Cure; Affect Body]
What is the definition of Electronic Data Intermediary in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Technology that connects the Dr to the Pharmacy [e-scripts, oking refils, communication]
What is the definition of Electronic Signature in the Pharmacists, Pharmacies, and Drug Store Chapter?
- …its a Signature…but electronic…
What is the definition of Electonically Transmitted in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Prescription transmitted electronincally to pharmacy NOT A FAX
What is the definition of Investigational or New Drug in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Drug limited by state; needs authorization to give to patients
What is the definition of Legend Drug in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Really any medication
What is the definition of License or Permit in the Pharmacists, Pharmacies, and Drug Store Chapter?
- A “certificate” from Board of Pharmacy that allows to practice
What is the definition of Medication Therapy Managment in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Service that helps optimize outcomes of drugs and device
What is the definition of non-prescription drug in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Drug sold without prescription [OTC]
What is the definition of Person in the Pharmacists, Pharmacies, and Drug Store Chapter?
- its an Individual, company, corporations, associations, joint stocks, etc
What is the definition of Practitioner in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Someone that practices
What is the definition of Pharmacist in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Person licensed under pharmacy [duh]
What is the definition of Pharmacy Intern in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Person undersupervision of a pharmacist from an approved college of pharmacy
What is the definition of Pharmacy in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Place where drug are filled, compounded, sold, displayed…
Place NOT profession
Practitioners have a place called “pharmacy” BUT its NOT a pharmacy legally
What is the definition of The Practice of Pharmacy in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Patient oriented health care profession which pharmacists interact with patients and other healthcare professionals to improve health outcomes
says we can counsel, report drug events, do MTM, make professional decisions in patient care
What is the definition of Prescription in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Written order from Dr to Pharmacy [has Name/Address of patient, Date issued, Name/Strength of drug, quantity, directions, Name of Dr, Signature of Dr][
What is the definition of Record in the Pharmacists, Pharmacies, and Drug Store Chapter?
- Anything that deals with purchases and sales of drugs and devices
What is the definition of Sale in the Pharmacists, Pharmacies, and Drug Store Chapter?
- “Sale” of anything medical related
How many members are apart of the Board of Pharmacy, how long do they serve, and how much do they meet?
- 5 pharmacist [1 has to practice in Hospital], 1 certified tech, 1 normie
- All serve 4 years [can resign whenever]
- Must meet 8 times per year [8am-6pm]
1st meeting elections president and vice president
What are some of the powers and duties that pharmacist MAY do?
9 things
- Adopt Rules
- Establish requirements for License
- Refuse issing of license
- Regulate sales
- Prevent from diposition
- Prescribe minimum standards
- Investigate based on public
- Deal with licenses exams
- Other Duties
NEED TO KNOW: “MAY” is things that we do have to know
What are some of the powers and duties that SHALL be done by pharmacist?
What do they establish standards for?
- Competent practice
- Counseling
- Returning expired drugs
- Electronic prescriptions
- OTC sales of ephedrine or pseudoephedrine
NEED TO KNOW: “SHALL” is what we HAVE to do
What does the law say an Impaired Pharmacist is, and what is important to note about them?
- Pharmacist that are affected by drug or alcohol abuse
- The Board will help with rehab with IPRP & IPLA [the board wont know if you go in it]
- If you DONT go to rehab; the Board will find out
What is the time when the IPRP will have to report to the Board when you go into rehab?
- Danger to self/public
- Refuse treatment
- Rehab not helping
What are some of the requiremetns to be eligible for pharmacist licensure?
- At least 18 years old
- NO crimes
- Have a pharmacy degree [from legit college]
What are the requirements of your a pharamcist that is licensed in another state and want to get licensed in Indiana?
- Register and approved by NABP
- Have a pharmacy degree
- Completed board exams
What is the difference between an active and inactive pharmacist license?
- Active: Properly renewed and paid for & did CE
- Inactive: Properly renewed and paid for BUT didnt do CE
CE = Continuing Eduction
Inactive pharmacist can reactivate by doing the missing CEs
When does the pharmacist license expire amd what happens if you DO NOT renew then?
- Expires biennially on JUNE 30 on even years
- Can request inactive
- Dont DO CE or renew = discipline
- Fail to renew before 6/30 = invaild
When do pharmacy permits expire?
- December 31 on odd years
When is the pharmacist allowed to share HIPAA info? When can techs share?
- Pharmacist: Best for patient, board requests, helps with criminal prosecution
- Techs: criminal prosecution, is a party?
When is the pharmacist able to refuse filling a prescription?
- Contrary to law
- Against patients best interest
- Helping wiht addiction
- Contrary to patients health
What are the 3 types of Pharmacy Permits and what does each focus on?
- Cat I: Open to public [“Retail”]
- Cat II: Institutionals [“Hospitals, Clinics, Facilities, etc”]
- Cat III: NOT open to public [“Central Fill, Mail Order”]
What are some of the requirements obtaining a permit for a pharmacy?
- Need to actually practice pharmacy
- Good stock of drugs
- Allows a pharmacist working
- Separate areas for OTC and RX drugs
May take 120 days to get granted
When discussing the operations of a Pharmacy, what are some of the important things to note?
Tech:RPh? What to do when RPh not there? Where to license go?
- 1 Pharmacist per 8 Techs/Interns
- No Pharmacist = ALL drugs locked, sign saying so, only pharmacist has access
- License of the people that mostly work there on the wall where customers can see them
What is important to note about transferring ownership/locations or even closing a pharmacy within Indiana law?
Transferable? Temporary Closed Vs Permanent Closed?
- Permits are NOT transferable; new owner must apply for new permit [10 days?] = same for locations
- Closed for 5 or more days = Temporary [must tell board, secure stock, ensure secure drugs]
- Permanent: tell board 20d before transfer on inventory, remove drug stock, dispose drug stock, remove signs, return permit within 10 days
What does the Transferring Prescription section within Indiana law talk about?
Who transfers? What can be transfered?
- Controls MUST be filled ONCE before transferring; UNLESS its electronic [applies to written, oral, faxed]
- Controled MUST be transfered between RPh to RPh
- Interns and Techs [update in 2022] can transfer verbally
How long should all prescriptions be kept for?
- 2 years and maintained in numerical/chronological order
What does the section refill authorization and emergency refills talk about within Indiana Law?
What can we do for emergency refills? How many times? Controls?
- Authorization = Refil without NO Refill
- Initiate Emergency Refill: Contacted Dr? No med hurts patient, OG Rx expired, shared data based, Rx for Continuous use, document refill to tell Dr.
- Only 1 emergency refill per 6 months
- CANNOT emergency refill Controls
What does the law say about filling a prescription after the death of a presciber or patient?
- Death of Dr: Shouldn’t fill BUT if it helps the patient we can
- Death of Patient: NO
What does the Indiana Law talk about in regards to return and reuse of a medication?
When can it be Returned and Reused? When cant it?
- Return and Reused: Patient was in a facility/hospice, stored good, unopened in unit dose container, taken to pharmacy where they got it , NOT expired, NOT control [NOT at Cat I & III pharmacies BUT Cat II will take it]
What are some of the things that the laws state that the pharmacist can change on a prescription?
What can we not change?
- NOT for controls, compounds, or biologics
- Change: Quantity, Dosage Form, or Day Supply [whats best for patient]
- CANNOT change drug to other drug [i.e: Doxycycline Hyclate to Doxycycline Monohydrate]
MUST update the directions tho
What are some of the powers and duties that the pharmacist is allowed to do?
What can a pharmacist prescribe?
- Get drug histories
- Do drug evals/reviews
- Drug selection [follow IC 16-42-19 & IC 16-42-22]
- Drug Research
- Prescribe: Spacers, Nebulizers, Medical Devices, Wound Care, Diabetes Testing stuff, Pen Needles, Syringes [Run Rx under OUR NPI or Pharmacies]
What does the law state about the dispensing of Epinephrine and Glucagon?
- CANNOT dispense with a expire less than 12 months or if the patient consents to short date
- Dispense Epinephrine on standing order with patient certificate?
What are some of the imunizations that pharmacist are allow to give to patients?
11 vaccines? Under Protocol? Who can do them?
- Flu, Shingles, Pneumonia, Tdap, HPV, Meningitis, MMR, Varicella, Hep A & B, Hib, COVID
- Group Protocol = 11 yo and older ONLY except Pneumonia –> 50 yo
- Interns: Can do it; need watched by RPh, Dr, PAs, APNs, or RNs
- Tech: Can do it; need watched by RPh, Dr, PAs or APNs
