Reading 19/20 Flashcards
What does it mean for a pharmacist to be “in personal attendance”?
being physically present in the pharmacy (although we can still leave briefly to use the bathroom, help a patient, warm up lunch)
IC 25-26-13-18.5 states that pharmacists must be within reasonable _______ and ________ distance from the pharmacy.
visual; vocal
How does 856 IAC 1-1.1-6 define “pharmaceutical care”?
For purposes of this article, “pharmaceutical care” includes the spectrum of services and products provided by a board licensee to a patient or consumer in the normal course of practice. The term includes, but is not limited to, dispensing legend drug product and delivery of cognitive services.
this is a broader term compared to the Indiana Code’s definition of “practice of pharmacy”
What does the IAC’s “unlicensed person” definition state?
that anyone who is not licensed by the Board of Pharmacy and who isn’t HIPAA trained CANNOT perform dispensing functions in the pharmacy areas
In a pharmacy, our licenses must be “______________ displayed”
conspicuously
True or false: you only need to notify the Board of Pharmacy when your address changes states.
false; any time you have a license and change addresses, you must notify the board
The NAPLEX is scored on a scale of ___ to ____.
0; 150
How many questions is the NAPLEX?
250 (but only 200 count towards your test score)
What is the NAPLEX test time?
6 hours
How much does it cost to take the NAPLEX?
$575 per exam
The MPJE is scored on a scale from ___ to ____.
0; 100
How many questions does the MPJE consist of?
120 (100 actually count towards your score)
How long do we get to take the MPJE?
2.5 hours
How much does it cost to take the MPJE?
$250 per exam
What do you need to send in for authorization to test (ATT)?
- name
- address
- phone number
- date and place of birth
- certification of complete history and structure of hours of pharmacy experience before and after graduation
- intern certificate number, including date and state from which certificate was issued
- 2 recent passport-type photographs taken within eight weeks before filing the application
- $100 fee for licensure by examination
- either a certification of graduation from a program approved by the board or, if you’re applying in the last half-year of the curriculum, certification from the dean of an approved pharmacy program that the applicant is expected to successfully complete the curriculum. If you’re applying in the last half-year of the curriculum, you will not actually be able to sit for the exam until the board has received your certificate of graduation.
What score do you need on the MPJE and NAPLEX to pass?
no less than a 75 on each
True or false: if you fail the NAPLEX/MPJE, you don’t need to fill out a new application.
false; you will need to fill out a new one, but you can refer to the first application for the certificate of graduation and experience affidavits
If you fail either the NAPLEX or MPJE _____ times, you must appear in front of the Board of Pharmacy and receive written permission to test again.
2
Both the MPJE and NAPLEX allow a maximum of ___ attempts to pass.
5
NABP limits the number of attempts on any exam to ___ attempts per 12 months.
3
If you don’t graduate from an accredited college of pharmacy program or don’t obtain practical experience as part of that program, you must complete at least _____ hours of practical experience under the supervision of a pharmacist.
1500
If you want to transfer your license to Indiana, you must fill out an application for license transfer on the _____ website
NABP
When submitting an application for license transfer, what do you need to provide?
- certified photograph
- maybe a birth certificate copy
- maybe appear in front of the board for interview
True or false: you are required to pass an Indiana MPJE to transfer your license to Indiana.
true
and if you haven’t practiced in the last 12 months, you will need to take an exam similar to the NAPLEX
If the Board of Pharmacy determines that a pharmacy should have additional equipment, the qualifying pharmacist is responsible for retaining the equipment within ___ days of notification from the board, or risk the pharmacy permit being revoked or denied if still pending approval.
30
If you are responsible for a pharmacy where the whole store is a licensed area, what must be done if you want to close the pharmacy but keep the rest of the store open?
- place barriers to close off the entire area
- have appropriate monitoring if not secured floor-to-ceiling (both on-site and off-site)
- violations/breaches must be recorded by the qualifying pharmacist and the off-site monitoring company; should be reported to the board within 72 hours, including the nature of the breach/violation
- there must be a system in place to provide backup power for at least 36 hours if the power goes out
- electronic monitoring can only be activated/inactivated by a key or combination that only a pharmacist can access; any alarms that have been triggered can only be reset by a pharmacist
True or false: we can reuse returned substances from community pharmacy patients.
false; can only reuse medications sold to institutional patients and not under the patient’s control
According to 856 IAC 1-23, what MUST be included on a prescription label?
- name/address/phone number of pharmacy
- fill date
- prescription number
- prescriber name
- patient name (+ species AND owner’s name if animal)
- directions as contained in the prescription
- name of the drug in compliance with the Generic Drug Law (IC 16-42-22)
When is our CE biennium?
from January 1 of even-numbered years (January 1, 2022) to December 31 of oddnumbered years (December 31, 2023)
Our CE requirement is ___ hours during the biennium in Indiana
30
When is our licensing biennium?
from July 1 of even-numbered years (July 1, 2022) to June 30 of even-numbered years (June 30, 2024).
True or false: if you are in a residency program or in graduate school, you can ask the board to accept the program as meeting your CE requirements.
true (and this has been done)
What is the required breakdown for CE?
- only 6.5 hours can be management-based courses
- at least 24 hours must be pharmacy practice-related
- at least 15 hours must be from ACPE-accredited/sponsored CE programs
We must keep records of our CE for at least ___ years.
4
True or false: if you are licensed during a biennium, you aren’t required to complete all 30 hours of CE.
true; you are only required to complete 1.25 hours of CE for each month or part of a month you were licensed
If you get licensed in the last ___ months of the biennium, you don’t need to complete any CE for that biennium.
true
“Consultant pharmacists” are closely aligned with the role that a ___________ pharmacist may complete in a ___________.
clinical; hospital
Anything not in a unit-dose package that is intended for use in an institution must have at least:
- patient ID
- patient location in the institution
- drug name (brand, generic, or both)
- drug strength
- route of administratiin
- quantity
- pharmacist’s initial
If an institutional package is unit-dosed, it must be labeled with at least:
- drug name (brand, generic, or both)
- strength
- control number and/or expiration date
When would an institution be allowed to permit the use of a patient’s own medication?
- if the patient/representative can maintain the medication at the patient’s bedside (unless it requires special storage); can be kept in an area controlled by nursing personnel if necessary
- if the nurses can witness administration and record use
What happens to a patient’s medication if they bring it with them to the hospital and then subsequently die?
it must be sent to the institutional pharmacy for destruction
What happens if a patient leaves their medications at the hospital after discharge?
the drugs must be documented and stored in the nursing area for no more than 7 days; if not claimed within this time, the drugs must be delivered to the institutional pharmacy for destruction
The most important part of the definition of a sterile pharmaceutical is that it is free from what type of microbes?
LIVING microbes (this does not mean that it’s free from all microbes)
True or false: making an offer for the patient to ask questions legally counts as counseling.
false
When counseling, ___________ delivery is required.
verbal
What items must be included in a pharmacy’s patient profile?
- name
- address
- phone number
- age/DOB
- gender
- drug allergies and adverse reactions
- current medications and relevant devices
- disease states
- any information deemed appropriate by the pharmacist
- pharmacist comments relevant to drug therapy
True or false: it is illegal to use control prescription pads for non-controlled medications.
false
What statement MUST be included on a controlled substance prescription pad?
the statement “Prescription is void if more than one (1) prescription is written per blank” must appear on the bottom of the prescription
What is a temporary variance?
a change or an exception to a rule or regulation
Temporary variances can be granted for __ months and renewed up to __ more times.
6; 5
What must electronic prescriptions and drug orders be sent through?
an electronic data intermediary (EDI), which is an entity that provides the infrastructure that securely connects the computer system of the practitioner to the computer system of the pharmacy
What kinds of actions are included within the umbrella of “cognitive services”?
- Medication therapy management.
- Prospective drug review.
- Drug utilization review.
- Drug interaction review.
- Collaborative practice with eligible prescribers.
- Pharmacist prescribing where permissible under collaborative practice.
- Patient counseling (whether in person or via technology that allows the pharmacist to have real-time access to patient data and real-time visual or vocal contact with the patient).
- Patient education and outreach designed to improve patient outcomes.
- Facilitating patient medication compliance and adherence.
- Facilitating preventative health or disease state management programs.
- Reducing medication errors.
- Review and analysis of records of continuous quality improvement programs or protocols
Are administrative or clerical functions considered “cognitive services”?
no
