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PHRM 871: Law > Reading 19/20 > Flashcards

Reading 19/20 Flashcards

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1
Q

What does the Rule 1.1 in personal attendence mean?

A
  • Pharmacist ALWAYS has to be in the pharmacy [can leave to like go to bathroom, help someone, warm up lunch]
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2
Q

What does the Rule 1.1 Reasonable visual and vocal distance mean?

A
  • Techs/Interns need to be close enough to hear/see pharmacist
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3
Q

What does the Rule 1.1 supervision mean?

A
  • Phrmacist looking over non-pharmacist
  • BUT its also the board looking over all pharmacists too
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4
Q

What does the Rule 1.1 pharmaceutical care mean?

A
  • Services provided by the Board to a patient [dispensing and cognitive]
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5
Q

What does the Rule 1.1 Real-Time Online Datebase mean?

A
  • System that allows you to see what is happening at other locations in real time
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6
Q

What does the Rule 1.1 Unlicened person mean?

A
  • NO HIPAA training; NO valid License/Certification/Permit

NO HIPAA = NO pharm

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7
Q

What does Rule 2 state about Pharmacists’ Certificates?

Pharmacist doesnt work there? Change in address?

A
  • Conspicuously Displaued [for everyone to see]
  • RPh dont work there = illegal to use that license on wall
  • License & change address = noifiy board
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8
Q

What does Rule 3.1 talk about in terms of Examinations and Experience Requirements?

What score? If failed?

A
  • NAPLEX: 250 questions; scored 0-150; 6 hours; $575
  • MPJE: 120 questions; scored 0-100; 2.5 hours; $250
  • MUST get a 75 on both to pass
  • If fail: you have 5 attempts
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9
Q

What are some of the thing that are needed to apply to take the NAPLEX or MPJE?

Do you have to do all this if you fail?

A
  • Complete name/address/phone
  • Date/place of birth
  • Pharmacy experience
  • Intern Number
  • TWO paragraph [professional]
  • $100
  • Certification of Graduation

FAIL: Need new appication

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10
Q

What does Rule 3.1 talk about in terms of Experience Requirements?

What is not from legit college? When isnt a pharmay permit required?

A
  • Intern Hours only count; NOT Tech hours
  • NEED graduted from legit college; if NOT needs 1500 hours of experience
  • Permit NOT requiered: Manufacturing, Research, Consulting, Drug Info, DURs, other
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11
Q

What does Rule 4 talk about in terms of Reciprocity?

What are the steps?

A
  • Becoming Licensed in IN after being in other states
  • Apply at nabp.pharmacy –> submit photo, birth certificate?
  • MUST pass IN MPJE
  • Not practicing within 12 months = pass NAPLEX-ish exam
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12
Q

What dose Rule 6.1 discuss in terms of Drugstore, Pharmacies, and Apothecary Shops?

What is needed? Who handles it? Board want more crap?

A
  • Need proper lighting, ventilation, hot/cold water, refrigeration, scales, drug info, freezers [anything to help with practice]
  • Pharmacy Owners problems
  • Board wants more equipment, the owner MUST get it before 30 days or revoked permit
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13
Q

What does General Definiation talk about within Rule 13?

“Closed Pharmacy”

A
  • For Cat I [Retail] and Cat III [Retal-ish] pharmacy
  • If store is the licensed ares the pharmacy CAN be closed BUT you need: barriers, alarms [audible or visual], any violations reported in 72h, backup power for 36h, eletronic monitoring reset ONLY by RPh

The board can make the whole store be closed when pharmacy is closed

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14
Q

What does Rule 20 dicuss in terms of Violations and Penalties?

What acts? What sellable things?

A
  • Violate Control Substance Act
  • Violate Legend Drug Act
  • Sell Adultered or Misbranded drugs
  • Violate Food, Drug, and Cosmetic Act
  • Sell drugs WITHOUT prescription
  • Sell drugs that are expired
  • Practice Imcompetently
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15
Q

What does Rule 21 discuss in terms of Resale of Return Items?

When can we return and reuse?

A
  • Reuse drugs from institutional patients handled BY nurses; NOT the patient
  • Drug UNOPENED in unit-dose package [needs expireation date]
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16
Q

What does Rule 23 talk about when Dispensing of Dangerous Drugs?

What needs to be on the label? All the same Prescription Label stuff from before

A
  • Name/Address/Phone # of pharmacy
  • Date filled
  • Rx Number
  • Name of Dr
  • Name of Patient [if animal = species and owners name]
  • Directions
  • Name of Drug
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17
Q

What is Continuing Profession Education within Rule 26?

What counts for CE? How many hours needed? How much time we got? What if we dont do it?

A
  • Post-Licensure Educations from studies, institutes, seminars, lectures, conferences, workshops, etc
  • Have 30 hours of CE we must do; cant carry foward BUT can fall back on previous years
  • MUST be complete between Jan. 1 of even years to Dec. 31 of odd years [2 years]; have 6 month grace period
  • DONT do it the board will sanction us

RECORDS are kept for 2 years

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18
Q

What are some of the specific requirements for getting CE?

How many hours per thing?

A
  • 6 hours = management or computer stuff
  • 24 hours = Pharmacy Practice
  • 15 of those hours MUST be from ACPE programs
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19
Q

What happens is a newly licensed pharmacist gets licsensed during biennium, how much CE do they need to do?

A
  • NOT the 30 hours
  • 1.25 hours each month for that year
20
Q

Within Rule 28.1, what does Emergency Drugs mean?

A
  • Drugs for IMMEIDATE USE, not available from other sources, and delaying might harm patient
21
Q

Within Rule 28.1, what does Pharmacist In Charge mean?

A
  • Who directs activites of the institutional pharmacy [NOT qualifying pharmacist]
22
Q

Within Rule 28.1, what does Quality-Realted Event mean?

A
  • Inappropriate provision of service that may or may not have cause adverse effects [like wrong drug, strength, dosage form, patient, labeling…]
23
Q

Within Rule 28.1, what does Reversible Condition mean?

A
  • Got intervention within resonable timing
24
Q

Within Rule 28.1, what does Sentinal Event mean?

A
  • Serious adverse event that caused diability, life-threatening conditions or death
25
Q

Within Rule 28.1, what does Temporary Condition mean?

A
  • Resolve conditions WITHOUT intervention
26
Q

To who is Rule 28.1 applicable towards?

A
  • Those that are serving institutional patients
  • Cat II and Cat III pharmacies
27
Q

What are some of the pharmacist dutires within Rule 28.1?

A
  • Get drug histories
  • Do drug evals/review
  • Interupt orders from Dr
  • Check ALL orders within 24h [including emergnecy kits, cabinents, pharmacy itself]
  • Determine legality of orders
  • DO research
  • Counsel patients, providers on drugs
  • Do the normal pharmacist things

Consultant pharmacist work in LONG TERM CARE FACILITIES and do cognative things

28
Q

Within Rule 28.1, what should be done when there is an absence of a pharmacist and needing to get drugs in an institution?

A
  • ONLY authorized personnel can get into pharmacy to take meds out of a cabinet [enough for 24h without RPh]
  • NO drugs in the cabinet then; supervisory nurse is able to go to pharmacy to get what they need [if ONLY for immediate need]
  • Drugs can be in emergency kits, drug carts, etc

When supervisorary nurse takes drugs out they MUST record removal and leave a copy for the pharmacist

29
Q

What does Rule 28.1 say about Emergency Kits?

who gives it? labeling? Expiration dates?

A
  • Suppiled by Cat III Pharmacy
  • Labels: Enterior - drug name, strength, quantity, expiration & Interior - drug name, strength, Manufacturer name, lot #
  • Expiration of kit is the earlist date of any drug in kit

These normally go to LTCF

30
Q

What are the Quality-Related Events that could happen within Rule 28.1 and what should the pharmcist do?

=

A
  • Records and measures related to the event should be maintained by the pharmacist that discovered it and is all keep confidential for 2 years
31
Q

What is the labeling if the pharmacy holds a Cat III permit going to be discharged, what does Rule 28.1 say?

A
  • Name/address/phone # of pharmacy
  • Date
  • Rx number
  • name of patient
  • name of drug/strength
  • Directions
  • Route
  • Name of Dr
  • Precaution stuff

can NOT dispense to a patient discharge becuase of Cat II permit

32
Q

What is the labeling of anything that is NOT a unit-dose package being used in the institution?

Rule 28.1

A
  • Patient ID
  • Patient Location
  • Name of drug
  • Route
  • Quantity
  • RPh initials
33
Q

What is the labeling of anything that is IN a unit-dose package being used in the institution?

A
  • Drug name
  • Strength
  • Control # or experation
34
Q

When is the paitent able to self administer within the Rule 28.1?

A
  • They ARE allowed as long as the Dr oks it
  • Patient has to shows no risk of harm to self, have knowledge of med, or get training on how to do it
35
Q

What does Rule 29 discuss in terms of Electronic Data Processing of Prescriptions>

A
  • ONLY applies to Cat I or Cat III
  • CANNOT use the system in place of hardcopies
  • The computer system MUST meet requirements that do not alter Prescriptions
  • The pharmacist MUST input all drug info or supervise someone doing it
36
Q

What does sterile pharmaceutical mean within Rule 30?

A
  • Dose that is free from living microbes, not all microbes
37
Q

What does Rule 31 say about the Facsimile Machine?

A
  • CAN accept as OG for non-controls, any C-III to V, and C-II [IF patient bring s a hardcopy, narcotic injection, LTCF, Hospice]
38
Q

What does Rule 31 say about Transfer of prescriptons between pharmacies?

A
  • Non-controls: any time during the life of the prescription [not expire or out of refills]
  • C-III to C-V: Only when its filled ONCE or if shared data
  • C-II: CANNOT be transfered
39
Q

When are some of the time that a pharmacist is able to refuse a transfer?

A
  • Contrary to law
  • against best for patient
  • helps with addition
  • contrary to heatlh of patient
40
Q

What is the information that pharmacist must get when receving a transfer?

Doing?

A
  • Date of issue
  • OG refill #
  • OG dispensed date
  • # of valid refills & date last filled
  • Pharmacy name, address, DEA #, Rx #
  • Name of pharmacist/intern

DOING the transfer you need; Name, DEA # of pharmacy, date transfered, Pharmacist name

41
Q

What does Rule 33 state when talking about counseling?

WHO can and cant?

A
  • Refill and New Rx; we must offer counseling
  • CAN: RPh, Interns Pharmacy Phone # [when patient isnt there], any person in pharmacy [FACE TO FACE]
  • CANNOT: making patient ask quesitons, shift of responsibility, relaying info, using signs

Patient says NO = we stop

42
Q

What are some of the Security features for precscriptions within Rule 34?

What does the pads look like?

A
  • ALL Controls HAVE to be written on specal pads
  • NEEDS“void” across the face at 5% in reflex blue
  • Watermark is only seen at 45 degrees in 12 pont Helvetica bold font
  • Opaque RX in upper right; 1/8in from top and 5/16in from side
  • 6 check boxes stating quantity
  • NO Ads, logos
  • ONE drug per presciption
  • Refills below logos and above signatures
  • SIZE: 4 1/4in high by 5 1/2in wide

CANNOT PRE-PRINT NAME

43
Q

As stated in Rule 35, what are some of the things that Pharmacy Techs CANNOT do?

A
  • Anything the RPh does by law
  • Counsel patient or healthcare professional
  • Give drug info
  • Receive a verbal transfer
  • Final check a drug
44
Q

What does Rule 41 talk about in terms of Cognitive services?

What do it NOT include?

A
  • Things that we do during delivery of care, counseling, advice…
  • Doesnt include: Administration, thrid party claims, sales calls, record keeping, reporting, etc..
45
Q

What does Rule 42 state in regards to remote Pharmacy practice?

What is it? Where can this happen in your house?

A
  • NOT phyiscally handling or dispensing drugs
  • IS: Processing, consulting, ajudications, remote date entry, remote ordering…
  • CANNOT be in a primary living space [the board can come and inspect it]
  • HAVE to have all the work equipment locked up and safe

PHRM 871: Law (19 decks)

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