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South Carolina MPJE 2023 > Responsibilities of Pharmacists & Pharmacy Personnel > Flashcards

Responsibilities of Pharmacists & Pharmacy Personnel Flashcards

1
Q

Study Tips

What is the difference between “shall” and “may” when used in a sentence?

Question Clarifications

A
  • Shall: absolute requirement (must)
  • May: indicating permission to do something

Assume each test question is straightforward & don’t over-analyze

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2
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Pharmacist in Charge (PIC)

Basic Definition

A
  • Currently licensed in this State
  • “Accepts full and actual charge” of the pharmacy and its personnel

Responsible for the operation of a pharmacy and its drug distribution

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3
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Can a pharmacist be a PIC at more than one location? How much time must they physically spend at said location(s)?

A
  1. PIC at only one location
  2. Must be physically present for a “sufficient” amount of time

Board interprets “sufficient” as “majority” of time - no definition!

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4
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What specific changes should the PIC notify the Board about?

PIC Duties

A
  • Employment of PIC Responsibility
  • Pharmacy Ownership
  • Pharmacy Address
  • Pharmacy Closing
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5
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Who has the duty of “filing required reports”?

State or Federal Law & Regulations

A

PIC

Reports required by state or federal law & regulations

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6
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Who has the duty of responding to BOP violations?

A

PIC

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7
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Who has the duty of signing & renewing the pharmacy’s permit?

A

PIC

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8
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

The PIC ensures proper license, registration, & certification.

True or False

A

True
PIC ensures pharmacists, techs, & interns are properly compliant with BOP

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9
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Who ensures techs & interns wear proper identification?

A

PIC

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10
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

The PIC does not need to maintain a current list of pharmacy technicians.

True or False

A

False

The form to use for the list is provided by the BOP

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11
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What 3 general policies/procedures need to be established and implemented by the PIC?

A
  • Tech Duties
  • Drug Recall Management (& how patients are contacted)
  • Automated Systems

Minimum tech specification: techs must be under pharmacist supervision

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12
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What 4 institutional policies/procedures need to be established and implemented by the PIC?

Institutions

A
  • Provision of drugs in pharmacist absence
  • Night cabinet and pharmacy access for specific authorized personnel
  • Night cabinet drug inventory list (w/ appropriate committee)
  • Stop-order policy

a licensed pharmacist must be on call at all times

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13
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Night cabinets may be located inside the pharmacy.

True or False

A

False
must be located outside of the pharmacy & sufficiently secure (key or combination with authorized personnel)

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14
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Permit Consultant Pharmacist

Basic Definition

A

Consultant for a permit holder that is NOT a pharmacy or institution (non-dispensing drug outlet)

Non-Dispensing Drug Outlet Permit Holders

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15
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Almost every permit holder requires a consultant pharmacist ~ what permit holders are the exceptions?

A
  • Pharmacies
  • Wholesalers
  • Facilities only supplying O2
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16
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Consultant pharmacists need a written agreement to assume their responsibilities, and the BOP needs to be notified of said changes in ___ days.

A

10 days

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17
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Consultant pharmacists need to sign a new or renewed permit application with the permit holder.

True or False

A

True

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18
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What are the 4 general policies/procedures that a consultant pharmacist must establish & implement?

A
  • Drug Recordkeeping System
  • Drug Recalls
  • Removal of Outdated/Adulterated Drugs
  • Specify & Supervise Employee Duties

Recordkeep purchases, sales, inventory, storage, safekeeping, & returns

19
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What employee duties do consultant pharmacists specify & supervise?

A
  • Procurement
  • Compounding
  • Sale
  • Storage
  • Distribution
20
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

How are consultant pharmacists expected to assist in being a Drug Information resource for their facilitie(s)?

A
  • Bring current DI to staff’s attention
  • be available by phone for questions
21
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

P&P compliance inspection reports are ___ ‘s responsibility to complete & must be performed every ___.

Policy & Procedure

A
  • Consultant Pharmacist
  • Month
22
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

If P&P compliance inspection reports are not performed, the permit holder will be fined $1,000.

True or False

A

False

Consultant Pharmacist fined $1,000

23
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Patient record reviews are ___’s responsibility, and must be performed every ___. PRRs are documented on the ___.

A
  • Consultant Pharmacist
  • Month
  • Patient Record
24
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What should the consultant pharmacist review during patient record reviews? Who should the consultant pharmacist advise with findings?

A
  • Potential ADRs, allergies, interactions, & lab test modifications
  • Physician advised with recommended changes
25
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What are the 3 general duties of registered technicians listed in the Pharmacy Practice Act?

A
  • Prepare Prescriptions
  • Handle Legend Drugs
  • Compound & Mix Medications

Duties explicitly listed in the BOP policies & procedures

26
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What are the BOP defined duties for “preparing prescriptions”?

Registered Technicians

A
  • Receive written Rxs or med orders & verbal refill requests
  • Initial interpretation of orders
  • Enter Rx info into patient profile
  • Select appropriate drug/device
  • Fill/maintain unit dose carts
  • Change unit dose medication cassettes

Pharmacists override DUR alerts only

27
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What are the BOP defined duties for “handling legend drugs”?

Registered Technicians

A
  • Check for drug outdates
  • Accept/stock drug shipments
  • Process/discard medications for returned credit
  • Stock automated dispensers
28
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What are the BOP defined duties for “compounding and mixing medications”?

Registered Technicians

A
  • Mix drugs in dry form with water
  • Prepare IV solutions
  • Repackage bulk medications
29
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

State Certified Pharmacy Technicians

Requirements

A
  • SC license registration
  • High school dipolma / GED
  • National certification (PTCB)
  • ACPE board certified tech program (ASHP)
  • 1000 hours
30
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

What are additional tech duties that state-certified techs may perform?

In Addition to Registered Tech Duties

A
  • Receive/initiate verbal orders for non-controlled substances
  • Conduct Rx transfers
    Additional Institutional Duties:
  • Check tech’s med refill & bulk to unit repackaging
31
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Pharmacy Extern

Definition

A
  • Enrolled in pharmacy school who is on required rotations for obtaining PharmD
  • Practical experience coordinated through school
32
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Pharmacy Intern

Definition

A
  • Registered by state certificate to engage in pharmacy practice under pharmacist supervision & progressing towards PharmD licensure
  • Paid job
  • Ratio: 1 pharmacist: 1 intern
33
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Intern/Extern Duties

Performed under Licensed Pharmacist Supervision

A
  • Interpret & evaluate med orders
  • Participate in drug/device selection
  • Provide patient counseling
  • Perform drug regimen reviews
  • Provide pharmacy care
  • Receive verbal orders
34
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

General Employment Ratio

Pharmacist to Technicians

A
  • 1 Pharmacist : 4 Technicians
  • 2+ techs must be state-certified
  • May not supervise > 2 non-state certified technicians

Exclusions: clerical support, interns/externs, tech students on rotation

35
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Institutional Employment Ratio

Pharmacists to Technicians

A
  • 1 Pharmacist: 3 Technicians
  • Daily operational ratio determined by PIC
36
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

All pharmacy technicians in SC must be at minimum:
1. Certified
2. Registered
3. Licensed

1 only; 2 only; 3 only; 2 & 3 only; or 1, 2, & 3

A

2 only! Registered

37
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Which statements are true regarding access to drugs at an institutional pharmacy when there is not a licensed pharmacist physically present (i.e., when the pharmacy is closed?

  1. The PIC is responsible for establishing the P&Ps for the provision of drugs to medical staff when a pharmacist is not physically present
  2. The provision of drugs to medical staff can be implemented using night cabinets, which are located outside of the pharmacy.
  3. The provision of drugs to medical staff can be implemented by access to the pharmacy.

1 only; 1 & 2 only; 1 & 3 only; 2 & 3 only; 1, 2, & 3

A

All of the above (1, 2, & 3)

38
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

A consultant pharmacist is required for which of the following locations? Select ALL that apply:

  1. Hospital pharmacy
  2. Non-dispensing clinic
  3. Retail pharmacy
  4. Wholesaler
  5. Federally Qualified Health Center (FQHC) without a retail pharmacy
A

2 & 5 ~ Non-dispensing clinic & FQHC without a retail pharmacy

39
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

How many total hours of practical experience (intern/extern) are required for pharmacist licensure?

A

1500 hours

40
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

For a technician to become state-certified, the tech must work at least how many hours as a registered tech under the supervision of a licensed pharmacist?

A

1000 hours

41
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Which of the following duties are within a state-certified pharmacy technician’s scope of practice? Select ALL that apply:

  1. Fill unit dose carts
  2. Accept call-in, non-controlled prescriptions from a physician’s office
  3. Perform a DUR for a patient
  4. Counsel a patient on a medication
  5. Input prescriptions into a pharmacy computer
A
  1. Fill unit dose carts
  2. Accept call-in, non-controlled prescriptions from a physician’s office
  3. Input prescriptions into a pharmacy computer
42
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

A registered pharmacy technician may perform which task?
1. Perform final verification of an Rx order
2. Accept a call-in prescription for a controlled substance
3. Call a physician for refill authorization for a controlled substance
4. Teach a patient how to use an inhaler
5. Compound medications

A

Compound medications

43
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Who can transer a prescription for clonazepam to another pharmacy?
Select ALL that apply:

  1. Pharmacist
  2. Pharmacy Intern
  3. Pharmacy Extern
  4. State-Certified Tech
  5. Registered Tech
A
  1. Pharmacist only!
44
Q

Legal Responsibilities of Pharmacist & Pharmacy Personnel

Who can transfer a non-controlled Rx to another pharmacy?
Select ALL that apply:

  1. Pharmacist
  2. Pharmacy Intern
  3. Pharmacy Extern
  4. State-Certified Tech
  5. Registered Tech
A

1, 2, 3, & 4 - everyone BUT registered techs!

South Carolina MPJE 2023 (7 decks)

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