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Jurisprudence > Review > Flashcards

Review Flashcards

1
Q

Who makes up the executive council?

A
  • 15 members of the executive council
  • 8 pharmacists
  • 5 public members
  • the dean
  • the past president
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2
Q

Who makes up the complaints committee?

A
  • 5 members
  • 3 pharmacists
  • 2 public body members
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3
Q

What is professional judgement?

A
  • the pharmacist understands the standards that are governing the college and is qualified to consider the merits of the circumstance and chain of events ad makes a decision to meet the need of patients
  • these are decisions that your peers, under consideration of all events, would agree with
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4
Q

What is the process to get the act passed?

A
  • need to pass the act by the pharmacists first, and then through legislation
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5
Q

Who gets put on the conditional registry in Manitoba?

A
  • if you graduate from the college and take the PEBC and do not pass them, but you are done your internship, you can get put on the conditional registry in Manitoba
  • this allows pharmacists to have some level of practice while waiting for the next PEBC
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6
Q

How can a pharmacist become an extended practice pharmacist?

A
  • has to submit an application to the college
  • must be an expect in their field (psychiatric care, ambulatory care, nuclear pharmacy, nutrition support, oncology)
  • can become an EPPh also if they’re a diabetes educator or a respiratory educator, or if they have a post graduate clinical degree in pharmacy
  • must have completed 1000 hours in that field in the past 2 years
  • they can prescribe schedule 1 drugs, but only within their scope of practice
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7
Q

What must a pharmacist include on their prescription if they are an EPPh?

A
  • they must include the treatment goal, clinical indication or the diagnosis and that the medication is within the pharmacists scope of practice
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8
Q

What are the safety processes in place when dispensing medications in a hospital?

A
  • dispensing has to be restricted to the pharmacist or an authorized personnel - pharmacist must be responsible for the following:
    • determining the authenticity and the appropriateness of the medication order before dispensing
    • selecting the appropriate aux label and cautionary statements
    • monitoring patient profile for detecting of inappropriate therapy
    • do the final checks on all aspects of the completed rx
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9
Q

What is a medication reconciliation?

A
  • a formal process in which healthcare providers work together with patients and care providers to ensure accurate and comprehensive medication information is communicated throughout all stages of care (from a hospital discharge to the community pharmacy). They go through a full review of all medications that a patient is taking, including meds that the patient has been previously on, medications added, changed or discontinued and all are carefully evaluated
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10
Q

What are the options that the complaints committee has when dealing with a complaint against a pharmacist?

A
  • can allow the pharmacist to voluntary give up their license, can suspend the license, can defer to the discipline committee, or can come to some other agreement with the pharmacist
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11
Q

How long after a change in ownership can a complaint be dealt with?

A
  • 5 years after a change in ownership
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12
Q

How would an investigator know if a pharmacist was making a lot of mistakes or not?

A
  • an investigator can request upon entry into the pharmacy to be provided with records
  • any incidents and discrepancies need to be reported and recorded should they occur in a pharmacy - the investigator can pull from here and choose to suspend the license of the pharmacist should they think they pose a great risk to the public
  • incidents and discrepancies need to have a brief description and a time that they occurred
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13
Q

What information must be provided to register with the college as a pharmacist from overseas?

A
  • must submit an application to the college
  • submit the evidence of licensure from another country
  • write a test demonstrating knowledge of the act, the regulations, by laws, practice directions and code of ethics
  • must submit a passport photo
  • must submit a criminal record check
  • submit child abuse and adult abuse check
  • provide evidence that the applicant has been involved in conduct that would allow them to engage in professional practice
  • complete an internship
  • satisfy the board that they do not have a physical or mental condition
  • must be able to complete an english/french fluency test
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14
Q

What are the requirements to practice if a pharmacist is from out of province?

A
  • need to apply to the college
  • need a notarized passport photo
  • need to do a criminal record check, a child abuse and an adult abuse check
  • must have practiced 600 hours in the past 2 years
  • have to identify the scope of practice
  • need to have completed an internship in the province
    • do not need to provide fluency requirements or original licensure
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15
Q

What is an interchangeable product on the formulary?

A

a product that contains a drug or drug in the same or similar amounts and same or similar active ingredients as directed by an rx

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16
Q

There can pharmacists substitute for therapeutic equivalents without consulting the prescriber, as long as it has been approved by the therapeutics committee?

A
  • in a hospital pharmacy
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17
Q

What does adapting a prescription mean?

A
  • altering dose strength, dosing interval or formulation
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18
Q

Describe electronic order entry system

A
  • electronic transmission is allowed in a community practice (fax), but not an electronic prescription
  • electronic order system is available in hospital pharmacy, and it allows the prescriber to send the prescription to the pharmacy through the internet
  • it is the prescribers responsibility to ensure that the prescription is sent to the pharmacist in a clear, unambiguous manner and that the mode of transmission maintains confidentiality
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19
Q

What us required on a hospital medication order?

A
  • patient name and age
  • location
  • hospital number
  • medication name and strength
  • dosage
  • route
  • duration
  • frequency
  • prescriber name and signature
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20
Q

What is required on a community rx?

A
  • patient name and address
  • prescriber name and address
  • date
  • medication name and strength
  • number of refills
  • quantity
  • instructions for use
  • manufacturer
  • price of the medication
  • initials of the member checking the rx
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21
Q

What does a clinical assistant require on a prescription?

A
  • name
  • phone number to be contacted
  • name of preceptor
  • diagnosis or clinical indication
22
Q

What information is needed to be provided to the CPhM in order to open a pharmacy?

A
  • location and work to be performed
  • name and hours of operation
  • name of the pharmacy manager
  • evidence that the applicant has not been subject to suspension or criminal action
  • evidence that a member will be present in the pharmacy at all times
  • evidence that the premise is suitable for the operation of a pharmacy
23
Q

What are the physical requirements of a community pharmacy?

A
  • that the pharmacy is in a fixed location
  • that there is good ventilation and lighting to run a pharmacy
  • that the pharmacy is accessible to the public
  • has to have a patient counselling area, adequate working space, space for compounding prescriptions, a fridge
  • hours of operation must meet the needs of the community
  • must have retail sale of medications
  • needs to have the intention that patients will attend the pharmacy to pick up their medication
  • needs to have an area for demonstration
24
Q

What are the requirements of a clinical pharmacy practice?

A
  • pharmacy will not dispense, prepare for dispensing or sell drugs other than for emergency reasons
  • pharmacy will be only to educate patients or to train and educate other healthcare providers
25
Q

If a pharmacy closes abruptly, what are the things that you must do after?

A
  • you must inform the registrar within 7 days
  • must dispose of the drugs in a manner permitted by law, remove cancel or recall any signs or advertisements indicating that the pharmacy is being operated in that location, and provide patients of the name of the pharmacy where their new information can be found
  • the files for all of these patients need to be kept somewhere safe
26
Q

What is the difference in roles between pharmacy technicians an assistants?

A
  • Technicians: can identify DTPs and inform the pharmacist of them, analyze a prescription to ensure that it has all legal components, confirm refills with a doctor, do a final check on medication if the rx has been filled by another tech, assistant or student, and can dispense medication if it has been checked by a member
  • Assistants: can take patient information, can prepare and package the medication, can select the appropriate container, can restock the containers, attach the label to the bottle and manage the inventory
27
Q

What is failure mode and effect analysis?

A
  • quality improvement process that is carried out in a healthcare organization by a multi-disciplinary team.
  • you’re predicting how errors first occurred to prevent them from occurring again
  • you’re determining points of potential failure and what their effects would be before the errors actually happen
28
Q

If you decide not to fill an M3P rx, what records must you keep of this?

A
  • must advise the prescriber and the patient of the refusal to fill
  • fill out the refusal to fill section of the M3P rx
  • need to enter it into DPIN as a drug utilization
  • need to keep the prescription, or a copy of the prescription, on file
29
Q

What must a pharmacist do before prescribing T1s?

A
  • the pharmacist must determine the appropriateness of the patient’s need to self care
  • must also do a thorough assessment on the patient, including getting information about the patient’s:
    • signs and symptoms
    • location and duration
    • other medications that the patient is on
    • allergies
    • medical history
    • if the patient is breastfeeding/ pregnant
    • what the patient has tried in the past to treat the condition
    • lab results
  • max 100 tablets have been entered at a time
30
Q

What is the purpose of M3P forms?

A
  • it is designed to protect against forgeries
  • the college assigns certain M3P numbers to certain physicians - if the pad goes missing, the college knows which numbers specifically they should be recalling
  • – in the case of a forged prescription, it is still the property of the patients - need to mark the prescription if the person requests it back
31
Q

What is the subgroup of part G controlled drugs under the food and Drug act?

A

For designated drugs

32
Q

What conditions must designated drugs be prescribed for?

A
  • epilepsy, narcolepsy, hyperkinetic disorders in children, Parkinsonism and hypotensive states associated with anesthesia
33
Q

What must a pharmacist review and take necessary actions for before dispensing?

A
  • must review the prescription and the patients record
  • must take appropriate actions in regard to:
  • -> appropriateness of drug therapy
  • -> drug interactions
  • -> adverse effects
  • -> therapeutic duplication
  • -> correct dosage
  • -> route
  • -> frequency ad duration
  • -> contraindicated drugs
34
Q

What are the 3 different schedules of part G drugs?

A
  • part 1: amphetamines
  • part 2: barbiturates
  • part 3: anabolic steroids
35
Q

BASED ON FEDERAL LAW, what can you do with schedule G drugs

A
  • a pharmacist cannot refill a drug or part 1 unless it is in writing, but for part 2 and part 3 you can take refills both written and verbally
36
Q

What are the recording procedures for a vaccine?

A

Must report the vaccine to panorama and document the details of the injection to MB immunization monitoring system (this keeps track of immunizations so that people are not receiving them more than once)

37
Q

What is necessary in order for a medical device to be used in the pharmacy?

A
  • must be approved by health Canada under the food and drug act in order to be used in the pharmacy
  • must ensure that the pharmacy maintains a clean, safe, conformable and private environment for vaccine injections
38
Q

Self administered tests - what are they what is the role of the pharmacist and what information is the pharmacist required to provide.

A

Self administered test - tests available to consumers to help them diagnose a condition based on symptoms, screen for s condition with symptoms or monitor existing conditions

  • typically used to test blood pressure, blood glucose levels, to test for pregnancy, to test cholesterol or pulmonary function
  • pharmacist must counsel on how to administer the test, appropriateness of the test, how to store the equipment, factors that may contribute to a false test, and the importance of using the test before the expiry date
  • the pharmacy can advertise for the availability of self-testing services
39
Q

What is required for pharmacists to counsel on?

A
  • pharmacists must counsel on patient identity, medication identity, dosage, how to take the medication, side effects, what to do in the case of anaphylaxis, proper storage of the medication, refill information, the importance of compliance and what to do if a dose is missed, interactions with other drugs/ food products
40
Q

What are the specific requirements to dispense methadone?

A
  • pharmacist needs to have taken a special training course on dispensing methadone
41
Q

What are the requirements of the pharmacist to do when dispensing methadone?

A
  • pharmacist must do what they can to ensure that the patient is not on on alcohol or any other drugs, needs to watch the patient consume the methadone, needs to ensure that the dosage is correct for the patient and that the patient is not on other medications that could interact (checking DPIN) - needs to monitor carries and needs to watch the patient for any behaviour changes
42
Q

What is required for a distance component in a pharmacy practice?

A
  • needs to be intended that the pharmacy will serve patients that are from out of the province or will not be attending the pharmacy in person, that the pharmacy will be open at least 25 hours over 4 days, that a member will be present to answer any questions at leas 37.5 hours out of the week and must be able to be contact with relative ease, and that the faciltiy will comply with the practice directions of a distance care pharmacy
43
Q

Advertising definition

A
  • any printed or TV/radio material or other promotional material made available to the public for the purpose of promoting a member, pharmacy or pharmacy service
44
Q

What must all promotional material be, and what words can’t they use

A
  • all promotional material must be accurate and verifiable
  • they cannot use works such as trusted, profession, cheap, accurate, prompt, specialist, etc
  • all pharmacy services that are required to be provided by law in manitoba must be stated as that on the advertisement
45
Q

In the case of an emergency situation, can a pharmacist fill glaucoma medication? What about narcotics? (tylenol 3)

A
  • yes, the pharmacist can fill the glaucoma medication- it is a schedule 1 medication for a chronic condition - if the public health minister has issued a state of emergency and has contacted the college of pharmacists, all pharmacists are able to grant emergency continued care of the chronic medication - just need to go into DPIN and check the medication dosage, or need to be provided with the old prescription bottle. Should verbally or via fax inform the patients other pharmacy that this is occurring, and also send out a fax to the physician
  • you cannot fill tylenol 3 or any other narcotics however- you can offer the patient a recommendation of a schedule 3 medication to manage their pain, or can do an assessment as to the need of the patient to be medicated and prescribe tylenol 1 as you see fit
46
Q

What documentation are required to be kept at the central fill pharmacy and patient contact pharmacy?

A
  • central fill - needs to keep the original prescription as well as the drug label record
  • patient contact pharmacy - needs to keep a copy of the prescription, as well as the drug label record and the patient profile. Must be documented in the patient profile that the pharmacy received consent from the patient to give over personal health information
  • needs to be stated that the central fill pharmcu will not have direct patient contact with the patient
47
Q

What are the conditions for participating in central fill?

A
  • the pharmacies must both be in MB
  • if the pharmacies are owned by the same owner - should be an agreement in the form of a corporate policy
  • if the pharmacies are not owned by the same owner - need to be an agreement signed by both of the store managers as well as both of the owners
48
Q

What must be done to ensure proper and legal record disposal?

A
  • physical records must be disposed by shredding or complete incarceration
  • electronic records need to be erased or destructed of in a manner in which the information cannot be reconstructed
49
Q

What must a pharmacy license holder do in the case of a security breach?

A
  • recovering personal information or ensuring disposal of information that cannot be recovered
  • ensuring the security of remaining information
  • notifying the affected personnel, the college and the legal authorities
  • modifying security measures to prevent a reoccurrence
50
Q

What information must be kept in a community pharmacy and for how long?

A
  • member or owner must keep the information for at least 5 years
  • must keep: prescription record, drug label, patient profile, counselling record,drug acquisition and sales record, prescriptions or copies of them, test interpretation results and records, a prescribing record if the member is authorized to do, and a test ordering and results record
51
Q

What records must be kept in a hospital pharmacy?

A
  • medication orders are the things that must be kept in a hospital pharmacy - these include patient name and age, location, hospital number, medication and strength, route, frequency, duration, and the name and signature of the prescriber
52
Q

What is the proper disposal of drugs from a pharmacy?

A
  • pharmacy must accept and return any unused drugs and sharps, and is required to have proper disposal protocols in place that comply with federal and provincial law
  • narcotic and controlled drugs need to be witnessed by 2 healthcare professionals at the time of their destruction

Jurisprudence (1 decks)

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