Scope of Practice

Question 1

License

Answer 1

Authorization to practice an occupation or profession which is issued by a government agency

Question 2

Practitioner

Answer 2

Individual licensed by jurisdiction to practice prescribing drugs in course of professional practice

Question 3

Prescription

Answer 3

order for drugs or medical supplies provided by licensed professional with intent to be dispensed by a pharmacist

Question 4

Dispense

Answer 4

Preparation and delivery of a prescription drug according to law, in proper container, and labeled properly to a entitled patient

Question 5

Pharmaceutical Care

Answer 5

direct responsible provision of medication-related care to achieve definite outcomes that improve patients quality of life

Question 6

Supportive Personnel

Answer 6

person other than licensed pharmacist who may be performing duties assigned by pharmacist under direct supervision

Only pharmacists can have keys

Question 7

Pharmacy Technician

Answer 7

individual registered by BOP to assist the pharmacist in preparing drugs for final dispensing

-Tech check Tech
-Any errors must trigger pharmacist review process (even if mistake doesn’t reach patient)
-Pharmacist is responsible for final product dispensed
-SB Bill 2279 (March 2021) allowed techs to administer medications if they are educated, trained, and CPR certified

Question 8

Technician Licensure

Answer 8

must complete ASHP accredited academic program or on-the-job program and receive certification

-continuing education 10hr/year
-renew license each year

Question 9

Ratio of pharmacists:technicians

Answer 9

1:4 Open pharmacy
1:5 Closed door pharmacy

Question 10

Pharmacy Tech in Training

Answer 10

individual enrolled in academic experiential rotation program of NDSCS or on-the-job study program under supervision of licensed pharmacist

must be completed within 2 years

Question 11

Pharmacy Intern

Answer 11

interns may complete same tasks as pharmacist as long as they are under direct supervision

-must apply for licensure
-must complete one full-time year in college prior
-must be enrolled in pre-pharmacy or pharmacy program
-must have good moral character
-renew license yearly
-at least 1500 intern hours will be accurred by end of schooling

Question 12

Pharmacist

Answer 12

individual who is licensed by the BOP to practice the profession of pharmacy

-license must not be expired or suspended
-most trusted individual within the pharmacy

Question 13

Pharmacist Licensure

Answer 13

individual must have graduated from approved school of pharmacy and be licensed by the BOP after appearing in person

-pass three exams: ND practical examination, NAPLEX, ND MPJE
-display license to public in pharmacy and carry it in wallet
-renew license yearly (fee)
-continued education 15hr/year
-recommended to carry malpractice insurance

Question 14

Traditional Scope of Practice

Answer 14

Dispense, Compound, Screen interactions, Counsel

Question 15

Contemporary Scope of Practice

Answer 15

Dispense, Compound, Screen interactions, Counsel

+administer medications
+Complete Medication Review (CMR)
+Disease State Management (DSM)
+Drug Utilization Review (DUR)
+evaluate lab results
+health screenings/physical assessment
+Medication Therapy Management (MTM)
+Medication Use Evaluation (MUE)
+Point of Care Testing (Clinical Laboratory Improvement Act waived tests) POCT (CLIA waived)
+prescribe
+telepharmacy

Question 16

Complete Medication Review (CMR)

Answer 16

collecting information to improve patient knowledge of medications and address problems or concerns by creating a plan

-send summary to provider
-goal: increase adherence and decrease side effects

Question 17

Disease State Management (DSM)

Answer 17

created by Ashville Project-Diabetes Ten City Challenge to encourage patients to manage their DM with help of pharmacist

-average savings for company: $918/patient
-4:1 return on investment by year-2
-50% in absenteeism
-95% satisfaction rate
-$400-600/year savings in copays

Question 18

Drug Utilization Review (DUR)

Answer 18

ongoing review of prescribing, dispensing, and use of medication

Question 19

Medication Therapy Management (MTM)

Answer 19

Services to optimize therapeutic outcomes for patients

-select/start/modify medication therapy
-monitoring
-perform CMR
-document
-educate and train

Question 20

Medication Use Evaluation (MUE)

Answer 20

DUR + implement a change + assess the results of the change

-performance improvement method

Question 21

Point of Care Testing aka Clinical Laboratory Improvement Act waived tests (POCT aka CLIA waived)

Answer 21

Includes many tests such as blood glucose, virus testing, and cholesterol levels among others

Question 22

Collaborative Practice Agreement (CPA)

Answer 22

formal agreement where licensed provider makes diagnosis and then refers patient to pharmacist for specific patient care

Dr. Maack
-change medications within disease state
-order labs

Question 23

The Pharmacy and Medically Underserved Areas Enhancement Act

Answer 23

Medicare Part B recognition of pharmacists as integral to patient access in outpatient setting

-give pharmacies ability to bill and be reimbursed to outpatient care interventions

Question 24

Barriers to pharmacists getting provider status

Answer 24

-Legislators see it as new spending not saving
-Fee for services is difficult to implement
-other providers are against because they want to bill for services