SSA Questions Flashcards
When a pharmacy site WITHIN TN opens what needs to be done, referring to site licenses?
ex: Pharmacy practice site, manufacturer, wholesaler, outsourcing facility, oxygen supplier
-need to submit application 30 days before opening
-need an inspection before opening
What does a practice site OUTSIDE of TN seeking for site licensure in TN need to have?
-current license from where they are located
-the pharmacist in charge is licensed in TN
-access to a pharmacist by a toll-free phone
-records of Rx dispensed to patients in TN
-must comply with counseling, profiling, and review requirements of TN (even if your site is not in TN)
-if engaged in sterile products: need sterile prep modifier registration (except for wholesaler)
-if compounding: need to provide evidence of inspection performed within the last 12 months wherever you are located
What must the recipient of a transfer Rx record?
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-name, address, and original serial number from the original pharmacy
-name of the transferor
-all information constituting an order (all info that you need to have on an original Rx)
->pharmacist initial, date, and record the amount that was dispensed
->Serial number
-DEA number if it is a controlled substance
-transferee (receiver pharmacist) informs the patients that the original Rx has been canceled from the pharmacy from which it was obtained
What are the standards of the Pharmacy Department?
what a pharmacy need to have
-consultation area offering sufficient privacy to the patient
-Area not less than 180 square feet
-physical barrier preventing access and pilferage (theft)
-access restricted to pharmacist, interns and techs (and others allowed by PIC, even a manager (not pharmacist cant be there w/o the PIC allows it)
-in in a larger establishment (like grocery store):
->need to be open during the same time as the larger store unless the pharmacy can be closed from floor to ceiling
->need to be under supervision of the pharmacist at all time (if the pharmacist goes to the bathroom, they have to close the pharmacy - not seen in practice)
What are the requirements for electronic orders?
Can an E-Rx date be used as the original?
-only from a prescriber (or agent, nurse) to the pharmacist or an area in a pharmacy under direct supervision of the pharmacist
-has to include:
Prescriber phone (to verify the Rx)
Date and time
Pharmacy name
electronic signature (+ agent signature if they send it)
-the electronic data is considered the original
What should be on a Dispensing label in TN, based on the Rules of the Board?
OUTPATIENT
-Name, address, phone of pharmacy
-Prescriber name
-Patient name
-Serial number
-Name of product
-Directions
-Advisory label
-Original date and refill date
-Expiration date
-make accommodations for visually impaired patients
-rules don’t apply to institutional/LTC pharmacies
-applies to assisted-living facilities (since the patient is in possession of the drug)
Repackaging inpatient setting
when packaging into a unit dose container need:
-Name, strength, drug quantity
-Manufactures Name, Lot or control number
-expiration date
-advisory label
-may assign a batch number that contains all the info when scanned (bv ot enough space on the container)
What needs to be documented when using a controlled substance from a floor stock?
Drug:
Name, strength, and dosage form
Administered: date, time, and quantity/dose
ID: patient, prescriber, and personnel who is administering
What should be on the record of destructed controlled drugs in an institutional setting?
-Drug: name, strength, dosage form, and quantity
-Destruction: date, method, and ID of witness
-ID of the patient
-kept for 2 years
What needs to be on the label of radioactive drugs?
!!! ***
-in addition to the requirements of non-radioactive drugs
-labeled on the immediate outer container
-Standard radiation symbol
-“Caution – Radioactive Material”
-Radionuclide
-Chemical Form
-Amount of radioactive material, in millicuries or microcuries
-Volume, if liquid
-Calibration time (the time when the drug was calibrated)
-Expiration time (usual short half-lives)
-Pharmacy name, address, telephone number
What should be on the label of the immediate container of a radioactive drug?
!!! ***
-the immediate container may be the syringe that is kept in the lead shield
-Standard radiation symbol
-“Caution – Radioactive Material”
-Drug name
-Rx order number
What equipment is required in a nuclear pharmacy?
-Vertical laminar flow hood
-Dose calibrator
-Refrigerator
-Room Monitor
-Portable survey monitor (measures radioactivity in the room)
-Scintillation counter (measures radioactivity)
-Microscope
-Other BRH required equipment
What training information for sterile compounding needs to be recorded?
-Person being trained
-Date of training or eval
-Description of topics covered
-Signature of trainer/evaluator and PIC/designee
What needs to be on the label of a sterile compounded product?
OUTPATIENT
-Patient name
-Prescriber name
-Pharmacy name, address, phone
-Directions for use
What needs to be on the label of a sterile compounded product?
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ALL labels ???
-Healthcare entity name (in place of patient name)
-Pharmacist ID
-Intern/tech ID if applicable
-Name of drug added
-Amount of drug added
-Expiration time/BUD
-Date of compounding
-Appropriate auxiliary label(s)
