TDDA Study Book Flashcards
Scope of practice
Practitioners can legally prescribed drugs to treat any disease or illness and humans even if they have chosen to specialize in a certain type of practice but is limited to their area of practice
Self prescribing
Nothing in federal or Texas law that strictly prohibits self prescribing or prescribing for family members
Prescriptions for office use
There is no such thing as a prescription for office use. If prescribers wish to purchase drugs for their office use they should order the drug from the manufacture using an invoice or DEA form 222
What happens to prescriptions with refills when the prescriber dies?
There are no specific rules, it is acceptable practice for A pharmacist to provide a 30 day supply inform the patient that he or she needs to find a new doctor.
Prescriptions and refills die with the physician
What drugs may nurse of home and community support agencies purchase, store, or transport without being in violation of the Texas dangerous drug act?
Sterile water for injection, sterile saline for injection, hepatitis B vaccine, influenza vaccine, tuberculin purified protein for TB testing, and no more than five dosing units of heparin, epinephrine, diphenhydramine, methylprednisolone, Naloxone, promethazine, glucagon injection, Lasix, lidocaine
Opioid antagonist
Pharmacist may dispense opioid antagonist under a valid prescription including a prescription issued by a standing order to a person at risk of experiencing and opioid related drug overdose or a family member, friend, or other person in a position to assist a person at risk of experiencing an opioid related drug overdose
A pharmacist to acting in good faith and with reasonable care dispensing or not dispensing an opiate antagonist is not subject to any criminal or civil liability or any professional disciplinary action
How many APRNs or PAs may a physician supervise?
No more than 7
How do you complete a label for medication dispensed by an APRN or PA?
Name, address, phone number, and identifying number of the APRN or PA
No longer has to have supervising physician on the label!!!!
Controlled substance prescribing by Texas APRN and PA
No C2 prescribing except in a hospital based practice under policies such as the patient must be admitted to the hospital for an intended length of stay of 24 hours or greater, be receiving care in the emergency department or have a terminal illness and are under hospice care
C-3, C4, C5 prescribing is allowed but must not exceed a 90 day supply including refills
Must be registered with the DEA as a mid-level practitioner
DEA number of the APRN or PA and the supervising physician must be on the prescription
