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MPJE Ch. 6
Class A pharamcy
| Question | Answer |
|---|---|
| Each Class A shall have 1 PIC who is employed full time. Generally, PIC may only be a PIC of one Class A pharmacy unless the _______ Class A is not open at the same time | additional |
| Diring an emergency, the PIC at a Class A may serve as the PIC for ___ Class A pharmacies open at the same time if they work at least ___ hours per week in each pharmacy for no more than ____ consecutive days | Two; 10; 30 |
| PIC responsibilities include the _____ ______ of the pharmacy; _____ and training pharmacy technicians | Legal operation; Educating |
| Owner of a Class A pharmacy: Has responsibility for all _____ and ______ functions of the pharmacy. If not a pharmacist, must consult with the PIC or another pharmacist for establishing policies and procedures | administrative; operational |
| Pharmacist Duties at a Class A | - Receiving verbal rx drug orders for CS--> writing - interpreting rx drug orders -Selecting drug products (generic?) - Final checks - Pt counseling - obtain/maintain pt med records - interpreting pt med record and performing drug regimen review - performing DTM under protocol - Verifying CS listed on invoices are received - Transfer or receive transfer of CS - Administer immunizations |
| Tech/Trainee responsibilities: individuals working in pharmacies whose responsibilities are to provide _______, technical services associated with the _______ of a prescription drug order | nonjudgmental; dispensing |
| Tech/Trainee duties include? *ADM is automated dispensing machine | - initiating/receiving refill authroization requests - e-transfer requests b/w pharmacies sharing common database - enter rx data into computer - taking stock bottle from shelf for rx - Prepare/package rx orders - affixing labels - recon. meds - loading bulk drugs/ pre-packaged into ADM - bulk compounding - non-sterile/sterile after training -receive oral rx/ transfer for dangerous drugs and reduce to writing (manually or electronically; Prescriber request **Tech only) |
| What can Techs do that trainees cannot? | Receive verbal (oral) rx drug orders for dangerous drugs and reduce order to writing either manually or electronically (not for CS) transferring or receiving a transfer of original rx info for dangerous drug on behalf of a pt Contacting a prescriber for info regarding an existing prescription |
| Class A pharmacy ratio: ratio of on-site pharmacists to techs/trainees may be __:__ as long as the maximum # of trainees is __. Ratio does not apply to a ______ ____ pharmacy that has no pt-facing contact | 1:6; 3; Central Fill |
| Temporary Absence of a Pharmacist: During a break, techs may process rx orders or refills, but those orders may not be delivered until the pharmacist returns and _____ the accuracy of the rx | verifies *must conduct a drug regimen reiew and verify all activities by the tech |
| If pharmacist is on break, counseling is treated the same as a _____ med. It should provide written info about the drug and a notice that the pt can call the pharmacist if the pt has any questions | delivered |
| If pharmacist is absent, pharmacy is closed but this rule allows delivery of ____ ______ under certain conditions after the pharmacy department has closed | filled prescriptions |
| When a pharmacist is absent from the pharmacy, an agent may deliver a previously verified med (new or refill) to a pt in the pharmacy provided the ____ ____ of times do not exceed __ consecutive hours in a 24-hr period | short periods; 2 *unique to Texas such as a grocery store that remains open after pharmacy closes |
| Only a pharmacist may _____ provide drug information to a pt and answer questions concerning prescription drugs | verbally |
| There is no such thing as an "____ __ ______" in TEXAS. Counseling is required for all ____ prescription drug orders. Any refusal of counseling by a pt or pt's agent must be documented | offer to counsel; NEW |
| Drug Regimen Review is required for all prescriptions (new and refill). At minimum, the pharmacist shall review and identify clinically significant: | - allergies - rational therapy-CI - reasonable dose, ROA - reasonable directions for use - duplications - DDI - drug-food - drug-disease - ADR - proper utilization (under/over-utilization) |
| Drug label: if for a Schedule II-IV the federal transfer statement must be included stating? | "Caution: Federal law prohibits the transfer of this drug to any persons other than the pt for whom it was prescribed" *Not required for Schedule V drugs or dangerous drugs |
| A drug product on a list of meds developed by the FDA recommended for disposal by flushing is not ______ to bear this statement | required *"Do not flush unused meds or pour down a sink or drain" |
| Drug label requirements are not required to be met if the drug is for administration to an ultimate user who is _______ (hospital or nursing home pt) and no more than a ___ day supply is dispensed at one time | institutionalized |
| Library or reference material required at pharmacy includes: | - Laws and rules (Texas pharmacy act, Tx dangerous drugs act, TCSA, FCSA and rules - DI reference - Veterinary drug reference (if applicable) - Basic antidote info and phone # of the nearest regional poison control center |
| MedPack--> with consent of the pt or prescriber, provide a customized pack containing 2 or more solid oral dosage forms with instructions on when to take. must have? | - prescription # for the MedPack - separate # for each drug within - BUD not exceeding 1 year from date dispensed or earliest expiration |
| Class A pharmacy Automated Devices and Systems include 3 types which are? | - Automated Counting Devices - Automated Pharmacy Dispensing Systems - Automated Checking devices |
| Automated Counting devices must be calibrated and verified on a ____ basis. Records of loading the device must me maintained. Pharmacist must ____ and sign that the system is properly loaded prior to use | routine; verify |
| Automated Pharmacy Dispensing Systems must be tested for accuracy at least every ___ months or when an upgrade or change is made to the system; must have a _____ plan for disasters or other interruptions; stocked and loaded by pharmacist or tech/trainee under supervision | 12; recovery |
| Automated Pharmacy Dispensing Systems do not require a pharmacist to check the bottle/ label since it creates a product ready for delivery. Since its fully automated, then it must be tested for accuracy ______ rather than every ___ months | monthly; 12 *pg 215 *system is actually filling the prescription while checking for accuracy |
| An Automated Checking Device is a fully automated device which confirms, after dispensing, but ____ to delivery to the pt, that the correct drug and strength ahve been labeled for the correct pt | prior *prescriptions are checked for accuracy after dispensing using technology such as barcoding |
| An Automated checking device and automated pharmacy dispensing system both can be used to complete the "____ ____" of a prescription | "Final Check" |
| Pt medical records: must provide for the immediate retrieval of info for the previous ___ months to conduct a drug regimen review; A list of all drug orders dispensed (new or refilled) to the pt by the pharmacy during the last __ years | 12; 2 |
| Computer system requirements: Daily hardcopy printout shall be produced within ___ hours of the date the prescriptions were dispensed | 72 (*audit trail) |
| Computer System Hard copy printout: Each pharmacist who dispensed or refilled a rx shall verify the info is correct by signing/dating the hardcopy printout within __ days from the date of dispensing | 7 *or pharmacists can sign the daily logbook instead of the hardcopy printout |
| Log containing unique initials or identification codes for all pharmacists/techs/trainees must be maintained at the pharmacy for at least __ years from the date of the transaction | 7 |
| Transfers of CS rx are allowed only __ ___ unless the pharmacies share an electronic, real-time database. Transferred rx must be ____ in the computer system (or by writing "void" across the rx if using a manual record keeping system | one time; voided |
| Transfer: An individual may not refuse to transfer a prescription and transfers must be completed within __ business hours of a request | 4 |
Created by:
Xander635
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