Download Indiana MPJE Review Questions: Pharmacy Practice and Regulations and more Exams Pharmacy in PDF only on Docsity!
Indiana MPJE With 383 Review
Questions
What are the four conditions in which a RPh can refuse to transfer an RX to another pharmacy at the patients request? - ✔ ✔ 1. Contrary to law
- Against the best interest of the patient
- Aid or abet an addiction or habit
- Contrary to the health and safety of the patient Sanctions that can be handed down by the BOP include ______ or suspension of license, probation, letter of ______, or fines - ✔ ✔ revocation (permanently) reprimand (censure is a verbal expression of disapproval and not a letter, the BOP tells you what you did wrong in a hearing) If your license is revocated, you must wait _______ years before apply for another license (and you have to take all the tests again) - ✔ ✔ 7 The BOP may assess a fine up to _____ for each violation, expect for incompetence due to physical or mental disability - ✔ ✔ $
Also, BOP can't suspend your license if you can't pay a fine due to financial issues What happens if you get into trouble and you want to surrender your license to the BOP? - ✔ ✔ The BOP can't deny your surrender and
force a hearing instead. You can petition the BOP in writing to accepting your surrender. Under what conditions can a prescriber issue a RX through a telemedicine service? - ✔ ✔ -provider has satisfied the SOC in the treatment of the patient -RX is within providers scope -No CS -No abortion inducing drug -No opthalmic devices Can prescribers outside IN prescribe via telemedicine? - ✔ ✔ Only if they and their employer have certified in writing to IPLA that they agree to be subject to IN courts and laws Does the generic brand sub law apply to vets? - ✔ ✔ No! We cannot sub a generic for brand if for an animal. Have to call the vet RXs in IN have two signature lines (only paper, not electronic): Left ____________, right ________ - ✔ ✔ L: dispense as written R: May substitute T/F: If patient is enrolled in IN Medicaid, we MUST substitute a generic product when one exists if it results in a lower cost - ✔ ✔ True T/F: A prescriber can give oral instructions for brand medically necessary - ✔ ✔ True but they have to forward a written or electronic RX with instructions on it
If a pharmacy intern is not at an accredited school or has no practical experience has part of their curriculum, the intern must get _________ hours - ✔ ✔ 1500 What constitutes an inactive license? - ✔ ✔ Fees are current but CE requirements have not been met therefore they cannot practice pharmacy. When do pharmacist licenses expire in IN? - ✔ ✔ June 30th of even numbered years Who can we provide HIPAA information to at their request? - ✔ ✔ - BOP or representative -law enforcement -patient -provider involved in care of patient -insurance In what situations can a pharmacist refuse a prescription? - ✔ ✔ - contrary to law -against the best interest of the patient -aid or abet an addiction or habit -contrary to the health and safety of the patient In IN law, it states we must honor RXs from the big four prescribers from other states. Who are they? - ✔ ✔ MD
OD
DVM
DPM
Which category pharmacy is allowed to operate remote locations after an application to the BOP? - ✔ ✔ Category II Which category pharmacy is NOT opened to the public? - ✔ ✔ Category III The BOP has a max of _______ days to grant or deny an application for a pharmacy permit - ✔ ✔ 120 What happens if a pharmacist is not on duty? - ✔ ✔ The pharmacy has to close. A pharmacy can obtain approval from the board to stay open if all drugs are locked and a sign 20x30 is displayed. If the pharmacy stays open and the whole store is the licensed area, the pharmacy must be closed off by barriers or alarms, any violations must be reported to BOP within 72 hours, and backup power has to be available for 36 hours in the event the power goes out. An application to transfer ownership must be submitted no later than ______ days after the change of ownership. After the decision is made, the old permit expires in _______ days and must be returned - ✔ ✔ 10, 10 Is a permit transferable if the pharmacy changes locations? - ✔ ✔ No. A new permit must be filed If a pharmacy is closed for ______ consecutive days, the BOP must be notified and the drugs must be secured - ✔ ✔ 5
At least ______ hours of CE must be pharmacy practice related - ✔ ✔ 24 (4/5ths of total hours) At least _____ hours of CE must be from ACPE accredited CE programs - ✔ ✔ 15 (1/2 of total hours) How long must CE record be kept? - ✔ ✔ 4 years What happens if you are license during the middle of a CE biennium? - ✔ ✔ You are required to complete 1.25 hours of CE for each month or part of a month you were licensed T/F: In a category II pharmacy, the QP may be the PIC but the PIC doesn't have to be the QP - ✔ ✔ True In an institutional setting, the PIC must review quality related events at least every ______ months - ✔ ✔ 3 In an institutional setting, drug orders must be check within ______ hours - ✔ ✔ 24 Drugs in Pyxis type machines can provide patients with immediate therapeutic requirements for a period not to exceed ______ hours. The RPh must review any drugs taken from the machines within ____ hours as well - ✔ ✔ 24, 24 Nurses and access to pharmacy when it is closed - ✔ ✔ When a drug is needed for immediate therapeutic requirements and cannot be supplied by the floor stock, one supervisory licensed nurse in any given shift may have access to the pharmacy and remove drugs there form. It must be recorded including drug, strength, amount, date, time, and
signature of nurse. A copy of the order specifying the use must be left for the pharmacist to review How often are the list of drugs in an emergency kit reviewed by a committee (RPh, MD, nurse, administrator)? - ✔ ✔ At least yearly T/F: CS stored in an emergency kit must be part of the pharmacies biennial inventory - ✔ ✔ True Quality event related reports must be maintained for _______ years - ✔ ✔ 2 What type of pharmacy is the only one who can dispense to patients at discharge? - ✔ ✔ Category III (not category II) T/F: Patients are allowed to self administer their own medications in an institutional facility - ✔ ✔ True but the prescriber has to authorize it, their technique has to be evaluated, and there has to be no harm in self administering In what situation can a patients own supply of medication be used in an institutional facility? - ✔ ✔ If the medication is kept at the patents bedside. If it requires refrigeration then the medication must be kept in an area under the control of nursing personnel. A nurse must also witness the administration and keep record of its use If a patient forgets their own medicine after discharge, it must be documented and kept for a max of _____ days before it is destroyed - ✔ ✔ 7
-relaying information through an intermediary (unless translation is needed) -using signs of other types of written notices given to the patient with each drug dispensed T/F: Practitioner namer and state issued professional license number must be preprinted, stamped, or manually printed on CS RXs - ✔ ✔ True CS RX blanks should be obtained from an approved _________ - ✔ ✔ vendor Duties that pharmacy techs CANNOT do - ✔ ✔ 1. Anything that a pharmacist is required by law, regulation, or rule to preform
- Provide advice or consultation to prescribers or other health care professionals or provide them with info on a patients profile
- Provide advice or consultation to patients
- Provide prescription drug information to the patient
- Receive verbal prescriptions other than refill approval or denial
- Final check or verification on prescriptions (not drug orders) Temporary variance is a change or exception to a rule or regulation that can be submitted to the BOP in writing. It can be granted for _______ months and renewed up to ______ times - ✔ ✔ 6 5
Information must be submitted within _______ hours of dispensing PSE, EP, or CS to INSPECT - ✔ ✔ 24 (or the end of the next business day if you are not open the next day) What are the approved identifications for dispensing CS, PSE, and EP? - ✔ ✔ 1. drivers license
- military ID
- State bureau of motor vehicles ID
- Valid photo exempt ID from DMV In order to sell a scheduled OTC substance without a RX, the patient must present an ID unless.. - ✔ ✔ they are known to the pharmacist T/F: Syringes can be sold OTC to anyone of any age - ✔ ✔ True T/F: Syringes may only be sold by a pharmacist or intern - ✔ ✔ True (ID has to be presented if not known to the pharmacist) What must be recorded for the sale of syringes? - ✔ ✔ -Bound record separate from CS -name and address of purchaser -name and quantity of syringe -date of purchase -name or initials of pharmacists Schedule II Drugs - ✔ ✔ Hydrocodone Cocaine
Tramadol Clonazepam Schedule V drugs - ✔ ✔ Codeine cough preparations Lomotil Motofen Lyrica Parepectolin Who are considered pharmacy techs? - ✔ ✔ cashiers clerks secretaries delivery people
BUT NOT INTERNS Pharmacist to tech ratio - ✔ ✔ 1 to 6 techs Techs shall wear __________ which identifies them as a tech. They shall also identify themselves as techs when engaged in _________ or ________ communication - ✔ ✔ identification (ID badges)
telephone, electronic T/F: Techs cannot have been convicted of any crime that would bear on ability to be a tech - ✔ ✔ True
Qualifications for techs - ✔ ✔ 1. High school graduate, GED, or have been judged competent by qualifying pharmacist
- successfully completed approved training program within 12 months of hire or successfully completed Board approved certification exam Pharmacist who qualifies pharmacy _____ must keep readily retrievable of tech training - ✔ ✔ permit Tech training documentation requirements - ✔ ✔ name date of hire date started date completed training copy of training manual Techs may be involved in drug _______ or prescription ________ - ✔ ✔ order preparation T/F: Techs may take prescription refill OK or denials - ✔ ✔ True
But no new Rxs Duties techs may NOT do - ✔ ✔ 1. provide advice or consult with prescriber or patient
- provide drug information to patients
- do the final check or verification
T/F: Counseling is required for patients in institutional setting - ✔ ✔ FALSE- not required Law regarding patient counseling and patient records - ✔ ✔ OBRA 90 Patient records must be readily retrieval and show.... - ✔ ✔ the pharmacist previously dispensed drugs, known disease states, shall also require the pharmacist to perform prospective DUR with the newly dispensed drug Requirements for patient records - ✔ ✔ Patients full name address and telephone # age or DOB gender Rxs within the last 12 months known disease states allergies T/F: Patient records are confidential - ✔ ✔ True T/F: Patient counseling is confidential - ✔ ✔ False Acts that are prohibited by pharmacists - ✔ ✔ 1. sell or dispense adulterated or misbranded drugs
- sell or dispense counterfeit drugs
- dispense from a forged Rx
- practice in an incompetent manner
- aid or abet an unlicensed person to practice
- violate applicable law Acts the open the pharmacist to discipline - ✔ ✔ fraud, misrepresentation, convicted of a crime, continuing to practice when impaired, sexual misconduct, knowingly violated a law that governs practice T/F: Pharmacist must be immunization trained - ✔ ✔ True What vaccines may pharmacist administer under a prescription or protocol drug order - ✔ ✔ flu pneumonia tDap HPV Meningitis Shingles Pharmacy must inform prescriber within _____ days of immunizing a patient - ✔ ✔ 14 (Prescriber must be in active practice and not employed by a pharmacy) Ages of immunizations - ✔ ✔ May immunize down to 11 years old. For pneumonia, patient must be 65 T/F: Written consent to immunize is required - ✔ ✔ True
In order to receive a pharmacy permit, the BOP must be satisfied that the ___________ is sufficient to adequately serve the public - ✔ ✔ inventory After receiving a pharmacy permit and prior to opening for the first time, the BOP MUST do a __________ inspection - ✔ ✔ qualifying After receiving a pharmacy permit and prior to opening for the first time, a physical ________ of all drugs and other items on premises must be done - ✔ ✔ inventory At all times in a pharmacy, the wholesale value of drug inventory MUST be at least ________ of all wholesale items on the premises - ✔ ✔ 10% The BOP must grant of deny application for a pharmacy permit within _______ days - ✔ ✔ 120 What must happen when a pharmacist is absent from the pharmacy? - ✔ ✔ -all items requiring a pharmacist verification must be locked and secured -sign that is 20x30 inches that says "Prescription Department Closed. No Pharmacist on Duty" must be displayed -No pharmacy business shall be conducted Pharmacy permit expires every ______ years - ✔ ✔ 2 Lapsed pharmacy permits less than ______ years may be reinstated by the Board - ✔ ✔ 3
Lapsed pharmacy permits more than 3 years may be reinstated after ________ meets eligibility requirements above - ✔ ✔ owner T/F: One applicant can have multiple pharmacies - ✔ ✔ True but all must have their own separate permits and a separate qualifying pharmacist (PIC) What is the exception to one qualifying pharmacist per pharmacy? - ✔ ✔ BOP may permit one qualifying pharmacist for multiple locations of a Category II if they can show reasonable effort to find a QP but failed to do so and the single QP can fulfill all required duties at both locations T/F: Pharmacy permit is automatically transferable - ✔ ✔ FALSE- not automatic Owner must file application for transfer of ownership of a pharmacy within ______ days of change in ownership - ✔ ✔ 10
Original permit remains in effect until the Board grants or denys new permit/ownership Pharmacy must be _______ - ✔ ✔ stationary Pharmacies must have a means to secure the pharmacy, either ________ or _________ when the pharmacy area is closed - ✔ ✔ electronically physically (barrier)
