Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
38 Cards in this Set
- Front
- Back
Who inspects retail pharmacies?
|
State Board of Pharmacy
|
|
Who inspects hospital pharmacies?
|
Department of Health
***Dept of Health can report its findings to the board which can then follow up its own inspection*** |
|
What is required to obtain a pharmacy permit?
|
3 Names + 1 Address
Name pharmacy, current owner, pharmacy manager Address of pharmacy |
|
When is a new permit required?
|
Changes in Name, Ownership and Controlling Interest
File within 30 days of change |
|
What do you need to do in order to close a pharmacy and sell your inventory?
|
You must notify the Board of Disposition of Files/Drugs.
You need permission of the board if more than 30 days have elapsed since closing. You must return your permit to the board of pharmacy Signs/Symbols must be removed from interior/exterior. |
|
What do you do if your pharmacy loses its pharmacy manager?
***Know this. It will be on the exam*** |
The permit holder must notify the board of loss and new manager within 15 days in writing
Permit holder may request an extension of 30 days to find replacement in writing Once the board is notified of a new manager, approval is assumed if not notified by Board within 30 days |
|
Continuation
|
You can request the board to waive the rule that a pharmacist manager cannot manage more than one pharmacy at any given time.
This must be in writing and is good for 60 days in addition to the 15 days normally allowed to obtain a replacement. This is done so the nearby pharmacy manager of your other store manages your first store that lost its pharmacy manager. |
|
When are separate permits required?
|
In each pharmacy unless a satellite pharmacy.
This refers to satellite pharmacies in a hospital. If the hospital owns a pharmacy a few blocks away, it requires a separate permit. |
|
What are the responsibility of pa interns?
|
Accept and Transcribe oral order telephone prescriptions
May neither enter nor be in a pharmacy if a pharmacist is not on duty May perform procedures which require professional skill and training |
|
What are the responsibilities of pharmacy technicians?
|
Cannot accept or transcribe oral orders on telephone
Cannot enter or be in pharmacy without a pharmacist Cannot perform acts of discretion or professional judgment May not perform a duty until trained May assist in reconstituting parenterals etc |
|
What are technician protocols?
|
They specify duties tech may perform
Created by pharmacy manager Pharmacy manager and tech shall date and sign protocols and each amendment. |
|
The board stresses this of pharmacy managers
|
For any professional duty like removing drugs and removing controlled substances, professional duty falls upon pharmacy manager
|
|
Supply requirements
|
Refrigerator in Rx area with temperature monitoring.
Original prescriptions or images retained for 2 years from date of most recent filling Additional equipment and supplies consistent with scope of practice. |
|
What reference materials must you have in the pharmacy?
|
Pharmacy Act
Title 49, Chapter 27 (can go online without a hard copy) Federal and PA statutes and regulations related to the practice of pharmacy Adequate reference library |
|
Describe an adequate reference library.
|
Enables compounding in a safe and effective manner
Lists drug interactions and possible adverse effects Lists therapeutic equivalents for medications Lists usage and dosage of medications Provides guidelines for counseling |
|
New Pharmacy or change in location
|
You dont HAVE to send your plans to the board for prior approval.
You can just make sure you it is properly built and then tell board to inspect you whenever available. |
|
In making substantial alterations to your pharmacy, practice shall cease unless
|
Adequate precautions for healthy and safety
Plans for the alterations and precautions are submitted to the board at least 30 days before alterations and no objection is received. |
|
What are the building standards in a pharmacy?
|
Prescription area shall be at least 250 square feet
The prescription counter must be at least 10 feet length by 2 feet width. If more than 2 pharmacists are on duty at the same time, increase the length by 5 ft for each additional pharmacist. |
|
Describe common dispensing restrictions
|
Cannot dispense CV cough prep containing dilaudid, codeine or cough prep with any other narcotic without rx
Cannot fill/refill where prescriber is deceased or no longer in practice Rx's/PRN refill Rx's may be refills for 1 year |
|
Describe the restrictions on dispensing controlled substances
|
Rx's for CII's may not be refilled
Rx's for CII's may not be filled beyond 6 months from date of issue Rx's for CIII - Vs may not be filled or refilled more than 5 times in a 6 month period from date of Rx. |
|
Pre-packing is labeled with
***Memorize this*** |
Name of drug/name of manufacturer if generic
Strength of drug Manufacturer's control number Expiration date |
|
Mailing Prescriptions
|
Can only be done by first class or common carrier (fedex or ups) unless patient agrees to slower means
Mailing of reconstituted antibiotics is prohibited Mailing of drug or device that easily deteriorates IS permitted if proper measures are taken |
|
Advertising and Sale of Drugs
|
No advertising to PA patients unless person is licensed or Rx is filled in pharmacy licensed by board
No promotion of CS No false or misleading advertising For commercially reasonable quantity 20% off sales etc require showing price list |
|
Rx copies
|
Patient has the right to request a Rx copy
Need to show acceptable ID and authorization Pharmacist records date, who gets and who gives the copy |
|
Sales of syringes and needles
|
Don't need a Rx
Must be kept in Rx area No age limit No quantity limit No record keeping requirement |
|
Labeling institutional drugs
|
Unit Dose drugs = not required to conform to normal labeling requirements
Non - unit dose drugs = need patients name, drug name, strength, dosing instructions, lot number Parenteral, enteral, TPN's have all of that and pharmacists initials ***compounding preparations need pharmacist initials*** |
|
Prospective Drug Review
|
is required for Rx's dispensed at retail locations, hospital inpatient/outpatients and to personal care home residents.
Counseling is required for new retail and outpatient Rx's, NOT inpatients - only a pharmacist may counsel |
|
Confidentiality - information about a patient shall be confidential and may be revealed only
|
by patient consent
Board requires the info State or Federal law requires it Court order |
|
Random Fact
|
A pharmacy may not contribute in any way to the installation of a fax machine in a prescribers office or institution
|
|
Pharmacy Permit renewals
Pharmacy License renewals |
Every 2 years (odd)
Every 2 years (even) |
|
Return to Stock of Undelivered Medications
|
If no lot # or expiration dates, then its ok to dispense for only 6 months from date of original dispensing.
If recall, assume it is from the recalled lot # |
|
For Electronic Rx's
|
You must retain a hard copy or readily retrievable image of transmitted Rx information for 2 years from date of most recent filling
|
|
Computerized record keeping systems
|
Eliminate the need to retain hard copies
Records for Rx's filled within last 12 months must be immediately retrievable Within the last 24 months must be retrievable within 3 working days ID of pharmacist responsible for Rx info entered into computer system |
|
Central Fill Pharmacies
|
Must have a contract or same owner as the originating and delivering pharmacy
Maintain confidentiality Show audit trail Must share common electronic file |
|
Centralized pharmacies
|
Not required to maintain $5000 worth of nonproprietary drugs and devices
Not required to conform to minimum space requirements (250 square ft) No required to have a sink of restroom facilities |
|
The pharmacy act was recently updated to allow for Drug Therapy Management
|
Adjusting drug regimen, drug strength, frequency of administration, route, D/C, administration, lab tests, diagnostic tests.
This was originally based on institutional status of patient. Updated to allow outside institutions. |
|
Qualifications to administer biologicals, medications and immunizations
|
Need an active PA license to practice Pharmacy
Certification of having completed a course CPR cert Separate application to the board is required "A pharmacist who is granted authority may administer injectable medications biologicals and immunizations to person who are MORE THAN 18 YEARS OF AGE Must only do so under an ORDER or WRITTEN PROTOCOL |
|
Multiple Licensure Reporting
|
Licensed pharmacist in PA who is also licensed to practice pharmacy in any other state, territory or country shall report this information to the board on the biennial registration application.
Any disciplinary action taken by another state, shall also be reported to the board on the biennial registration application or within 90 days of final disposition, whichever is sooner. |