Pharmacy technician must be how old?
17 years (must be in school or graduated)
For every pharmacist there can be ____ technicians?
3 (1 of the 3 techs must have passed certificaiton, employer's training & assessment, OR certified by pharmacy technician certification board)
A pharmacist can have ____ intern(s) and _____ extern(s) at a time.
1 intern and 1 extern
And 1 pharmacy observer
PIC must notify Board of any change in employment status of technicians with in _____ of separation date of employment
10 days
A pharmacy observer must be at least ___ years old
17
must also be enrolled in high school or GED prep courses AND not have been convicted of a felony or any drug offense & have his principal or parent/guardian attest to this
A pharmacy observer cannot be present for more than ___ hours per day and in no circumstance more than ____
8 h/d and no more than 40 hours
Pharmacist or intern may sell non-PSE products with out a prescription - max quantity is ______ oz or ____dosage units of CV within ___hours
4 ounces or 32 dosage units within 48 hours
Sale of non-PSE products -- must record _______, ______, and _______ of the patient.
Date of sale.
Product ______, _____, ______, and ________.
Signature, date of birth and address (city, state, zip)
Product name, kind, quantity and use
PSE products must not exceed _____g/24 hours.
3.6 grams
PSE products must not exceed ______g/30 days.
9 grams
Sale of PSE products -- must record in a logbook & have approval via pharmacist or intern/extern (meaning pt's ID is verified & patient has a valid reason for obtaining PSE):
Product ______, _______, and ________.
Patient _______ and ________, _______. an
Product name, strength, and quantity.
Patient's name and signature, date of birth, and address.
PSE and non-PSE log boods must be kept for ____ years of LAST recorded SALE.
2 years
A pharmacist's license must be renewed every ____ years of (odd/even) years on the day of _________.
every 2 years of EVEN years
December 31st.
A pharmacy license must be renewed every ____ years of (odd/even) years on the day of _________.
every 2 years of ODD years
June 30th
You must make a _____ score on the NAPLEX to pass.
75
You must make a _____ score on the Practical to pass.
75
You must make a _____ score on the MPJE to pass.
75
A score less than _____ on any section of the Practical invalidates Practical.
70
Late renewal of a Pharmacist's license is _________.
January 31st
A pharmacy's license will lapse if no payment before _________.
September 1st
You must have ______ CE hours every 2 years.
3o
A pharmacist licensed before or during the first six (6) months of the biennium (January to June), shall be required to obtain _____ hours of C.E.
30
A pharmacist licensed during the following twelve (12) months (June to July) shall be required to obtain _______ hours of C.E.
15
A pharmacist licensed during the last six (6) months of the biennium shall be required to obtain _____ hours of C.E.
0 (zero). You are exempt from this biennium.
Which DEA form is for destruction of drugs?
DEA form 41
A prescription drug order must contain:
Name and address of patient
Name and address of doctor
DEA # of doctor (if controlled)
Date
Name, Strength (if needed), dosage form, quantity of drug
Directions
Refills
Signature of Doctor
Assigned RX #
Which DEA form is for Theft/Loss/Unaccountable controls?
DEA form 106
The minimum floor space of a retail pharmacy, retail pharm providing HHCS, and OTP pharmacy clinic shall be ______ square feet.
150
Such times when the pharmacist is absent from the pharmacy cannot exceed ______ hours daily, or more than _______ hours at any one time.
3
1 and 1/2
Whenever the pharmacist is absent from the pharmacy, a sign shall be prominently
displayed on the entrance to the prescription department announcing "Prescription
Department Closed" and such sign shall be clear and legible with letters not less than
_____
three (3) inches
Transfers of prescriptions should include the normal Rx requirements plus ________________________.
Name of the pharmacist or intern/extern who received the prescription
Name of the transferring pharmacy and its telephone number
Name of the pharmacist or intern/extern who provided the information for the prescription
Date the prescription drug order cop
All out-dated and deteriorated drugs should be removed from stock every ______ months or sooner.
6
The minimum requirements of a pharmacy are:
Current reference materials appropriate to the individual pharmacy practice. (drug interactions; patient counseling; compounding and pharmaceutical calculations; and generic substitution.)
The telephone number of a poison control center.
Current copies of
_________ can sell, distribute, exchange, or give, to any person a hypodermic syringe or needle designed or marketed primarily for human use.
No person other than a licensed
pharmacist or a pharmacy intern/extern,
Any Pharmacy Drive-Through must include a window of transparent material, measuring no less than _______.
2 X 3 feet.
There shall be no more than _____ drive-through lanes with the lane farthest from the pharmacy/prescription department drive-through window being no more than _____ feet from the window.
two
twenty-four
Must notify Board in ______ hours of the following events:
Permanent closing of a licensed pharmacy.
Change of ownership or location of a licensed pharmacy.
Change in management of a licensed pharmacy.
Change of the pharmacist in charge of a licensed phar
24 hours
The distribution of compounded preparations, for office use by a practitioner, shall not exceed ______ of production of compounded preparation in a calendar year by that pharmacy.
5% (Amounts produced greater than
5% shall be considered manufacturing and will require separate licensure as a manufacturer.)
Pharmacists shall label all compounded preparations distributed to practitioners for administration to their patients with the following:
1. "By purchase order, Not by prescription",
2. "For Office Use Administration Only - Not for resale",
3. The name of the active ingredients and strengths contained in the compounded preparation,
4. The lot number
5. The pharmacy's name, address and telep
Must keep compounding personnel training records for ______ years.
5
Long Term Care Facility's unit dosage drug must:
be individually wrapped
have brand or generic name
strength
Lot #
expiration date
Hospital pharmacy inspections must be ________ by Director of Pharmacy.
every month
Hospital pharmacy inspections must be ________ by Board of Pharmacy.
once every 2 years (these are conducted by GDNA representatives)
Corrections to discrepancies of Board of Pharmacy inspection of a hospital pharmacy must be with a written notice to GDNA with in ______
30 days
Remote order entry RPH must keep records entered for the hospital for ____ years.
2
Emergency kits/crash carts in the hospital must be opened and inspected at least once every _______ days.
90 days
Hospital patient profiles must be kept under direct control of the pharmacy for _______ years.
2
(Given and last name of the patient; Age; Sex; Provisional diagnosis; Room number; Drug product dispensed, date dispensed, strength, dosage form, quantity and directions, and identification of dispensing pharmacist; Identification or differentiation of
Labels in the hospital should include at a minimum:
Brand and/or generic name
Strength
Lot #
Expiration date
Labels for outside hospital use should include:
Name, address, phone # of hospital pharmacy
Date
Rx #
Patient name
Drug name and strength
Directions
Doctor name
Caution statement for Controls
Parental solution labels should include:
name and amount of drug added
Date and time of addition
expiration date and time
Identity of person adding
Wasted non-control records of destruction should be kept for _____
2 (date, time, personnel, method)
Wasted non-control records returned to reverse distributor must be kept for ___
2 years
Wasted controls should be destroyed by _________ and __________.
RPH or licensed nurse and 1 witness (both must sign record book at time of destruction)
Inpatient prescription order must include:
Patient name
Room number
Drug name, strength, directions
Date
Doctor signature
GDNA Special Agent qualifications are:
-RPH currently
-Actively practiced for _____
-No sanctions on license
-No prior convictions
-Passed personal background check
-Passed the Georgia Peace Officers Standards and Training (P.O.S.T.) Basic Mandate Trainin
2 years
1 year
GDNA Deputy Director qualifications are:
- _____ as full time GDNA Special Agent
OR
- _____ as a similar full time Agent & meet qualifications to be Special Agent
5 years
10 years
Electronic drug orders (are/are not) allowed for controlled drugs.
are not
Electronic drug orders must include everything that a written script plus _________ and __________.
time of transmission and electronic signatures must contain the wording on the face of Rx that says it was electronically generated
Patient records must be maintained for a period of not less than ______ year(s) from last entry (hard copy or computerized)
5 years
RPH's must offer patient counseling personally by _________ or _________.
telephone or in person
Patient counseling is not required for patients:
___________
___________
___________
___________
in the hospital or institution (health care professional are administering medications)
inmates
patients receiving medications from GA Dept of Human Resources Division of Public Health
Refills
Controlled drug labels must contain:
Name, address, phone # of pharmacy
Rx #
Date initially filled or refilled
Patient name
Doctor name
Directions
Expiration date of drug
Cautionary statements
When giving a transfer for a CS, you must put on the prescription:
_________________.
Pharmacy's name, address, phone and DEA # to which it was transferred
Name of Pharmacist transferring and getting transfer
Date of transfer
When receiving a transfer for a CS, you must have everything on the prescription as normal plus _________________.
Date originally written and dispensed
Number of refills originally given and remaining
Pharmacy's name, address, phone, DEA, and RX #
Name of pharmacist that transferred
Original and transferred prescriptions must be kept for _______ months from last refill.
30 months
Partial filling of a CII in a Long Term Care Facility is limited to ____ days.
60 days
Emergency kits in a LTCF must not be acessed without prescription order. The prescription order must be issued to pharmacy within ______ hours of being taken from kit.
72 hours
Emergency kits in a LTCF must be inventoried every _______ month(s) and sign a card attached to kit with date of inspection.
every 1 month
Emergency kits in a LTCF must have a list of drugs, with __________ in exterior and interior of kit.
name, address, and phone number of pharmacy
Proof of use of a emergency kit for a LTCF should contain:
Name and strength of drug
Dose and route
Doctor name
Patient name
Date and time of administration
Sign and title of administer
CII prescription orders must contain:
Doctor name, address, phone and DEA number
Dated and signed
Patient name and address
Drug name, strength, dosage form, quantity, directions
Refills
What can be changed or added on a CII order?
Quantity or strength
(must speak with doctor and write change with RPH initials on face of prescription. On back of prescription, must write date and time of when RPH spoke with doctor and a brief explanation and how it was resolved.)
An emergency CII order is limited to a prescribed and dispensed amount to treat emergency.
A written drug order must be delivered within ______ day(s).
7 days
An emergency CII order must be hand delivered in person or if by mail, must be postmarked within ____ day(s).
Must have written, "Authorization for Emergency Dispensing" and date of _________.
7 days
Date must be of ORAL order.
*must attach to oral prescription
T/F: Terminally ill patients' CII orders may be faxed to pharmacy
True. Prescription must have agent and telephone number on face of prescription and fax serves as original. Doctor should mark VOID on prescription and maintain on chart at office.
T/F: LTCF may fax CII prescription orders.
True. Must note LTCF on face of prescription
T/F: Hospice may fax CII prescription orders.
True. Must note Hospice on face of prescription
T/F: You may partial fill CII prescription orders.
True.
Remainder of partial fill CII order must be completed in ____ hours or forfeited.
72 hours (must make notation of face of prescription the quantity dispensed)
T/F: LTCF, hospice, terminal ill patient's CII prescriptions can be partially filled.
True. (Pharmacist must record on prescription what type of patient, and for each partial must record on back of prescription date of partial, quantity dispensed, quantity remaining, and ID of RPH)
The total quantity of a CII dispensed in all partial
fillings for a LTCF, hospice or terminal ill patient may not exceed the total quantity prescribed. Such CII prescription drug orders may be partially filled for a period not to exceed ______ days from t
60 days
T/F: CIII, CIV, and CV prescription orders can be e-prescribed.
False. Must be written, faxed, or orally given.
Backtags of prescriptions must contain:
RPH initals, dispensing date, and prescription number
T/F: Pharmacists must sign the FRONT of a CII prescription.
False. A pharmacist may sign the front or the back of a CII prescription
What is the maximum amount of refills a CIII, CIV, or CV prescription may have?
5 refills (or a total of 6 fills)
Requirements for compounding cytotoxic drugs
vertical flow, class II, biological safety cabinet OR appropriate barrier isolator
How quickly must records regarding compounded prescriptions be produced?
Immediately if requested by Board or GDNA agent or within 48 h if maintained in central DB
The Board has the authority to approve accreditation or certification programs for specialty pharmacy practice, included, but not limited to
Diabetes
Dyslipidemia
Asthma
Anticoagulation
Licensed pharmacist who have a specialty pharmacy practice certification must complete a minimum of _______ continuing education in each specific area of specialty during each biennium renewal period
10 hours
When do hospital pharmacies need to renew their licensure & registrations?
June 30 of odd numbered years with GA State BOP
How often must night cabinets in a hospital be inventoried? (same for access to drugs in opioid treatment clinic that are available to personnel after hours)
No less than once per week
When a nurse accesses drugs directly from a closed pharmacy, the nurse must:
- provide a copy of the order,
- document the name of the drug, the strength and amount of the drug removed, the date and time it was removed, and sign the form
- conspicuously place the container from which the drug was removed so it can be inspected by
The hospital pharmacy space requirements should be a minimum of what?
10 square feet per hospital bed
No more than a ___ supply of a patient's medication can be available at the patient care area at any time in a hospital
72 hour (exception: drugs in bulk packages which cannot be repackaged in unit-dose containers)
A survey of usage trends of each standard ward inventory shall be prepared _____ and retained for _____
Monthly & retained for 2 years
A Director of Pharmacy in a hospital must inspect the following items MONTHLY:
- Drugs are dispensed only by licensed pharmacists/interns
- Non-licensed pharmacy personnel are properly directed and supervised;
- Drugs for external use are stored separately, and apart from drugs for internal use or injection;
- Drugs requiring specia
When does a pharmacy tech registration expire?
June 30 of odd numbered years
A pharm tech must update the Board with a change in ______ and ______ within _______
Change of home address & employment address within 10 days of change
Any pharmacist having knowledge that a pharmacist or drug store owner allows or encourages any unlicensed person to illegally fill prescriptions or practice pharmacy while impaired shall report such action within ____ to _____
10 days to Director of GDNA
Within _____ following any damage by fire and/or water to a building or storage area in which any of the above said items are stored or retained, GDNA Director must be notified in writing
3 days; then within 3 days of receipt of this notice, the Director of the GDNA must inspect the stuff
Theft, loss, or unaccounted for CS must be reported to whom and how soon?
To DEA & GDNA within 3 days of discovery
What form is used for theft/loss/unaccounted for CS reporting?
DEA Form 106
How long do you have to send a DEA Form 106 and where do you send it?
Within 10 days of receiving it; the original & 1 copy goes to DEA, 1 copy to GDNA
DEA Form 106 reports include:
- Full name and address of the pharmacy;
- List of cost codes, or identification symbols on package stolen; and
- Pharmacy DEA registration number;
- Date of theft, loss, or discovery of missing controlled substance;
- Type of incident, i.e. theft, loss,
Contents of a Sterile Drug Intravenous Maintenance Kit (SDM Kit) include what can be distributed by/to whom?
Sterile saline
Sterile water
Diluted heparin
Distributed by Issuing Pharmacy to professional registered nurses employed or contracted by a home health care agency
When must an issuing pharmacy be notified if an SDM Kit is used?
Within 72 hours
Notification to include a copy of the physician's order bearing the name of the prescriber, the name of the nurse administering the drug(s), the patient name, the name of the drug, the dosage form and directions for use, along with other p
How often are SDM kits inspected and what is included in the inspection?
Monthly;
-Storage by HHA
-Accountability for each issued kit
-Condition of drugs contained & exp date
-Method to handle kits after expiration
When must opioid treatment clinic pharmacies renew their licenses?
June 30 of odd numbered years
How often must a CS inventory be completed for an OTP clinic pharmacy?
Every 2 years from the date the pharmacy opened
How long must records of an OTP clinic pharmacy be maintained
2 years
If a verbal order is given by a physician in an emergency situation in an OTP clinic, how soon must it be signed by a provider?
Within 72 h
How often must an OTP clinic pharmacy be inspected?
Every 2 years
How quickly must discrepancies/deficiencies found in Board/GDNA inspection of an OTP clinic pharmacy be corrected?
30 days
How long must PSE logbooks be maintained?
2 years from last recorded sale
How quickly must records regarding PSE purchases be obtained?
readily retrievable" means <6 hours for electronic records and 24 hours for handwritten records
How often is a new rx order required for HHCS products if the physician doesn't specify??
Every 6 months
How long does a patient profile need to be maintained for a HHCS pharmacy? What does it contain?
2 years after last dispensing activity
CONTAINS:
- Patient's full name;
- Age;
- Weight;
- Sex;
- Compounded, sterile parenteral products dispensed;
- Date dispensed;
- Drug content and quantity;
- Patient directions;
- Prescription serial number;
- Ident
Patient counseling is REQUIRED for -
Patients receiving IV drugs from HHCS pharmacies
How frequently must a pharmacist contact a HHCS patient?
At least quarterly
How should laminar flow hoods be certified for HHCS pharmacies?
By Federal Standard 209B for operational efficiency at least every 12 months
For HHCS products, what is considered to be a "lengthy" expiration date and what must be known about these products?
10 days; in-house data or data in literature to assure stability & sterility of the product at the time it's used by the patient
If an emergency CII oral Rx is phoned in, how soon must a written hard copy be received by the MD?
within 7 d (or postmarked within 7 d)
If prescriber doesn't deliver the Rx, the pharmacist must notify GDNA
How quickly must CII records be retrievable and by what qualifications must they be searched?
Immediately retrievable
Must be found by:
printout form by the prescribing practitioner's name, patient's name, drug name or date of dispensing
If requested by GDNA
If a terminally ill patient, LTCF patient, or hospice patient has a C-II that is partially filled, for how long can they fill it?
60 days from dispensing date
You don't need to print out electronic copies of C-III to C-V Rxs if:
- Electronic Rx data is maintained in original format for 2 years
- Reliable backup copies are stored in a fireproof & secure container, stored offsite, or backed up to an offsite documented security device within 48 h following each workday
Original and transferred CS Rxs must be kept for a period of ___ from the date of last refill
2 years
What meds can be filled for up to 24 months from date of issuance?
Oral contraceptives
Hormone replacement
Prenatal vitamins
Written by an APRN
How long must records of drug samples requested, received, and dispensed be maintained?
2 years
How long must rx records for LTCF/nursing home/hospice pts be kept?
2 years (in the retail pharmacy)
Emergency kits in a nursing home or hospice must be inventoried ___
Monthly (diff from hospital!)
Consultant pharmacist in nursing facility should make periodic inspections at least ____ of drugs & medication records kept within the facility
Every 30 days
How soon must the consultant or vendor pharmacist notify the GDNA of the date & time the destruction of CS will take place?
2 weeks prior
How many people must be present for CS destruction at a LTCF?
3 licensed professionals or law enforcement officials (one must be a pharmacist)