As a pharmacist, what is not considered being unprofessional?
Being rude
What is true about taking in new scripts?
You must offer counseling to patient
Patient care must not be denied when?
Reasonable risk of harm to patient
When do you notify board or pharmacy in closing the pharmacy?
15 days prior to closing
What is true regarding the NAPLEX/NPGE exam?
You can only take it 3 times before having to wait 1 year to take it again
What grade do you end on the NAPLEX/NPGE exam?
Score of 75
How long can a pharmacy operate without a new PIC?
30 days
How many hours is a PIC required to work per week?
35 hours
How many days is a pharmacy required to be open?
5 days
How many hours does a pharmacy need to be open during the week?
40 hours
If a pharmacist needs to go to the bathroom or have a meal break, how long are they allowed and what is protocol?
30 minutes with a sign left behind
How long does it take to get approved registration back from the board of pharmacy?
180 days (6 months)
Why wouldn't someone get their registration back so quickly form the board of pharmacy?
Missing info, background check, false information, etc
Can a technician transcribe prescription info?
Yes
Can a technician transcribe a prescription label?
Yes
Can a technician transcribe monitor prescription usage?
No
Can a technician retrieve a prescription?
No
Can a technician utilize P&P?
No
Can a technician open the pharmacy?
No
Can a technician order narcotics/controls?
Yes (but not appropriate- it is a red flag)
How often should policies/procedures be reviewed for sterile? everything else?
1 year, 2 years
A process that follows multiple pharmacies to share prescription processing and dispensing is called what?
Central fill agreement- centralized prescription handling form
If you are engaged in central fill agreement, what statement is true?
A. Need contract agreement
B. Allowed out of state
C. Common written policies/procedures
D. Single pharmacy responsible for for filling
C. Common written policies/procedures (intake, processing, fulfilling, dispensing) * confusing
A newly hired pharmacy tech, how much time do they have to register with the board of pharmacy?
10 days
How old does a patient have to be to receive a vaccine from a pharmacist with a written prescription form physician?
<12 years and >7 (flu vaccine only **) (less than 18 requires written consent from patients parent or legal guardian)
Aside from vaccines, what emergency medications can pharmacist deliver to patients?
Epinephrine + diphenhydramine
Prescription for a legend drug is good for how long?
1 year
A fax can serve as a original prescription for what?
Anything (on exam this question he says will be thrown out because the law says one thing but everyone does something else, it can be CDS class 3 from dentist, CDS class 2, or anything else except a fax received from a REGULAR person who is not a physician, as long as you put any option except that you will receive full credit for the question)
How is an expiration date on a patient label expressed?
Use by
What is a pharmacy in a hospital that is not in the main pharmacy called?
Satellite pharmacy
Do you need to notify the board of pharmacy of the existence of a satellite pharmacy?
Yes (in writing)
What can pharmacists NOT compound?
Commercially available products
What is NOT true regarding equipment?
Manufacturers requirements/guidelines are disregarding after used
What does it mean when you say you have an ISO 5 environment?
Air quality
To conduct construction in the IV room, how much notice needs to be given to the board of pharmacy?
60 days
What should the humidity be for the IV room?
Less than 60 degrees (to prevent bacterial growth)
What is positive pressure?
0.02-0.05
How long should you wash your hands for?
30 seconds
What is negative pressure?
0.01-0.03
If emergency temporary closing occurs, how short of a notice does board of pharmacy need to be contacted and made aware?
Within 48 hours (approval is needed)
If a pharmacy is closing, how long must records be available after notice?
1 year
During change of ownership of a pharmacy, the board of pharmacy must be notified within how much time?
30 days
Report of certain occurrences such as disasters, accidents, theft, destruction, loss of records, etc, to the board of pharmacy must be done how soon?
24 hours (1 day)
What is a pharmacy required to do if they do not fill a PIC position within 30 days?
Notify board of pharmacy for interim PIC
Pharmacist must complete how many CEUs each biennial period that covers disease state reflected in collaborative proactive agreement?
10 CEUs
In a collaborative practice agreement, between the patient, physician, and pharmacist, who can cancel thus ending the agreement?
Any participating party member
Procedures for centralized prescription handling: what does an intake pharmacy do?
Receive patients or practitioners request to refill RX
Procedures for centralized prescription handling: what does a processing pharmacy do?
Prescription review functions such as- data entry, prospective drug review, refills, interventions, patient counseling, handles claim adjunction, submission, and resolutions
What is the PIC responsible for?
-supervision of system, annual inspection and testing of systems
-written P&P
-meds inspected every 2 months
-CDS inspection daily
-records
-reporting to board of pharmacy of errors (within 2 weeks)
Only a pharmacist shall have access to the institutional pharmacy with the exception of:
#NAME?
How often should the PIC review the institutional formulary?
Annually
Unit dose packing labeling should include?
Patient name, strength/QTY/Volume, lot #, "use by" date, manuf/repackager, description of drug in unit
facsimile for C2, CDS can serve as original RX for pain when?
-pain management compounding for parenteral, intravenous, intramuscular, subcutaneous, or infusion
-pain management for long term care facility
-pain management for hospice patient, must state"hospice
If a patient requests a copy of a prescription, pharmacists shall immediately comply how soon?
RX <1 year old within 24 hours
RX>1 year old within 72 hours
(Shall state copy- for information only)
What is required for emergency dispensing for C2?
no > 72 hour supply, confirm therapy and ID of practioner
What are the beyond use dates for non-sterile compounds for non-aqueous liquids/solids
No > 6 months or exp of ingredient (whichever is earlier)
Is this low/medium/high risk?
-room temp (20 to 25 C) 48 hrs
- Refrigerated (2 to 8 C) 14 days
- hood not in buffer area 12 hours
Low risk
Is this low/medium/high risk?
-room temp (20 to 25 C) 30 hours
- refrigerate (2 to 8 C) 9 days
Medium risk
Is this low/medium/high risk?
-room temp (20 to 25 C) 24 hours
- refrigerated (2 to 8 C) 3 days
High risk
How often should counters, surfaces, and floors cube cleaned and disinfected?
Daily
How often should walls, ceilings, and storage shelving be cleaned?
Monthly (documentation for cleaning log must be kept for 5 years)
What is a device or room that provides an ISO 5 environment?
Primary engineering control (PEC)
What is an environment leading to and including ISO 5 environment?
Secondary engineering control (SEC)
What is duration life of an aqueous liquid when compounded?
14 days (refrigerated)
PIC responsibilities in terms of P&P practice and control should be done how often?
Annually
PIC responsibilities in terms of refrigeration/ freezer temperature should be done how often?
Twice a day
Low/medium/or high risk:
-Compounded under low-risk level conditions
-Multiple ingredients combined
-multiple patients or multiple occasions for 1 patient
- > 1 volume transfer, mutilple or complex aseptic manipulations
-requires long duration for dissolu
Medium risk