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84 Cards in this Set
- Front
- Back
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what act is responsible for all this stuff
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controlled drugs and substances act
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what level of gov is controlled drugs and substances act
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federal
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CDSA regulates what wrt drugs
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import
export production distribution use |
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overall category of drugs that are included under CDSA
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alter mental processes
may harm health may harm society (when used without supervision) |
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formerly, CDSA was fragmented - what was the other part
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narcotic control act
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which schedule has parts I, II, III
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schedule G
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which schedule is under food and drugs regulations
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schedule G
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is food and drug regulation separate from CDSA
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no
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how CDSA is divided
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Food and Drug - Schedule G
Schedule N Benzos and Targeted Schedules 1-8 (badass drugs) |
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labelling of Narcs
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N on label
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definition of narc
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any drug that contains a drug on the schedule
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3 types of narcs
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straight
verbal exempted codeine preparations |
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straight narcotics AKA
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reportable
written not defined |
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what are straight narcotics
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single ingredient
injectable multiple narcotic ingredients OR 1 of 5 designated "narcotics" - doesnt matter what else is in the preparation |
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definition of verbal Rx narcotics (4)
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combinations with only 1 narcotic
+ at least 2 other medicinal ingredients not parenteral may not include any of the designated 5 narcotics |
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exempted codeine preparations - availability
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Schedule II - ask the pharmacist
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what schedule are exempted codeine preparations
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Schedule II
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availability of verbal narcotics
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written or verbal Rx
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Tylenol #3 is what category
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verbal prescription narcotic
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Dimetapp C is what category
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verbal prescription narcotic
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can you accept a verbal for Dimetapp C
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yes
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can you accept a verbal for T3
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yes
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the 5 narcotics
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diacetylmorphine (heroin)
hydrocortisone methadone oxycodone pentazocine |
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ingredients of T3
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30mg Codeine + acetaminophen + caffeine
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T1 ingredients
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acetaminophen + caffeine + 8mg codeine
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T2 ingredients
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acetaminophen + caffeine + 16mg codeine
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availability of different types of tylenol
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T1: OTC
T2: verbal T3: verbal |
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verbal or written - T2
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V
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verbal or written - codeine 15mg
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W
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verbal or written - tylenol elixir with codeine
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acetaminophen and codeine (no caffeine cuz children)
written |
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verbal or written - novahistex DH expectorant
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contains hydrocodone
W |
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verbal or written Sativex
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W
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verbal or written - T4
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W
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duragesic verbal or written
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W
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verbal or written oxyNEO
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W
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definition of exempted codeine products
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max 8mg codeine per tab
OR 20mg/30ml of liquid AND 2 other medicinal ingredients in a quantity not less than the regular minimum single dose for one ingredient or one half the regular minimum single dose for each such ingredient |
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what label exempted codeine products must have
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This preparation contains codeine and should not be administered to children except on advice of physician or dentist”
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what is the rule for selling exempted codeine products
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Shall not supplyif there are reasonable grounds for believing that the preparation will be used by a person for other than recognized medical or dental purposes
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definition of practitioner under CDSA (compared to DPRA definition of prescriber)
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CDSA practitioner
a person registered and entitled under the laws of a province to practice medicine (MD), dentistry (DDS) or veterinary medicine (DVM). DPRA prescriber a person who is authorized under the laws of a province or territory of Canada to give a prescription within the scope of his or her practice of a health discipline |
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rules regarding quantity to dispense for narcs
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directly stated
can be calculated (ex. i tid x 7 days) |
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something you have to verify on narc prescriptions
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signature of prescriber if not known to pharmacist
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special things you have to do wrt verbal narc orders
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take reasonable steps to determine validity
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when can methadone be supplied to dealer, hospital, pharmacist or patient
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physician is authorized by OCS and CPSO
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are there refills for narcotics
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no
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what category has no refills
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narcs
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you can't have refills for narcs - how is this dealt with
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part fills
ex. Mitte = 500s dispense in 100s may give interval |
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which letter goes with controlled drugs
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G
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which schedule is divided into 1I, II, III
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G (controlled)
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what symbol is on the label for schedule G drugs
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C
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examples of controlled drugs (5)
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secobarbital
methylphenidate d-amphetamine phenobarbital anabolic steroids |
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secobarbital - what schedule
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schedule G controlled
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methylphenidate what schedule
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schedule G controlled
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d-amphetamine what schedule
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schedule G controlled
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phenobarbital what schedule
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schedule G controlled
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anabolic steroids what schedule
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schedule G controlled
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when can you refill a controlled drug
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the following must be indicated:
# refills dates or intervals |
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for which drugs do you need an interval
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controlled
targeted |
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for which drugs do you not need an interval
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narcotics (because there are no refills - just part fills)
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controlled drugs - verbal or written
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Part 1: verbal or written, but can only give refills written. but you can give part-fills verbally.
Part 2, 3: verbal or written, can give refills either way |
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symbol on stock bottle for targeted substances
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T\C
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Filing of targeted substances
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with either N/CD/regular
doesn't matter as long as consistent |
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rules regarding refills of targeted
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record must be kept of each refill
less than one year from Rx issue |
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what can you transfer
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benzos only once
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what to record upon receipt of narcotics/controlled/targeted
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name
quantity date name of supplier address of supplier |
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sales record is needed for
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narcotics except
verbal propoxyphene Part 1 controlled drugs |
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what is on a sales record
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patient: name and address
drug: name, quantity, dosage form prescriber: name, address, initials date supplied Rx # If the prescriber writes any narcotic for office or personal use this must be noted |
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purchase record (when you are receiving the drug is needed for)
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narcs, controlled, targeted
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can a sales record be hand written
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yes
can be hand written or computer generated |
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how long do you keep the sales record
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2 years
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3 most common forgery products
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oxycodone
codeine hydromorphone |
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responsibility of pharmacist in forgeries
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verify all Rx
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why narcotic safety and awareness act exists
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promote appropriate prescribing and dispensing habits
identify and reduce abuse, misuse, diversion reduce addiction and death |
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everything else is CDSA, what is NSAA
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1. you have to put certain info on a rx
2. have to keep record of monitored drugs |
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according to NSAA what do you have to put on a Rx (2)
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1. registration number of prescriber
2. patients identifying number and type of ID |
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according to NSAA what do you need to record
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1. The address, date of birth and gender of the person for whom the monitored drug is prescribed.
2. The patient’s identifying number & type of ID 3. The prescriber’s registration number 4. If the patient is not picking up the prescription him/herself, the name & address of the agent picking it up along with their identifying number and type of ID checked |
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1. The address, date of birth and gender of the person for whom the monitored drug is prescribed.
2. The patient’s identifying number & type of ID 3. The prescriber’s registration number 4. If the patient is not picking up the prescription him/herself, the name & address of the agent picking it up along with their identifying number and type of ID checked This is required under what act |
NSAA
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acceptable forms of ID
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health card (any in Canada)
drivers license (Ontario or other) birth certificate from canada passport from canada or other certificate of canadian citizenship |
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fun facts about NSAA (exemptions)
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exemptions for a pt to get ddrugs if they dont have ID - only the pt can pick up or accept delivery - not an agent
hospitals and prisons are exempt |
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when can you do part fills
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any time you cant do refills
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5 controlled substances
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secobarbital, methylphenidate,
d-amphetamine, phenobarbital, anabolic steroids |
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when do you need intervals
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not for narcs
refills of controlled drugs |
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rules about Part 1 controlled drugs
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no refills verbally
refills need intervals |
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rules about Part 2 and 3 controlled drugs
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refills need intervals
can clarify the interval verbally if missing |
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write out your chart
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ok
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