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72 Cards in this Set
- Front
- Back
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Mission: to protect, promote and preserve the public health, safety and welfare of the citizens of Georgia.
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Ga. State Board of Pharm.
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what are the board's duties?
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1. regulation of pharmacist and pharmacies in Georgia
-- review apps, administer exams, license qualified applicants and regulate the practice of licensees -- investigate complaints and initiate disciplinary action 2. enforce the Georgia Controlled Substance Act and maintain the listing of the Dangerous Drug Act |
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What are dangerous drugs in GA?
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ANY Rx drug
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What does GDNA mean?
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Ga. Drug and Narcotics Agency
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What is the GDNA's mission
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protect the health, safety and welface of the PUBLIC by making sure pharmacies/pharmacists follow the law
law enforcement and regulatory division of the Ga. State Board of Pharmacy. |
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What are the duties of the GDNA?
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1. investigate violations of the GA controlled substances act and dangerous drug act.
2. inspect every facility 3. educate law enforcement as to the current drugs of abuse 4. act as the info resource for pharmacy and drug questions for... -- registrants -- general public -- law enforcement |
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What authority does the GDNA have?
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1. conduct inspections ANY time
2. examine, copy or remove all pharmacy records 3. examine, copy, remove or inventory all controlled substances and/or dangerous drugs |
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Give attributes of intern licenses
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1. obtained once enrolled in pharm school
2. valid for 5 years 3. internship gained by working under direct supervision of an RPh 4. must work at least 20 but not more than 50 hours per week |
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What are the requirements for licensure?
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1. must be 18
2. good moral character 3. graduate from pharm school 4. 1500 hours of internship required to take exams |
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what is an extern?
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someone who pays money to gain pharmacy experiences; work experience gained as part of school curriculum
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What licensure exams does Ga. require?
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1. NAPLEX
2. MPJE - 50% Ga/50% Fed 3. Ga. Practical Exam |
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What are the components of the Ga. Practical Exam?
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1. lab compounding
2. errors and omissions 3. clinical comprehension |
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hat is a P.I.C?
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Pharmacist in charge
Each community pharmacy location MUST designate a PIC PIC shall not supervise more than one pharmacy at one time |
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What is the term Ga. uses for pharmacy?
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Rx department
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What do you do if the pharmacist is absent?
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1. close and lock the pharmacy
2. Display a sign stating 'Prescription Department Closed.' Letter must be clear, legible and at least 3 inches in size 3. No Rx shall be filled, compounded or dispensed 4. Rxs may be dropped off if there is a drop box that only the pharmacist can access 5. pharmacist can't be absent for more than 3 hours each day or more than 1.5 hours at any one time. |
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When was patient counseling passed in Ga?
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1998; enacted to comply with OBRA 90
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What is required in pt. counseling?
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Pharmacist, intern or extern has to OFFER to counsel ALL pts on medications received
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What pts are exempt from mandated counseling?
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in-pts and inmates
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What is items need to be discussed during pt counseling?
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1. name/description of drug
2. instructions of use and storage 3. intended use and expected action 4. special directions and precautions 5. possible adverse effects and common drug interactions 6. techniques for self-monitoring |
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What are the three questions to use when counseling pt?
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1. What did your MD tell you about this drug?
2. How were you told to take it? 3. What were you told to expect? |
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T/F
Documentation is only required if the pt refuses counseling. |
False
required for counseling refused and received |
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What is the maximum amt of time that should pass before inventory are visibly inspected?
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6 mths
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Name some proper disposal methods for controlled/non-controlled substances?
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Controlled
1. GDNA agt 2. DEA agt. 3. licensed reverse distributor Non-controlled 1. licensed reverse distributor |
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Who should sell hypodermic needles?
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pharmacist, intern or extern
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Can anything be done if pt has no refill?
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1. attempt to contact prescriber
2. dispense up to 72 hr supply of a prescribed NC med 3. must make an original Rx 4. no limit to number of times this can occur |
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How number does PRN mean?
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use your professional judgment; most limit to filling for 1 yr from date of Rx
Pt must be taking the medication |
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T/F
Pt must maintain a relationship with the prescribing MD to be valid. |
True
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What are the requirements of an incoming Rx transfer?
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1. Name or pharm/intern/extern receiving order
2. Name/phone number of transferring pharmacy 3. Name of transferer 4. Date transfer was received 5. Date the drug was originally dispensed 6. number of valid refills left 7. date of last fill 8. Pharmacy's name, address, phone number, DEA # and Rx serial number from transferring pharmacy |
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What are the requirements for outgoing transfers?
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1. word 'Transfer' must be on the face of the Rx
2. Name/phone # where Rx was transferred 3. Name of receiving pharmacist 4. Date of Rx transfer |
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What are the staffing ratios in a retail pharmacy?
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1. No more than one intern at a time
2. one intern, one extern and three tech (if one is certified). If no certified techs, only two techs at a time |
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T/F
All Rx orders may be accepted via fax. |
False
No CIIs |
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what is the exception to the prior question?
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Faxed CII Rxs can be accepted for terminally ill, hospice and LTCF pts
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Explain Ga. drug substitution law.
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1. make available the lowest retail priced drug product in stock
2. Dispensing Brand drugs -- Rx must state 'Brand necessary' WRITTEN in the SAME HANDWRITING as the rest of the Rx |
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T/F
Georgia does not recognize DAW boxes |
True
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T/F
Rxs written using generic name must be dispensed the least expensive product in stock |
True
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T/F
It's permissible to indicate a generically written Rx as "brand necessary" |
False
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Give examples of prescribers with full authority
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1. MDs or DOs
2. DDS or DMD 3. DVM - animals only 4. DPM - below the knee only |
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T/F
Optometrists, PAs, APRN and RNs have full prescribing authority |
False
limited authority |
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What can optometrist prescribe?
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1. limited formulary; eye-related meds
2. only 3 day supply 3. must have a DEA number 4. can prescribe III and IV oral analgesics 5. cannot prescribe IIs 6. exception to 72 hr supply; glaucoma meds can be prescribed for 60 days |
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What can PAs dispense?
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1. protocol with supervising MD
2. cannot fill out-of-state PA Rxs 3. uses DEA # of supervising MD 4. pharmacists do not assume liability when filling PA Rxs 5. cannot prescribe C-IIs |
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What can Nurse Practitioners prescribe?
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1. specific protocol agreement with MD
2. No CIIs 3. No out-of-state NP Rxs 4. Rx must include name of NP and MD |
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Describe the personnel in a hospital
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1) Director must be a pharmacist
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T/F
Like community settings, no secretarial or clerical personnel can work in the pharmacy. |
False
not true for hospital settings |
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What can hospital personnel do if the pharmacist is absent?
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1. get meds from night cabinets
2. access to pharmacy 3. Emergency kits / crash carts Written policies must be in place to ensure appropriate access when pharmacy is closed |
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What are labeling requirements for an inside hospital?
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1. brand or generic name
2. strength 3. lot # 4. expiration date |
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What are labeling requirements for an outside hospital?
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1. name, address, phone # of hospital pharmacy
2. date and serial # 3. pt's name 4. name of drug and strength 5. directions of use 6. name of prescriber 7. precautionary info |
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What is required on a secondary label for parenterals?
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1. name and amt of drug added
2. date/time of addition 3. expiration dt 4. identity of person making sol'n |
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T/F
Any unused drug can be returned to distribution system if its integrity has been maintained |
False
only non-controlled drugs |
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Describe C1 substances.
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1. HIGH abuse potential
2. NO accepted medical use 3. lack of accepted safety for use of the drug under medical supervision |
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Give examples of CI
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heroin, mescaline, peyote, marijuana, LSD, Rohypnol
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Describe CIIIs.
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1. abuse potential less than I and II
2. have a currently accepted medical use in treatment 3. abuse of drug may lead to MODERATE or LOW PHYSICAL dependence or HIGH psychological dependence |
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Give examples of CIIs.
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oxycodone, hydromorphone, fentanyl, cocaine, methadone, methylphenidate
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Describe CIIs.
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1. HIGH potential for abuse
2. currently accepted medical use in treatment 3. abuse of drug may lead to SEVERE psychological or physical dependence |
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Give examples of CIIIs.
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ketamine, dronabinol, buprenorphine, nalorphine, testosterone, sodium oxybate
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T/F
Ketamine and sodium oxybate are controlled substances at the federal level and in GA? |
False
Only in GA. |
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Describe Schedule IV.
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1. LOW potential for abuse
2. currently accepted medical use in treatment 3. abuse may lead to LIMITED physical or psychological dependence relative to CIIIs. |
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Give examples of Schedule IVs
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alprazolam, carisoprodol, modafinil, phenobarbital, zolpidem
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Give examples of Schedule Vs
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pregabalin, lomotil
OTC schedule V meds are behind the counter |
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Describe schedule Vs
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1. LOW abuse potential
2. currently accepted medical use in treatment 3. abuse may lead to LIMITED physical or psychological dependence relative to CIVs. |
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What are the requirements for controlled substance Rxs?
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1. prescribers name, address, phone and DEA #
2. prescriber's signature 3. Date of Rx 4. patient's name and address 5. drug name, strength, instructions 6. refills (limited to 6 mths from date written) 7. No refills for C-IIs 8. Pharmacist is supposed to sign the back of CII Rx. |
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What does the pharmacist need to do for CII Rxs?
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1. Sign their name on back of Rx
2. check date of issuance 3. ensure serial # indicated on the Rx |
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What are the reasons for filling an emergency CII drug?
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1. prescriber determines that IMMEDIATE administration is needed
2. not reasonable possible for prescriber to provide written Rx 3. oral authorization from prescriber 4. dispense enough for the emergency 5. Rx immediately reduced to writing except for signature 6. reasonable effort to determine oral authorization came from licensed practitioner 7. must receive written Rx within seven days |
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What does a pharmacist do if there are errors/omissions for a CII Rx?
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1. contact/speak to prescriber
2. record missing info on the face of the Rx with initials 3. record date/time and explanation of situation on back of Rx |
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How does a partial fill of a CII work?
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1. pt is in LTCF or hospice care
2. pt is terminally ill |
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When are partial fills of C-IIs not allowed?
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1. pt only requests part of the qty prescribed.
2. Rx is written for a larger qty than the MD wants pt to have at one time |
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What are the 3 federal options for filing Rx?
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1. Three separate files: C-II,
C-III --> C-V and NC 2. Two files: C-II and others 3. Two file: Controlled and NC |
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What filing options does GA allow?
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C-IIs must be filed separately
option 3 on fed list is not allowed |
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Describe some fraud signs.
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1. improper spelling
2. too much/little info on Rx 3. Rx is "too perfect" 4. inconsistent font size 5. different color inks or handwriting |
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Name the term used for moving legal drug into the illegal market.
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drug diversion
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Name some examples of drug diversions
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1. theft
2. fraudulent Rxs 3. "doctor shopping" |
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How can fraud be prevented?
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1. report suspicious behavior
2. report questionable prescribing practices 3. report suspicious behavior by co-workers |
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What does impairment mean to the GA state board of pharmacy?
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1. addicted to alcohol, drugs, etc.
2. emotional disorders |
