Term
| A written or oral order must contain |
|
Definition
Initial interpretation
Pharmacist's name/initials (ID)
Dispensing date
Quantity (if not what was ordered)
CS: patient and prescriber address, DEA#
LTCF: assigned serial number |
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Term
| Clarifications should include ____ on the script |
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Definition
| Initials of intern/pharmacist, date contacted, name of person contacted |
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Term
| When a substitution is made to an order the following must be recorded |
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Definition
1. Name of drug and generic (if substituted for)
2. Name of distributor or NDC
3. For a CII, must not be an alteration
4. on subsequent refills, any change of NDC shall be recorded and not alter previous entries |
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Term
| Refills must be recorded with the following information |
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Definition
1. date and quantity
2. person authorizing refill
3. pharmacist's name/initials (ID) |
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Term
| Refills must be recorded where? |
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Definition
| On the back of the RX order or in the daily computer printout |
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Term
| If a copy is made for the patient what must appear on the copy? |
|
Definition
"Copy for Reference Only"
Initials, date and copy indication must be marked by pharmacist on original |
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Term
| When a script is transferred, how many interns may be involved? |
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Definition
| Only 1, transfer is not allowed between two interns. |
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Term
| Electronic transfer orders may be made by 2 technicians if: |
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Definition
| There are 2 compatible systems and no changes are made |
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Term
| How many times may a CIII CIV or CV be transferred? |
|
Definition
Unlimited if Rx # is the same
1 time only (when serial number changes upon transfer) |
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Term
| Transferring pharmacist must record a transfer by: |
|
Definition
Writing void on original RX along with name, name of receiving pharmacist, PDO name address and phone #, date of transfer, if CS DEA number of receiving PDO
OR in a computer system that records all of the above |
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Term
| Receiving pharmacist of TX prescription should record |
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Definition
| "transfer" on original RX, issue and dispense date, # of refills authorized and remaining, Date of last refill, original RX #, name of transferring pharmacist, address and phone # of transferring PDO |
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Term
| A non-controlled substance may be transferred how many times? |
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Definition
| as long as there are refills remaining |
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Term
| When a PDO discontinues business it may transfer files to another PDO and the following rules apply |
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Definition
1. all RXs transferred become void
2. if authorized for refill original RX number must be recorded along with new
3. Receiving PDO must maintain records for 2 years |
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Term
| Drug regimen review includes |
|
Definition
| Allergies, therapy and contraindications, dose, duration of use, route of administration, reasonable directions, ADEs, interactions, CI, duplication, proper utilization, abuse/misuse |
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Term
| For initial interpretation and final evaluation what must be recorded? |
|
Definition
| Pharmacist's name, initials or other ID |
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Term
| Record of initial evaluation and final interpretation must be kept for ___ |
|
Definition
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Term
| II/FE notice must be signed and dated by manager and must: |
|
Definition
1. Have a policy outlining procedures
2. be posted next to bldg registration
3. be kept for 3 years from last date used |
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Term
| PDO may accept returned drugs for: |
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Definition
| Return, dispensing, and donation |
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Term
| Drugs are not eligible for return if: |
|
Definition
1. Controlled substances
2. dispensed in traditional dispensing system
3. in a customized patient package
4. unit of use packaging w/o labeling
5. compounded drug
6. adulterated or misbranded drugs
7. special storage requirements
8. special registration with manufacturer
9. expiration date is less than 6 months
10. received from anywhere outside of CO
11. drug not dispensed pursuant to an order |
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Term
| Donated medication records must include: |
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Definition
| 1. Name and strength of drug 2. dosage form 3. quantity of drug 4. NDC or manufacturer 5. date of donation 6. name and address of donating PDO 7. name, address, and registration # of receiving 8. name and address of origninating PDO 9. RX # 10. exp date 11. name and address of each PDO that possessed it |
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Term
| Records of donation must be kept for ____ years |
|
Definition
|
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Term
| Drugs can only be returned to the ____ |
|
Definition
|
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Term
| Pharmacies can take back controlled substances when? |
|
Definition
| Drug recall or dispensing error |
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Term
| Medications returned to stock must record: |
|
Definition
RX number
drug name and strength
quantity
date of return
location of central fill (if applies) |
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Term
| ___ may not be packaged in an automated cassette |
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Definition
| Controlled substances that are CII |
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Term
|
Definition
1. oversee pharmacy intern
2. 2 years licensed and in practice
3. no board discipline or criminal conviction in 5 years
4. approved by SBOP or pharmacy school |
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Term
| Address or employment change must be updated to the SBOP in ____ |
|
Definition
30 days
(including location move in same employer) |
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Term
| When a pharmacist manager changes what kind of inventory must take place? |
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Definition
| CII inventory within 72 hours by the new manager |
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Term
| Compounding or dispensing area must have: |
|
Definition
1. >225 continuous square feet
2. sink with hot and cold water, drain, vent
3. 24" free floor space between shelf sections
4. Minimum work surfaces: 24", 6sq. feet per person, 30" free floor space behind |
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Term
| Minimum compounding equipment required |
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Definition
| graduated measuring devices (1-250ml), spatula, ointment slab, glassine papers, RX balance, suitable containers, weights, drug fridge, drug freezer (with daily monitoring) |
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|
Term
| Reference library includes |
|
Definition
CRS PPA
CRS UCSA
Rules and Regs of SBOP
Current Federal regulations
Guide to parenteral admixtures (sterile)
Technical Manual or ASHP guide to cytotoxic |
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Term
| Pharmacies must be open at least |
|
Definition
| 2 days per week for at least 4 continuous hours at a time |
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Term
| If the pharmacy is entered w/o a pharmacist ___ must be reported to the SBOP within ____ |
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Definition
| Name of person authorizing opening, name of person opening, description of situation within 10 days |
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Term
|
Definition
care & drug therapy management
Pharmacist review and evaluation of medication regimens to achieve specific outcomes |
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Term
| CDTM protocols are _________ between pharmacist and physician that must be reviewed _____ |
|
Definition
| written agreements reviewed yearly |
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Term
| To treat a patient per CDTM protocol what must the pharmacist have? |
|
Definition
1. initial diagnosis by physician
2. valid order specific to patient specifying protocols
3. informed patient (pt may refuse) |
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Term
| A pharmacist practicing CDTM must have an unrestricted license AND ONE of six qualifications that include: |
|
Definition
1. Residency in the specialty
2. ACPE cert. program and 40 hours supervised training
3. 40 hours of CE and 40 hours supervised training
4. BCPS or NISPC certification
5. Be grandfathered in (8/05)
6. In-patient or HMO: 40 hours of supervised practice protocol approved by P&T, documented competency |
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Term
| Pharmacy Manager must report violations: |
|
Definition
1. diversion
2. security breaches
3. loss of medications
4. any pharmacist who works impaired due to drugs/alcohol
5. significant errors resulting in injury or death |
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Term
| For each technician, the manager must post in the dispensing area |
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Definition
1. certification by national board
2. diploma from pharm tech school
3. documentation of 500 hours in pharmacy
4. documentation that there is none of the above |
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Term
| Board must be notified within 30 days of what kind of legal proceedings |
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Definition
| disposition, disciplinary action from another state, conviction of criminal acts, settlement of malpractice cases |
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Term
| Notice to the Board of legal proceedings should include: |
|
Definition
Court/state
Case name and number
Description of case
Copy of charges or indictment
Copy of verdict
Proof of completion of any requirements |
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Term
| Emergency kits may contain: |
|
Definition
| maximum of 60 drugs, 12 may be controlled substances, NO oral dosage forms, no more than 30 doses of any single drug |
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Term
| Records to be available to SBOP immediately include: |
|
Definition
(2 years prior of each)
1. DEA-222 forms
2. CS inventory, dispensing, receipt
3. RX drug orders
4. distribution, loss, disposal (all RX and CS)
5. licensed employees list, including part time, relief with name license number example of initials and signature and start date
6. manufacturer, distributor or repackager |
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|
Term
|
Definition
|
|
Term
| Inventory must be taken at least every ___ |
|
Definition
|
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Term
| Inventory of ____ must be exact, but inventory of ____ may be estimated so long as the stock bottle is less than 1000 |
|
Definition
|
|
Term
| Records may be kept by either a daily ____ or on computer provided ____ |
|
Definition
| "printout" OR provided computer is online retrieval with daily backup, printable upon request |
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|
Term
| Immunization records must be kept for 3 years and include: |
|
Definition
Pt name, address, DOB
Responses to indication/CI questions
Date and site of injection
Name, dose, manufacturer, lot #, exp date
Name and address of PCP
Name/initials of pharmacist (intern)
Informed consent
VIS version and date provided |
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|
Term
| Up to a ____ supply may be compounded for a patient pursuant to an order |
|
Definition
|
|
Term
| Compounded prescriptions for chart order, hospital order, for practicioner, and hospital stock shall include |
|
Definition
Batch (lot) number
Beyond use date
Storage directions
"This product was compounded by the pharmacy" (for LTCF chart order or distributed to practicioner) |
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|
Term
| Policy and Procedure Manual shall be kept for non-sterile and sterile products and requires |
|
Definition
Annual review
Signed and dated by pharmacist manager
Pharmacist manager ensures compliance |
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Term
| Beyond Use Date for immediate use |
|
Definition
| 1 hour in room temp or fridge |
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Term
| Beyond Use Date for Low risk (>12 hour) |
|
Definition
48 hours at room temp
14 days in fridge
45 days frozen |
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|
Term
| Beyond Use Date for Low risk |
|
Definition
|
|
Term
| Beyond Use Date for Medium risk |
|
Definition
30 hours at room temp
9 days in fridge
45 days frozen |
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|
Term
| Beyond Use Date for High risk |
|
Definition
24 hours at room temp
3 days in fridge
45 days frozen |
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|
Term
| PDOs must report to PDMP how often? |
|
Definition
| TWICE monthly (submitted by the 10th and 25th of each month) |
|
|
Term
|
Definition
| Heroin, LSD, Peyote, Mescaline, MDMA, |
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|
Term
| Schedule II drugs include |
|
Definition
| Opium, morphine, fentanyl,cocaine, amphetamines, oxycodone, methylphenidate, pure codeine, pure hydrocodone |
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|
Term
| Schedule III drugs include |
|
Definition
| Fiorinal, buprenorphine, anabolic steroids, vicodin, T3, ketamine, marinol, paregoric, |
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|
Term
| Schedule IV drugs include |
|
Definition
| Benzodiazepines, Phenobarbital, zolpidemn, zopiclone, zaleplon, eszopiclone, pentazocine, modafinil, diphenoxylate |
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|
Term
|
Definition
| Robitussin AC, pregabalin, lomotil |
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|
Term
| A license may be revoked/suspended if the registrant: |
|
Definition
1. falsifies application
2. convicted of a CS felony
3. federal registration is revoked
4. committed acts inconsistent w/ public interest |
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|
Term
| CO SBOP must notify DEA of all _____ reguarding controlled substances |
|
Definition
| restriction, suspension, or revocation of registration OR any forfeiture of controlled substances |
|
|
Term
| Colorado CSA establishes it is unlawful to: |
|
Definition
1. dispense C-I
2. refill CIII-CV more than 5 times or more than 6 months after initial date
3. failure to keep license and/or records
4. failure to properly label |
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|
Term
| Sale of a C-V drug OTC is considered _____ in Colorado |
|
Definition
|
|
Term
| Prescription orders in CO must be filed for 2 years in _____ files |
|
Definition
| 3 separate files (CII, CII-CV and all non controlled) |
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|
Term
| The prescriber of an emergency oral C-II must provide signed, writte RX to pharmacist within ____ |
|
Definition
72 hours (CO LAW)
7 days (federal law) |
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|
Term
| CO pharmacist licenses are renewed every ____ |
|
Definition
| 2 years, every ODD numbered year |
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|
Term
| Colorado PDOs must register every |
|
Definition
|
|
Term
| ___% of pharmcist may be audited and required to prove CE requirements |
|
Definition
|
|
Term
| ____ hours of CME are accepted as credit toward 24 hours of CE required for license renewal |
|
Definition
|
|
Term
| Medical professionals allowed to prescribe in CO include |
|
Definition
| APRN, Dentist, Optometrist, physician, PA, podiatrist, veterinarian |
|
|
Term
| APRNs must ____ in order to prescribe |
|
Definition
1. be listed on Board of nursing registry as APN
2. have a written collaborative agreement with a CO physician
3. have a RXN # from board of nursing |
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|
Term
| Dentist (DDS or DMD) may not prescribe ______ |
|
Definition
1. drug that is unnecessary for practice of dentistry
2. C-II for self or family |
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|
Term
| Optometrist may prescribe ____ |
|
Definition
| mydraitics, miotics, cycloplegics, anesthetics, antibiotics, anti-inflammatories, antihistamines, analgesics (NO CII), antiglaucoma |
|
|
Term
| Physicians assistants have what limits on their prescriptive authority |
|
Definition
1. must prescribe within practice area
2. written RX must be on supervising physician RX forms including name address and phone # of supervising MD and PA
3. own DEA for CS |
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