Law > QUESTIONS & ANSWERS > FSDLE: Virginia Law Part 4, Questions and answers, 100% verified. Rated A (All)
FSDLE: Virginia Law Part 4, Questions and answers, 100% verified. Rated A Who can call in a prescription? - ✔✔The prescriber or his or her authorized agent. The agent must be specifically di... rected by the prescriber and must be either: An employee under the prescriber's immediate and personal supervision or An individual holding a valid license allowing administration or dispensing of drugs Can a written prescription for SII drugs be faxed? - ✔✔Only for informational purposes. A faxed prescription does NOT count as the original written prescription However there are exceptions: An order for SII drugs for nursing home or home infusion patients may be faxed SII prescriptions for hospice patients may be faxed if the prescriber notes on the prescription that the patient is a hospice patient These prescriptions must meet the same requirements as written prescriptions, including signature Can the prescriber decide where to fax the prescription? - ✔✔The prescription has to be faxed to the pharmacy of the patient's choice Where does a faxed prescription need to come from? - ✔✔The prescriber's practice location A long term care facility or hospice Can an oral prescription be faxed? - ✔✔Yes , an oral prescription can be faxed. It has to have the agent's full name and wording that clearly indicates the prescription being transmitted is an oral prescription. If the prescription is oral, the prescriber's signature is not needed What other information is required on a faxed prescription? - ✔✔The date faxed The name, address, phone, and fax number of the prescriber The address, phone number, and fax number of the institution the prescription is faxed from Can a prescriber fax a refill authorization? - ✔✔YES What information does a faxed refill authorization need to include? - ✔✔The patient's name and address The drug name, strength, and quantity The directions for use The prescriber's name The prescriber's signature or agent's name Date of authorization Can a prescriber transmit prescriptions electronically? - ✔✔Yes What information does an electronically transmitted prescription need to include? - ✔✔The phone number of the prescriber The full name of the prescriber's agent if other than the prescriber transmitting The date of transmission What are the record keeping requirements for electronic prescriptions? - ✔✔The same as for written prescription records Is a pharmacy allowed to transfer a prescription to another pharmacy? - ✔✔Yes, if the patient has given permission, and the prescription may be filled or refilled Can you transfer a prescription for a SII drug if you have not filled it? - ✔✔NO, transfers are not allowed on SII drugs How can a prescription be transferred? - ✔✔Orally by direct communication between two pharmacists By fax machine By electronic transmission What are the responsibilities of the transferring pharmacy? - ✔✔Write VOID on the face of the invalidated prescription Record information about the receiving pharmacy- the name, address, and DEA number for controlled drugs For an oral transfer, the name of the pharmacist receiving the prescription Record the date of transfer What are the responsibilities of the receiving pharmacy? - ✔✔Write the word TRANSFER on the face of the transferred prescription Record the required information What information is the receiving pharmacy required to record? - ✔✔Date of issuance of the original prescription Original number of refills authorized on the original prescription Date of original dispensing, if applicable Number of valid refills remaining and the date of last dispensing Pharmacy name, address, DEA registry number except for SVI prescriptions, and original prescription number from the prescription information that was transferred Name of transferring pharmacist, if transferred orally How long do the transferring pharmacies need to keep their records? - ✔✔Both the original and transferred prescriptions must be maintained for two years from the date of last refill Can you give a patient a copy of their prescription after you have transferred it? - ✔✔You may give a prescription marked "For Information Only" to the patient Instead of writing the information on the transferred prescription, can the transferring pharmacy record this information electronically? - ✔✔Yes If a patient transfers a prescription from one CVS to another, do both pharmacies need a hard copy on file? - ✔✔Not if they have a common database that is capable of generating a hard copy of the transferred prescription upon request Who can write a prescription for a controlled substance? - ✔✔A practitioner of medicine, osteopathy, podiatry, dentistry, or veterinary medicine who is authorized to prescribe controlled substances, or by a licensed nurse practitioner, a licensed physician assistant, or a TPA certified optometrist When is a prescription not a valid prescription? - ✔✔If it is not written for a medical or therapeutic purpose If it is not written for people or animals with whom the practitioner has a bona fide practitioner patient relationship What does the practitioner have to do to ensure a bona fide practitioner patient relationship? - ✔✔Obtain a medical or drug history Provide information to the patient about the benefits and risks of the drug being prescribed Perform an appropriate examination of the patient, either physically or by using equipment to electronically transmit images and medical records Except for medical emergencies, the examination of the patient should be performed by a practitioner, within the group in which he or she practices, or by a consulting practitioner Initiate additional interventions and follow up care, if necessary, especially if a prescribed drug may have serious side effects Define a bona fide practitioner patient pharmacist relationship? - ✔✔The practitioner prescribes, the pharmacist dispenses controlled substances in good faith to his patient for a medicinal or therapeutic purpose within the course of his professional practice Can a patient get a birth control prescription from a psychiatrist? - ✔✔Yes. A psychiatrist is an MD and has the same prescribing authority as any other MD Can you accept a controlled substance prescription from an out of state practitioner? - ✔✔Yes, as long as the out of state practitioner is authorized to prescribe in Virginia If you are authorized to prescribe, does this also mean that you are authorized to provide manufacturers' professional samples for controlled substances and devices? - ✔✔YES What certification does an optometrist need in order to prescribe? - ✔✔TPA- certification What can an optometrist prescriber? - ✔✔SIII-VI oral analgesic to relieve ocular pain Other oral SVI controlled substances to treat disease of the eye Topically applied SVI drugs IM administration of epinephrine to treat emergency cases of anaphylactic shock If a hospital has a standing order or protocol for administration of influenza or pneumococcal vaccine, does that count as a bona fide practitioner patient relationship? - ✔✔YES Give some examples of a practitioner authorizing someone else to possess or administer something under his supervision pursuant to an oral or written order or standing protocol - ✔✔Nuclear medicine technologist administering radiopharmaceuticals Registered nurses and LPN administering emergency epinephrine or maintaining IV access lines using heparin and sterile normal saline Emergency medical services technicians administering emergency epinephrine Licensed physical therapist administering topical corticosteriods, topical lidocaine, and other SVI topical drug Give some examples of a practitioner authorizing someone else to possess or administer something under his supervision pursuant to an oral or written order or standing protocol - ✔✔Licensed athletic trainers administering topical corticosteriods, topical lidocaine or other SVI topical drugs or epinephrine RNs administering tuberculin purified protein derivative in the absence of a prescriber A properly trained employee of a school board assisting with the administration of insulin or administering glucagon to a diabetic student, with permission from the parents Who can administer vaccines to adults for immunizations per Board of Nursing protocol when a practitioner with prescriptive authority is not physically present? - ✔✔Licensed pharmacist Registered nurses LPNs under the immediate and direct supervision of a RN What can a dentist authorize to be administered by either a dental hygienist or by an authorized agent of the dentist? - ✔✔SVI topical drugs Oral fluorides Topical oral anesthetics Topical and directly applied antimicrobial agents for treatment of periodontal pocket lesions Any other SVI topical drug approved by the Board of Dentistry SVI nitrious oxide and oxygen inhalation analgesia SVI local anesthesia to patients 18 years of age or other Can a prescription be written by a medical intern or resident who [Show More]
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