Who can sign for controlled drug substances orders? Can they sign for more than 1 pharmacy? Ans- Full
pharmacist
Yes
What are the requirements for dispensing without a prescription in a state of emergency situation?
...
Who can sign for controlled drug substances orders? Can they sign for more than 1 pharmacy? Ans- Full
pharmacist
Yes
What are the requirements for dispensing without a prescription in a state of emergency situation? Ans1. Record of the date, name & address of patient, and the name, strength and quantity of drug
dispensed
2. Communicate information to patient's prescriber asap
Can a registrar waive pharmacy licensure requirements and issue a temporary pharmacy license to a
licensed pharmacy required to relocate due to a declared state of emergency? Ans- Yes
When may a pharmacist dispense an emergency refill? Ans- 1. Patient's medication supply has been
exhausted
2. '101 prescriber not found' or 'D3 prescriber is not authorized' appears on a valid and authorized refill
AND the patient is not on Pharmacare's Restricted Claimants Program
What are the 5 practice fundamentals when emergency refilling a prescription? Ans- 1. Individual
competence
2. Appropriate information
3. Appropriateness
4. Informed consent
5. Documentation
An automatic counting device capable of recording and printing data may be replenished WITHOUT
completely emptying under what 4 criteria? Ans- 1. Device records and can print all lot numbers &
expiry dates
2. Reports are printed monthly to ensure inventory is within the "use-by" dates
3. Reports filed and kept for a year
4. For a drug recall, entire contents are removed if affected lot number was used since last emptying
An automatic counting device NOT capable of recording and printing data must be operated under what
3 conditions? Ans- 1. Cell must be identified with drug name, strength, DIN, lot number and expiry of
current stock in cell
2. Replenishment must only occur when stock is completely empty
3. Replenishment must be checked by registrant
How long can a pharmacy be closed before it loses it's operating license? Ans- up to 14 consecutive days
What are the 4 requirements for temporarily closing a pharmacy? Ans- 1. Contact all prepared
prescription recipients prior to closure to obtain their prescription
2. Post closure at least 30 days prior
3. Post signage at entrance & provide informative telephone answering message about closure
4. Make alternate arrangements with local prescribers
What are the 4 requirements of a pharmacy assistant to be able to verify medication container
contents? Ans- 1. Be a graduate of a technician training course prior to Jan. 2011 OR have an equivalent
of 2 years experience in hospital pharmacy
2. Work sufficient hours to maintain competence
3. Complete a standard departmental training program on verifying medication container contents
4. Demonstrate consistent accuracy in verifying the contents of medication containers
What are the 5 requirements of a pharmacy assistant to be able to verify compounded sterile products?
Ans- 1. Be a graduate of a technician training course prior to Jan. 2011 OR have an equivalent of 2 years
experience in hospital pharmacy
2. Work sufficient hours to maintain competence
3. Be trained in aseptic technique & qualified to prepare sterile products
4. Complete a standard departmental training program on verifying compounded sterile products
5. Demonstrate consistent accuracy in verifying the contents of medication containers
How often does a pharmacy assistant need to be audited for their accuracy of verifying of compounded
sterile products & medication container contents? Ans- Annually
Can a pharmacy manager/pharmacist/pharmacy technician decertify a pharmacy assistant at any time if
they believe the assistant in not capable of safely carrying out delegated tasks? Ans- Yes
What are the 7 fundamentals when adapting a prescription? Ans- 1. Individual competence
2. Appropriate information
3. Appropriateness
4. Original prescription
5. Informed consent
6. Documentation
7. Notification of other health professionals
What are the 18 community pharmacy equipment requirements? Ans- 1. Telephone
2. Refrigerator
3. Prescription filing supplies
4. Prescription balance having a sensitivity rating of 0.01
5. Metric weights for balances requiring weights or instruments with equivalent capability
6. Mortar & pestle
7. Spatulas (metal & non-metallic)
8. Funnels
9. Stirring rods
10. Ointment slab or parchment paper
11. Counting tray
12.Disposable drinking cups
13. Double sink with running hot & cold water
14. Soap dispenser & paper towel dispenser
15.Plastic or metal garbage containers to be used with plastic liners
16. Fax machine
17. Dedicated high-speed internet connection
18. Metric scale glass graduates
What 4 things must a hospital pharmacy manager have in place? Ans- 1. Organization-specific policies &
procedures to ensure patient safety and effectiveness
2. Organization-specific policies, procedures, training and certification as appropriate to ensure safety of
staff
3. A system to monitor & evaluate the safety & effectiveness of drug delivery systems, drug
administration devices, products, personnel & services
4. A system to investigate unsafe practices
What are the differences between compounded and manufactured products? Ans- Compounded:
1. Regulated by provincial regulatory authorities
2. Do NOT circumvent regulatory requirement from Food & Drugs Act and regulations, the National Drug
Schedules, or intellectual property legislation
3. A customized therapeutic solution
4. Involve a relationship between practitioner & patient
Manufactured:
1. Subject to all appropriate divisions and sections of the Food & Drugs Act and regulations
2. Require a DIN
3. Produced independently of practitioner-patient relationship
4. Required to obtain an Established License (EL) & meet requirements of Division 2 Good manufacturing
Practices (GMP)
When do narcotic counts and reconciliations need to be completed? Ans- - At least every 3 months
- A change in pharmacy manager
- A break and enter or robbery
- An identified drug diversion
- Pharmacy closure
- After any event where the security of the narcotics have been compromised
What are the 4 required procedures when performing a narcotic count and reconciliation that need to
be verified and signed off by a pharmacy manager? Ans- 1. Perpetual inventory for each narcotic drug
2. Physical inventory counts
3. Reconciliation of perpetual and physical inventory and purchase invoices
4. Documentation kept in chronological order for 3 years
What are the requirements of pharmacy managers, pharmacists, and pharmacy technicians employed at
a community pharmacy that provides opioid agonist treatment (OAT)? Ans- Pharmacy managers:
- Complete the CPBC MMT or BCPhA OAT CAMPP training program
- Record training completion in eServices
- Educate all non-pharmacist staff regarding their role in OAT and document the completion of the
education
Pharmacists & Pharmacy technicians:
- Complete the CPBC MMT or BCPhA OAT CAMPP training progra
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