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 [Show More]
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