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Exam (elaborations)

Nebraska MPJE Test Questions with Complete Solutions Graded A+

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Nebraska MPJE Test Questions with Complete Solutions Graded A+

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Nebraska MPJE Test Questions and
Complete Solutions Graded A+
T or F. All pharmacies must have a PIC, even mail order. - Answer: True



Define PIC - Answer: Pharmacist responsible for practice of pharmacy on Pharmacy's License



Works w/in the physical confines *unless remote dispensing pharmacy*



PIC duties - Answer: -Develop/implement *policies/procedures* (hosp)

-Ensure that pharmacist *review medical orders* prior to first dose (with exceptions) (hosp)

-Operational *Law Conformance*

-Initial Inspection presence

-File *Required Reports*

-*Notify* Dept. of HHS and patients if pharmacy closing

-*Supervision* and performance assessment

-Employee credentialing verification



T or F. Pharmacist review is required of all medical orders prior to first dose being administered to
patient in hospital. - Answer: T (with exceptions)



-STAT Orders (given immediately and ONCE)

-Harm to patient



Is telepharmacy allowed in hospitals to allow pharmacist review of orders? - Answer: Yes



When is pharmacist review of medical order not required in hospital? - Answer: When practitioner
controls ordering/dispensing/administration of the drug

*OR

,*Endoscopy suite

*ER

*Etc.



When time does not permit pharmacist review

*Stat order (x1)

*When status of patient would be significantly compromised by the delay



Does a hospital need a separate pharmacy license? - Answer: Only if serving patients outside of the
hospital (but ok to do for any hospital within the healthcare system)



What reports are required for PIC to submit? - Answer: *Annual Pharmacy Quality Assurance Report

*Semiannual as required by Parkinson's Disease Registry Act



Details submitted in semiannual report required by Parkinson's Disease Registry Act - Answer: -List of
Patients taking registered PD Drugs

-*Name & Address of Patient/Prescriber*

-SSN



How to change PIC - Answer: -*Notify* DHHS immediately

-*Control Substance Inventory*

-Contain all info required in biennial inventory

-Maintain in pharmacy for 5 years

-Forward to Dept within 30 days



Do you need to send controlled substance inventories to anybody? - Answer: Forward to the
Department



What to do if pharmacy ceases legal existence or discontinues business - Answer: Notify the Department
within 15 days:

,-Sale/Disposition of any pharmaceutical product or device. (including legend/controls)
-Invoices/inventory records

-Location of all patient records



-Return Pharmacy *Licence, DEA Registration, unused 222 forms* (including a and d)



What to do if pharmacy has change of ownership - Answer: Notify the Department within 15 days



-How to transfer CIIs? -How long must transfer records be kept? - Answer: -222 form

-2 years



How to transfer schedule III-V medications (to a pharmacy, wholesaler, etc.) - Answer: Must be
documented in writing

-Drug name

-Dosage form

-Strength

-quantity

-date transferred

-name/address/DEA# of parties involved



How do reverse distributors for controlled substances work? - Answer: -Pharmacy submits DEA 222
form/record of transfer (CIII-V)

-Reverse distributor files DEA 41 for destruction



Practice of Pharmacy definition - Answer: -Interpret/evaluate/implement *medical orders*

-*Dispense* drugs/devices

-Drug *product selection*

-*Administration* of drugs/devices

-DUR

-Counseling

, -Provide pharmaceutical care

-MTM

-*Compounding, Labeling, Storage* of dispensed/repackaged products

-Maintenance of records



Can orders from presciber's from outside state be filled? - Answer: Yes, if that prescriber could be
authorized to prescribe in this state



Is it illegal for unauthorized people to provide pharmaceutical care and compound/dispense
drug/devices? - Answer: Yes, and it is illegal to permit or direct a person to do so



Is it illegal to (attempt to) coerce a pharmacist to enter into a delegated dispensing agreement? -
Answer: Yes



Can you split fees with a person for bringing/referring a consumer? - Answer: No, except:

(a) Partner/Employee

(b) Landlord

(c) Former Partner/Employee

(d) by a person credentialed pursuant to the Water Well Standards and

Contractors' Practice Act



Define unprofessional conduct - Answer: -Failure to practice adequately/ethically regardless of outcome

-Actions deceiving/defrauding public

-Actions detrimental to public interest



Can you prescribe a controlled substance to yourself? - Answer: No



Can you prescribe a controlled substance to family members, etc.? - Answer: Only in case of medical
emergency

-spouse

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