MPJE NY UPDATED EXAM QUESTIONS AND VERIFIED ANSWERS |100% CORRECT| GRADE A+

MPJE NY UPDATED EXAM QUESTIONS AND VERIFIED ANSWERS |100% CORRECT| GRADE A+ “what entity regulates the health professions - CORRECT ANSWER the state education dept under the direction of the NYS board of regents administers professional regulation thru the office of the professions" "the executive secretary of the board of pharmacy authorizes an investigation of your pharmacy. the investigator will be an employee of your current county govt. is this legal? - CORRECT ANSWER yes the executive secretary can conduct examinations and investigations through officers and employees of an city/county of NYS" "since an officer assigned by the executive secretary may require access to your records in the event of an investigation, how should you prepare? - CORRECT ANSWER by maintaining records in a readily retrievable fashion" "T/F the board regulates the use of coal tar in coloring drugs - CORRECT ANSWER true the board requires batches of coal tar colors to be certified before its use as colorants in drug formulations" "when selling rx drugs by auction, you must notify the board of the date, time, and place of the auction. how much notice does the board require - CORRECT ANSWER 7 days can only be sold to a registered pharmacy" "how do you register a pharmacy - CORRECT ANSWER ensure that the pharmacy contains the necessary equipment, utensils, and stocks of drugs sufficient to permit the prompt and efficient compounding and dispensing of rxs submit an application for pharmacy registration pay the $345 application fee" "renewal of pharmacy registration is required... - CORRECT ANSWER triennially (q 3 years) on a date set by the dept" "what is the pharmacy registration renewal fee - CORRECT ANSWER $260 or a prorated portion determined by the dept" "at the time of renewal the board may require the pharmacy owner to submit a report to the dept. this report must be made... - CORRECT ANSWER under oath" "the pharmacy registration must be - CORRECT ANSWER conspicuously displayed in the pharmacy at all times" "whose name must be included on the pharmacy registration in cases where the owner is not a licensed pharmacist - CORRECT ANSWER the name of the pharmacist that personally supervises the pharmacy" "what must be done if there is a new rxm - CORRECT ANSWER the owner and/or new rxm must notify the dept of the change and apply of an amended registration" "once the amended registration is granted by the dept, does it have to be displayed? - CORRECT ANSWER yes attached to the original registration and displayed in the same manner" "in the event that a pharmacy changes location, what is the fee to have the dept inspect and endorse the new location - CORRECT ANSWER $50" "how much time do you have to notify the board of damage due to a natural disaster/fire/flood - CORRECT ANSWER 48h" "what entities may obtain a limited pharmacy registration from the dept - CORRECT ANSWER pharmacies in hospitals, nursing homes, or extended care facilities that do not meet the requirements for full registration as a pharmacy but provide a high standard of pt care and safety pharmacies that solely furnish dialysis solutions in facilities for pts with ESRD and provide a high standard of pt care and safety" "what is the initial registration and renewal fee for a LIMITED pharmacy - CORRECT ANSWER $345 renewed triennially" "before distributing CSs to another person, what must a licensee do to ensure the person is properly licensed? - CORRECT ANSWER make a good faith effort to ensure do this by submitting an inquiry to the NYDOH or US DOJ - bureau of narcotics and dangerous drugs" "T/F licensees must report suspicious orders (e.g. unusually large orders) of CSs to the NYDOH - CORRECT ANSWER true" "what are the minimum equipment requirements for pharmacies to have - CORRECT ANSWER weighing device sensitive to 6mg (class A prescription balance) devices capable of measuring 0.1 to 500mL mortar and pestle" "what is the minimum size requirement for a pharmacy - CORRECT ANSWER 300 sq ft with at least 100 sq ft for compounding" "for pharmacies involved in training interns, one intern may be engaged of how many prescriptions dispensed annually - CORRECT ANSWER 5000 ex: if a pharmacy fills 15k rxs/year, they can train 3 interns" "criteria to obtain NYS rph license - CORRECT ANSWER US citizen or lawful immigrant 21 years old completed app BS in pharmacy or PharmD prove completion of required experiential education pass boards be of good moral character pay required fees" "applications for admission to a licensing exam must be completed and filed how many days prior to the exam - CORRECT ANSWER at least 60" "is it possible to file the application less than 60 days prior to the exam? - CORRECT ANSWER yes, as long as the dept has had enough time to review and process the app applicant would be charged a late fee" "once your app to be admitted to a licensing exam has been approved, what will you receive? - CORRECT ANSWER an admission card which displays the date, time, and place of the exam" "if you attended pharmacy school in another country, what certification do you need to become licensed in NYS - CORRECT ANSWER FPGEC certification" "to participate in the FPGEC program, candidates must have completed a program consisting of how many years of professional study - CORRECT ANSWER at least 3" "candidates in FPGEC program must take what exam - CORRECT ANSWER FPGEE" "what organization runs the FPGEC program - CORRECT ANSWER NABP" "how long is the foreign grad internship - CORRECT ANSWER 12 months full time (40h/wk)" "reciprocity - CORRECT ANSWER must take MPJE must be practicing for at least 1 year during the last 5 year period" "what is 1h of CE - CORRECT ANSWER at least 50 mins of formal learning or studying" "how many hours of CE must a pharmacist complete - CORRECT ANSWER 45h q 3 years (triennial)" "of the 45h CE, how many must be completed thru self-study - CORRECT ANSWER 22h max" "of the 45h CE, how many must be live - CORRECT ANSWER 23h min" "of the 45h CE, how many must be on the topic of processes and strategies for reducing med/rx errors - CORRECT ANSWER 3h min" "if you participate in CDTM, how many of the 45h CE must be relevant to area of practice - CORRECT ANSWER 5h min, must be live" "if you fail to complete CEs, do you have to stop practicing? - CORRECT ANSWER yes, unless you obtain a conditional registration certificate" "why would you need to obtain a conditional registration certificate - CORRECT ANSWER if you fail to renew on time, you would need to obtain a conditional registration certificate to allow you to make up the deficient CE and practice pharmacy again" "what is the fee for conditional registration certificate - CORRECT ANSWER equal to and in addition to the fee for triennial registration renewal" "can you get CE credit for completing a university or college course - CORRECT ANSWER yes 1 semester hour = 15h CE 1 quarter hour = 10h CE" "if an organization wants to offer CE to pharmacists, they must submit an application to the education dept and pay how much - CORRECT ANSWER $900 fee" "if approved, the organization will receive approval sponsor permit. how frequently does it need to be renewed and what is the renewal fee - CORRECT ANSWER every 3 years $900" "a registered PA can only perform medical services under the supervision of who - CORRECT ANSWER licensed physician" "does the physician need to be physically present while a PA provides medical services - CORRECT ANSWER no" "medical services provided by a PA must be - CORRECT ANSWER assigned by the supervising physician within the supervising physician's scope of practice appropriate to the PA's education, training, and experience" "in private practice, how many PAs and specialist assistants can one physician employ - CORRECT ANSWER up to 4 licensed PAs up to 2 registered specialized physicians" "in a hospital setting, how many PAs and specialist assistants can one physician supervise? - CORRECT ANSWER up to 6 total (any combination)" "can PAs prescribe CSs - CORRECT ANSWER yes" "how are PAs required to sign rxs - CORRECT ANSWER their signature followed by PA and their state education dept license number electronic rxs must contain the electronic signature of the PA plus the name, address, and phone number of the supervising md" "T/F a PA can write orders for inpatients in a facility who are under the care of a supervising md - CORRECT ANSWER true assuming it is permitted by the bylaws, rules, and regs of the facility countersignature by md may be required at the discretion of the supervising md or hospital" "in situations where a countersignature is required, when must it be required - CORRECT ANSWER NEVER prior to the execution of the order" "what are the 4 categories in which an individual can be registered as a specialist assistant - CORRECT ANSWER orthopedics urology acupuncture radiology" "what are the responsibilities of a midwife - CORRECT ANSWER to manage uncomplicated pregnancies, child births, postpartum care, and preventive reproductive care" "for optometrists certified to use or prescribe phase 1 or 2 agents, how many hours of CE must be completed in ocular disease and pharmacology triennially - CORRECT ANSWER 36h" "unlicensed personnel can assist pharmacists by performing what duties - CORRECT ANSWER receiving written or eRx typing rx labels entering data into computer generated files retrieving data from a computer generated file retrieving drugs from stock returning drugs to stock locating and retrieving rxs and other records counting dosage units of drugs placing dosage units in containers affixing labels to containers preparing manual dispensing records for the rph signature handling or delivering completed rxs" "what is the max ratio of unlicensed persons to pharmacists - CORRECT ANSWER 2 to 1 individuals responsible for placing unit dose drugs into med carts for pts in an institutional setting are exempt from this ratio, provided they do not assist the pharmacist by performing any of the 12 duties listed above" "what duties are techs restricted from performing - CORRECT ANSWER receiving oral rxs evaluating rxs for conformance with legal requirements, authenticity, accuracy, and DDIs making determinations of therapeutic equivalency measuring, weighing, compounding, or mixing ingredients signing or initialing a record of dispensing counseling performing functions that require professional judgment" "what must a pharmacist do in the process of dispensing a drug - CORRECT ANSWER review and approve" "how much must a supervising pharmacist work - CORRECT ANSWER must be a full time employee (30h/wk)" "what if the pharmacy is open less than 30h/wk - CORRECT ANSWER the supervising rph must be employed for a majority of the time the pharmacy is open" "every pharmacy shall be under the immediate supervision of who when open - CORRECT ANSWER licensed rph (not necessarily rxm)" "how many pharmacies can a pharmacist supervise at once - CORRECT ANSWER 1" "if a pharmacy gets a new supervising pharmacist, in what time frame must the board be notified - CORRECT ANSWER within 7 days" "who is responsible for notifying the board when there is a change in the identity of the supervising rph - CORRECT ANSWER the pharmacy owner" "effective 7/22/16 - what is the max supply a prescriber can give of an opioid for acute pain - CORRECT ANSWER 7 days subsequent rxs for the same acute pain are not limited to 7 days" "is there a limit to initial rxs for opioids for chronic pain - CORRECT ANSWER no" "what info needs to be on a rx for CSs - CORRECT ANSWER pt full name, address, age, gender md name, address, dea number, phone drug name drug strength dosage form quantity (numerical and written) directions (minimum: dose, frequency, MDD) number of refills (not c2/benzos, numerical and written) md signature date written (if for an animal, must include species of animal and name and address of owner)" "what info from CS rxs must be electronically transmitted to the NYS DOH - CORRECT ANSWER rx number NPI of pharmacy pt name, address, dob, gender date filled NDC of drug metric quantity dispensed days supply md DEA number date written serial number of ONYSRx payment method number refills authorized refill number" "when does this info need to be transmitted to the NYS DOH - CORRECT ANSWER no later than the 15th day of the month following the month in which the CS was dispensed" "when can you have more than 30DS for controls and how long - CORRECT ANSWER need a code 3 months for all CS 6 months for anabolic steroids can write name of code or name of condition" "code a - CORRECT ANSWER panic disorder" "code b - CORRECT ANSWER ADD" "code c - CORRECT ANSWER chronic debilitating neurologic conditions" "code d - CORRECT ANSWER relief of pain caused by chronic or incurable disease" "code e - CORRECT ANSWER narcolepsy" "code f - CORRECT ANSWER male hormone deficiency, gynecologic conditions responsive to tx with anabolic steroids or chorionic gonadotropin, metastatic breast cancer, anemia, angioedema" "how many refills can a c3-5 have - CORRECT ANSWER up to 5, valid for 6 months if dispensed with a code for more than 30 DS, only 1 refill allowed" "when refilling a CS, what must be documented on the rx - CORRECT ANSWER amount dispensed date dispensed signature of dispensing pharmacist" "additional prescriptions for the same CS cannot be issued to the same pt within 30 days of the date the previous rx was issued. unless the pt has how many DS left - CORRECT ANSWER must have a 7 day supply or less left unless earlier filling is authorized by prescriber, c3-5 cannot be refilled earlier than 7 days prior to date previously dispensed" "can a pharmacy ever accept a c2 or benzo rx via fax - CORRECT ANSWER yes but only if the following criteria are met: - the faxed image shows the rx was written on ONYSRx - the medication is to be compounded for infusion or its for a pt in hospice of RHCF that is contracted with the pharmacy - the prescriber writes hospice pt or RHCF pt on face of rx (not required for compounded infusion meds) - md furnishes the pharmacy with a cover ONYSRx within 72h" "if md fails to furnish the ONYSRx within 72h, the rph must notify the NYS DOH in writing within how many days - CORRECT ANSWER 7 days from date of dispensing" "if a CS rx has missing info, what do you do - CORRECT ANSWER obtain the missing info orally and enter on rx along with your signature and date" "what info cannot be added orally by the prescriber to CS rx - CORRECT ANSWER md signature date written/signed med name quantity dispensed pt name" "what is a facility label - CORRECT ANSWER a serialized authentication label issued by NYSDOH these are attached to a facility's own rx form" "are both ONYSRx and facility prescriptions containing a facility label considered to be tamper resistant - CORRECT ANSWER yes" "registered facilities must have a system of control and security for official prescription forms and facility labels, which includes - CORRECT ANSWER records of receipt records of all forms and labels assigned to staff practitioners system to secure forms and labels when not in use system to collect forms and labels when the staff practitioner terminates their affiliation with the facility system to have sufficient, but not excessive, forms and labels in reserve" "what should be done with the rx forms of a deceased practitioner - CORRECT ANSWER should be returned to the NYS DOH bureau of narcotic enforcement this is the responsibility of the practitioner's estate" "if a registration is revoked or suspended, all unused official prescription forms must be returned within how many days - CORRECT ANSWER within 15 days of written notification" "ONYSRx forms contain how many lines for md signature - CORRECT ANSWER one" "what does a prescriber's signature do to the rx - CORRECT ANSWER validates" "how do prescriptions indicate LEP - CORRECT ANSWER ONYSRx contain a section where prescribers can indicate whether the pt is LEP they also have a line where the prescriber can specify the pt's preferred language" "if a rx has more than one drug on it, can it be dispensed? - CORRECT ANSWER no, only one drug per form none of the drugs should be dispensed" "what conditions need to be met to ensure eRx is valid - CORRECT ANSWER must contain prescriber's e signature must be electronically encrypted to prevent unauthorized access" "what computer application must be used to receive electronic CS rxs - CORRECT ANSWER american society for automation in pharmacy (ASAP) must also report transactions to the NYDOH bureau of narcotic enforcement" "how long must electronic rxs be stored - CORRECT ANSWER 5 years from most recent date of filling either electronic or hard copy" "can a prescriber's employee or agent create and transmit electronic prescriptions - CORRECT ANSWER no" "exceptions to using PMP - CORRECT ANSWER veterinary rxs hospice pts drug addicted pts receiving methadone or other CS as interim tx while on a waiting list for admission into a tx program ER rxs written for up to a 5 day supply of a CS" "can non controls rxs be transmitted by fax as long as the faxed image shows an ONYSRx form - CORRECT ANSWER yes" "do prescribers need to manually sign rxs before faxing - CORRECT ANSWER yes" "how long must faxed rxs be stored - CORRECT ANSWER 5 years from date of most recent fill" "when can pharmacists transfer rxs - CORRECT ANSWER at the express request and approval of a pt" "what is the max number of refills that can be transferred at one time - CORRECT ANSWER 1" "are transferring pharmacists required to give the info verbally - CORRECT ANSWER no, can be verbally, in writing, or electronic" "what info must be recorded by the pharmacist transferring the original rx - CORRECT ANSWER that an authorized refill has been transferred name, address, phone number of receiving pharmacy name of both pharmacists date of transfer" "the pharmacist that takes the transfer must create a hard copy with the following info - CORRECT ANSWER date written md name, address, phone, profession, registration # pt name, address, age name, strength, quantity of med directions name, address, phone of pharmacy giving transfer original rx # original and most recent fill or transfer date name of pharmacists term "refill transfer" on face" "are pharmacies penalized if pts refuse to supply info - CORRECT ANSWER no as long as refusal is documented" "what does a prospective drug review screen for - CORRECT ANSWER therapeutic duplication DDIs incorrect dose incorrect duration allergies clinical abuse or misuse" "how long do pt med profiles need to be maintained - CORRECT ANSWER 5 years" "in what case can a pharmacist dispense the brand name of a drug when generic substitution is permitted by the prescriber - CORRECT ANSWER if the generic is unavailable and the brand is cannot charge more than the generic amount" "is there ever a case where a generic exists and a pharmacist can dispense the brand and charge the regular brand price even though md didn't write DAW - CORRECT ANSWER if generic is unavailable and it's a medical emergency pharmacist must record the date, hour, and nature of medical emergency on back of rx" "what constitutes a medical emergency - CORRECT ANSWER a condition requiring alleviation of severe pain or any condition that threatens to cause disability or death if not treated promptly" "how long do rx records need to be maintained - CORRECT ANSWER 5 years" "rx records must be available for... - CORRECT ANSWER inspection and copying by a representative of the dept upon request" "what info must be maintained in the rx records - CORRECT ANSWER date filled md name pt name and address name/initials of rph who prepared/compounded/dispensed med" "can pts get copies of their CS rxs - CORRECT ANSWER no, but can send a copy to md if they are authorized to write rxs for CSs" "can pts get copies of non controls - CORRECT ANSWER yes, but write "copy to be used for informational purposes only" must be given if requested" "if you close a pharmacy and sell rx records, what needs to be done - CORRECT ANSWER the owner must notify the board of the disposition of the rx records rx records cannot be sold or given to someone who does not hold a current pharmacy registration" "for which pts is counseling required - CORRECT ANSWER new pts receiving a rx from your pharmacy for the first time existing pts receiving a new med or change in dose, strength, route of admin, or directions for use" "what info may be covered by the pharmacist when counseling - CORRECT ANSWER name and description of med and indications dosage form, dose, route, directions special directions/precautions side effects monitoring storage refill info missed dose" "what if pt refuses counseling - CORRECT ANSWER document refusal" "does an offer need to be made for refills - CORRECT ANSWER no but if pt requests counseling then must counsel" "for mail order, does an offer to counsel have to be made - CORRECT ANSWER yes, a written offer to counsel must be furnished with each rx" "what must the written offer to counsel include - CORRECT ANSWER toll free phone number where a pharmacist/intern can be readily reached" "what is a prescriber approved alternative drug - CORRECT ANSWER a change in the drug originally prescribed not generic substitution" "what additional steps must be taken when a prescriber approved alternative drug is dispensed via mail order - CORRECT ANSWER 1. provide a written notification that clearly advises the pt that the prescriber approved alternative drug has been dispensed (include directions and offer to counsel) 2. make a reasonable effort to contact the pt by telephone to personally offer counseling (2 call attempts within 48h of mailing the rx, document attempts)" "can a pharmacy be held liable for injuries resulting from the actions of third party contractors providing language interpretation and translation services - CORRECT ANSWER no, assuming the pharmacy was acting in good faith and attempting to comply with the law" "can a covered pharmacy receive a waiver to be exempt from providing translation services - CORRECT ANSWER yes but only if the pharmacy can show that need is low and implementation of the service would be unnecessary and burdensome" "what are the prerequisites to obtaining a certificate of administration for vaccines - CORRECT ANSWER NY pharmacist license or intern permit complete an approved immunization training program within last 3 years possess CPR or BLS certification" "if a pharmacist is certified to immunize in another state, do they need to retake the course - CORRECT ANSWER no, as long as they have been continuously practicing immunization administration in the other state" "how many years before the application for certificate of administration must the training course have been completed - CORRECT ANSWER 3 years" "what is the fee for certificate of administration and how often must it be renewed - CORRECT ANSWER $100 triennially" "to what age group can pharmacists administer immunizations - CORRECT ANSWER 2+ for flu 18+ for all others" "what immunizations can pharmacists give - CORRECT ANSWER flu pneumococcal herpes zoster meningococcal tetanus diphtheria pertussis *epi for anaphylaxis" "where must the standing order practitioner be in relation to the pharmacy - CORRECT ANSWER the the same or adjoining county exception - if the commissioner of health determines there's an outbreak or imminent threat they may issue a standing order that applies statewide" "what should be posted in the immunization privacy area - CORRECT ANSWER a current copy of the recommended adult immunization schedule (ACIP)" "who must be notified when a pharmacist administers a vaccine - CORRECT ANSWER PCP dept of health (do not give pt identity)" "how should the pharmacist inform pts of vaccine side effects - CORRECT ANSWER orally and in writing" "are you required to obtain written consent from a patient before immunizing - CORRECT ANSWER yes" "each recipient must receive a signed certificate of immunization, what info is included on this? - CORRECT ANSWER recipient's name administering rph name and signature date of immunization address where immunization was administered immunizing agent, mfg, lot number" "the info on the certificate of immunization should be communicated to the pt's pcp in what time frame - CORRECT ANSWER within 1 month of admin must get pt's consent to share first" "what must be documented when a pharmacist administers epi - CORRECT ANSWER pt's name date and address of admin rph administering name name of tx agent, mfg, lot number" "what must be done after epi is given - CORRECT ANSWER contact local EMS or ensure equivalent follow up care is provided inform the pt's pcp" "in cdtm do the rph and md need to be employed or affiliated with the same facility - CORRECT ANSWER yes" "if a nonresident pharmacy discontinues business or changes their address, how long do they have to notify the NYS education dept - CORRECT ANSWER within 10 days of discontinuation of business or change of address" "if a nonresident wholesaler/mfg discontinues business or changes their address, how long do they have to notify the NYS education dept - CORRECT ANSWER within 10 days of moving or discontinuing business" "if a nonresident outsourcing facility discontinues business or changes their address, how long do they have to notify the NYS education dept - CORRECT ANSWER at least 30 days before moving or discontinuing business" "who must be the pharmacy director of a hospital - CORRECT ANSWER rph trained in the specialized functions of hospital pharmacy" "does the pharmacy director need to be a full time employee - CORRECT ANSWER no, can be full or part time based on the needs of the hospital" "who is responsible for developing and implementing written policies and procedures regarding the distribution of drugs within the hospital - CORRECT ANSWER the pharmacy director" "when a pharmacist may not be immediately available, what must be in place - CORRECT ANSWER procedure to provide drugs and biologicals" "what happens to medications that are prescribed indefinitely - CORRECT ANSWER must be stopped automatically after a time specified in the policies and procedures as determined by the medical staff" "as part of the unit dose distribution system each pt must have their own... - CORRECT ANSWER receptacle for the storage of meds" "what is the max hour supply of meds that can be delivered to a pt care area at any time - CORRECT ANSWER 72h" "who decides which specific meds are included in an emergency med kit - CORRECT ANSWER a pharmacist in conjunction with the medical director and director of nursing" "where should emergency med kits be stored - CORRECT ANSWER secured within or near the nurses' station" "can CSs be stocked in emergency med kits - CORRECT ANSWER yes" "how much and how many different CSs can be stored in a single emergency med kit - CORRECT ANSWER up to 24h supply of up to 10 different CSs in unit dose packaging up to 3 can be injectable" "what non injectable non CS drugs can be included in an emergency med kit - CORRECT ANSWER SL NTG and up to 5 non-injectable drugs (max of 25 for the entire facility) all other contents must be injectable" "can CSs from an emergency med kit ever be used in a non-emergency situation - CORRECT ANSWER yes but only pursuant to an order by an authorized practitioner to meet the immediate need of a pt" "what are some examples of personnel who are legally authorized to admin CSs - CORRECT ANSWER registered professional nurses licensed practical nurses" "what is floor stock - CORRECT ANSWER drugs stocked on pt units/wards" "what is floor stock limited to - CORRECT ANSWER the meds identified on an approved floor stock list" "how often must floor stock be checked for outdated and unauthorized meds - CORRECT ANSWER monthly" "do drugs and biologicals need to be kept in locked storage areas - CORRECT ANSWER yes" "abuses and losses of CSs must be directly reported to who - CORRECT ANSWER the director of pharmacy and the medical staff a system must be in place to record the receipt and disposition of all CSs" "T/F CSs must be stored in separately locked, permanently affixed storage compartments - CORRECT ANSWER true except when a single unit package is used and the quantity stored is small and can be readily detected" "how should poisons and meds for external use only be stored - CORRECT ANSWER separate from all other meds" "how many pharmacists must be employed in a hospital pharmacy - CORRECT ANSWER NYS does not provide specifics must be an adequate number of pharmacists and other qualified personnel to ensure the availability of quality services 24/7" "how often must a pharmacist perform a drug regimen review for each resident - CORRECT ANSWER at least monthly" "if a pharmacist discovers irregularities while performing a drug regimen review, who must be notified - CORRECT ANSWER the attending physician and director of nursing notification provided promptly" "what kind of drugs can be prescribed by a physician only pursuant to a plan of care - CORRECT ANSWER psychotropics" "is an inpatient facility required to maintain med records for every pt in the facility - CORRECT ANSWER yes" "who is responsible for implementing a QA program in the pharmacy - CORRECT ANSWER the pharmacy director" "what are some important components of a QA program - CORRECT ANSWER - policies and procedures to reduce drug errors - monitoring and evaluation of the quality and appropriateness of pharmaceutical services - documentation of personnel participation in relevant education programs" "for safety purposes, drugs that are packed or repacked in the pharmacy must be labeled with what specific pieces of info - CORRECT ANSWER lot number or reference code mfg or dist name" "must all meds administered to residents of a facility be ordered in writing or electronically - CORRECT ANSWER yes unless unusual circumstances justify a verbal order" "to whom can a prescriber communicate a verbal order - CORRECT ANSWER a licensed nurse or pharmacist" "once the verbal order is received by the pharmacist, what must occur next - CORRECT ANSWER immediately reduced to writing, authenticated by the nurse or pharmacist, and countersigned by the prescriber in 48h" "what happens if the prescriber does not countersign the verbal order within 48h - CORRECT ANSWER order must be terminated and med needs of the pt must be evaluated by the medical director or another prescribing practitioner" "who can legally repack drugs - CORRECT ANSWER pharmacists or non-pharmacist personnel under the immediate and personal supervision of a pharmacist" "what info must be recorded in the repacking record that must be maintained - CORRECT ANSWER drug name and strength name of mfg and/or dist lot number quantity repacked date of repacking number of packages prepared number of dosage units in each package signature of the person doing the repacking signature of the pharmacist providing supervision" "what expiration date should be assigned to drugs that are repacked for in-house use - CORRECT ANSWER 12 months from the date repacked or 50% of the time remaining to the mfg's expiration whichever is less" "how long must repacking records be maintained - CORRECT ANSWER 5 years readily available to the dept for review and copying upon request" "in an institutional setting, how long is a PRN order for a CS valid - CORRECT ANSWER 72h must be automatically stopped after 72h" "CSs orders scheduled at regular intervals (not PRN) must be automatically stopped after how many days - CORRECT ANSWER 7 days" "what if a prescriber wants the pt to receive a CS for more than 7 days or PRN for more than 72h - CORRECT ANSWER they must rewrite the order to renew it" "what is the exception to the 7 day automatic stop for CSs - CORRECT ANSWER pts in RHCF and stabilized pts in an institutional setting with convulsive disorders, chronic spasticity, or minimal brain dysfunction for these pts, automatic stop is 30 days" "PAs ordering CSs - CORRECT ANSWER can write orders shall be countersigned by the supervising physician within 24 hours if deemed necessary and appropriate by the supervising physician or the hospital" "what drug preparations contain anabolic steroids and are not scheduled as CSs - CORRECT ANSWER Estratest (HS) - esterified estrogens and methyltestorsterone very low quantities of steroids" "can a person licensed to conduct research with c1 also mfg c1 - CORRECT ANSWER yes, provided the plans of mfg are included in the research protocol filed with the license application" "if licensed to dispense c2-5, can you also conduct research and instructional activities for c2-5 - CORRECT ANSWER yes" "what happens if a CS license is revoked or suspended - CORRECT ANSWER the licensee must promptly return the license to NYDOH" "where must CSs be securely kept at all times - CORRECT ANSWER at the address on file with the DEA" "what state agency can perform an inspection of your CS inventory - CORRECT ANSWER NYDOH bureau of CSs" "who is responsible for detecting and correcting cases of diversion or mishandling of CSs - CORRECT ANSWER the administrative head of the business entity handling CSs this responsibility cannot be delegated" "does access to CS stock have to be limited - CORRECT ANSWER yes, limited to the minimum number of employees required to efficiently handle the task" "do mfgs/dist have to accept returns - CORRECT ANSWER yes" "when a critically ill pt is being transferred from one medical facility to another, can the transferring facility's pharmacy dispense a CS to the medical attendant accompanying the pt - CORRECT ANSWER yes 1 dose can be dispensed if an emergency exists and the duration of transfer is expected to exceed 3h" "can institutional dispensers dispense CSs for off-premises use pursuant to a valid rx - CORRECT ANSWER yes" "in what case can a CS be dispensed from a location other than a registered pharmacy for use outside of the hospital - CORRECT ANSWER if the hospital does not have a full time pharmacy and pharmacy services are not available, then a ER practitioner may dispense up to a 24h supply of CS in an emergency situation emergency means dispensing is necessary and no alternative tx is available" "when medical interns, residents, and foreign physicians employed by an institution prescribe CSs, what do they use for their DEA number - CORRECT ANSWER the DEA for the institution and the suffix code number assigned to them by the institution" "for prescriptions written under an institutional DEA number, the prescriber must be... - CORRECT ANSWER acting only within their scope of employment within the institution" "can you dispense an out of state rx for c2-5 - CORRECT ANSWER yes but only within 30 days of the date that the rx was signed" "institutional dispensers must maintain a record of CSs at the point of supply (i.e. the CS storage area). what type of record must be kept - CORRECT ANSWER a running inventory indicating dates and amounts of each drug dispensed or distributed to other locations within the institution" "when a CS is distributed to a substation or ward within an institution, whose signature must appear on the record of receipt - CORRECT ANSWER the signature of the person authorized to control the subsection or ward" "can bulk stocks of CSs be distributed to various locations within an institution and carried as sub-stocks - CORRECT ANSWER yes" "administration sheets must be maintained for c2 CS sub-stocks. what info must be included of the administration sheet - CORRECT ANSWER type of CS number of doses in sub-stock date and hour of doses administered quantity administered name of pt balance on hand after admin signature of prescriber signature of administering nurse can only be administered when authorized by the prescriber in writing, except in emergency situations when the order can be communicated verbally" "in addition to filling out the administration sheet, what else must the nurse do - CORRECT ANSWER document a record of administration in the pt's chart" "what info must be recorded in the pt's chart when a c2 is administered - CORRECT ANSWER name of administering attendant date and hour of administration" "what facilities qualify for an institutional dispenser (limited) CS license - CORRECT ANSWER nursing homes convalescent homes (for people recovering from an illness or operation) homes for the aged health related facilities other facilities authorized by the NYDOH if a nursing home has a physician, nurses, and a pharmacist, then it qualifies for a regular institutional dispenser license (not limited)" "facilities with an institutional dispenser (limited) license must maintain a daily running record of CSs received that logs what info - CORRECT ANSWER date, name, and quantity of prescribed CSs name of prescriber name of pt name of pharmacy rx number" "facilities with an institutional dispenser (limited) license must also maintain CS administration records, which must include what info - CORRECT ANSWER date and hour of administration name and quantity of CS name of prescriber name of pt balance on hand after administration signature of the person administering the CS" "when can a CS from a sealed emergency med kit be administered in a facility with an institutional dispenser (limited) license - CORRECT ANSWER only on the order of an authorized practitioner in an emergency situation when such order is made verbally, it must be immediately reduced to writing and signed by the practitioner within 48h" "a separate CS administration record must be maintained for drugs administered from an emergency med kit and must include: - CORRECT ANSWER date and hour of administration name and quantity of CS administered name of prescriber name of pt balance of CS in kit after administration signature of the person administering the CS" "the pharmacy that furnished limited institutional dispensers with emergency med kits must be notified within what time frame each time the kit is unsealed - CORRECT ANSWER 24h" "can institutional dispenser and limited institutional dispensers store CSs as floor stock of pt care units - CORRECT ANSWER yes" "where can CSs prescribed for a specific pt in quantities less than a 72h supply be stored - CORRECT ANSWER with the pt's other meds in a securely locked med cart at the pt care unit c2 meds are an exception and cannot be stored in med carts" "CSs prescribed for a specific pt in quantities exceeding a 72h supply must be stored.... - CORRECT ANSWER in a locked drawer system" "when CSs are stocked in med carts, what records must be maintained - CORRECT ANSWER a running inventory record at the point of supply (e.g. pharmacy) a record of delivery to substations/wards by dispensing personnel a record of administration in the pt's chart" "who can destroy unit doses or partial doses of CSs - CORRECT ANSWER rphs or nurses on the premises of an institutional dispenser (e.g. in a hospital)" "what must be done when you destroy a CS - CORRECT ANSWER 1. make a notation of the destruction on the administration record sheet 2. have a second rph or nurse (or other responsible person designated by the administrator) witness the destruction" "whenever a CS is destroyed or returned to the mfg or distributor, what info must be documented - CORRECT ANSWER - date of return or destruction - name, form, quantity of CS returned or destroyed - name, address, registration number of person making the return - name, address, registration number of the supplier or mfg accepting the return OR the name and license number of the people performing and witnessing the destruction" "how long must CS destruction records be kept - CORRECT ANSWER at least 5 years" "what is the procedure for surrendering CSs to the NYDOH bureau of CSs - CORRECT ANSWER 1. request a surrender date from the bureau 2. receive a surrender date in writing from the bureau 3. ship controlled substances to the bureau no later than 5 days from the surrender date" "what are the minimum security standards for storage of c1-2 CSs handled by non-practitioners - CORRECT ANSWER GSA Class 5 rated safe (or equivalent vault) with reinforcements" "if a vault needs to remain open frequently to carry out operations, it must be equipped with what - CORRECT ANSWER a day gate (self closing/self locking device)" "what is a scenario in which a day gate would not be required - CORRECT ANSWER on a daily basis the gate is only accessed once to remove materials in the morning and once more to return materials at night and the person accessing the vault always relocks the vault immediately after use" "the walls/perimeter of the safe or vault must be equipped with what type of alarm system - CORRECT ANSWER a tamper proof closed circuit alarm system" "what are the storage requirements for c3-5 CSs handled by non-practitioners - CORRECT ANSWER store separately from all other merchandise inside a room/storage area with limited access (may be stored with other pharmaceuticals) keep under constant surveillance by a supervisor or an assigned individual equip the building or around the storage area with an alarm system" "can maintenance personnel or other visitors have access to or pass through CS storage areas - CORRECT ANSWER yes, provided an employee is present to observe the area while the visitor is in the storage area" "what two govt entities provide the laws, rules, and regs that govern pharmacy practice in NYS - CORRECT ANSWER NYS education dept NYS DOH" "which entity deals with disciplinary actions for the pharmacy profession - CORRECT ANSWER the board of regents, which is the supervising body that presides over the NYS education dept" "in disciplinary matters, the person that committed the violation must receive notice of the date, time, and location of the meeting of the regents review committee. how much notice is given? - CORRECT ANSWER at least 20 days notice" "once the board or regents reaches a determination in a disciplinary proceeding, you can submit a written application for reconsideration at any time thereafter assuming you can show one of the following - CORRECT ANSWER - the determination was based on an error of law - there is new and material evidence that was not previously available - after the original determination, circumstances change which warrant reconsideration" "when submitting an application for reconsideration of a determination, what paperwork has to be submitted to the director of the office of professional discipline - CORRECT ANSWER a written application for reconsideration plus 9 copies the director decides whether the application is worth forwarding to the board of regents for a new determination" "when there is a complain about pharmacist misconduct, who does the info get forwarded to - CORRECT ANSWER director of the office of professional discipline" "who is responsible for initiating investigations into complaints involving professional misconduct of a licensee - CORRECT ANSWER the director of the office of professional discipline or their designee" "the director of the office of professional discipline is required to submit a report on the status of cases being investigated during the previous year by what date - CORRECT ANSWER april 1 of each year" "if your license is placed on probation and you are caught violating the probation, what will happen - CORRECT ANSWER the dept will conduct an investigation" "if you dispute the facts forming the basis of an alleged violation of probation, what can you expect to receive - CORRECT ANSWER a hearing" "the dept gives you how many days notice of the hearing - CORRECT ANSWER 10 days must receive 15 days if notified by mail" "a report of the hearing will be reviewed by who - CORRECT ANSWER the regents review committee" "a determination of guilt requires a minimum of how many votes of the hearing panel - CORRECT ANSWER four fifths" "if the director of the office of professional discipline believes emergency action is required against a licensee to protect the public health/safety/welfare what can they do - CORRECT ANSWER make an application for summary suspension to the board of regents pending completion of formal disciplinary proceedings" "who is responsible for reviewing questions of moral character and evaluating the prior disciplinary history of applicants attempting to acquire professional licensure in NYS - CORRECT ANSWER the committee of the professions" "the committee on the professions reviews and makes recommendations and determinations in licensing and disciplinary matter pursuant to referrals from who - CORRECT ANSWER board of regents" "how many people are on the committee on the professions and who chooses them - CORRECT ANSWER made up to 3 department officers designated by the board of regents" "once the committee on the professionals has decided on an applicant's moral character, can the decision be reconsidered - CORRECT ANSWER yes, if you submit an application for reconsideration and you can show that 1 of the following applies - the determination was based on an error of law - there is new and material evidence that was not previously available - after the original determination, circumstances change which warrant reconsideration" "you were formally disciplined by the board of pharmacy in another state. can this affect your ability to obtain pharmacist licensure in NYS - CORRECT ANSWER yes" "who investigates issues pertaining to an applicant's moral character or prior disciplinary history - CORRECT ANSWER the director of the office of professional discipline or their designee the results of the investigation are submitted to a panel of 3 or more members of the state board of pharmacy for review a majority vote is the deciding factor in determining whether the applicant qualifies for licensure" "if the panel concludes that the applicant may not be fit for licensure, what happens next - CORRECT ANSWER the applicant is notified of the panel's conclusion within 30 days of notifying the applicant, the dept schedules a hearing to make the final determination on the applicant's moral suitability for licensure" "how many days notice does the applicant receive by mail - CORRECT ANSWER 15 days" "besides the notice of hearing, does the applicant get any other info - CORRECT ANSWER yes, the applicant is informed of the matters that raised the question of moral character" "at a hearing, can an attorney represent the applicant - CORRECT ANSWER yes the applicant or attorney can cross-examine witnesses, produce witnesses, and present evidence of good moral character" "the hearing shall take place before who - CORRECT ANSWER a panel of 3 or more members of the state board of pharmacy a administrative office credentialed to practice law in NYS must be present to rule on motions, procedures, and other legal objections. this person cannot vote in the final determination of the panel" "how many votes makes the determination - CORRECT ANSWER majority" "can the applicant appeal the determination of the panel - CORRECT ANSWER yes, if the appeal is filed with the committee on the professionals within 30 days after the report of the determination is filed if no appeal is filed in this time frame, then the determination of the panel is final" "what will the committee on the professions do with the appeal - CORRECT ANSWER affirm, reverse, or modify the determination of the panel, or make a completely different determination if appropriate" "if the applicant goes through the appeal process and doesn't like the decision of the committee on the professions, what can they do next - CORRECT ANSWER nothing, the determination is final" "when can you reapply for licensure after revocation - CORRECT ANSWER 18 months doesn't matter if you appealed the panel's determination" "when might an applicant be required to take a proficiency exam - CORRECT ANSWER they meet the moral character requirements and are qualified to practice pharmacy based on prior dispensing history, but has failed to remain current with developments in the profession presents question of their fitness to enter active practice" "what is a misdemeanor - CORRECT ANSWER a minor crime (not as serious as a felony)" "what is the punishment for a class A misdemeanor - CORRECT ANSWER up to 1 year in local jail in NYS, class A misdemeanor is the worst type of misdemeanor conviction you can get" "what are the steps for obtaining registration as a wholesaler or mfg - CORRECT ANSWER submit an application for registration pay the application fee of $825" "how often is renewal of wholesaler/mfg registration required - CORRECT ANSWER triennially on dates set by the dept" "what is the wholesaler/mfg registration renewal fee - CORRECT ANSWER $520" "are wholesalers/mfgs required to display their registration - CORRECT ANSWER yes" "if a wholesaler/mfg changes their location, what is the fee to have the dept inspect and endorse the new location - CORRECT ANSWER $170 may be waived if the new location is temporary and change is necessary due to natural disaster" "can tabs or caps manufactured or distributed in NYS be free of markings - CORRECT ANSWER no, rx only tabs and caps must have identifying marks commissioner of health may allow exemptions if it is not feasible to apply a marking" "what info must be included on the stock bottle/package of a rx drug if the bottle/package is intended for delivery to the ultimate user - CORRECT ANSWER identification of the drug (symbol, ndc) identification of the business (name and address of the mfg and dist)" "what number must be displayed on the stock bottle of a CS - CORRECT ANSWER NDC" "who must be present to supervise wholesalers/mfgs that deal with non-CSs at all times when open for business - CORRECT ANSWER rph or chemist with a bachelor's degree in chemistry with at least 2 years experience in mfg/repacking/wholesaling of drugs satisfactory to the NYS board of pharmacy" "mfgs/distributors that handle CSs need to have what - CORRECT ANSWER a full time rph if the distributor doesn't bottle or pack CSs, can hire a board-approved non-rph supervisor" "can rphs or chemists serve as a supervisor of multiple locations - CORRECT ANSWER no" "how long do mfgs/wholesalers that sell drugs/devices need to maintain records of receipt and disposition - CORRECT ANSWER 5 years must be available to the dept for review and copying upon request" "what entities have the right to enter and inspect any pharmacy, wholesaler, mfg, outsourcing facility, or registered store/vehicle - CORRECT ANSWER NYS board of pharmacy NYS education dept" "what do the board of pharmacy and education dept have the right to inspect - CORRECT ANSWER records equipment materials containers labels" "what group of people is responsible for making decisions on revoking or suspending pharmacy, store, wholesaler, or mfg registrations - CORRECT ANSWER the committee on professional conduct (a committee of the NYS board of pharmacy" "what requirements for wholesalers/mfgs also apply to outsourcing facilities - CORRECT ANSWER registration is required application fee $825 must be renewed triennially on dates set by the dept renewal is $520 registration must be displayed fee for inspection at new location is $170 transaction records must be kept for 5 years" "upon initial registration and at least annually thereafter, what must outsourcing facilities submit to the dept - CORRECT ANSWER the results of an inspection by the FDA or third part acceptable to the dept" "what other records must outsourcing facilities maintain and for how long - CORRECT ANSWER records for determining beyond use dating and stability for 5 years" "what info must be reported by an outsourcing facility to the executive secretary of the board of pharmacy initially upon registration and every 6 months thereafter - CORRECT ANSWER the identity of the drugs compounded in the previous 6 months, including: - the API - the source of the API - the ndc of the API if available - the strength of the API per unit - the dosage form and route of admin - the package description - the number of units produced - the ndc on the final product if assigned" "do outsourcing facilities need to be under the immediate supervision of a pharmacist - CORRECT ANSWER yes" "who is responsible for the strength, quality, purity, and labeling of drugs compounded by an outsourcing facility - CORRECT ANSWER the owner" "can outsourcing facilities dispense meds pursuant to a rx - CORRECT ANSWER no, unless they are also a registered pharmacy" "what info must be included on the label of a drug compounded by an outsourcing facility - CORRECT ANSWER - statement identifying product as a compounded drug - name, address, phone of facility - lot number - established (generic) drug name - dosage form and strength - quantity or volume - date compounded - expiration date - storage and handling instructions - ndc if available - statement indicating not for resale - statement "office use only" - list of active and inactive ingredients and quantity of each" "can outsourcing facilities use bulk drug substances from mfgs that are not registered with the federal govt - CORRECT ANSWER no" "who must outsourcing facilities report adverse events to - CORRECT ANSWER the secretary of health and human services" "what must mfg/distributor/importer/exporter records of CSs received include - CORRECT ANSWER date of receipt, disposal, or distribution type and quantity of drug name and address of supplier" "what info must be included on written requests for c3-5 - CORRECT ANSWER name and address of vendor and vendee dea registration number date of order type and quantity of drug ordered" "when a mfg/dist sends CSs, what must be sent to the vendee along with the order of drugs - CORRECT ANSWER invoice in duplicate" "what info must be on the invoice for CS orders - CORRECT ANSWER name and address of the vendor and vendee type and quantity of the CS date of shipment or delivery" "mfgs and distributors must report info from the sale of CSs electronically to the NYS DOH bureau of narcotic enforcement. what info must be reported - CORRECT ANSWER mfg/dist name, address, phone, dea number, NYDOH-issued CS license number name address dea number of the entity to which the drugs were sold date of sale name and ndc of the drugs sold number of containers, strength, and metric quantity of drugs in each container sold" "how long must records of CS transactions be kept by mfgs, dist, outsourcing facilities, importers, exporters, institutional dispensers, researchers, chemical analysis, maintenance tx programs, and pharmacies - CORRECT ANSWER 5 years" "how often must pharmacies take a CS inventory - CORRECT ANSWER biennially" "what info must be documented on CS inventory - CORRECT ANSWER name, quantity, and content of each CS package size number of packages total content of all packages of that size on the date of inventory need separate entry for each type of substance and each package size" "how long must CS inventory records be kept - CORRECT ANSWER 5 years" "T/F in general you cannot dispense CSs to narcotic addicts or habitual users of CSs - CORRECT ANSWER true" "what CSs can be prescribed on an outpatient basis for tx of narcotic addiction - CORRECT ANSWER buprenorphine" "what must a prescriber do before prescribing buprenorphine - CORRECT ANSWER a special registration dea number (begins with x)" "how many pts can one physician have on buprenorphine at one time - CORRECT ANSWER up to 30" "when can you dispense non-buprenorphine CSs to narcotic addicts or habitual users of CSs - CORRECT ANSWER - the pt is suffering from an incurable disease - the pt is aged and infirm, or severely ill and it is determined that withdrawal of CS would be dangerous to life - the pt is experiencing acute withdrawal sx - the pt is participating in an authorized tx program for detox" "by the 10th of each month, authorized tx programs must file a report with the NYDOH including what info - CORRECT ANSWER a summary of CS activity in the preceding month" "what must be reported to the NYDOH immediately - CORRECT ANSWER each incident of theft, loss, or possible diversion of CSs" "if a physician finds that a pt is an addict or habitual user of any narcotic, do they need to report it - CORRECT ANSWER yes, promptly to the commissioner of health of NYS" "can pharmacies be registered providers of an opioid overdose prevention program - CORRECT ANSWER yes" "for a registered provider to operate an opioid overdose prevention program, what must be obtained from the dept - CORRECT ANSWER certificate of approval valid for 2 years (less if dept issues notice of termination)" "what are the different roles in an opioid overdose prevention program and what is the function of each role - CORRECT ANSWER program director - manages the program clinical director - provides clinical oversight and acts as a medical liaison trained overdose responder - responds to suspected victims of opioid overdose" "what must trained responders complete every 2 years - CORRECT ANSWER refresher training or they can demonstrate competence in recognizing and responding to opioid overdoses to the satisfaction of the program director" "who must trained overdose responders contact when encountering a suspected opioid overdose victim - CORRECT ANSWER EMS" "what supplies must be maintained and provided as part on an opioid overdose prevention program - CORRECT ANSWER a mask (or other barrier) if rescue breathing is part of the curriculum an agent to prepare the skin before injection if injectables are used instructional materials" "prescriptions for hypodermic syringes and needles - CORRECT ANSWER need rx if no expanded syringe access program registration emergency order procedure similar to c2/benzo rxs (need cover within 72h) rx is valid for 2 years records must be kept for 5 years" "rules of expanded syringe access program (as per NYDOH) - CORRECT ANSWER can sell without rx as long as each sale is limited to 10 syringes or needles or less customer is at least 18 safety insert is provided with each sale" "what info needs to be provided on the safety insert - CORRECT ANSWER proper use of syringes/needles risk of blood-borne diseases methods for preventing transmission or contraction of blood-borne diseases proper disposal dangers of drug use and how to access drug tx toll free number for info on HIV statement that is legal for the person to possess needles/syringes" "who needs to present at all times while open if dispensing radioactive drugs - CORRECT ANSWER certified nuclear pharmacist by board of pharmacy specialties or american pharmacist association OR minimum 200h of didactic instruction in nuclear pharmacy in accredited college of pharmacy and a minimum of 500h of clinical nuclear pharmacy training under supervision of a bps certified nuclear pharmacy program" "what equipment needs to be available in a nuclear pharmacy - CORRECT ANSWER laminar air flow hood dose calibrator exhaust hood and filter system chromatography apparatus apparatus or materials for pH determination single and/or multi channel scintillation detection system microscope" "do pharmacies that dispense both radioactive and nonradioactive drugs nee