Nursing Jurisprudence Exam Chapter 2 - Drugs & Prescribing test questions and answers.

What are schedule 1, 2, 3 ,4, 5 drugs? Schedule 1 - no known use (e.g., heroin) Schedule 2 - very addictive (morphine, cocaine) Schedule 3 to 5 - less addictive. What are dangerous drugs? Prescription drugs other than schedule 1-5. How many DEA registrations do you need if you prescribe drugs? Dispense drugs? One to prescribe; a separate registration for each location where you dispense. How often do you renew your DEA license? Every 3 years. Can you move your office location and then change your DEA? No, need to change BEFORE move. Is a DEA registration sufficient to prescribe drugs in Texas? No, also need Department of Public Safety Bureau of Narcotics and Dangerous Drug registration. How often do you renew a DPS license? Yearly. Do you have to display the DEA and DPS licenses? Not required by any statute. How many days do you have to notify the DPS of any change in your information (name, address, tel., etc.)? 7 days. Can you have your DPS suspended and keep your DEA or vice versa? No, they are interconnected. For schedules 2 - 5 drugs, can you just put the number of pills on prescription? No, number and number spelled out. Do you have to put intended use on prescription? Yes. With how many days of a schedule 2 - 5 drug can a patient be discharged from the hospitable? 7 days but only if drug was already prescribed in the hospital. What kind of prescription pad do you need for schedule 2 drugs? Can you use stickers? Official DPS form, no stickers. Can a physician prescribe schedule 2 over the phone , and what is the procedure? Yes, for emergencies and only for the duration of emergency. How many days does the physician have to mail the schedule's emergency prescription to the pharmacy? 7 days. How many days does the patient have to fill schedule 2 prescriptions? 7 days. Can you refill a schedule 2 prescription? How about schedule 3-5? No refills for schedule 2; maximum 5 refills for schedules 3-5. Who can call in prescription from a physician's office? Any qualified DESIGNATED person. Can they call in schedule 2? Only physician in emergencies. Can a physician prohibit substitutions for generics? Yes. From whom and how do you order schedule 2? Schedules 3-5? Schedule 2 on triplicate order form from distributor; schedules 3-5 regular form from wholesaler. What drugs do you need to keep records on? How are the records kept? How often do you need to do inventory? Do you need to submit the records? How long do you have to keep the last inventory list? If dispensed in office, then all dangerous drugs, schedule drugs an samples; separate records for schedules 1 + 2; inventory every 2 years; records are not submitted; keep records for 2 years. Who can inspect your drugs? TMB, DPS, attorney general for the DEA. What is the method of ordering and accounting for drug samples? Written and signed request by physician; must keep inventory and drug logs. Can you repackage samples? No. Do you need to keep records on samples? Yes, just like other meds. Can a physician buy and rebottle? Any exceptions? No, except for rural areas (less than 5000 population of town or 2500 of municipality, closest pharmacy > 15 miles). To give anesthesia, how often do you have to register with the board? Every 2 years. What life support competency do surgeons and anesthesiologists need? ACLS, PALS or board-approved course. How many and what competency levels of healthcare providers do you need in all settings? At least 2 physicians with advanced competency. How many days do you have to report office-based anesthesia-related complications? 15 days. What is considered an anesthesia-related complication? Admission to hospital within 24 hours or death within 72 hours. What is considered intractable pain? Pain where cause of pain cannot be removed and where relief or cure has not been found. Can a hospital forbid a physician to give dangerous drugs or controlled substances for treatment of intractable pain? No. Can the board take disciplinary action against a physician for giving dangerous or controlled substances to a patient with intractable pain? No.