WASHINGTON MPJE EXAM UPDATED
ACTUAL QUESTIONS CORRECT
ANSWERS
◉ May pharmacists administer drugs? By which
route(s)? Answer: Pharmacists may administer drugs ordered for a
patient by an authorized prescriber, by any route, by virtue of their
license to practice.
Certification is not required to administer a prescribed drug
Certification part of prescriptive authority protocol to be able to
order a vaccine or other drug
Certification may be needed for payment
Injectable drugs administered to pregnant women and children < 3
yrs of age
No more than 0.5 mcg of mercury per 0.5 mL dose
Flu vaccines: no more than 1 mcg of mercury per 0.5 mL dose
Use single-use vials that are preservative free whenever possible
◉ What are the requirements for immunizations
administered by pharmacists? Answer: Pharmacists may administer
drugs ordered for a patient by an authorized prescriber, by any
route, by virtue of their license to practice.
,Certification programs for immunizations are part of the process by
which pharmacists in Washington may easily gain documented
competence and adhere to the terms of a prescriptive authority
protocol developed by WSPA and endorsed by the Commission in
order to prescribe vaccines. However, a pharmacist may develop a
prescriptive authority protocol to prescribe and inject drugs without
certification, as long as an authorized prescriber agrees to the
protocol. Clearly, pharmacists should not undertake procedures
unless they are adequately skilled in them.
◉ To what extent are collaborative practice
agreements allowed? Answer: IDs of authorizing prescriber and
pharmacist(s) who are covered
Time period up to 2 years
Type of prescriptive authority
Types of diseases, drugs, categories, and type of authority (e.g.,
initiating or modifying)
General statement of procedures to be followed
Activities required of pharmacist
Documentation of decisions made
Plan for communication or feedback to authorizing prescriber
Note: Copy of CPA must be filed with Commission, but Commisson
does not "approve" the protocol (MUST BE FILED, and CAN BE
REJECTED, but commission does not have authority to APPROVE...
That is up to prescriber and pharmacist)
,◉ What is the status of carisoprodol? Tramadol? Answer:
Carisoprodol (Soma) (Schedule IV)
Tramadol (Schedule IV)
◉ Under what circumstances may a pharmacist
refuse to fill a lawful prescription? Answer: exceptions to the "timely
manner rule": Rx's with an obvious or known error, national or state
emergencies or guidelines affecting availability of supplies, lack of
specialized equipment/expertise, failure of patient to pay the
pharmacy's usual and customary or contracted charge
As a matter of Washington state law, no individual may be compelled
to participate in an abortion. One does not have to be a
"conscientious objector" to opt out of such participation in
Washington.
Oregon and Washington Death with Dignity laws specify that
participating in providing aid-in-dying is limited to willing health
care providers, and prohibit discrimination
against persons who participate in or refuse to participate in aid-in-
dying.
"No individual shall be required to perform or assist in the
performance of any part of a health service program or research
activity funded ... under a program administered by the Secretary of
Health and Human Services if his performance or assistance in
performance of such part of such program or activity would be
, contrary to his religious beliefs or moral convictions." (42 U.S.C. §
300a-7(d))
A pharmacist or technician who intends to refuse to participate in
otherwise lawful activities has two important moral obligations,
authenticity and publicity
◉ What is the maximum ratio of technicians to
pharmacists? Of interns to pharmacists? Answer: The statute
established a ratio of 1 pharmacist to 1 technician in retail
pharmacies, and a 1:3 pharmacist-to-technician ration in
institutional pharmacies. However, it also gives the Commission the
right to establish other ratios for pharmacies that have filed a
utilization plan. (RCW 18.64A.040) In practice, the ratios established
in regulation are the ratios that actually apply. The statute also gives
the Commission authority to authorize pilot projects designed to
investigate different ratios or use of technicians.
Washington regulations specify that "The pharmacist preceptor may
supervise more than one intern during a given time period; however,
two interns may not
dispense concurrently under the direct supervision of the same
preceptor
◉ What are the requirements for storage and
accountability for controlled substances in a
ACTUAL QUESTIONS CORRECT
ANSWERS
◉ May pharmacists administer drugs? By which
route(s)? Answer: Pharmacists may administer drugs ordered for a
patient by an authorized prescriber, by any route, by virtue of their
license to practice.
Certification is not required to administer a prescribed drug
Certification part of prescriptive authority protocol to be able to
order a vaccine or other drug
Certification may be needed for payment
Injectable drugs administered to pregnant women and children < 3
yrs of age
No more than 0.5 mcg of mercury per 0.5 mL dose
Flu vaccines: no more than 1 mcg of mercury per 0.5 mL dose
Use single-use vials that are preservative free whenever possible
◉ What are the requirements for immunizations
administered by pharmacists? Answer: Pharmacists may administer
drugs ordered for a patient by an authorized prescriber, by any
route, by virtue of their license to practice.
,Certification programs for immunizations are part of the process by
which pharmacists in Washington may easily gain documented
competence and adhere to the terms of a prescriptive authority
protocol developed by WSPA and endorsed by the Commission in
order to prescribe vaccines. However, a pharmacist may develop a
prescriptive authority protocol to prescribe and inject drugs without
certification, as long as an authorized prescriber agrees to the
protocol. Clearly, pharmacists should not undertake procedures
unless they are adequately skilled in them.
◉ To what extent are collaborative practice
agreements allowed? Answer: IDs of authorizing prescriber and
pharmacist(s) who are covered
Time period up to 2 years
Type of prescriptive authority
Types of diseases, drugs, categories, and type of authority (e.g.,
initiating or modifying)
General statement of procedures to be followed
Activities required of pharmacist
Documentation of decisions made
Plan for communication or feedback to authorizing prescriber
Note: Copy of CPA must be filed with Commission, but Commisson
does not "approve" the protocol (MUST BE FILED, and CAN BE
REJECTED, but commission does not have authority to APPROVE...
That is up to prescriber and pharmacist)
,◉ What is the status of carisoprodol? Tramadol? Answer:
Carisoprodol (Soma) (Schedule IV)
Tramadol (Schedule IV)
◉ Under what circumstances may a pharmacist
refuse to fill a lawful prescription? Answer: exceptions to the "timely
manner rule": Rx's with an obvious or known error, national or state
emergencies or guidelines affecting availability of supplies, lack of
specialized equipment/expertise, failure of patient to pay the
pharmacy's usual and customary or contracted charge
As a matter of Washington state law, no individual may be compelled
to participate in an abortion. One does not have to be a
"conscientious objector" to opt out of such participation in
Washington.
Oregon and Washington Death with Dignity laws specify that
participating in providing aid-in-dying is limited to willing health
care providers, and prohibit discrimination
against persons who participate in or refuse to participate in aid-in-
dying.
"No individual shall be required to perform or assist in the
performance of any part of a health service program or research
activity funded ... under a program administered by the Secretary of
Health and Human Services if his performance or assistance in
performance of such part of such program or activity would be
, contrary to his religious beliefs or moral convictions." (42 U.S.C. §
300a-7(d))
A pharmacist or technician who intends to refuse to participate in
otherwise lawful activities has two important moral obligations,
authenticity and publicity
◉ What is the maximum ratio of technicians to
pharmacists? Of interns to pharmacists? Answer: The statute
established a ratio of 1 pharmacist to 1 technician in retail
pharmacies, and a 1:3 pharmacist-to-technician ration in
institutional pharmacies. However, it also gives the Commission the
right to establish other ratios for pharmacies that have filed a
utilization plan. (RCW 18.64A.040) In practice, the ratios established
in regulation are the ratios that actually apply. The statute also gives
the Commission authority to authorize pilot projects designed to
investigate different ratios or use of technicians.
Washington regulations specify that "The pharmacist preceptor may
supervise more than one intern during a given time period; however,
two interns may not
dispense concurrently under the direct supervision of the same
preceptor
◉ What are the requirements for storage and
accountability for controlled substances in a
