Jurisprudence and Ethics Exam Questions and Answers 2023

Jurisprudence and Ethics Exam Questions and Answers 2023 Under the direction don't have to be on the same shift, appropriate policies and procedures in place, pharmacist ensures SOPs are followed direct supervision regulated member available immediately to provide assistance indirect supervision regulated member available to provide assistance in a reasonable timeframe Health Professions Act - Restricted Activities - Role of Colleges - Title Protection - Professional Conduct and complaints - Regulations, By-laws, Standards & Code of Ethics Pharmacy and Drug Act - Requirement that pharmacies hold a license - Licensee - Proprietor - Obligations of licensee - Standards for the Operation of Licensed Pharmacies pharmacy proprietor (owner) person who owns or directs the operation of a facility in which a licensed pharmacy is located pharmacy licensee - The clinical pharmacist who holds a license to operate a pharmacy - Pharmacy manager - There can only be one licensee per pharmacy - A clinical pharmacist can only be a licensee at one pharmacy Licensee responsibilities - Operation in accordance with legislation - Ensure pharmacist is available - Ensure adequate staffing of dispensary - Ensure dispensing & counseling as required in Standards - Create and maintain records - Ensure only regulated members provide pharmacy services - Manage, control and supervise the operation of the pharmacy - Ensure community pharmacy license is displayed in public view - Inform the ACP of who is practicing as a regulated member - Ensure pharmacists are reasonably accessible to patients for consultation during hours of operation and to supervise staff - Ensure legal obligations are followed - Ensure all records are created and maintained as required - Inform the ACP in changes to the hours of operation Proprietor responsibilities • Try not to influence the mgmt or operation of the pharmacy in contravention of legislation or standards • Report if a licensee is acting in contravention of obligations • Take reasonable steps to ensure the competence of the licensee • Provide the licensee with the support and resources required to comply with the legislation and standards Licensee must inform registrar in writing at least 14 days before these changes - Pharmacy is relocated - The pharmacy intends to employ a pharmacist on the courtesy register - The licensee intends to cease being the licensee - The proprietors representative will change - The proprietor or a major shareholder of the pharmacy will change; or - If any of the information provided on the application for a license changes. Eg) a renovation of the dispensary categories of community pharmacy licenses community pharmacy, compounding + repackaging pharmacy, mail order, satellite Community pharmacy provide pharmacy services to the public (storing, compounding, dispensing, selling of drugs) compounding and repackaging pharmacy license to compound and repackage drugs, must have written contract with each pharmacy they sell to and get a prescription mail order pharmacy provide a pharmacy service to or for a patient where the patient or their agent does not come to the pharmacy (only when its unreasonable for them to come in), must also have a community license satellite pharmacy provide pharmacy services outside of a community pharmacy, must have community license, only issued if pharmacy service is not reasonably accessible at that location (serve towns where community pharmacy doesn't already exist, or provide a service not already provided) Prohibited words, only pharmacies can use them in the name of business - Pharmacy - Pharmaceutical dispensary - Drug store - Apothecary - Drug dispensary area of pharmacy not accessible to the public where pharmacists dispense and compound patient services area located outside and adjacent to the dispensary where patients receive services and schedule 3 drugs are located prescription department dispensary and patient services area public area area of licensed pharmacy located outside prescription department where are schedule 1 and 2 drugs kept dispensary where are schedule 3 drugs kept patient services area where are unscheduled drugs kept public area how long are prescriptions kept for 42 months or 2 years after date of completion of drug therapy how long must records of care be maintained 10 years after last pharmacy service provided, for children - 2 years after the age of majority (18) or 10 years - whichever is longer what has to be kept in public view pharmacy license, how to submit a complaint, any other info deemed necessary by ACP Health Information Act is Ab legislation designed: - protect an individual's health information - enable health information to be shared and accessed where appropriate - prescribe rules for collection, use and disclosure of health information - provide individuals with a right of access to their own health information. - provide individuals with the right to request correction or amendment of health information about themselves. - establish strong and effective remedies for contraventions of the Act. - provide for independent reviews of decisions made by custodians and the resolution of complaints HIA defines two types of health information diagnostic, treatment, and care info; registration information The Prime Directive Collect, use, and disclose the least amount of information necessary and preserve the highest degree of patient anonymity possible to carry out the intended purpose. Custodian AHS, Alberta Health, nursing homes, licensed pharmacies, ambulance operators, pharmacy licensee Affiliate an employee, volunteer, agent, outsourced service provider, or information manager completing activities on behalf of a custodian; staff pharmacists and technicians Privacy broader concept, includes: accountability for protecting information, who should have access to info, security, etc confidentiality safeguarding an individual's information informed consent obtaining permission when the patient is knowledgeable about what is being collected, why, who it will be shared with, duration it will be used, and that they have the right to remove consent; should be obtained in writing Office if the information and privacy commissioner regulatory body that is responsible for ensuring compliance with Alberta privacy legislation: PIPA, HIA, FOIP; conducts investigations and reviews decisions by organizations regarding the release of information RPh prescribing for themselves, family, close friend minor condition, in an emergency, no other prescriber available legal requirements of a prescription 1. Patient's name and address 2. Drug/blood product name 3. Strength 4. dosage 5. Route of administration 6. Quantity to dispense 7. Directions for use 8. Number of refills (and time interval) 9. Prescriber's name and phone number 10. Prescriber's signature if written Rx 11. Date the Rx was written additional requirements for verbal prescriptions -If the Rx is given verbally, R.Ph. or R.Ph.T. must sign or initial the Rx after writing it down. -Indicate PO (verbal order) or VO (verbal order) requirements of a prescription label -Patient's name -Pharmacy name, address and phone number -Prescriber's name -Description of the drug in English -Generic name, strength, manufacturer (if one ingredient) -Generic names, strengths, manufacturers OR brand name (if more than one ingredient) -Compound name OR ingredients and strengths -Instructions for use of the drug -Unique prescription number -Date dispensed -Quantity dispensed -Number of refills requirements of a small label patient name, drug name, strength 3 types of pharmacist prescribing adapting, prescribing in an emergency, initial access or managing ongoing therapy Adapting any clinical pharmacist may alter the dose, formulation, or regimen before the Rx is filled first time, substitute for a drug expected to have the same effect before first fill, or renew an Rx for continuity of care Prescribing in an emergency any clinical pharmacist may but there must be an immediate need and not reasonably possible to see another prescriber initial access or managing ongoing therapy must have APA, must assess the patient or have another prescriber recommend the prescription, or RPh decides after consulting another HCP Hardcopy patient name, prescriber, date of dispensing, name+strength+dosage form of the drug, DIN, quantity dispensed, route and directions (SIG), unique prescription and transaction number 3 parts to patient record patient demographics, drug profile, record of care SOPs Made under authority of HPA and are mandatory SOLPs from PDA