CPJE - Pharmacy Practice Part 2: furnishing, administering, and clinical services Exam Review 2024 Update

CPJE - Pharmacy Practice Part 2: furnishing, administering, and clinical services Exam Review 2024 Update Ordering test, interpretation of results, and management - ANS-- RPh need to report the critical value to the provider with primary responsibility for that aspect of patient's care - Any changes/orders must be documented within 24 hours in in the electronic health record (EHR) - Documentation should include interpretation of result, rationale for decision, and information provide to the patient and provider SB493 - ANS-state law - allows for expansion of scope of practice for pharmacist to administer drugs and biologics by other routes including injection IM injection - ANS-- deltoid muscle - adults requires 1'' needle (1.5 if >200 lbs for female and 250 lbs for meal) - gauge: the higher , the thinner: 22-25 gauge SC injection - ANS-fatty tissue over the triceps with a 5/8'' 22-25 gauge multiple injections - ANS-Separated by 1 inch minimum What can pharmacist independently administer routinely? - ANS-Routine vaccines recommended by the advisory committee on immunization practices (ACIP) and published by the CDC non-routine vaccines - ANS-1. Physician-directed protocol must be used 2. Epinephrine and benadryl by injection to treat severe allergic reaction Requirements for pharmacists and interns to initiate and administer vaccines? - ANS-1. Complete approved CDC and ACIP approved immunization training program 2. Maintain basic life support certification 3. *one hour* of CE credit on immunization every 2 years In order for intern to administer the vaccine, the supervising pharmacist must have the certification Record keeping and reporting requirements for pharmacists regarding immunization - ANS-1. Notify PCP and each pregnant patient's prenatal care provider within *14 days* 2. Report to *California Immunization Registry* (CAIR). Pharmacy MUST enroll in CAIR but OPTIONAL for pharmacist 3. A patient vaccine administration record must be kept and readily retrievable during business hour 4. provide each patient with a vaccine administration record What are 3 ways to obtain EC - ANS-.... Continues...