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Nu 578 / Nu578 Unit 3 Pharmacy Law Exam. Questions With Answers.

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Record keeping requirements for CS receptable liners - what to record - when to record What to record: - date - UIN - size - names/signatures of at least 2 witnessing employees When to record: - acquisition of unused liners - installation - removal/sealing - storage - transfer for destruction How can CS inventory be destroyed? (4 ways) 1) promptly destroy on-site 2) transfer to someone authorized to destroy 3) request assistance from DEA special agent in charge of the area 4) securely store until prompt destruction can occur How should you handle remaining CS product following administration 1) transfer to another registrant for destruction or 2) destroy with a witness How should trace chemo waste be disposed of? with a regulated medical or hazardous waste incinerator, or via another approved method How to store non-sharp infectious waste in single, tear resistant plastic bag or double bagged, securely sealed and placed in infectious waste container When can infectious waste container be opened? - for waste audit - for training - if required to repackage to prevent leaking When are you exempt from waste transport manifest records? - if only transported on the same property or - if 50 lbs waste transported per month INCLUDING any waste mixed with the infectious waste What types of waste can you mix trace chemo waste with you cannot mix How should you handle empty containers of - hazardous waste - chemo waste - hazardous drug empties: trash or recycling (unless P-list, then never considered empty) - chemo drug empties: trace chemo waste Where should remaining hazardous drugs be disposed of? hazardous waste

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NU 578 UNIT 3 PHARMACY LAW
Federal Controlled Substances Act (CSA)
overseen by DEA, established a closed system to reduce diversion




DEA role in CSA (2 parts)
how does it accomplish this/with who?
- prevent diversion
- ensure uninterrupted supply
- works with state boards




Wisconsin Controlled Substances Board (CSB)
- operates under what group/office
Under DSPS
- responsibilities (4)
Responsibilities:
- reports on diversion and trends
- advises and assists DSPS and other boards
- partners with law agencies to improve compliance
- coordinates state diversion prevention and control programs and reports outcomes
annually

,WI CSB Members
- attorney general (or delegate)
- secretary of health services (or delegate)
- secretary of agricultural trade and consumer protection (or delegate)
- PEB chair
- MEB chair
- DEB chair
- Chair of board of nursing
- psychiatrist (2 yr terms appointed by governor)
- pharmacologist (2 yr terms appointed by governor)




Diversion
transfer of any controlled substance to illicit channel of use




Narcotic
substance derived from opium/opiates
- includes opiates (naturally derived, such as heroin, morphine, codeine)
- includes opioids (synthetically derived, such as oxycodone, hydrocodone)

,Opiate
is or has potential to form an addicting drug such as morphine (naturally derived
while opioids are synthetic)




Ultimate user
person or animal lawfully possessing or using a controlled substance (CS)




Schedule 1 requirements
- high abuse potential
- no medical use in US
- not safe for supervised use
OR
- designated as such by federal schedules




Schedule II requirements
- high abuse potential
- accepted medical use in US
- abuse may lead to severe physical or psychological dependance
OR

, - designated as such by federal schedules




Schedule III requirements
- less abuse potential than I or II
- accepted medical use
- abuse may lead to high psychological or mod/low physical dependance
OR
- designated as such by federal schedules




Schedule IV requirements
- less abuse potential than III
- accepted medical use
- limited dependence risk with abuse compared to III
OR
- designated as such by federal schedules




Schedule V requirements
- less abuse potential than IV
- accepted medical use
- limited dependence risk with abuse compared to IV

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