Jurisprudence Exam - Professional Practice Policies and Adaptation Questions and Answers Graded A+

Jurisprudence Exam - Professional Practice Policies and Adaptation Questions and Answers Graded A+ PPP-3: Which of the following categories of resources are NOT required in a pharmacy (provided it isn't a specialty area of practice)? a) Drug Interaction Reference b) Pediatrics Reference c) Geriatrics Reference d) Medical Dictionary e) All are required c) Geriatrics reference PPP-15: Who can sign for controlled drug substance orders? ONLY pharmacists PPP-20: If these two criteria are met, when can refill authorizations be added to the original Rx, instead of creating a new prescription? - Computerized transaction log is maintained - New Rx number assigned and new hard copy prepared PPP-31: What are the 2 scenarios in which an emergency refill is acceptable? - Pt's supply exhausted - Pt has valid Rx but Pharmanet returns "101 Prescriber Not Found" or "D3 Prescriber is not authorized" message PPP-31: What are the 5 fundamentals of emergency refills? - Individual competence - Appropriate information about pt's health status - Appropriateness of providing emergency fill - Informed consent - Documentation PPP-40: Can a pharmacist take Kirkland 1000 caplets pack size acetaminophen 500 mg and sell it 30 at a time in vials OTC as a schedule III? NO. Must be sold as a schedule II in a child-proof vial, and have the following on the label: - Name of medication - Expiry date, lot # - Classification of drug - Common directions There must be a RPh consultation as well, with emphasis on contraindications. PPP-46: How long can a pharmacy be closed at one time without losing its licence? 14 days PPP-46: If a pharmacy closes temporarily, what are the requirements before it closes? - Contact all prepared Rx recipients to advise of closure, giving opportunity for p/u - If these pts don't pick up, reverse on PNet - Post notices to public at least 30 days prior - Post signage and provide telephone answering machine message advising public of closure, its duration, location of nearest licensed pharmacy - Make alternate arrangements with local prescribers PPP-54: When identifying a patient to access Pharmanet, what is the only scenario where you do not have to view ID? The patient is personally known to the registrant PPP-54: True or false: A Certificate of Indian Status Card is a primary piece of ID. True PPP-54: Positive identification can be performed by viewing a BC Care Card and credit card. FALSE; credit card is not acceptable as ID, primary or secondary PPP-54: True or false: A Canadian Citizenship Card or Record of Landing of Permanent Residency are examples of primary pieces of ID. FALSE; passport and BC Permanent Resident Card are eamples PPP-59: True or false: A pharmacy MUST be equipped with disposable drinking cups. True PPP-59: True or false: A pharmacy MUST be equipped with a freezer. FALSE; a pharmacy must be equipped with a fridge. PPP-65: How often must a narc count be performed at a minimum? Every 3 months PPP-65: In which scenarios must a narc count be performed? - Every 3 months - Change in pharmacy manager - Break and enter or robbery - Identified drug diversion - Pharmacy closes and ceases to operate - Any event where security of narcs was compromised PPP-65: Within how many days must a loss or theft of a narc be reported to Health Canada? 10 days PPP-71: True or false: Home delivery of methadone is permissible if the patient is immobile, but the doctor has not indicated authorization of this on the Rx. FALSE; requires a written authorization on the Rx by signing the declaration Adaptations: Is it permissible to renew a valid Rx for citalopram 20 mg PO QD for another month? NO; unless pharmacist is on multidisciplinary team Adaptations: is it permissible to renew a valid Rx for clonazepam 0.5 mg PO BID for another month? NO; unless pharmacist is on multidisciplinary team Adaptations: is it permissible to renew a valid Rx for cholestyramine 4 mg PO QD for another 3 months? Yes Adaptations: you receive Rx for carbamazepine 200 mg CR PO x 2/12. You know pt has been taking it BID. Can you adapt this to BID? Yes; even if carbamazepine is a seizure medication, there is missing information. Adaptations: you receive Rx for ramipril 10 mg PO QD (new medication) to treat hypertension. Pt's blood pressure has been okay, not too high. Can you adapt Rx to 2.5 mg PO QD? NO; hypertension is part of "cardiovascular disease", and you cannot change the dose of it. Adaptations: you receive Rx for Flovent 250 mcg ii puffs BID for adult pt for asthma, an increase from before. You know that doubling the dose of a CS is not advisable. Can you adapt to i puff BID? NO; cannot change dose for asthma. Adaptations: you receive Rx for Spiriva inhale contents of i capsule QID to treat COPD. You know that Spiriva is dosed once daily. Can you adapt the dose? Yes; COPD is not a restricted disease state. Adaptations: you receive Rx for Coversyl 4 mg QD x 3/12 to treat hypertension. Pt has cost concerns. Can you switch to ramipril 5 mg PO QD? Yes Adaptations: you receive Rx for verapamil SR 180 mg PO QD, but you know that pt had constipation with this before. Can you switch to diltiazem CD 240 mg PO QD? NO; therapeutic sub is only applicable to dihydropyridine CCBs. Adaptations: you receive Rx for cimetidine 300 mg PO BID (new Rx), but you know it interacts with one of the pt's medications. Can you switch to ranitidine 150 mg PO BID? Yes