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Which of the following is a strong indicator of an Internet pharmacy’s compliance with state and federal laws and regulations and NABP's criteria?

a. DMEPOS
b. VAWD
c. PARE
d. VIPPS
e. PCOA

Answer:


Which of the following is a strong indicator of an Internet pharmacy’s compliance with state and federal laws and regulations and NABP's criteria?

a. DMEPOS
b. VAWD
c. PARE
d. VIPPS
e. PCOA

Answer: VIPPS. The VIPPS accreditation program (Verified Internet Pharmacy Practice Sites), is a strong indicator of an Internet pharmacy’s compliance with state and federal laws and regulations and NABP's criteria. Online retailers of prescription drugs who seek VIPPS accreditation know that they will benefit from NABP’s recognized credibility and the decade-old VIPPS program and Seal. The VIPPS Seal demonstrates public accountability – it is also a symbol of a pharmacy’s commitment to its patients’ health and safety.

DMEPOS: NABP's DMEPOS accreditation program is the reliable and cost-effective choice for those pharmacies seeking durable medical equipment, prosthetics, orthotics, and supplies accreditation. With more than 100 years of experience in pharmacy, NABP understands the complexities of modern pharmacy practice and is committed to ensuring that Medicare beneficiaries receive the appropriate products, services, and patient care associated with DMEPOS products.

VAWD, or Verified-Accredited Wholesale Distributors, is an accreditation for pharmaceutical wholesale distribution facilities. Those wholesale distributors that achieve accreditation are in compliance with state and federal laws and NABP's VAWD criteria and proudly display the VAWD Seal.

PCOA: Responding to the need expressed by the United States Department of Education, the Accreditation Council for Pharmacy Education (ACPE), and some US colleges and schools of pharmacy for an assessment tool to assist with curriculum development and review, NABP has worked closely with key stakeholders to develop the Pharmacy Curriculum Outcomes Assessment (PCOA).

PARE: The Pharmacist Assessment for Remediation Evaluation (PARE) is a multi-dimensional assessment that the boards of pharmacy may use as an auxiliary tool when making decisions regarding pharmacist practice deficiencies that are due to noncompliance with pharmacy practice standards, laws or regulations, and result in compromises to patient safety.


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“Class 100 environment” means an ISO class 5 atmospheric environment, which contains less than one hundred (100) particles:

a. 0.005 microns in diameter per cubic foot of air.
b. 0.05 microns in diameter per cubic foot of air.
c. 0.5 microns in diameter per cubic foot of air.
d. 5 microns in diameter per cubic foot of air.

Answer:


“Class 100 environment” means an ISO class 5 atmospheric environment, which contains less than one hundred (100) particles:

a. 0.005 microns in diameter per cubic foot of air.
b. 0.05 microns in diameter per cubic foot of air.
c. 0.5 microns in diameter per cubic foot of air.
d. 5 microns in diameter per cubic foot of air.

Answer:(c). Class 100 environment” means an ISO class 5 atmospheric environment, which contains less than one hundred (100) particles five-tenths (0.5) microns in diameter per cubic foot of air, according to the ISO for clean rooms and associated controlled environments.


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A pharmacist may administer immunizations for which of the following to a group of individuals under a drug order or prescription?

I. Influenza
II. HPV infection
III. Meningitis

a. I only
b. I and II only
c. II and III only
d. All

Answer:


A pharmacist may administer immunizations for which of the following to a group of individuals under a drug order or prescription?

I. Influenza
II. HPV infection
III. Meningitis

a. I only
b. I and II only
c. II and III only
d. All

Answer:(d). All, [Indiana Code Title 25 Article(26) Chapter(13) Sec. 31.2(a)].

A pharmacist may administer immunizations for the following to a group of individuals under a drug order, under a prescription, or according to protocol approved by a physician:

(1). Influenza.
(2). Shingles (herpes zoster).
(3). Pneumonia.
(4). Tetanus, diphtheria, and acellular pertussis (whooping cough).
(5). Human papillomavirus (HPV) infection.
(6). Meningitis.


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A pharmacist in a hospital pharmacy may relabel and dispense an injection of Morphine sulfate to another registered inpatient if:

I. The medication is in an unopened tamper-evident package.
II. The original medication order for the drug is discontinued.
III. The original patient is not charged for the medication.


A pharmacist in a hospital pharmacy may relabel and dispense an injection of Morphine sulfate to another registered inpatient if:

I. The medication is in an unopened tamper-evident package.
II. The original medication order for the drug is discontinued.
III. The original patient is not charged for the medication.

a. All of the above
b. I only
c. I and II only
d. None of the above

Answer (d): None of the above, [Connecticut Pharmacy Practice Act Title 20 Chapter 400j Section 20-621].

A pharmacist practicing in a hospital pharmacy or nursing home pharmacy may relabel and dispense to a registered inpatient, parenteral medication, EXCEPT CONTROLLED SUBSTANCES, dispensed for another registered patient by a licensed pharmacy if the following requirements are met:

(1). The original medication order for the drug is discontinued;

(2). the medication is in an unopened tamper-evident package;

(3). the medication is not expired;

(4). the original patient is not charged for the medication; and

(5). upon receipt of the medication by the facility from the licensed pharmacy, it is processed through the hospital's pharmacy or nursing home pharmacy.


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Starch consists of:

I. Linear amylose
II. Helical amylose
III. Branched amylopectin

 


Starch consists of:

I. Linear amylose
II. Helical amylose
III. Branched amylopectin

a. I only
b. I and II only
c. II and III only
d. All

Answer: (d), All. Starch or amylum is a carbohydrate consisting of a large number of glucose units joined by glycosidic bonds. This polysaccharide is produced by most green plants as an energy store. However, in the Asteraceae, starch is replaced by the fructan inulin. It is the most common carbohydrate in the human diet and is contained in large amounts in such staple foods as potatoes, wheat, maize (corn), rice, and cassava.

Pure starch is a white, tasteless and odorless powder that is insoluble in cold water or alcohol. It consists of two types of molecules: the linear and helical amylose and the branched amylopectin. Depending on the plant, starch generally contains 20 to 25% amylose and 75 to 80% amylopectin by weight. Glycogen, the glucose store of animals, is a more branched version of amylopectin.


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All prescription drug orders communicated by way of electronic transmission shall:

I. Be transmitted only by an authorized practitioner or practitioner's designated agent.
II. Be transmitted directly to a pharmacist in a pharmacy of the patient’s choice.
III. Specify the prescribing practitioner’s telephone number for verbal confirmation.


All prescription drug orders communicated by way of electronic transmission shall:

I. Be transmitted only by an authorized practitioner or practitioner's designated agent.
II. Be transmitted directly to a pharmacist in a pharmacy of the patient’s choice.
III. Specify the prescribing practitioner’s telephone number for verbal confirmation.

a. I only
b. III only
c. I and II only
d. II and III only
e. All

Answer:


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Oregonians who may suffer agitation due to Alzheimer's disease can use small amounts of marijuana without fear of civil or criminal penalties if their doctors advise that such use may provide a medical benefit to them.

Tue or False


Oregonians who may suffer agitation due to Alzheimer's disease can use small amounts of marijuana without fear of civil or criminal penalties if their doctors advise that such use may provide a medical benefit to them.

Tue or False


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A pharmacist licensed in Illinois may fill or refill a valid prescription for Ambien which is on file in a pharmacy licensed in North Carolina.

True or False


A pharmacist licensed in Illinois may fill or refill a valid prescription for Ambien which is on file in a pharmacy licensed in North Carolina.

True, [Illinois Pharmacy Practice Act 225 ILCS 85/19(5)].

Nothing contained in this Act shall be construed to prohibit a pharmacist licensed in this State from filling or refilling a valid prescription for prescription drugs which is on file in a pharmacy licensed in any state and has been transferred from one pharmacy to another by any means, including by way of electronic data processing equipment upon the following conditions and exceptions:

(1). Prior to dispensing pursuant to any such prescription, the dispensing pharmacist shall:

(a). Advise the patient that the prescription on file at such other pharmacy must be canceled before he or she will be able to fill or refill it.

(b). Determine that the prescription is valid and on file at such other pharmacy and that such prescription may be filled or refilled, as requested, in accordance with the prescriber's intent expressed on such prescription.

(c). Notify the pharmacy where the prescription is on file that the prescription must be canceled.

(d). Record in writing the prescription order, the name of the pharmacy at which the prescription was on file, the prescription number, the name of the drug and the original amount dispensed, the date of original dispensing, and the number of remaining authorized refills.

(e). Obtain the consent of the prescriber to the refilling of the prescription when the prescription, in the professional judgment of the dispensing pharmacist, so requires.

When filling or refilling a valid prescription on file in another state, the dispensing pharmacist shall be required to follow all the requirements of Illinois law which apply to the dispensing of prescription drugs. If anything in Illinois law prevents the filling or refilling of the original prescription it shall be unlawful to dispense pursuant to this Section.

Prescriptions for drugs in Schedules III, IV, and V of the Illinois Controlled Substances Act may be transferred only once and may not be further transferred. However, pharmacies electronically sharing a real-time, online database may transfer up to the maximum refills permitted by the law and the prescriber's authorization.


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It shall be unlawful for any distributor of a prescription drug to distribute a prescription drug without charge or for less than its fair market value to a patient by a pharmacist in response to a request written and signed by a medical practitioner which designates the quantity to be distributed.

True or False


It shall be unlawful for any distributor of a prescription drug to distribute a prescription drug without charge or for less than its fair market value to a patient by a pharmacist in response to a request written and signed by a medical practitioner which designates the quantity to be distributed.

False, [Illinois Pharmacy Practice Act 225 ILCS 85/24].

It shall be unlawful for any manufacturer or distributor of a prescription drug, or any person on behalf of such manufacturer or distributor, to distribute a prescription drug without charge or for less than its fair market value to any person directly or indirectly. Nothing in this Section shall be construed to PROHIBIT the distribution of a prescription drug:

(a). at a discount in accordance with the laws of the United States or the State of Illinois;

(b). to a person for use in an investigation conducted under Federal Food and Drug Administration regulations;

(c). to a patient by a pharmacist in response to a request written and signed by a medical practitioner which designates the quantity to be distributed;

(d). to a licensed medical practitioner in response to a request signed by the practitioner which designates the quantity to be distributed;

(e). to an agency of the federal government or to a state government or political subdivision for regulatory or enforcement purposes;

(f). in an emergency as determined by the laws of the United States or the State of Illinois; or

(g). to a bona fide charity authorized to possess and dispense prescription drugs.


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Topic: Medication Error/Inattentional blindness/Tennessee Board of Pharmacy 2012 December News Letter

A pharmacist enters a prescription for methotrexate daily into the pharmacy computer.A dose warning appears on the screen. The pharmacist reads the warning, bypasses it, and dispenses the medication as entered. The patient receives an overdose of the medication and dies...


Topic: Medication Error/Inattentional blindness/Tennessee Board of Pharmacy 2012 December News Letter

A pharmacist enters a prescription for methotrexate daily into the pharmacy computer.A dose warning appears on the screen. The pharmacist reads the warning, bypasses it, and dispenses the medication as entered. The patient receives an overdose of the medication and dies.

This error, and many more, have happened because the person performing the task fails to see what should have been plainly visible, and later, they cannot explain the lapse. People involved in these errors have been labeled as careless and negligent. But these types of accidents are common – even with intelligent, vigilant, and attentive people. The cause is usually rooted in inattentional blindness.

Accidents happen when attention mistakenly filters away important information and the brain fills in the gaps with what is aptly referred to as a "grand illusion." Thus, in the example above, the brain of the pharmacist filtered out important information on the computer screen,and filled in the gaps with erroneous information that led him to believe he had read the warning appropriately.

Inattentional blindness is more likely to occur if part of your attention is diverted to secondary tasks, like answering the phone while entering prescriptions into the computer, or even thinking about your dinner plans while transcribing an order.

Low workload causes boredom and reduces the mental attention given to tasks, as does carrying out highly practiced tasks, such as counting out medication. We spend a large majority of our waking life functioning with the equivalent of an automatic pilot, with occasional conscious checks to ensure tasks are being carried out properly. This makes us particularly prone to inattentional blindness.




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