Pharmacy Practice and Regulations

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Questions and Answers

What does the practice of pharmacy not include?

Preparing therapeutic devices

Dispensing drugs based on collaboration

Conducting pre-prescription screenings (correct)

Administering medications as per prescriptions

Which action is required after a pharmacist administers an immunizing agent?

Inform the health insurance company

Discuss the immunization outcome with the patient only

Report administration to the local health department (correct)

Make a follow-up appointment with the patient

What documentation must a licensed pharmacist provide after administering an immunization?

Total cost of the immunization (correct)

Patient's health history

List of all immunizations provided

Details of the prescription source

What is a pharmacist required to do regarding the patient's primary health care practitioner after administering an immunization?

Notify the practitioner through electronic transmission Signup and view all the answers

What must a pharmacist consider before administering an immunization?

The total cost, after health insurance subsidies Signup and view all the answers

In terms of collaborative drug therapy management, which professional can a pharmacist work with?

Any licensed physician or nurse practitioner Signup and view all the answers

What is an essential duty of a pharmacist after administering an immunization regarding adverse reactions?

Report to the immunization registry and primary practitioner Signup and view all the answers

Which of the following does NOT fall under the responsibility of a pharmacist when administering immunizations?

Substituting immunization drugs without consent Signup and view all the answers

Which of the following is NOT a requirement for a pharmacist to administer an immunization in a pharmacy?

The pharmacist must obtain a specific order from the patient's physician for each immunization administered. Signup and view all the answers

What specific type of order can a licensed pharmacist execute for dispensing a seven-day starter pack of HIV post-exposure prophylaxis medications?

A non-patient-specific order Signup and view all the answers

In the case of an expired insulin prescription, what condition must be met for a pharmacist to dispense a non-patient-specific regimen of insulin?

The pharmacist must obtain authorization from the prescriber. Signup and view all the answers

What is the maximum amount of insulin that a pharmacist can dispense under a non-patient-specific regimen?

A 30-day supply Signup and view all the answers

What type of training must a pharmacist receive before administering immunizations for the treatment of mental health and substance use disorders?

Training specific to the administration of mental health and substance use disorder medications. Signup and view all the answers

What is the maximum time limit for a pharmacist to notify the prescriber after dispensing an emergency insulin refill?

72 hours Signup and view all the answers

Which of the following is NOT a type of immunization that a pharmacist can administer according to the content?

Vaccination for the treatment of mental health and substance use disorders Signup and view all the answers

What legal status does a licensed pharmacist have in relation to directing a limited service laboratory and ordering COVID-19 and influenza tests?

They are considered a qualified healthcare professional. Signup and view all the answers

What organization's recommendations do pharmacists follow when administering immunizations?

The Advisory Committee for Immunization Practices (ACIP) Signup and view all the answers

Which of the following is TRUE regarding the administration of immunizations in a pharmacy?

Pharmacists can administer any immunization authorized under the relevant section without a patient-specific order. Signup and view all the answers

A licensed pharmacist, acting within their lawful scope of practice, can administer injectable medications under which circumstances?

Only for the treatment of anaphylaxis related to the administration of injectable medications, pursuant to section six thousand eight hundred two, and for the treatment of mental health and substance use disorder, as prescribed by a licensed prescriber. Signup and view all the answers

A pharmacist can execute a non-patient specific order for self-administered hormonal contraceptives under what conditions?

Only if the order is prescribed by the commissioner of health, a licensed physician, or a certified nurse practitioner. Signup and view all the answers

What is the minimum frequency for a pharmacist to provide a self-screening risk assessment questionnaire to returning patients seeking self-administered hormonal contraceptives?

Every twelve months. Signup and view all the answers

Which of the following is NOT a requirement for a pharmacist to dispense self-administered hormonal contraceptives?

Obtaining written consent from the patient's primary healthcare practitioner before dispensing the medication. Signup and view all the answers

What is the maximum time a pharmacist has to notify a patient's primary healthcare practitioner after dispensing self-administered hormonal contraceptives?

Seventy-two hours. Signup and view all the answers

Under what circumstances can a pharmacist refuse to dispense a non-patient specific order for self-administered hormonal contraceptives?

If the pharmacist believes the medication may be harmful to the patient due to potential adverse effects, interactions, or other therapeutic complications. Signup and view all the answers

What is the purpose of the self-screening risk assessment questionnaire provided by pharmacists to patients seeking self-administered hormonal contraceptives?

To identify any potential risks or contraindications for the patient's use of the medication. Signup and view all the answers

Which of the following is NOT a piece of information that must be included in the fact sheet provided to patients seeking self-administered hormonal contraceptives?

Information on the patient's right to privacy and confidentiality. Signup and view all the answers

Study Notes

Pharmacy Practice Overview

Pharmacy practice involves administering, preparing, compounding, preserving, and dispensing drugs and therapeutic devices based on prescriptions or legal authority.
Licensed pharmacists can execute non-patient-specific regimens prescribed by licensed physicians or certified nurse practitioners.

Immunization Administration

Pharmacists must report immunization administration electronically to the patient's primary healthcare practitioner and necessary immunization registries.
Patients must receive information on the importance of having a primary health care practitioner.
A total cost disclosure for the immunization is required before administration, considering health insurance subsidies.
Immunizations must follow the latest recommendations from the Advisory Committee on Immunization Practices (ACIP).
Training is mandatory for pharmacists administering injectable medications for mental health and substance use disorders.

Privacy and Education

A designated area in the pharmacy must be provided for immunizations to ensure patient privacy.
The area should display the current "Recommended Adult Immunization Schedule" and educational materials on influenza vaccinations for children.

Emergency and Non-Patient Specific Orders

Pharmacists can dispense a seven-day starter pack of HIV post-exposure prophylaxis medications based on a non-patient-specific order.
Pharmacists can administer insulin for individuals with expired prescriptions under emergency protocols.
Emergency dispensing requires attempted authorization from the prescriber, compliance with prescription directions, and notification to the prescriber within 72 hours.

Testing and Laboratory Services

Licensed pharmacists qualify as healthcare professionals to direct limited service laboratories and administer COVID-19 and influenza tests, following FDA authorization and compliance with clinical laboratory regulations.

Self-Administered Hormonal Contraceptives

Pharmacists may dispense self-administered hormonal contraceptives based on non-patient-specific orders issued by health authorities or licensed practitioners.
A self-screening risk assessment questionnaire must be reviewed with each patient, at least every twelve months, to identify risk factors.
Patients receive fact sheets outlining usage recommendations, follow-up healthcare importance, and opt-out options for reporting.

Notification and Patient Consultation

Pharmacists need to inform the patient's primary healthcare practitioner of dispensed self-administered hormonal contraceptives within 72 hours, unless the patient opts out.
If a patient lacks a primary healthcare practitioner, pharmacists provide a written record of the contraceptives handed out and advise consulting a healthcare provider.

Refusal of Dispensing

Pharmacists can refuse to dispense non-patient-specific hormonal contraceptives based on professional judgment regarding potential adverse effects or health risks to the patient.

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Description

This quiz covers the scope of pharmacy practice, including administering, preparing, and dispensing drugs and medicines, as well as collaborative drug therapy management. It also touches on the role of licensed pharmacists and physicians in prescribing and ordering medications.