Upgrade to remove ads
Arts and Humanities
1140-03 STANDARDS OF PRACTICE
Terms in this set (24)
Upon the receipt of a medical or prescription order and following a review of the patient's record, a pharmacist shall personally counsel the patient or caregiver "face-to-face"
if the patient or caregiver is present.
If the patient or caregiver is not present, a pharmacist shall make a reasonable effort to counsel through alternative means.
When should a pharmacist counsel a patient?
1. name and description of the medication;
2. dosage form, dose, route of administration, and duration of drug therapy;
3. special directions and precautions for preparation, administration, and use
4. common side effects or adverse effects or interactions and therapeutic contraindications that may be encountered, including their avoidance, and the action required if they occur;
5. techniques for self-monitoring drug therapy;
6. proper storage;
7. refill information;
8. action to be taken in the event of a missed dose.
Patient counseling shall cover matters, which in the exercise of the pharmacist's professional judgement, the pharmacist deems significant including:
True or false: Patient counseling shall not be required for inpatients of an institutional facility.
Upon the receipt of a request for a refill of a medical or prescription order, a pharmacist or a person designated by the pharmacist shall offer for the pharmacist to personally counsel the patient or caregiver.
Counseling is not required unless requested by the patient or deemed necessary in the professional judgment of the pharmacist.
Counseling requirement for refills
True or false: A pharmacist shall not be required to counsel a patient or caregiver when the patient or caregiver refuses such counseling.
1. Name, address, telephone number.
2. Date of birth (age), gender.
3. An individual history where significant, including disease state or states, known allergies and drug reactions, and a comprehensive list of medications and relevant devices.
4. Pharmacist's comments as deemed relevant.
In order to effectively counsel patients, the pharmacist or a person designated by the pharmacist shall, through communication with the patient, caregiver, or agent make a
reasonable effort to obtain, record, and maintain the following information for each patient of the individual pharmacy practice site.
1. over-utilization or under-utilization;
2. therapeutic duplication;
3. drug-disease contraindication;
4. drug-drug interactions;
5. incorrect drug dosage or duration of drug treatment;
6. drug-allergy interactions;
7. clinical abuse/misuse.
A pharmacist shall be responsible for a reasonable review of a patient's record prior to dispensing each medical or prescription order. The review shall include evaluating the
medical and prescription order for:
A medical or prescription order shall not be refilled unless so authorized by the prescriber
If any medical or prescription order contains a statement that it may be refilled a specified number of times within or during any particular period, such order shall be
refilled in strict conformity with such statement
If a prescription contains a statement that during any particular time it may be refilled at will, the order shall be refilled in strict conformity to dosage directions, with the
exception that it may not be refilled after the expiration of the time specified or one (1) year from the date the order was originally issued or dispensed, whichever comes first.
Requirements regarding refilling a prescription:
"Copy for Information Only."
in letters red in color and equal in size to those describing the prescription drug or device or related material
Copies of medical and prescription orders issued directly to the patient by the pharmacy shall bear on the face thereof:
1. The name, address and original medical or prescription order serial number at the pharmacy from which the order was transferred;
2. The name of the transferor;
3. All information constituting a medical or prescription order including the following:
- Date of original dispensing;
- Original number of refills authorized on the original order;
- Date of last dispensing; and
- Number of valid refills remaining.
Medical and prescription orders can be transferred between pharmacy practice sites provided that the transferee records the following:
Medical and prescription orders typed or printed must be signed by the prescriber.
Oral medical and prescription orders shall be initialed by the authorized individual accepting the order.
Requirements for signature on prescriptions
1. name and address and telephone number of pharmacy
2. prescription serial number
3. name of prescriber
4. name of patient
5. directions for use
6. date originally dispensed, and/or refill date
7. appropriate advisory labels
8. name of product (unless otherwise required by the prescriber)
9. expiration date of the product (if applicable).
***Does not apply to medical and prescription orders dispensed by an institutional pharmacy for administration to inpatients of that institution.
The dispensing label for a medical or prescription order shall bear at least the following information:
- a sign containing the words "pharmacist not on duty" must be conspicuously displayed in the pharmacy practice site
- no medical or prescription order may be compounded or dispensed during the absence of a pharmacist.
- the prescription department shall be closed off by
physical barrier from floor to ceiling
A pharmacist is permitted one (1) temporary absence for a period not exceeding one (1) hour per day.
What are the requirements during the absence of a pharmacist from the pharmacy practice site?
(a) the name, strength, and quantity of prescription drug or device or related material, if larger than one (1), in the container;
(b) the manufacturer's name, and lot or control number;
(c) the expiration date of the prescription drug or device or related material being repackaged; and
(d) cautionary notations (e.g., refrigerate, shake well, not for injection), if applicable.
Prescription drugs and devices and related materials which are repackaged by an institutional pharmacy practice site for subsequent dispensing and use within the institution shall be labeled to include:
The pharmacist in charge shall immediately report to the board.
The report shall include a list, including amounts, of such prescription drugs or controlled substances or medical devices or related materials lost or damaged.
Requirement for reporting any robbery, embezzlement, theft, burglary, or fire or disaster resulting in a loss of prescription drugs, or controlled substances or medical
devices or related materials
False - unless approved by the board prior
True or false: any prescription drug or device or related material damaged by fire, heat, smoke, water, or other causes should be delivered or handed over to an insurance
company, adjustor, or salvage company.
FALSE - immediately return or destroy all
outdated, defective, or deteriorated prescription drugs and devices and related materials; except that the
destruction of controlled substances listed in any schedule shall be performed by a board approved agent
True or false: The owner or pharmacist in charge of a pharmacy practice site shall return or destroy all
outdated, defective, or deteriorated prescription drugs and devices and related materials within 60 days; except that the destruction of controlled substances listed in any schedule shall be performed by a board approved agent
Instruments and/or devices intended for the injection of any substance through the skin shall be stored in an area not accessible to the public, and shall be sold only on proof of medical need by a pharmacist or a pharmacy intern or pharmacy technician under the direct supervision of a pharmacist.
All insulin preparations must be stored in an area not accessible to the public, and shall be sold only by a pharmacist or a pharmacy intern or pharmacy technician under the direct supervision of a pharmacist.
Storage and sale requirements for injection devices and insulin preparations
(1) The lot number of each drug contained therein must be listed or posted on the device.
(2) After each lot number is used, the portion of the device where the drug was contained must be thoroughly cleaned to remove all residue before refilling.
(3) Lot numbers may not be mixed.
(4) The device may be loaded by a pharmacist; or a pharmacy intern or a pharmacy technician under the supervision of a pharmacist.
Procedures that shall be observed in the use and operation of automated dispensing devices used for storing and dispensing capsules or tablets:
notify the board immediately of:
(a) the resignation, removal, or death of the pharmacist in charge named in the application for license (or successor pharmacist in charge); or
(b) the disability for a period exceeding thirty (30) days of the pharmacist in charge named in the application for license (or successor pharmacist in charge).
Regarding the pharmacist in charge, the board should be notified IMMEDIATELY if
No pharmacist shall be designated pharmacist in charge of more than one (1) pharmacy practice site except where the board determines that such is in the best interest of the public health.
At how many pharmacy practice sites can a pharmacist be designated pharmacist in charge?
fifty percent (50%);
The designated pharmacist in charge at a particular pharmacy practice site shall be on duty a minimum of ______________% of the hours that the pharmacy is in operation.
Except, in any event, the pharmacist in charge shall not be required to be on duty more than an average of
______________ hours per week.
True or false: The designated pharmacist in charge shall report to the board any situation in which a medical or prescription order has caused serious personal injury or death.
(a) both pharmacies shall be licensed by the State of Tennessee;
(b) both pharmacies shall share a common electronic file or both shall have the appropriate technology to allow each other access to information that is necessary to fill or refill a prescription order;
(c) both pharmacies shall have the same owner or in the event that the pharmacies do not have the same owner, then the pharmacies shall enter a written contract stating the services that will be provided by each pharmacy as well as the responsibilities of each pharmacy in fulfilling the terms of the contract and in complying with federal and state laws and rules.
A pharmacy may perform or outsource centralized prescription processing services to another pharmacy, provided that the following criteria are satisfied:
This set is often in folders with...
1140-11 CONTROLLED SUBSTANCE MONITORING DATABASE
Section H: Controlled Substances
Tennessee Law Combined
You might also like...
TN laws - MPJE
Sterile compounding ch 4
MPJE - TN
Chapter 10: Drug & Prescription Records
Other sets by this creator
Controlled Substances List 2020
Top Outpatient Drugs - Brand & Generic (Page 3)
Top Outpatient Drugs - Brand & Generic (Page 2)
Top Outpatient Drugs - Brand & Generic (Page 1)