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Nebraska MPJE Questions and Answers
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T or F. All pharmacies must have a PIC, even mail order. ✔✔True
Define PIC ✔✔Pharmacist designated on a pharmacy license/remote dispensing pharmacy license/designated by hospital as being responsible for pharmacy practice
Works w/in the physical confines (not required for remote dispensing pharmacy unless otherwise required)
PIC duties ✔✔*Develop/implement policies/procedures (hosp)
*Ensure that pharmacist review all medical orders prior to first dose (with exceptions) (hosp)
*Responsible for pharmacy operations in conformance with all laws
*Be present for initial inspection
*File reports
*Notify Dept. of HHS and patients if pharmacy closing
*Supervise technicians/verify performance
*Ensure pharmacists/techs/interns are properly credentialed
T or F. Pharmacist review is required of all medical orders prior to first dose being administered to patient in hospital. ✔✔T (with exceptions)
Is telepharmacy allowed in hospitals to allow pharmacist review or orders? ✔✔Yes
When is pharmacist review of medical order not required in hospital? ✔✔When practitioner controls ordering/dispensing/administration of the drug
*OR
*Endoscopy suite
*ER
*Etc.
When time does not permit pharmacist review
*Stat order (x1)
*When status of patient would be significantly compromised by the delay
- Maintain in pharmacy for 5 years
- Forward to Dept within 30 days
Do you need to send controlled substance inventories to anybody? ✔✔Forward to the Department
What to do if pharmacy ceases legal existence or discontinues business ✔✔Notify the Department within 15 days
- Sale or disposition of legend drug, device, or biological inventory
- Sale or disposition of controlled substances and invoices/inventory records
- Location of all patient records
Return pharmacy license, DEA registration, and unused DEA 222 forms (including a and d)
What to do if pharmacy has change of ownership ✔✔Notify the Department within 15 days
A pharmacy may hire an outside firm to inventory, package, and arrange for
the transfer of its controlled substances to another pharmacy, the original
supplier, or the original manufacturer. The pharmacy is responsible for the
actual transfer of the controlled substances and for the accuracy of the
inventory and records. The records involving the transfer of controlled
substances must be kept readily available by the pharmacy for two years
for inspection by the DEA. ✔✔
How to transfer schedule III-V medications (to a pharmacy, wholesaler, etc.) ✔✔Must be documented in writing
-Drug name
-Dosage form
-Strength
-quantity
-date transferred
-name/address/DEA# of parties involved
How do reverse distributors for controlled substances work? ✔✔Submit DEA 222 form to the pharmacy to "order" drugs (or just record for CIII-V)
When destroying, must submit DEA Form 41
Can you split fees with a person for bringing/referring a consumer? ✔✔No, except:
(a) with a partner or employee of the applicant or credential holder or his or her
office or clinic,
(b) with a landlord of the applicant or credential holder pursuant to a written
agreement that provides for payment of rent based on gross receipts,
(c) with a former partner or employee of the applicant or credential holder
based on a retirement plan or separation agreement, or
(d) by a person credentialed pursuant to the Water Well Standards and
Contractors' Practice Act
Define unprofessional conduct ✔✔any departure from or failure to conform to the standards of acceptable and prevailing practice of a profession or the ethics of the profession, regardless of whether a person, consumer, or entity is injured, or conduct that
is likely to deceive or defraud the public or is detrimental to the
public interest
Can you prescribe a controlled substance to yourself? ✔✔No
Can you prescribe a controlled substance to family members, etc.? ✔✔Only in case of medical emergency
-spouse
-child
-parent
-sibling
-living in household
Can an employer or employer's agent coerce a pharmacist to dispense a drug product against the professional judgment of the pharmacist or as ordered by prescriber? ✔✔No
Define delegated dispensing ✔✔practice of pharmacy by which one or more
pharmacists have jointly agreed, on a voluntary basis, to work in conjunction with
one or more persons pursuant to sections §38-2872 to §38-2889 under a protocol
which provides that such person may perform certain dispensing functions
authorized by the pharmacist or pharmacists under certain specified conditions
and limitations
actively practicing pharmacist with an unrestricted Nebraska
license listed as the consultant pharmacist on the drug dispensing permit
Duties of a consultant pharmacist ✔✔*Be in the clinical at least once q30d
*Monthly inspections
*Approve and maintains policies/procedures for storage/control/distribution/dispensing of the drugs/devices
*Approve info/instructions dispensed to patients
*Approve proficiency of the clinical workers dispensing refills of contraceptives at least annually (maintain in personnel file and policy/procedure manual)
*Approve training of the clinic workers
*Report inventory discrepancies to the Board and the clinic administrator
*Periodically review fridge storage conditions
Define availability of a constultant pharmacist ✔✔At any time that dispensing is occurring in the public health clinic, the consultant pharmacist (or other pharmacist) must be available in person or by phone
-notify clinic if won't be available during the required time-must be documented
Can dispensing occur in a public health clinic if there is no consultant pharmacist or on-call pharmacist? ✔✔No
- According to Nebraska Pharmacy Law, a copy of the initial
controlled substances inventory, annual controlled substances
inventory, or a controlled substances inventory taken pursuant to
a change in the pharmacist-in-charge must be forwarded to the
Department within:
A) 72 hours of completion
B) 24 hours of completion
C) 15 days of completion
D) 30 days of completion
E) 60 days of completion ✔✔D
- When a pharmacy goes out of business, the unused DEA 222
forms must be:
D
Q4: Which of the following activities is (are) the responsibility of a pharmacist-in-charge? (Select ALL that apply.)
A) Must be present for the initial on-site inspection
B) Notify patients of pharmacy closing
C) Annually submit a report to DEA of all CII sales
D) Annually submit a completed Pharmacy Quality Assurance
Report ✔✔A
B
D
What can pharmacy technicians NOT do? ✔✔*Receive oral medication orders for prescriber/agent except for authorized refills
*Provide counseling
*Perform evaluation/clarification of a medical order
*Supervise/verify tasks of other techs
*Interpret/evaluate patient's record
*Release confidential info
*Perform consultations
*Drug product selection
Can techs receive verbal orders? ✔✔Only for refills
Define supervision ✔✔personal guidance and direction by a
pharmacist of the performance by a pharmacy technician of
authorized activities or functions subject to verification by such
pharmacist. Supervision of a pharmacy technician may occur by
means of a real-time audiovisual communication system
Can supervision of techs occur through real-time audiovisual communication? ✔✔Yes, if:
(a) a pharmacy technician performs authorized activities or functions to assist a pharmacist and the
prescribed drugs or devices will be administered to persons who are patients or residents of a facility by a credentialed individual authorized to administer medications or
(b) a pharmacy technician is engaged in remote dispensing
internship, or
- A graduate of a pharmacy program located outside the United States which
is not accredited and who has successfully passed equivalency
examinations approved by the board
How long is an intern license valid for? ✔✔15 months after graduation or at time of professional licensure
If based on graduation from non-accredited program, expires 15 months from date of issuance or at time of professional licensure
Components of intern application ✔✔Legal name
Place/DOB
SSN
Mailing address
Phone/email/fax optional
Permanent address
Name/location of accredited pharmacy program, official documentation of month/year of enrollment, and expected month/year of graduation
Statement that must not practice w/o immediate supervision of licensed pharmacist
Statement that all info is correct
Fee
Birth cirtificate/marriage license/driver's license/other age verification
Intern identification requirements ✔✔Must have registration card available while functioning as intern and be identified as an intern
Intern supervision requirements ✔✔At all times by Nebraska pharmacist w/o disciplinary measures
-Does not apply to those receiving experiential training from accredited pharmacy program in which intern is enrolled
Interns can't supervise other interns/techs
Supervision ratio ✔✔Up to 3 techs/interns (in combination)
Q1: Who may counsel a patient, according to Nebraska Pharmacy
Law? (Select ALL that apply.)
A) Be a high school graduate or be officially recognized by the State Department of Education as possessing the equivalent degree of education
B) Have never been convicted of any nonalcohol, drug-related
misdemeanor or felony
C) Become certified within a period of six months
D) Submit to a mandatory preliminary urine drug screen ✔✔A
B
Q4: Which of the following statements are TRUE according to Nebraska
Pharmacy Law? (Select ALL that apply.)
A) A pharmacist may supervise up to three pharmacy technicians at any time
B) A pharmacist may supervise up to three pharmacist interns at any time
C) A pharmacist may supervise any combination of pharmacy technicians and pharmacist interns at any time up to a total of three people
D) Supervision ratios do not apply to pharmacist interns receiving experiential training
E) Ratios for pharmacist supervision of technicians and pharmacist interns are not explicitly defined ✔✔A
B
C
D
Q5: What combination of pharmacy employees is allowed by law?
A) One pharmacist, two technicians, and one student who is receiving experiential training, directed by their accredited school
B) One pharmacist, one intern, and three technicians
C) One pharmacist, one intern, two technicians, and one APPE student
D) A and C only
E) All of the above ✔✔D
Food and Drug Act 1906 ✔✔Prohibited interstate commerce of adulterated food/drinks/drugs (not cosmetic products or medical devices)
Fair Packaging and Labeling Act of 1967 ✔✔Requires consumer products in interstate commerce to be properly labeled (including OTC)
