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TLDR MPJE – NEVADA QUESTIONS AND
ANSWERS 100% PASS
Who are the NVBOP members? Who appoints the board members? ✔✔6 RPh - 5 years experience, 1 being president/chair
1 member of the general public
The Governor of NV appoints NVBOP members
How long do board members serve? ✔✔Appointed a 3 year term and cannot serve more than 3 consecutive term
How many intern hours must an intern have to apply for an RPh license? Transcripts required for all new grads except for foreign grads who need a FPGEC certificate ✔✔1740 hours
How many # of CE Hours for renewal? Any special requirements of those hours? (Boards?) ✔✔30 hours in a 2 year period
1 hour must be in NV law fulfilled either through CE requirements, attending 1 whole board meeting (which also provides 3 additional hours of approved CE) or taking a written examination obtained from the board's office
To turn your license into inactive status, what 2 items must be submitted? Inactive RPhs do not have to complete CEs. ✔✔1. Statement that you will not engage in pharmacy practice during inactive period
- Completed application
To turn your license into ACTIVE status, what 2 items must be submitted? ✔✔1. Completed application
- Hold active license in another state OR complete 30 units CE within 2 years immediately preceding date application was filed and pass the written CE exam on law
For reinstatement for revoked license, what 2 items must happen? ✔✔1. Applicant must wait 1 year before petitioning to the board for license reinstatement
- Need affirmative vote of at least 3 board members
When do RPhs have to renew their licenses? ✔✔October 31st of odd-numbered years
When do pharmacy intern licenses expire? ✔✔October 31st of even-number years
- At least 12 hours of in-service training during the 2-year period immediately preceding registration renewal, which 1 has to be a jurisprudence program approved or presented by the board.
Physical Space of Pharmacy:
What is the minimum square footage floor space behind the prescription counter must a pharmacy have?
The barrier separating the prescription area from the public must be at least _____.
The door entering the pharmacy must have _____ and can have a lockbox with additional keys available only to pharmacists. ✔✔8 ft x 4 ft; at least 5 ft tall; need to have a dead lock
If a pharmacy closes permanently, a sign must be placed in the front window notifying the name and address of where prescriptions were transferred to. This sign must remain there for _____ days unless sooner removed by a new tenant. ✔✔30 days
If there is only 1 pharmacist on duty and they want to leave the premises for a lunch break, they must _____ ✔✔post a sign stating the time they will return and properly close down the pharmacy
If there is a change in ownership of a pharmacy, the board must be notified by the person taking ownership no later than _____ days. Always try to notify the board prior to any actual changes. ✔✔15 days
If you have a change of address, how many days must you notify the board within _____ days. ✔✔10 days
The board must be notified of permanent closure of a pharmacy within how many days for the following circumstances?
- Involuntary closure:
- Voluntary closure: ✔✔Involuntary closure: 60 days to make arrangement for sale or disposition of CS; Voluntary closure: if closed for more than 5 days, need to tell the board in writing.
- Must keep records with patient name, Rx #, date of prescription, drug name, purpose of drug (if pt requests), and strength/quantity of dose
- Must provide a toll-free telephone number, service must be available at least 5 days a week and 40 hours a week, must be on every prescription label for mail order
Canadian pharmacies may NOT dispense these drugs (6) ✔✔1. Drugs in liquid form (except ophthalmic solutions),
- IV drugs
- Any drugs that require refrigeration or other special handling for shipment
- Generic version of drugs, unless A-rated in the Orange Book
- A drug that is OTC in Canada, but requires a prescription in the US.
- Controlled substances
Other requirements for Canadian pharmacy standards of practice: (4) ✔✔1. Maintain a toll-free telephone number, and has business hours and mailing address with the prescription
- Ensures that the pharmacist employed at the pharmacy contacts the patient's prescribing practitioner in the US
- Verify authenticity of prescription if sent electronically
- Auxillary labels must have the prescriber's name and where they practice (CAN or US)
True or False: A mail order pharmacy needs a license to mail prescriptions to other states than which they are residing? ✔✔No, only one from the board of pharmacy (NABP)
If there is a change in ownership of a pharmacy, how many days in advance do you need to give the board if...
50% of beneficial interest is changing
- <50% of interest is changing ✔✔> 50 % = 15 days
< 50 % = 5 days
Each pharmacy must be managed by a full-time pharmacist. Can the pharmacist manage more than 1 pharmacy? ✔✔No, unless they can get a waiver for either also managing a hospital with less than 100 beds or a prison with less than 1500 inmates (because they don't require the RPh to be full-time)
What is the RPh to tech ratio? What is the exception? Do interns count in the tech ratio? ✔✔ 1 RPh: 3 technicians
- Not more than 60 cc (2 ounces) in a 48 hour period to the same user
- User must be 21 years of age and have proof of ID
- Be recorded in a bound book that contains: name, address, quantity of CS purchased date of purchase, and initals of pharmacist who dispensed the substance
- Prescription is not required by any federal, state, or local law
A paregoric (used to relieve diarrhea) may be dispensed if... (2) ✔✔1. Mixed with at least 3 ounces of non-narcotic medicinal preparation AND
- contains not more than 1 ounce of paregoric
Sale of pseudoephedrine and related precursors are limited to these amounts per day for in- person, mail order, and total amount per 30 days? ✔✔In-person a day: 3.6 grams
In-person in 30 days total: 9 grams
Mail order in 30 days total: 7.5 grams
An immunization protocol must contain: (8) ✔✔1. Name of the physician
- The immunizations the RPh can administer
- Emergency/ADR protocols
- State there will be an annual review of protocol
- Instructions for age-related immunizations
- Location must be licensed and not be at the home of the patient unless residing in a LTC facility
- Signature of the physician
- Dates in which the CPA is effective
How many hours of ACPE must be completed for immunization certification? ✔✔20 hours unless doing nasal administration
In order for immunization certification to remain active, one must maintain 2 items before this date ✔✔October 31 of each year
- BCLS certification
- 2 hours of CE in a course that addresses the life cycle of disease/prevention of disease
What drug can RPhs prescribe? ✔✔(Naloxone) Narcan
In a LTC facility, if a CS is discontinued or outdated, the drug must be secured in a locked compartment until destoyed which occurs _____. ✔✔Once a month
At a SNF, there is a list of certain drugs that can be used for inpatients included CS II. There must be maximum of _____ of each drug at each nursing station. After being notified that a container has been opened, the RPh must examine the inventory sheet, replace drugs removed and secure the prescription within ___ hours. ✔✔20 units; 48 hours
For an LTC facility, record keeping of CS must be kept for 2 years after destruction (if not used) and include usual information, but also these 4 items:
ALL UNUSED CS MUST BE DELIVERED TO THE LTC DIRECTOR FOR DESTRUCTION
✔✔1. Date the facility received the CS from pharmacy
- Signature of employee who received the CS at the facility
- Date and time the CS was given and the person who administered the medication
- The number of dosage units given
A nuclear pharmacist must be licensed by the _____, and have successfully completed a minimum of _____ contact hours consisting of radiation physics and instrumentation (85 hours),
protection against radiation (45 hours), math with radioactivity (20 hours), radiation biology ( hours), and radiopharmaceutical chemistry (30 hours) ✔✔Nuclear Regulatory Commission; 200 contact hours
A nuclear pharmacist must also attain a minimum of _____ hours of clinical or practical training in a nuclear pharmacy under the supervision of a qualified nuclear pharmacist in certain areas as described in the current Nuclear Pharmacy Practice Standards, and submitted an affidavit (written statement/oath) of experience and training to the board ✔✔500 hours
What is the difference between a remote site and a satellite consultation site? Which one requires an RPh to be present? ✔✔A remote site is a pharmacy staffed by a technician that is able to communicate with the pharmacy and registered pharmacists; RPh is required on site
Satellite consultation sites will dispense filled prescriptions that are delivered to that site after prescriptions are prepared; RPh is NOT required on site
A telepharmacy requires RPh and dispensing practitioner to be physically at the facility. RPhs must be licensed in NV to do remote order verification aka chart order processing services. How many years of experience must a technician have before they can work at a telepharmacy? ✔✔ 1 year
prescription to the pharmacy to be made. If a practitioner wants to buy CS from a pharmacy for office use...
- C2 must be bought with this written form
- C3-5 can be bought with this ✔✔C2: DEA 222 Form
C3-C5: invoice
A hospital with 100+ beds or a jail with 1500 + inmates needs how many full-time managing pharmacists? When he/she is not present they have _____ hours to verify the order (hospital setting and correctional facility) ✔✔1 full-time RPh
Hospital: 72 hours
Correctional Facility: 96 hours
A hospital with < 100 beds or a jail with < 1500 inmates must have _____. He/she must review the records of withdrawal of med every _____ days and must verify the actual withdrawal once every _____ days. ✔✔1 consulting pharmacist that is employed part-time or full time
30 days; 90 days
A report is prepared by a pharmacist on services to be delivered to manager of the correctional facility how often? ✔✔Annually
Who is the only practitioner who cannot designate their staff to check the PDMP for them? Also, vets can only prescribe drugs for non-human consumption. ✔✔Veterinarians
Who are the only 2 practitioners who can be dispensed the rabies vaccine? ✔✔Veternarian and physician
How often must a pharmacist visit a surgical center? ✔✔Monthly
If a representative of wholesale business leaves, he/she must notify the board within _____ hours. ✔✔48 hours
Controlled substances and legend drug records are kept for 2 years. How do we file them? ✔✔ 3 files (C2, C3-C5, Legends) OR
2 files (C2, C3-5 + Legends)
What is the purpose of the Federal Food, Drug, and Cosmetic Act? ✔✔Established FDA and ensuring that drugs are safe
What is the purpose of the Durham-Humphrey Amendment? ✔✔OTC vs. Rx
What is the purpose of the Poison Prevention Packaging Act (PPPA)? ✔✔child resistant packaging requirement
What is the purpose of Health Insurance Portability and Accountability Act? ✔✔Privacy of identifiable health information and security of electronic PHI
What is the purpose of the Kefauver Harris Amendment? ✔✔to have manufacturers prove the effectiveness of drug products before they go on the market, and afterwards report any serious side effects (Thalidomide is an example)
What is the purpose of the Health Information Technology for Economic and Clinical Health Act? ✔✔Electronic health record implementation
What is the difference between adulterated and misbranding? ✔✔Adulterated deals with the mishap of the actual contents of the drug, while misbrandind deals with mishap regarding the false labeling of the drug.
_____: a situation in which there is a reasonable probability that the use of, or exposure to, a violative product will cause serious adverse health consequences or death ✔✔Class I recall
_____: a situation in which use of, or exposure to, a violative product may cause temporary or medically reversible adverse health consequences or where the probability of serious adverse health conseuences is remote. ✔✔Class II recall
_____: a situation in which use of, or exposure to a violative product is not likely to cause adverse health consequences ✔✔Class III recall
What references would you use for the following:
- Drug pricing
- Therapeutic Equivalence
- International Travel Vaccines
