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PA Pharmacy Law |Questions with Correct Answers Already Passed
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PA Pharmacy Law |Questions with Correct AnswersAlready Passed
Pharmacist (general) - ✔The services permitted under Act 102 and Act 29 do NOT
convey precriptive authority to pharmacists.
Pharmacist - Drug Therapy Management in an Institutional Setting - ✔a. Must have a
written agreement or protocol with a licensed physician, or pursuant to a medical order by a
licensed physician, a pharmacist may engage in drug therapy management
b. physician must have an active license and the scope of the agreement and protocol must be
within the physician's scope of practice
c. Pharmacist must maintain liability coverage in the minimum amount of $1,000,000
per occurrence or claims made.
Pharmacist - Drug Therapy Management in an Institutional Setting - Written
Agreement/Protocol requirements - ✔- be in writing, dated, signed by the pharmacist
and physician and be filed with the Bureau of professional and occupational affairs
- specify the functions and tasks which are the subject of the agreement or protocol
- allow for termination of the agreement or protocol at the request of any part at any time.
- require that drug therapy regimens be initiated by a licensed physician. A pharmacist may
not initiate therapy because they have no authority to prescribe/diagnose.
- require that patients be notified of pharmacist's role in managing their drug therapy
- require the pharmacist to notify physician of any drug therapy changes within 72 hours
- be renewed at least every 2 years
,- be available at the pharmacist and physician's site, at the institution where the agreement or
protocol is in place and to state agencies and any patient whose drug therapy is affected by
the agreement
- further comply with State Board of Pharmacy
Pharmacist - Drug Therapy Management in an Community Setting (Pending) - ✔a. Pursuant
to a written collaborative agreement with a licensed physician a pharmacist may engage in
drug therapy management in a setting other than an institutional setting
- this arrangement is commonly referred to as Collaborative Drug Therapy
Management (CDTM)
- a CDTM must be initiated by a written referral from the physician to a pharmacist which
must indicate the frequency in which the pharmacist must conduct drug therapy management
services
b. Physician must have an active license and the scope of the agreement and protocol must be
within the physician's scope of practice
c. Pharmacist must have access to patient's medical records and must ensure patient
confidentiality and all records must be properly maintained per electronic health care
records requirements.
d. Pharmacist must maintain liability coverage in the minimum amount of $1,000,000
per occurrence or claims made.
e. A pharmacist may not provide economic incentives to a physician for purpose of
entering into a CDTM
Pharmacist - Drug Therapy Management in a Community Setting - Written Agreement/Protocol
requirements - ✔a. Comply with the requirements for an Institutional Setting, which includes
compliance with the applicable PA State Board of Pharmacy Regulations
b. Specify the terms under which a pharmacist providing the management of drug therapy
is permitted to adjust drug regimen or to adjust drug strength, frequency of administration
or route without prior written or oral consent by the collaborating physician
Pharmacist - Administration of injectable medications - ✔1. Eligibility to immunize
a. active pharmacist license in PA
, b. successful completion of a course of educations within 2 years prior to application
- include study materials plus hands-on experience
- successfully complete test
- complete a minimum of 10 hours of instruction
- ACPE must approve course
- Topics listed in notes pg. 106
c. possess a current CPR certificate
Pharmacist - application and renewal - ✔1. Formal Application to board with evidence
of eligibility, renewable every 2 years along with license, 2 hours of CE relative
immunization required, evidence of current CPR certificate
2. Limitations
a. Immunization administration limited to persons who are 9 years of age or older, provided
parental consent is obtained for the influenza vaccine. Other vaccines are for people 18 years
of age and older.
b. interns will be able immunize.
3. Immunization authorized by prescription order or written
protocol a. prescription order must bear the following:
- Prescriber name, patient name, immunization, date of original order and schedule, if
applicable, for subsequent administration
4. Pharmacy must notify prescriber within 72 hours of administration: patient
name, medication administer, route, side, dose and date of administration
5. The written protocol is valid for 2 years and must be approved by physician or
authorize medical staff of an institution contain required information.
6. Emergency Event
a. pharmacist must notify physician within 24 hours of any adverse event or reaction
experienced by patient
7. Immunization Record must include the required information and be maintained by the
pharmacy.
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