HPA, PODSA (15%)
Provincial Legislation: HPA, PODSA
PODSA practitioner: practise medicine, dent, podiatry, vet or authorized under HPA/Minister
- Pharmacy Operations General Regulation: midwives, NPs, optometrists, NPs
Health Professionals Act
- Colleges: chiropractors, dentists, medical practitioners, pharmacist/PODSA acts under this act
College consists of:
- Not fewer than 3 elected
- Not fewer than 2 appointed (but not less than 1/3) and not more than the total number of elected or
appointed
Member may continue to complete work if initiated before leave
Must not disclose personal information for purpose of market research
Must report: terminate employment of somebody, revokes/suspends restrictions on person, dissolves
partnership/association
- In writing
Exclusive use of registrants: apothecary, druggist, pharmacist, pharmaceutical chemist, pharmacy technician
Injection: intradermal, intramusc, SC, IN
Registrant Records Patient representative: patient property act, guardian, representation
agreement act, adult guardianship act, health care and care facility act
Original CPPs must be retained
Collecting info: fact that info is being collected, purpose, recipients, voluntary
or mandatory, consequences if not provided, rights of access to personal info
Amendments record: registrant, date, reasons
Disclosure: enactment of, subpoena, employee/contractor for health/safety,
lawyer, Coroners Act, Ombudsman Act, collecting debt, auditor, next of kin for
contact, Act, law
College must be notified for record transfer if registrant ceases to practice
Breach of security: notify PT, other HCPs, the college, law enforcement (if
applicable)
Patient access must comply in 45d
- Provide written reasons for refusal
Liability Insurance Other than student or non-practising registrant 2mil (of registrant or
employee of registrant)
Marketing and “required in all BC Pharmacies” for pharmacy services req by legislation
Advertising
Schedule I drug pricing: brand name/generic (+ manufacturer), dosage
form/strength, total price
- + phrase only available by prescription
- Includes reference to professional fee (+ total Rx price)
Violation if compares quality of services w registrant/another HCP
, Home page of website
- Pharmacy licensed in BC
- College contact info, issues mb reported
- Physical location, phone number
- Name of pharmacy manager
Ethics Responsibility to patients, society, and profession
Non-maleficence: HCPs have duty to prevent harm
Beneficence: positively benefit patients
Autonomy: PT choice
Fidelity: loyal/faithful
Moral issue: informed pharmacy manager and employer
- Not required to make a referral
Must provide essential pharmacy care throughout job action or pharmacy
closure
Participate in research that meets NCEHR requirements
- Inform: purpose, source of funding, harm/benefits, nature of
participation
Bylaws, PPP (45%)
Provincial Legislation: PPP, PODSA Bylaws
- PODSA Bylaws: retain records 3y from date of last refill (last possible activity: so 1y+3y, or 2y+ 3y for
birth control)
PPP-3: Relevant to the services provided + one of the required categories
References - Compendium
- Complementary/alternative: Stokleys, iPharm, Lexi, Micromedex, Natural
Medicines, etc.
- Dispensatory: Martindale, ipharm, lexi, micromedex
- Drug Interactions: Stockley’s, ipharm, lexi, micromedex
- Medical dictionary: Lexi, medicines complete
- Non Rx: BOTH CTMA and CPMA
- Pregnancy and lactation: ipharm, lexi, medicines complete
- Pediatrics: ipharm, lexi, Micromedex
- Therapeutics: CTC
Community: BC Pharmacy Practice Manual + CPBC ReadLinks
PPP-15: Full pharmacists can sign controlled drug orders order is invoiced and delivered to
Controlled licensed pharmacy
Signing - Delegation not required
- Can sign orders for more than one pharmacy
PPP-24: Depot Not permitted to deliver rx to depots for dispersal/retrieval
Shipments
PPP-25: May give drug wo rx includes date, name/address, drug name/strength/quantity
Disasters - Communicated w rx’er asap
Registrar may waive pharmacy requirements
Temporary pharmacy license for relocations
PPP-27: PharmD student must either be registered as full pharmacist or under direct supervision
Registration of registered pharmacist preceptor
PharmD
PPP-31: E Rx Supply exhausted or Prescriber not found/not authorized AND you ensure patient is not
Refills on Pcare Restricted Claimants Program
- Competence, appropriate information, appropriateness, informed consent,
, documentation
PPP-43: Can record data, can replenish wo emptying if:
automated - Lots and expiries recorded report can be printed
dispensing - Manager ensures monthly that inventory is by use by date
- Reports available for one year
- Recall: take out whole cassette
Cannot record data
- Cassette ID: drug name, strength DIN, lot/expiry
- No topping up
- Replenishment checked by registrant with accountability record
PPP-46: 14 consecutive day closure without surrendering license
Temporary - Contact rx recipients, return to inventory and reverse the rest
Pharmacy - Post notices at least 30d prior
Closure - Post signage with telephone answering machine message: closure, duration,
location of nearest pharmacy
- Alternate arrangements with prescribers
PPP-50: Must maintain a policy and procedures material
Centralized - Compliance
Prescription - Maintenance of records, tracking, identify prescription label
Processing - Security
- Quality assurance
PPP-54: If personally known to registrant: may positively identify patient
Identifying Positive ID: one piece primary or two pieces secondary
patients for i. Primary: drivers license, passport, provincial ID card (BC issued), Police
Pharmanet Identity Card (RCMP or municipality), Indian status, permanent resident
(Canada), BC Services Card
ii. Secondary: Care Card (BC), Birth cert, Canadian citizenship, record of
landing of permanent residency, work/visit/study permit (Canada),
naturalization, marriage, change of name, ID/discharge from External
Affairs/Canadian Armed Forces, Consular Id card
PPP-56: Pharmacy asst may verify contents of non-PT sp medication containers or PT-sp med
Pharmacy Asst containers
Verification of - May only verify containers prepped by another assistant
Non-Sterile i. PT specific: name, location, med, strength, dosage form, number of
(Hospital) doses, expiry, correct aux (aseptic: amount added, solution/volume,
compounded expiry, integrity)
ii. Non-PT specific: med, number of doses, ingredient expiries/lots,
labelling, integrity (aseptic: amount, solution/volume, admixture/devices)
iii. Sterile: verifying diluents/volumes, label/content
Qualifications: tech training course (pre Jan 2011) or 2y hospital experience, standard
departmental training, (+ aseptic) keep records for at least 3y (+ CQI process)
- Audit at least annually
- Re-audit after first failed audit decert (aseptic minimum of 2 re-audits)
Pharmacy manager/supervisor or pharmacy tech may decertify assistant at any time
Pharmacy assistants can NOT: check transcription accuracy, check therapeutics,
approve calculations
PPP-58: Adapting Fundamentals: competence, appropriate information, prescription (original),
appropriateness, informed consent, documentation, notify original prescriber
- Mandatory that all registrants read and understand PPP-58 self declaration
- Original rx (not expired): not transferred, previously adapted, E refills
