BOP consist of ___ members that serve ___year terms
8 members that serve 5-year terms
what are the criteria to serve in the BOP
○Must be residents of GA for at least 6 months
○
Must hold
current licensure and be in good standing
○
Must be actively
engaged in the practice in GA
○
Must have 5 years of
practice experience in GA
○
May not be officially employed
by any school of pharmacy
What are the criteria for the 1 consumer member?
○Resident of GA
○Attained age of majority (≥18 years
old)
○No connection with the pharmaceutical industry
codes of conduct :
Patient self-referral
No pharmacist, employee or agent thereof acting on his/her behalf, shall offer, agree to accept, or receive compensation in any form for the referral of professional services to or from another health care provider or entity. This prohibition includes any form of fee division or charging of fees for the referral of patients.
codes of conduct:
error or uncertain Rx
No pharmacist or pharmacy intern/extern shall compound or dispense any prescription, which, in his/her professional opinion, contains any error omission, irregularity or ambiguity.
the pharmacist, pharmacy intern/extern shall contact the prescriber and confer with him/her before dispensing the prescription.
coded of conduct:
coded rx
No pharmacist, pharmacy intern, or extern shall compound or dispense any prescription that is coded
code of conduct:
Changes in Prescriptions.
No pharmacist, pharmacy intern or extern shall supply medications or devices which contain an ingredient or article different in any manner from the medication or device that is prescribed upon a prescription unless prior approval has been obtained from the prescriber thereof. Such difference shall immediately be recorded upon said prescription after being approved by said prescriber, showing the date, time and method of ascertaining the said approval.
code of conduct:
Independent Judgment and Practices
No pharmacist shall offer or engage in professional pharmaceutical services under any terms and conditions that shall tend to interfere with or impair the free and complete exercise of professional judgment and skill of a pharmacist or enter into any agreement that denies the public the right of free choice of pharmacists or pharmacies.
code of conduct:
return of Prescription
no pharmacist or employer or employee of a pharmacy may knowingly place in the stock of any pharmacy any part of any prescription dispensed to, or compounded for, any patient of any pharmacy and returned by said patient.
code of conduct:
refusal to fill rx
it shall not be considered unprofessional conduct for any pharmacist to refuse to fill any prescription based on his/her professional judgment or ethical or moral beliefs.
code of conduct:
valid rx drug orders
Prescription drugs shall be dispensed only pursuant to a valid prescription drug order. A pharmacist shall not dispense a prescription that is not valid. A pharmacist shall have the same corresponding liability for prescriptions as an issuing practitioner as set forth in 21 C.F.R. as such regulation exists on January 1, 2013. Valid prescription drug orders shall include those issued by a physician, dentist, podiatrist, veterinarian, or other person licensed, registered, or otherwise authorized under the laws of this state, or of any state or territory of the United States, to prescribe dangerous drugs or controlled substances or both.
4 Things that are NOT considered unprofessional conduct
Inappropriate attire
Showing up late
Traffic
violations
Refusal to fill a prescription based on professional
judgment or ethical/moral beliefs
Pharmacy licenses shall be renewed every -----years and expire on ---- of each year
2
June 30th odd year
Failure to renew pharmacy license before ----- of odd year = lapsed license
September 1st
License becomes null & void when you sell, transfer, or move locations
Required Equipment (Retail)
Copies and or computer access to Georgia Pharmacy Practice Act,
Georgia Controlled Substances Act and Dangerous Drug Act, and official
rules of the Georgia State board of pharmacy
●
Telephone
number of poison control center
●
Refrigerator with
thermometer
●
Sink with hot and cold running
water
●
Class A torsion balance with an assortment of
weights or a class I or II Electronic Balance
●
Appropriate
Rx labels
●
Appropriate auxiliary
labels
●
Typewriter, word processor, or computer with a
label printer
●
2 spatulas
●
1 counting tray (note
that 2 spatulas, but only 1 tray required)
●
Graduated
cylinders of assorted sizes
●
2 mortars and pestles of
assorted sizes
●
Ointment slab, tile, or paper
pad
●
Stirring rods
●
An adequate supply of the
most commonly prescribed drugs
●
Assorted sizes and types of
child resistant containers
Physical Requirements (Retail)
Must be at least 150 square feet [note: different from hospital space
requirements and nuclear]
Drive-Thru
●At least a 2x3 foot
window
●Must be within line of sight of pharmacist
●Two
lanes ok, the second lane cannot be more than 24 feet from
window
●Window must be on wall of actual pharmacy, not a
different department
●Pneumatic tubes are ok but they have to
come out in the pharmacy
If it’s a stand-alone pharmacy that uses only an electronic security system, may not close for more than----hours/day or more than ---- hours at a time
3
1.5
Pharmacist Wall Certificates
What are the 3 rules for PRN,
full-time and part-time Pharmacists?
●
On display for each full-time
pharmacist
●
Board-issued pocket license for part-time
pharmacists
●
PRN pharmacists not required to do this (still
need to keep pocket license though)
Syringes and needles are kept -----
behind the counter
Absent Pharmacist (Retail)
Not more than ---- hours/day or ---- hours at one time
3
1.5
Absent Pharmacist
Must post a “Prescription Department Closed” sign with letters ≥--- inches in size
3
Can Pharmacy technicians and interns/externs continue preparation of RX when the pharmacist is in the immunization or consultation room or is providing pharmacy care services --
They can but CANNOT dispense or really do anything else though
Bathroom break” ----minutes sign not needed
<5
Retail Pharmacies Providing Home Health Services (Retail)
New RX order required every ---- months if physician doesn’t specify course of therapy
6
Retail Pharmacies Providing Home Health Services (Retail)
Must maintain patient-pharmacist relationship -- patient should be contacted by the pharmacist at least quarterly (every----months) and this should be documented in patient profile
3 months or quarterly
Retail Pharmacies Providing Home Health Services (Retail)
May issue sterile drug IV maintenance kits to RNs who are employed or contracted by a HHA. What are theonly drugs allowed in the kit?
sterile water
sterile saline
diluted heparin
Retail Pharmacies Providing Home Health Services (Retail)
After
a drug is utilized, the pharmacy must be notified within ---
hours
●Kit must be inspected at least monthly
72
Retail
Patient profiles kept for at least---- years after last entry
Prescriptions, inventory, etc. for at least ---- years
CMS
requires them kept for at least ----- years
5
2
10
Stock of drugs (dangerous drugs) should be examined at least once every ----months to check for outdated or deteriorated drugs
6
Retail
Filing RXs: What are the three ways of filling rx
●C2s and C3-5s (at least 1 inch tall red C) and dangerous
drugs
●C2s, C3-5s, and dangerous drugs
●[Georgia requires
C2s to be filed separately]
LTCF, Hospice, Nursing Home Services (Retail)
Consultant Pharmacist
●Must have a contract in writing for services
●Must notify the
Board about the contract and when services terminate
● Inspect
drugs monthly and maintain written reports at the
facility
●Remove drugs for proper disposal that have expired or
been discontinued
Vendor Pharmacist:
supervises proper dispensing and delivery of drugs to
these
facilities and establishes standards to store drugs properly
● Manages drugs that patients bring into facility
●Responsible
for destruction of expired/discontinued drugs
The pharmacy may receive eligible drugs for credit if meets the 5 criteria
- Drugs were originally dispensed by that pharmacy/pharmacist
- Drugs were originally dispensed by that pharmacy/pharmacist
- Pharmacist has assurance from person in charge of drugs at facility that they have been stored per manufacturer’s recommendations and USP standards
- Drugs are still in manufacturer’s packaging with expiration date, lot number, and integrity of the product/package intact
- Drugs are not expired and have a minimum of 6 months remaining on expiration date
- Under pharmacist’s professional judgment,
drugs are appropriate for
return/reuse
Automated / Robotic Pharmacy Systems
who is responsible for upkeep?
PIC
They are usually located within the pharmacy
Pharmacists, interns/externs, and technicians can fill/stock meds
Central Filling
Central fill pharmacy must be independently licensed in
GA
●Contractual relationship or share a common
owner
●
“-------” must be on hard copy RX
CENTRAL FILL
Central fill pharmacy is NOT responsible for counseling
Should patients be notified about central filling pharmacy ?
Must notify patients that you’re outsourcing through a visible/readable sign [R&R does not require text to be at least 3 inches in size]-- patients can choose to opt out
Central filling
who is reponsible for verifying receipts of CS
RPh is responsible for verifying receipts of all CS
Personnel must sign for receipt of all OTHER RX received
Central filling
who is responsible for maintaining compliance to PDMP and maintaining all records
Original pharmacy
Remote Order Entry
For each primary dispensing pharmacy, there must only be ---
secondary remote entry pharmacy (must be INDEPENDENTLY licensed as a
retail pharmacy)
●
Must be located in GA
ONE
Shall have the same owner OR have written contract describing
scope of services to be provided and responsibilities of each
pharmacy
●
Primary dispensing pharmacy responsible for counseling
Must notify patients that their order may be processed by
another pharmacy and give that pharmacy’s name
○
Must have
a sign that says “Remote Order Processing Utilized Here” with letters
at least 3 inches in size
○
Must have 1 time written
consent from patients
Hospital Pharmacy
● GDNA will conduct inspections at least once every --- years
2
Can service patients of nursing homes, LTCF, or hospices as long as they are under the same ownership as the hospital pharmacy
Hospital Pharmacy
license renewal: same as retail pharmacies :______
june 30 th of the odd year
Physical Requirements (Hospital)
At least ----sq feet / hospital bed
●Mental
health/substance abuse facilities exempt from this requirement
10
Hospital
C2s must be stored in an enclosed controlled room with limited access capable of showing forced entry is preferable OR -----
a safe or metal cabinet adequately locked that is permanently affixed to the structure
Security: locked by key or combination to prevent unauthorized access
Access to Pharmacy in the hospital: who can have access to pharmacy hospital?
One nursing supervisor (Licensed Practicing Nurse or Registered Nurse aka LPN or RN) in any given shift may have access to pharmacy and may remove drugs in immediate care situation
what are the criteria for accessing the pharmacy ( hospital)
Shall be designated in writing by Director and must be properly
trained
Any time they do this, must designate licensed
pharmacist in the event of an emergency to come to the hospital
Nurse must provide copy of the order and document name,
strength, amount of drug removed, date and time removed, and sign
form
Pharmacist must document that they have received this
Remote Order Entry (Hospital)
when is remote order entry permitted?
*Hospital must keep records of the name and address of such a pharmacist, evidence of current licensure, and address of each location where the pharmacist will maintain records of remote entries (kept for 2 years)*
- Pharmacist not physically present, the pharmacy is closed, and licensed pharmacist will be physically present within 24 hours or next business day
- At least 1 pharmacist physically present
- It is a weekend and at least 1 pharmacist is physically present in another hospital in the state that remotely works on weekends not more than 4 other hospitals under the same ownership which have an average daily census <12 acute patient
outpatient clinic pharmacy
PIC conducts inspections every ------
physical requirement is ____
monthly
150 sq feet
For outpatient clinic pharmacies : they cannot dispense ___ on RXS
Refill
must obtain retail pharmacy license to do so
skipped page 19-29
repeat
PHARMACIST REQUIREMENTS
licensure requirement
Completed application
● “Age of majority” aka ≥18 years
old
● Must be a graduate from a pharmacy school and received
professional degree
● Have paid appropriate fees
● Have
completed internship program (1500 hours)
In addition, what else is required?
○passed exam
Must obtain permission from the board if needing to take exams
more than 3 times
○ Can only take exams for a maximum of 5 times
license renewal
Renew license every 2 years
● Licenses not renewed by ---- of
the even number years may be late renewed by
----- of the
following year by payment of the current renewal fee, plus an -----
December 31st
January 31st
additional late
renewal fee of 50% of the renewal fee
license renewal
Any license not renewed by January 31st of the year following the
renewal date deadline,
shall automatically become classified as-------
Administratively Revoked
Active duty service members have an additional ----- months after
being discharged from
active duty or being relocated to this
state to renew their license if it has expired
6
When you request that your license be inactivated = inactive, may
reapply later for reactivation
● Exempt from CE requirements
Must notify Board of any change in employment or change in
business address within ---- days after
such change
10
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