Colorado MPJE Questions and Answers Graded A+

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Colorado MPJE Questions and Answers Graded A+ The Colorado board of pharmacy is comprised of how many members? Who is the board composed of? What are the rules according to political parties? ✔�... �7 members 5 must be pharmacists with at least 5 years experience practicing in Colorado 2 must be non pharmacists who have no financial interest in the profession of pharmacy Not more than 4 members should be members of the same political party Who appoints members to the Colorado board of pharmacy? ✔✔The governor Who is eligible to be licensed as a pharmacist in Colorado? (6 items) ✔✔1. Can read/write english 2. Graduate from a school of pharmacy approved by the board 3. Have successfully completed an internship period 4. Pass the NAPLEX?MPJE with a score of 75 5. Pay the required application fee 6. If a license is revoked, the person may not re-apply for 2 years Which pharmacists are exempt from licensure? ✔✔Persons participating in an approved hospital residency program who are licensed in another state (as long as their practice is limited to the residency program How long is a pharmacy license valid? When do licenses expire? ✔✔2 years, expire October 31 of odd numbered years How much CE do pharmacists need? ✔✔24 hours per 2 years of practice What are the duties of pharmacy technicians? Are the required to be licensed? ✔✔They are to prepare, mix, assemble, package, label, or deliver a drug or device under the supervision of a pharmacist. They are NOT required to be licensed What is the pharmacy manager required to post in regards to each of his pharmacy technicians? (1 of 4 items) ✔✔1. Certificate noting the technician is certified by a nationally recognized board 2. Diploma noting the technician has graduated from an accredited pharmacy technician training program 3. Documentation that the tech has completed 500 hours of hands on training in the pharmacy 4. Documentation that the technician has none of these things How many persons may a pharmacist supervise at once? How many can be pharmacy interns? Are there other restrictions? ✔✔1. Up to 3 persons at one time 2. No more than 2 can be pharmacy interns 3. If three technicians are on duty at least 1 of them must be certified/graduated/documented 500 hours What are the three things that pharmacy interns can do that technicians cannot? ✔✔1. Receive oral orders 2. Orally transfer a prescription 3. Provide patient consultation How long must pharmacies keep a list of every pharmacist and intern that has practiced there? What must this list include? ✔✔1. The previous 2 years 2. Name, license number, sample of their initials and signature, date they worked How long do pharmacists have to notify the board of any address or employer change? ✔✔30 days When must a pharmacy manager notify the board in writing of the date they cease to be the manager? ✔✔Immediately When must a new pharmacy manager be chosen? How long does that pharmacy have to notify the board of the change? ✔✔30 days What types of conduct are grounds for discipline of pharmacists (suspension, revocation, refusal to renew licenses)? (12 items) ✔✔1. Fraud regarding a new license 2. Found guilty of a felony 3. Has violated the rules of the board, or federal laws about drugs 4. Is unfit to practice due to negligence, habits, illness, drugs, alcohol 5. Knowingly allows a non-pharmacist/intern to practice pharmacy 6. Has ben disciplined by another state 7. Has participated in misleading advertising 8. Has practiced with an inactive license 9. Has not met generally accepted standards 10. Refuses to allow the board to inspect or has violated a board order 11. Has committed an insurance act determined to be fraudulent 12. Has attempted to deceive the board, or has failed to notify the board of any criminal conviction within 30 days, or has failed to notify the board of discipline agains their license within 30 days The board my impose what penalties on people who they decide to discipline? (5 items) ✔✔1. Suspension 2. Revocation of license 3. Restriction to certain practice activities 4. Probation/supervision 5. Suspension of the pharmacy (not pharmacist) What can the board do to discipline pharmacists that is not as serious as a suspension/ect? (3 items) ✔✔1. Periodically monitor their physical/mental condition or qualifications 2. Require the licensee to take additional training 3. Impose restrictions on the licensee's practice How much can the board fine a pharmacy as a disciplinary action? ✔✔$500-$5000 If the board determines there is misconduct that does not merit formal action, but does not want to dismiss a complaint they can issue what? What can they issue if an instance of conduct raises concern? ✔✔1. Letter of Admonition 2. Confidential letter of concern What must a pharmacist do if they provide a copy of a prescription order for a patient? (3 items) ✔✔1. Mark "copy for reference only" 2. Strike out remaining refills 3. Note it on the original prescription, date, initials of pharmacist What must be documented for prescription refills on the back of a prescription order or on a daily computer printout? (4 items) ✔✔1. Date refilled 2. Quantity 3. Physician 4. Name, initials, license number, or identifier of the pharmacist What must be present on the label of a prescription? (9 items) ✔✔1. Name and address of pharmacy 2. Serial number of the prescription 3. Name of the drug 4. Date of prescription or dispensing date 5. Name of prescriber 6. Name of patient 7. directions and cautionary statements 8. Expiration date 9. IF for an anabolic steroid, must state the purpose of the medication How must controlled substances be filed in colorado? ✔✔1. C2 separate from other CS 2. C3-C5 separate from other Rx 3. All other Rx What must the transferring pharmacist do when transferring out a prescription? (7 items) ✔✔1. Write void across the front of the original prescription order Record the following on the back of the Rx: 2. Transferring pharmacist identifier 3. Receiving pharmacist identifier 4. Name of pharmacy receiving 5. Address and phone of receiving pharmacy 6. Date of transfer 7. DEA # IF it is a controlled substance What must a receiving pharmacist do when receiving a transferred prescription? ✔✔1. Write the word "transfer" on the front of the Rx 2. Date of original order 3. Original dispensing date 4. Original quantity and number of authorized refills 5. Number of refills remaining 6. Last refill date 7. Prescription number from original pharmacy 8. Transferring pharmacist identifier 9. Name of transferring pharmacy 10. DEA # from transferring pharmacy if C3-C5 What activities are classified as compounding? What is the maximum days supply of a compounded prescription? ✔✔1. Preparing, mixing, assembling, packaging, labeling, chemical analysis 2. 90 days What are the exceptions to not being able to duplicate commercially available products when compounding? (2 items) ✔✔1. When it is in the medical best interest of the patient (allergy) 2. When the compounded product is significantly different (patient requires a different dosage form) What percent of a pharmacy's sales requires them to register as a compounding drug outlet? What criteria must compounding drug outlets meet (2 items)? ✔✔1. 10% 2. Accreditation by a board-approved compounding entity 3. Be fully owned by a pharmacist How often must pharmacies which compound non-sterile products maintain a policy and procedures manual? ✔✔Annually, must be reviewed and signed by a pharmacy manager The policy and procedure manual for non sterile compounding must contain what? (10 items) ✔✔1. Responsibility of compounding personnel 2. Verification of compounding accuracy 3. Personnel training and competency training 4. Environmental quality and control 5. Labeling and record keeping 6. Finished preparation release check 7. Quality control procedures 8. Storage and BUD 9. Adverse event reporting 10. Quality assurance program For each non-sterile compound the pharmacy must create a formulation record to be available inspection for how long? How long must the compounding product record me maintained and available? ✔✔2 years, 2 years What must the compounding record contain for non-sterile products? (11 items) ✔✔1. Name/strength 2. Formulation record reference 3. Source/lot number for each ingredient 4. MFG exp. date of each ingredient 5. Total dosage units compounded 6. Compounder, checker names 7. Batch/lot assigned 8. Date prepared 9. BUD 10. Rx number 11. Quality control procedures What constitutes a low risk compounded sterile product, how must they be made? What are the BUDs at different temperatures for low risk CSPs? ✔✔Using proper aseptic technique, ISO class 5 quality, involves mixing of 3 or less commercially available sterile products BUD RT: 48hours, Fridge: 14 days, Frozen 45 days What constitutes a low risk with 12 hour or less BUD, how must they be made? What are the BUDs at different temperatures of these? ✔✔CSPs that cannot be located within an ISO class 7 Low risk products for a patient-specific order Administration should occur at the same location within 12 hours, or as recommended by the MFT (shorter of the two) BUD RT: 12 hours, Fridge: 12 hours What constitutes a medium risk compounded sterile product, how must they be made? What are the BUDs at different temperatures for medium risk CSPs? ✔✔Must be made in ISO class 5 Involves multiple or individual amounts of sterile products combined to prepare a product that will be administered multiple times BUD RT: 30 hours, Fridge: 9 days, Frozen: 45 days What constitutes a high risk compounded sterile product, how must they be made? What are the BUDs at different temperatures for high risk CSPs? ✔✔Must be made in ISO class 5 Involves products which are non-sterile before terminal sterilization, involves open air procedures before terminal sterilization BUD RT: 24 hours, Fridge: 3 days, Frozen 45 days How often must the sterile compounding manual be reviewed and signed? How often must personnel be assessed? ✔✔Annually Training every 12 months for low-medium risk, every 6 months for high risk How must personnel gown for sterile compounding (6 items)? ✔✔1. Remove personal outer clothing, makeup and jewelry 2. Shoe covers 3. Head/facial hair covers 4. Face masks 5. Wash hands up to elbows 6. Outer gown What percentage of ownership change requires a pharmacy to apply to transfer registration? ✔✔20% If an in-state or non-resident pharmacy intends to move, how long do they have to notify the board prior to relocation? ✔✔30 days Who is responsible for moving chart orders or prescriptions to another pharmacy upon closure? How much time do they have to transfer records? ✔✔Last pharmacy manager, 72 hours When a pharmacy gets a new manager how long do they have to do a controlled substance inventory? ✔✔72 hours What types of pharmacies are deemed "other outlets"? ✔✔Jails, county health departments, rural health clinics, school based clinics, family planning clinics, ambulatory surgical centers, medical clinics operated by hospitals, small hospitals which are benefitting the public A consultant pharmacist in a pharmacy deemed an "other outlet" the consultant pharmacist is responsible for doing what in regards to dispensing (2 items)? ✔✔1. Initially interpret all prescription orders dispensed, OR 2. Provide written protocols for dispensing by unlicensed persons When must "other outlets" be inspected by the consultant pharmacist? (4 schedules) ✔✔1. Monthly if 2500 dispensed units or less/year 2. Every other week if 2501-7500 dispensed units/year 3. Weekly if 7501-12500/year 4. Twice a week if 12501-25000/year Who must manage a nuclear pharmacy? Who is considered a nuclear pharmacist? ✔✔1. A nuclear pharmacist 2. Licensed by the board, and meets the standards for "authorized user status" to handle radioactive material What is the minimum amount of space for compounding dispensing in a pharmacy? Minimum for satellite areas whithin the pharmacy? ✔✔1. 225 continuous square feet 2. 100 continuous square feet How much floor space must a pharmacy have behind the counter? how much between shelf sections? ✔✔1. 30 inches behind the counter 2. 24 inches between shelves What specific reference must a pharmacy have if it compounds sterile products? ✔✔The Guide to Parenteral Admixtures Handbook on Injectable Drugs (or comparable references) What specific reference must a pharmacy have if it compounds cytotoxic products? (can be 1 of 2) ✔✔1. Technical manual section VI: chapter 2, controlling occupation exposure to hazardous drugs 2. ASHP technical assistance bulletin on handling cytotoxic and hazardous drugs How much must a pharmacy be open? ✔✔2 days a week, at least 4 continuous hours each day If a pharmacy was left unsecured or there was unauthorized entry the pharmacy manager must notify the board within how many days? ✔✔10 days What can be exempt from hospital chart orders if it is recorded elsewhere? (4 items) ✔✔1. Pharmacist making initial interpretation 2. Pharmacist making final evaluation 3. Quantity dispensed 4. Date of dispensing How long must hospital chart orders be available for inspection? What are the only approved methods of filing? ✔✔2 years 1. Chronological order by discharge date 2. Alphabetically by surname 3. Date of dispensing transaction 4. Electronically When can an RN enter a locked dispensing area to retrieve a drug? ✔✔In an emergency citation when no pharmacist is present What is the maximum days supply of medication that a nurse or doctor may administer out of an ER? ✔✔24 hours Can ANP's practice independently? ✔✔Yes, within their area of practice Can naturopaths prescribe in Colorado? ✔✔No If a generic is substituted for a brand, how must the patient be notified (2 items)? What other factor determines when a pharmacist can't substitute (when no order from the doctor)? ✔✔1. Orally 2. In writing 3. The generic must cost less than the brand [Show More]

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