Pharmacy Operations Exam: Regulations and Requirements, Exams of Pharmacy

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PHARMACY OPERATIONS EXAM QUESTIONS WITH CORRECTLY SOLVED ANSWERS How many members serve on the state board of pharmacy (BOP) and how long is each term of service - Correct Answer-11 members, 5 years How many public members (non-pharmacists) and how many pharmacist members serve on the board of pharmacy - Correct Answer-8 pharmacists, 3 public members (2 from the general public and 1 state government member) What is the name of the agency that issues pharmacist licenses - Correct Answer-New Jersey Board of Pharmacy What is the minimum age to become a licensed pharmacist - Correct Answer-18 years old What exams are required for pharmacist licensure - Correct Answer-NAPLEX and MPJE How long does a pharmacist have to notify the board of a change in name or home address - Correct Answer-30 days to notify the Board of a change in name or address What are the CPE requirements for pharmacists (E.g. How many hours per renewal period, how long is the renewal period, are live hours required, any specific CPE topic requirements) - Correct Answer-30hr of CPE required each biennial period (q2yr), of which 10hr must be obtained through didactic (in-person) instruction (can be by phone or electronic instruction, but not videotaped) 10hr of CPE can be carried over to a succeeding biennial period, but only if not previously reported and obtained in the last 6mo of the preceding biennial period Specific topics: (1) For all pharmacists: at least 1hr of CPE should be an educational program concerning Rx opioid drugs, including alternatives for pain management, risks/signs of abuse, addiction, and diversion (2) Pharmacists authorized to administer vaccines: at least 2hr of CPE should be on immunizations (3) Pharmacists engaged in collaborative practice agreements: at least 10hr of CPE on diseases/conditions covered by the agreements How often is the pharmacist license renewed - Correct Answer-Every other year on odd years (licenses expire April 30th) Every other year = biennial = q2yr If a pharmacist's license lapses, what action can be taken to reinstate the license - Correct Answer-A pharmacist who holds an inactive license may apply to the Board for reactivation of the inactive licensing by submitting: (1) a renewal application (2) certification of employment listing each job held during the period the license was inactive, including the name, address, and telephone # of each employer (3) a renewal fee for the biennial period for which reactivation is sought (4) evidence of having completed all CE credits that were required to be completed during the biennial period immediately prior for which the reactivation was sought (it is permissible to submit proof of satisfying CE credits for valid, current license issued by another state) (5) if the Board concludes upon review of the above that there may be practice deficiencies, examination, an assessment of skills, a refresher course, and/or other education or training may be required What are the requirements to become a qualified nuclear pharmacist - Correct Answer- Must hold an active license in the state of NJ and meet minimal standards of training and experience in the handling of radioactive materials in accordance with the requirements of the United States Regulatory Commission or its successor and the State of New Jersey Bureau of Radiation Protection What are the requirements for a pharmacist to administer vaccines and related emergency medications - Correct Answer-The pharmacist must hold a current American Heart Association Basic Life Support (BLS) certification and be pre-approved by the Board to administer vaccines and related emergency medications by submitting documentation that establishes that he/she has completed an ACPE-accredited academic and practical curriculum that includes instruction in CDC guidelines for vaccine administrations The curriculum must include topics as outlined by the Board (Eg.OSHA standards, CDC infx control guidelines, immunology, vaccine characteristics, ACIP immunization schedules, record keeping, emergency response to AE, etc.) What are the requirements to serve as a pharmacist preceptor - Correct Answer-An intern preceptor must apply to the Board and provide evidence that: (1) they have been practicing as a full-time licensed pharmacist for at least 2yr and are currently engaged in the practice of pharmacy in the state of NJ (2) they have not been convicted of a crime or offense relating adversely to the practice of pharmacy or that has resulted in disciplinary action to his/her license Do individuals need to submit fingerprints to register as an intern - Correct Answer-Yes Are interns required to have a criminal background check - Correct Answer-Yes What are the requirements for displaying licenses in the pharmacy - Correct Answer- The current biennial renewal pharmacist license shall be conspicuously displayed in view of the public in the pharmacist's principal place of employment A pharmacist who is employed by more than one pharmacy shall maintain a wallet- sized license issued by the Board on his/her person when he/she is working at a location where his/her current license is not on display What are the space and/or equipment requirements for a pharmacy - Correct Answer- (1) at least 150 sq ft for the Rx area with a Rx counter at least 18in wide and 12ft in length (2) a sink with hot and cold running water easily accessible to the Rx counter (3) adequate storage space (shelves, drawers, cabinets) for Rx drugs and chemicals, including a securely locked storage place for CII controlled sub (4) the most recent edition of comprehensive pharmaceutical reference texts (can be unabridged electronic versions) - specific categories on Board website (5) an OTC Schedule V Record Book or electronic recording system (6) a permanent Rx filling device and pt profile record system (7) a steel and rubber spatula, counting trays or approved counting devices, labels, auxiliary labels, assorted Rx counters, and child safety closures or caps (8) a refrigerator (per USP standards) used only for the storage of pharmaceuticals, and refrigerator and freezer thermometer For non-sterile compounding: (1) a Class A Rx balance with metric weights or an equivalent electronic weighing device (2) a glass mortar and pestle, glass funnels, and stirring rods (3) an ointment tile or parchment paper What are the signage requirements for pharmacies - Correct Answer-Pharmacies must post a sign on the exterior of the building or a sign which is otherwise visible from a public roadway, identifying the existence of the pharmacy Pharmacies must post the hours that the pharmacy is open and the name of the pharmacist-in-charge in plain view of the public at all consumer entrances and consumer access points to the pharmacy, including drive-thru windows and drop-off boxes In the case of a pharmacy department, when the premises in which the pharmacy department is located maintains different hours of operation from the pharmacy department, all signs, advertising, etc., must clearly and distinctly indicate the hours that the pharmacy department is open A sign at the entrance and where Rx drugs or biological products are sold disclosing the fact that upon request, before a Rx is dispensed, a consumer shall be told the price of the product, whether it is to be substituted from a list of interchangeable drugs, and of the consumer's right to be informed of the price savings resulting from a substitution, and the right to refuse the substitution if not satisfied with said price savings. Such a sign shall not be less than 12in by 12in When the pharmacist is on break, a sign shall be posted in the Rx dispensing area stating "Pharmacist on break, but available for emergencies and counseling" What are the advertising limitations for pharmacies - Correct Answer-Price quotations for Rx drugs appearing in any advertisement shall state the strength and qty required to be purchased for the offered cost, shall include the usual and customary Rx cost and the effective period of the price quotation. All services including, but not limited to, delivery charges rendered by the pharmacy which will add additional costs to the price quoted must be set forth in the advertisement Any reference in any form to the quality of a drug or its beneficial use is prohibited All advertisements shall be predominantly informational and shall not be misleading, confusing, or false. Any advertisement demeaning the quality of professional services rendered by another licensee or permittee shall be prohibited No person shall carry on, conduct, or transact business under a name which contains as a part thereof the words "pharmacist," "pharmacy," "apothecary," "apothecary shop," "druggist," "drug," or any word(s) of similar or like import, unless the place of business is a currently licensed pharmacy practice site operated or managed at all times by a pharmacist Within how many days must a change of PHARMACY address or name be reported to the board - Correct Answer-Change should be submitted to the Board at least 30 days prior to the change so that a new pharmacy permit can be issued If there is a change in pharmacy address but no change in the physical location of the pharmacy, the Board must be notified within 10 business days of the change in address A change in the pharmacy name must be submitted to the Board at least 30 days before such a change for an amended permit Within how many days must pharmacy closures be reported to the Board - Correct Answer-At least 15 days prior to the anticipated closing date Within how many days must a pharmacy notify the Board that there has been a change in the pharmacist-in-charge - Correct Answer-30 days What requirements are there for emergency kits in long-term care facilities or other institutional facilities - Correct Answer-(1) the contents of emergency kits shall have been approved by the pharmacy and therapeutics (P&T) committee of the long-term care facility (2) emergency kits shall be stored securely at each nursing unit (but not kept under lock and key), checked after each use, and checked at least monthly by the consultant pharmacist (3) emergency kits shall not be accessible to the residents, but shall be accessible to staff in a timely manner What are regulations for pharmacist breaks or the max break duration - Correct Answer- A sole pharmacist on duty may take restroom breaks and 30min meal breaks while working in a pharmacy consistent with the following requirements: (1) the pharmacist shall remain in the pharmacy or, in the case of a pharmacy dept, on the pharmacy dept building, and shall be accessible for emergencies or for counseling if requested (2) the pharmacy shall remain open during the restroom or meal breaks, provided a pharmacy employee remains present in the pharmacy for pt-related services, which include, but are not limited to, the following: A. The receipt of new written prescriptions B. The dispensing of Rx meds that have been checked by the pharmacist During a pharmacist break, does a sign need to be posted that the pharmacist is not on duty - Correct Answer-Yes: post sign in the Rx dispensing area stating "Pharmacist on break, but available for emergencies and counseling" What intern/technician functions can be done without the presence of a pharmacist - Correct Answer-Pharmacy employees may receive new written prescriptions and dispense Rx meds that have been checked by the pharmacist What are limitations on med delivery (by couriers, pharmacy employees, or by kiosk) - Correct Answer-A pharmacy that delivers a filled Rx drug or chemical to the pt, agent of the pt, or facility or HCP providing care to the pt by any method (except when picked up directly from the pharmacy) shall, in the professional judgement of the pharmacist and according to policies and procedures, use adequate methods to ensure temperature- controlled conditions are maintained during transportation and delivery Are there any limitations on drive-up windows - Correct Answer-Must have pharmacy open hours and the name of the pharmacist-in-charge in plain view of the public