915 block 2

What does DMD stand for?

Doctor of Medicine in Dentistry

are DDS and DMD different?

no

What are DMD's scope of practice?

Mouth, teeth, oral cavity....

What does 'practitioner' mean?

professionals that are residents that are licensed and have prescriptive authority

what Kentucky state law defines practitioner

KRS 217.015

What does OD mean?

Doctor of Optometry

what is the difference between optometrist or ophthalmologist

optometrist = optometry school, not dr

opthamologist = physicician

What are the OD's scope of practice?

have to do with eyes

What does APRN mean?

Advanced Practice Registered Nurse or Nurse Practitioner

What is the scope of practice for APRN?

They can prescribe anything, but have limitations on control

What does CRNA mean?

Certified registered nurse anesthetist

What is the scope of practice for CRNA?

They can order medications, but not prescribed

What does PA mean?

Physician Assistant

What are PA's scope of practice?

They can prescribe but have limitations on control substances

What does DO mean?

Doctor of Osteopathy, general doctor

What are DO's scope of practice?

same as MD ; 3 days supply of opioids

how are controlled substances supposed to be transmitted to pharmacy

electronically

What does DPM mean?

Doctor of Podiatric Medicine

What is the scope of practice for DPM's?

Anything related to feet, ankle, and structure of the leg

What can DPM's prescribe?

anything, but schedule II (C2) or schedule III (C3)

no prescribe C2 or C3 for more than 3 day supply for acute pain

no dispense more than 48hr supply of C2 or C3

what information should you gather prior to filling an Rx for DPM

is pain related to foot/ankles

What does DVM stand for?

Doctor of Veterinary medicine

What are DVM scope of practice?

They can prescribe controls and are exempt from EPCS rules

what special info do you need on DVM scripts

species and identity of pt ; w/drawal time if food producing animal

What statue and regulation authorizes pharmacists to dispense naloxone?

KRS 217.186 (statute) and KAR 2:360 (regulation)

What are the requirements for pharmacists to dispense naloxone?

1. Get certified by the Board of Pharmacy and 2) have a protocol agreement with a Physician

Legal side of dispensing naloxone?

• Pharmacists are protected professionally if something goes wrong, but not protected criminally or civilly per KRS 217.186

• Naloxone can be distributed by health care provider or via prescription

What is a midlevel practitioner or provider?

Individual that is not a physician, dentist, veterinarian, or podiatrists that is licensed/registered to dispense controlled substances

is this a physician, midlevel practitioner, or nonphysician practitioner?

practicioner other than physician, dentist, veterinarian, podiatrist that is licensed, registered, or otherwise permitted to dispense CS

midlevel practicioner

Non-physician practitioner?

Providers that can receive payment under the SSA for Medicare Part B (outpatient) services

Who does KRS chapter 217 pertain to?

Everyone under Food, drug, and cosmetic act

Who does KRS 315 pertain to?

Pharmacists, KY pharmacy practice act

Where can you find the definition of dispense(r)?

• KRS 217.005 to 217.215 (Food, drug, cosmetic act)

• KRS 315.010 (Pharmacy Practice Act)

Who refers to prescription drugs as "Legend drug"?

KRS 217.005 to 217.215

Where can you find the definition of prescription drugs for pharmacists?

KRS 315.010

What does prescription blank mean?

An order dispensed by someone else that didn't write the order

According to KRS 217.005 to 217.215 and KRS 218A.010 what does ultimate user mean?

This is a person that possesses a controlled substance for his or her own use or for the use of a patient/animal they take care of

According to KRS 217.216 what is required on a prescription blank?

prescribers name, phone #, and business address

Who can sell, distribute, administer, prescribe, and posses legend drugs?

according to KRS 217.182, manufacturer/distributor/wholesaler and pharmacists can sell or distribute a legend drug, but practitioners can administer/dispense/prescribe/and distribute

mission statement of the KY BOP:

serves the commonwealth to ___ ___ ___ the ___ ___ ____ through effective regulation of the practice of Pharmacy

promote, preserve, and protect ; public health, safety, and welfare

composition of the board of pharmacy

• The board consists of ___ that are licensed in KY and __ who is not associated or financially interested in the practice of pharmacy.

• The pharmacists must have __ years of experience, be a resident in KY, and in good standing.

• No two pharmacists can reside in the same ___

5 pharmacists, 1 citizen; 5, county

process by which BOP members are appointed

• On [date] , other state pharmacy organizations or individuals can submit a list of people.

• Before [date], the governor will appoint ___ people from each list.

• The governor appoints the ___

March 1st, October 1st, 2, citizen

Summarize the duties and powers of the board of pharmacy.

They promulgate administrative regulations, issue subpoenas, schedule and conduct hearings, issues and renew all licenses/certifications/permits, prescribe the time/place/method/manner/scope/subjects of examinations with at least 2 examinations to be held annually, establish or approve programs/qualifications/and registration of pharmacists interns, assess reasonable fees, etc (look at powerpoint tired of typing)

ok

who can serve as a board inspector

Registered pharmacist that graduated from a school in good standing with the KY board of pharmacy

___ ___'s duties

• They're duties are to inspect and conduct investigations to carry out the provisions of chapter ___

board inspector , 315

in a case review panel

• ___ board members review the findings related to an investigation presented by board staff or investigators.

The case review panel may ask for the person to attend the session and use evidence to determine if the individual _____ or not.

3, violated the law

'agreed order' between a pharmacist licensee and ___.

the Board of Pharmacy

protocol review committee consists of ___

The committee:

• evaluates new protocols proposed for the board approval to ensure compliance with section __ and section ___ of this administrative regulation

• review previously authorized protocols no later than ___ from the authorized date to ensure alignment with current practice guidelines.

4 pharmacists and 1 physician ; 2(1)(b), 3, 3 years

what are the 2 disciplinary actions resulting from an agreed order?

• violations marked on license/permit OR report to national american board of pharmacy (NABP) or health professions database (HPDB)

• An ___ is a written agreement that states the person has violated the law and will have specific disciplinary terms and conditions.

agreed order

requirements a pharmacist must meet before initiating naloxone dispensing

1. certified by the Board of Pharmacy and 2) have a protocol agreement with a Physician

[medical order or prescription order]

a lawful order of a specifically identified practitioner for a specifically identifies patient for the patient's health care needs that may or may not include prescription drug order

medical order

[medical order or prescription order]

• (authorized by a practitioner) is a written or oral order for a drug, combination, or preparation that is intended to be used in treating or preventing a disease.

prescription order

requirements for a lawful prescription as defined in KRS ___.

This is a valid practitioner-patient relationship that is intended to address a legitimate medical need, and falls within the prescribing practitioner's scope of professional practice

315.010

Compare and contrast the legal definition of dispense as defined in KRS 217 and KRS 315.

• KRS 217.005: dispense means to deliver a drug or device to an ___ or ___ identified by the lawful order of a practitioner (includes packaging, labeling, or compounding necessary to prepare substance)