Jurisprudence

Schedule 1 of the PIPEDA: 10 principles adopted from the CSA model Code for the protection of personal information

1. accountability 2. identifying purposes 3. consent 4. limiting collection 5. limiting use, disclosure and retention 6. accuracy 7. safeguards 8. openness 9. individual access 10. challenging compliance

theft or loss of narcotics should be reported within ____days of discovery to the Ministry

10 days (under section 42 of the NCR)

a product containing more than ______mg of codeine requires a prescription

8 mg

Part I Controlled drugs

Drugs listed in part I of the schedule and part G of the Food and Drug Regulations (amphetamines, methylpheniates, etc)

Part II controlled drugs

Drugs listed in part II of the schedule and part G of the Food and Drug regulations (barbiturates such as phenobarbital)

Part III controlled drugs

Drugs listed in part III of the schedule and part G of the Food and Drug regulations (anabolic steroids and its derivatives such as testosterone)

true or false: the Privacy Act regulates how PRIVATE-SECTOR organizations can use personal information

FALSE the Privacy Act applies to FEDERAL GOVERNMENT institutions

For a drug undergoing research and development processes in Canada, which of the following statements is correct? a. Application for patent protection is granted for a maximum period of three years. b. A New Drug Submission must be filed in order to start clinical trials c. Clinical trials involve three phases that assess animal safety and efficacy. d. Health Canada, under the Food & Drugs Act & Regulations, provides Notice of Compliance.

Health Canada, under the Food & Drugs Act & Regulations, provides Notice of Compliance.

According to the Narcotic Control Regulations of the CDSA, which of the following practitioners may prescribe narcotic drugs? - Midwives - Chiropractors - Osteopaths - Pharmacists

Midwives

which of the following federal acts applies to the private sector in regards to the protection of personal information? - PIPEDA - privacy act

PIPEDA this is a federal act which applies to all private sector companies including healthcare corporations

which of the following FEDERAL acts gives individuals the right to access and correct, use and disclose personal information that is held by the government of canada? - Privacy Act - Personal information protection electronic document act (PIPEDA)

Privacy act

which of the following is the best procedure for destruction of a targeted substance? - a pharmacist records the date of destruction and the destruction is witnessed by a dentist - an application has to be sent to health canada prior to destruction - a pharmacist records the date of destruction and it is witnessed by a pharmacy assistant - after health canada approval for destruction, a pharmacist records the destruction and it is witnessed by a pharmacist

a pharmacist records the date of destruction and the destruction is witnessed by a dentist health canada does not need to be notified in advance and the process is witnessed by a regulated practitioner

Which of the following is the national voluntary organization for advocacy of pharmacists and patient care? a. Canadian Pharmacists Association b. Canadian Patient Safety Institute c. Institute for Safe Medication Practices d. National Association of Pharmacy Regulatory Authorities

a. Canadian Pharmacists Association

According to federal legislation, which of the following medications requires witnessed destruction in a pharmacy? a. Ketamine b. Duloxetine c. Galantamine d. Topiramate

a. Ketamine

The ethical principles of veracity requires that pharmacists: - respect the rights of others to make choices - do good to patients, placing the benefit of the patient over other factors such as cost - act with fairness, to allow people to receive that to which they are entitled - act with honesty and without deception

act with honesty and without deception

After speaking with a patient regarding her questions about weight loss and healthy methods of long term weight maintenance, the customer still wishes to use a herbal remedy recommended by her best friend. Which of the following ethical principles must the pharmacist respect regarding this patient's plan? a. Justice b. Beneficence c. Autonomy d. Confidentiality

c. Autonomy

According to the Benzodiazepine and Other Targeted Substances Regulations, what is the expiry date for refilling a prescription for lorazepam? a. Six months from the date written b. Six months from the date originally filled c. One year from the date written d. One year from the date originally filled

c. One year from the date written

According to Health Canada, a pharmacist administering a vaccine must document which of the following information in the patient's record of vaccination? a. Date of birth b. List of other medications c. Post-immunization adverse effects d. Drug allergies

c. Post-immunization adverse effects

Controlled drug preparations

consisting of ONLY 1 controlled drug (part I, II, III) + 1 or more non-controlled ingredients

what is the purpose of the controlled drugs and substances act (CDSA)?

control of substances that can alter mental processes and produce harm when distributed without supervision

Sales records should be kept for which of the following medications? - ketamine - narcotic preparations and amphetamine - ketamine and narcotic preparations - ketamine and amphetamines

ketamine and amphetamines ketamine is a straight narcotic and amphetamine is a controlled drug part I

Which of the following pharmaceuticals is regulated federally under the Precursor Control Regulations of the Controlled Drugs and Substances Act, as a precursor chemical for illicit drug use? a. Dextromethorphan b. Dimenhydrinate c. Diazepam d. Pseudoephedrine

d. Pseudoephedrine

According to federal legislation, which of the following examples shows a legally correct refill designation on a written prescription for dexamphetamine? a. Repeat twice. b. Repeat monthly .c. Repeat twice as required. d. Repeat twice at 14 day intervals.

d. Repeat twice at 14 day intervals.

KP presents to the pharmacy with a new prescription for Drug X. The pharmacist identifies that Drug X has the potential to interact with another medication that KP is taking and contacts the prescriber. The prescriber provides rationale for using the two agents at the same time. The pharmacist and physician agree upon appropriate follow-up measures over the next several days. Which of the following statements is correct regarding documentation of the pharmacist's encounter with the physician? The encounter: a. does not need to be documented, as no changes were made to the prescription and the pharmacist has determined it is appropriate to dispense the medication. b. should not be documented, as documentation poses the risk of increasing the prescriber's liability if an adverse event occurs. c. should be documented in the patient's pharmacy profile and the patient should be provided with a copy of the note to reduce the pharmacist's liability. d. should be documented in the patient's pharmacy profile, with a description of the monitoring plan.

d. should be documented in the patient's pharmacy profile, with a description of the monitoring plan.

true or false: part-fills are not allowed for straight narcotics (i.e. methadones)

false! part-fills are allowed

true or false: only physicians that hold a valid exemption from Health Canada can prescribe methadone

false, as of 2018 they no longer need to apply for an exemption

prior approval is required from health canada for the destruction of narcotics

false, as of july 2016 it is no longer required this means that pharmacist may proceed with destruction without notifying and receiving an acknowledgement from health canada in advance

true or false: if the suspected ADR is caused by a prescription drug, a health professional must report it to health canada

false, reporting ADRs by HCPs is voluntary

Is the Personal Information Protection Electronic Document Act (PIPEDA) a federal or provincial act?

federal act that encourages personal privacy, confidentiality and access to information

is the Privacy Act a federal or provincial act?

it is a federal act that protects the privacy of individuals held by a government institution

all of the following regulations are made under the CDSA, EXCEPT: - medical devices regulations - precursor control regulations - narcotic control regulations - marijuana for medical purposes regulations

medical devices regulations this is not a regulation made under the CDSA, it is a regulation made under the Food and Drugs act

according to the Narcotic Control Regulations (NCR) of the Controlled Drugs and Substances Act (CDSA), all of the following HCPs can prescribe narcotic drugs, EXCEPT: - podiatrists - Midwives - nurse practitioners - naturopath doctors

naturopath doctors

are intervals between refills required for benzodiazepines and other targeted substances?

no they are not required

can part I, II or III controlled drugs be transferred?

no they cannot (benzodiazepines and other targeted substances are allowed to be transferred once)

can a verbal prescription be taken for a straight narcotic?

no, it must be written or faxed and can have part-fills

can narcotic preparations be dispensed at refills without specified time intervals?

no, narcotic preps must have part-fills, not refills

can a pharmacy technician take a verbal prescription for a narcotic preparation?

no, they cannot only pharmacists and pharmacy students can

can a pharmacy request a medication transfer of narcotics from another pharmacy over the phone?

no, while pharmacists can sell or provide methadone to other pharmacists for emergency purposes, this cannot be done over the phone

where would you find a list of controlled drugs in the food and drugs act (FDA)? - schedule A - part B - schedule D - part G

part G

Definition of straight narcotics

product meeting at least 1 of the following criteria: - single ingredient narcotics - injectable narcotics - products containing >1 narcotic - products containing LESS THAN 2 non-narcotic ingredients - products containing HYDROCODONE, METHADONE, OXYCODONE or PENTAZOCINE

is the Personal Health information protection act (PHIPA) a provincial or federal legislations

provincial

In referring to the Food and Drugs Act, schedule C regulates which of the following products? - radiopharmaceuticals - vaccines - prescription products - drug standards publications

radiopharmaceuticals

which drugs requite a sales record to be kept?

straight narcotics and controlled drugs part I

what symbol represents schedule N drugs? - the letter "N" in a circle - the letter "N" in a triangle - the letter "C" in a triangle - the letter "N" in a rectangle

the letter "N" in a circle

per the narcotic control regulations (NCR), which of the following does NOT need to be included in the written record of a verbal order for a narcotic prep? - the patient's address - the name and quantity of the non-narcotic medicinal ingredients in the product or preparation - the registration number of the pharmacist - the date on which the prescription narcotic was sold or provided

the registration number of the pharmacist (you do need the pharmacist's name or initials)

why is tylenol #4 considered a straight narcotic and not a narcotic preparation like tylenol #3?

this is because tylenol #4 contains acetaminophen and codeine it DOES NOT contain caffeine like tylenol #3 and thus it has LESS THAN 2 non-narcotic ingredients making it a straight narcotic

true or false: a prescription does not expire unless it is for a benzodiazepine or other targeted substance

true

true or false: if the suspected ADR is caused by a natural health product, a HCP is not required to report it to health canada

true

true or false: narcotic and narcotic preparations cannot be transferred

true

true or false: prescriptions for benzodiazepines and targeted substances expire 1 year from the date they were written

true

true or false: prescriptions for controlled drugs do not expire under federal law

true

true or false: verbal refills are not allowed for part I controlled drugs but verbal part-fills are ok

true

the CDSA allows pharmacists to purchase an emergency supply of narcotics from another pharmacy when supplies are inefficient to meet the needs of their patients. can this order be faxed?

yes it can a written order for an emergency supply can be delivered in person or faxed

can a pharmacist sell or provide methadone in this scenario? an employee of a hospital with a written order for an emergency supply of methadone signed and dated by the pharmacist

yes, a pharmacist can sell methadone to the requesting pharmacy

can a verbal prescription be taken for a narcotic preparations (i.e. tylenol #3)?

yes, these drugs can be written, faxed or verbal prescriptions and require part-fills with intervals