CPE Session 11 Nebraska Pharmacy Law Saturday, April 25, 2015 ACPE UAN 0128-0000-15-032-L03-P and 0128-0000-15-032-L03-T 1.0 CPE Hour Joni Cover, JD Joni Cover graduated with a Bachelor of Arts in Communications from the University of Nebraska, a Bachelor of Arts in Business Administration from Chadron State College, and a Juris Doctor from the University of Wyoming College of Law. After working for the Nebraska Hospital Association, Joni became the Executive Vice President of the Nebraska Pharmacists Association in 2003. Joni serves as the Vice Chair of the PACE Alliance Board of Directors; the Treasurer of the Pharmacy Marketing Group Board of Directors; and as First Vice President of the National Alliance of State Pharmacy Association. Joni has no fi nancial interests or arrangements that would be considered a confl ict of interest for the presentation of this program. NPA 2015 Annual Convention
Speaker Disclosures Nebraska Pharmacy Law 2015 Joni Cover has no financial interests or arrangements that would be considered a conflict of interest for the presentation of this program. NPA Annual Convention Joni Cover, JD Objectives Explain the importance of practicing pharmacy within the law Describe how recent revisions in statutes and regulations impact the practice of pharmacy Identify changes in Federal law Practicing Pharmacy within the Law Unprofessional Conduct PIC Responsibilities and Liabilities Failing to keep accurate records inventory/audits Fraud Diversion Substance Abuse Technicians registration, supervision/verification, ratio Question 1 Joe is in the emergency room in the Critical Access Hospital in Smalltown, NE with a broken leg. It is Saturday night at 8 pm and the local pharmacy is closed. Can the APRN covering the ER give Joe a few oxycodone tablets to take home until Joe can get to the pharmacy on Monday? Question 2 Pharmacist Tammy receives a prescription for hydrocodone for Peter Johnson. Everyone calls Peter Tank and the prescription is written for Tank Johnson. Can Tammy fill the prescription for Peter? What changes can be made by a pharmacist on a Schedule II Controlled Substance prescription? 1
Question 3 Patient Tom handed the pharmacist a paper CII prescription without the signature of the prescriber. Can the absence of a signature on a Schedule II Controlled Substance prescription be verified over the phone? Question 4 Dr. Eye, an ophthalmologist, writes a prescription for Phenergan with Codeine for a patient. Can a pharmacist fill this prescription? Question 5 Can an LPN who works for an orthopedic surgeon call in an oral prescription for the emergency dispensing of a Schedule II Controlled Substance to a pharmacist? Question 6 Pharmacist Jones faxes a refill request to the local physician s office. It is returned and signed by RN Susie? Can a nurse sign a prescription or a refill authorization? Question 7 Do pharmacy technicians that work in a hospital have to be registered with the State of Question 8 As the Hospital Pharmacist in Charge, Lois has the pharmacy technicians fill all of the automated medication systems on each of the floors. Lois also allows the pharmacy technicians to prepare medications when a pharmacist is not present. Do pharmacy technicians have to be supervised while working in the hospital? 2
Question 9 Patients in my community are learning about the safe way to dispose of unwanted medications. Can a pharmacy collect unwanted controlled substances from patients? Question 10 Can Schedule II Controlled Substances be put into counting machines or automated dispensing machines? Question 11 What is the pharmacy technician ratio in Question 12 Do pharmacy technicians need to be certified in Question 13 Can a pharmacist attend a CME Category I program and use that program for the purpose of meeting pharmacist continuing education requirements in Question 14 John received a prescription for an OTC medication? Does John have to charge sales tax on the prescription? 3
Federal Pharmacy Issues Drug Quality and Security Act of 2013 Compounding and Track & Trace Controlled Substances Updates: Hydrocodone rescheduling CII Tramadol scheduling CIV Drug Disposal Questions? Thank You! 4