CPJE flashcards
CPJE · Build recall with a focused review session.
32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- CE requirement for pharmacists
- California pharmacists must complete 30 hours of continuing education every two years, including one hour in pharmacy law and one hour in patient safety/medication errors.
- Schedule II prescription validity
- A Schedule II prescription in California is valid for six months from the date written and cannot be refilled; emergency oral prescriptions require written follow-up within seven days.
- Prescription record retention
- California pharmacies must retain prescription records for at least three years from the date of dispensing; records must be readily retrievable for inspection.
- Patient counseling requirement
- Pharmacists must offer counseling on new prescriptions and on refills with changed strength or directions; the patient may decline counseling.
- Pharmacist immunization authority
- California pharmacists may administer immunizations to individuals aged three and older under a protocol with trained personnel and appropriate documentation.
- DUR components
- Drug utilization review includes screening for therapeutic duplication, drug-disease contraindications, drug-drug interactions, incorrect dosage, and allergy cross-sensitivities.
- Prescription label elements
- Labels must include pharmacy name and address, prescription number, date, patient name, prescriber, directions, drug name and strength, quantity, expiration date, and refills.
- Board of Pharmacy disciplinary actions
- The California Board of Pharmacy may revoke, suspend, or place a license on probation, and may impose fines for violations of pharmacy law.
- Oral Schedule II emergency
- In an emergency, a pharmacist may dispense a Schedule II drug on an oral prescription limited to a five-day supply, with a written prescription due within seven days.
- Pharmacist-in-charge duties
- The PIC ensures legal compliance, maintains records, supervises staff, and implements quality assurance and continuous quality improvement programs.
- Medication error prevention
- Use tall man lettering for look-alike/sound-alike drugs and verify patient identity with two identifiers before dispensing to reduce medication errors.
- USP <795> scope
- USP <795> sets standards for nonsterile compounding, including personnel training, facility requirements, and assignment of beyond-use dates based on stability.
- USP <797> scope
- USP <797> governs sterile compounding, requiring ISO Class 5 environments, proper garbing, disinfection, and validated beyond-use dates.
- High-alert medications
- High-alert medications such as insulin, heparin, chemotherapy, and opioids require independent double-checks and standardized concentrations to prevent harm.
- Medication history components
- A complete medication history includes prescription drugs, over-the-counter products, supplements, allergies, and adherence patterns to identify drug-related problems.
- Dispensing accuracy check
- Verify the prescription against the original order for drug, strength, dosage form, quantity, and directions; use barcode scanning when available.
- Adverse event reporting
- Serious adverse drug events should be reported to FDA MedWatch and documented in the patient record and internal reporting system.
- Sterile compounding immediate-use
- Immediate-use sterile preparations must be prepared in an ISO Class 5 environment and administered within one hour unless otherwise specified.
- Quality assurance program
- Pharmacies must maintain a quality assurance program that tracks medication errors, identifies causes, and implements system improvements.
- Patient assessment steps
- Assess the patient by obtaining medication and allergy history, reviewing labs, and identifying adherence, adverse effects, and interactions.
- Beyond-use date assignment
- Beyond-use dates for compounded preparations are based on stability data, storage conditions, and container type, following USP guidelines.
- Independent double-check
- A second pharmacist or technician verifies the drug, dose, and calculations independently before dispensing high-alert medications.
- Tall man lettering
- Tall man lettering uses uppercase letters to highlight differences in look-alike/sound-alike drug names, reducing selection errors.
- Two patient identifiers
- Verify patient identity using two identifiers, such as name and date of birth, before dispensing or administering medications.
- Medication reconciliation
- The process of comparing a patient's medication orders to all medications the patient has been taking to avoid omissions, duplications, or errors.
- Sterile garbing requirements
- Personnel must wear appropriate garb including gloves, gown, mask, and hair cover, and must follow hand hygiene and disinfection procedures.
- Compounding personnel training
- Compounding personnel must be trained and evaluated for competency in techniques, hygiene, and equipment use before compounding.
- Prescription verification
- The pharmacist verifies the prescription for legality, authenticity, and appropriateness before dispensing, including dose and directions.
- Medication error reporting system
- An internal system for reporting and analyzing medication errors to identify trends and implement preventive strategies.
- Patient counseling documentation
- Document that counseling was offered and whether the patient accepted or declined it, including any written information provided.
- Refill authorization
- Pharmacists may refill prescriptions only if authorized by the prescriber and within the number of refills and expiration date specified.
- Prescriber verification
- Pharmacists must verify the prescriber's identity and authority, especially for controlled substances, to prevent fraud.