HI MPJE flashcards
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- Hawaii Board of Pharmacy
- The state regulatory body within the Department of Commerce and Consumer Affairs that licenses pharmacists, technicians, and pharmacies and enforces Hawaii Revised Statutes Chapter 461 and Title 16 rules.
- Hawaii pharmacist internship
- Pre-licensure supervised practice hours completed under a Board-registered preceptor; interns register with the Board and must document hours before sitting for licensure examinations.
- Hawaii biennial renewal
- Pharmacist licenses are renewed every two years on a Board-set schedule, requiring continuing education hours and CPR or first-aid training for those who administer immunizations.
- Hawaii prescription retention
- Prescription records must be kept at least two years and be readily retrievable for Board inspection, documenting refills, dispensing dates, and the responsible pharmacist.
- Hawaii vaccine administration
- Pharmacists may administer vaccines to specified age groups under a protocol or standing order consistent with federal authorizations, with documentation and reporting to the state immunization registry.
- Hawaii prescription transfer
- Transfers require direct pharmacist-to-pharmacist communication, documentation of both pharmacists, and compliance with Board rules on refill information and original prescription status.
- Hawaii controlled substance oversight
- Hawaii adopts federal CSA schedules but imposes separate state registration, recordkeeping, and prescription monitoring program reporting obligations enforced by the Board and DCCA.
- Hawaii disciplinary grounds
- The Board may revoke, suspend, or restrict a license, impose fines, or require remediation for unprofessional conduct, impairment, fraud, or dispensing without a valid prescription.
- Hawaii technician scope
- Registered technicians work under pharmacist supervision with defined task limits; the pharmacist remains responsible for final verification before a prescription is dispensed to a patient.
- Hawaii patient counseling
- Board rules require pharmacists to offer counseling on new and changed prescriptions, including directions, precautions, and storage, and to document refusal when counseling is declined.
- Hawaii labeling requirements
- Dispensed prescriptions must bear the pharmacy name and address, prescription number, patient name, drug name and strength, directions, prescriber, date, and required cautionary statements.
- Hawaii prescription monitoring
- Dispensers report controlled substance prescriptions to the state prescription monitoring program within Board-specified timeframes; access is limited to authorized prescribers and pharmacists.
- Hawaii pharmacy permit
- A pharmacy must hold a current Board-issued permit for its physical location; changes in ownership, location, or pharmacist-in-charge require notification and Board approval.
- Hawaii unprofessional conduct
- Conduct subject to discipline includes practicing beyond scope, falsifying records, dispensing without a valid prescription, and failing to maintain required records or report adverse events.
- Hawaii pharmacist-in-charge
- The pharmacist designated as responsible for a pharmacy's compliance with state and federal law, including recordkeeping, security, staffing, and supervision of technicians and interns.
- Hawaii continuing education
- Each renewal cycle requires Board-approved CE hours, including mandated topics such as law and patient safety; certificates must be retained and produced on audit.
- Controlled Substances Act schedules
- Five schedules classify drugs by abuse potential and medical use; Schedule I has no accepted medical use, while Schedules II through V face progressively lighter registration and recordkeeping controls.
- Schedule II prescription rules
- A Schedule II prescription must be written, signed, and dated by the prescriber, cannot be refilled, and generally expires after 90 days; emergency oral orders need a written follow-up within seven days.
- DEA registration
- Required for each principal place of business that handles controlled substances; registration lasts three years, must be renewed, and must be maintained at the registered location for inspection.
- DEA biennial inventory
- Registrants must take a complete inventory of controlled substances every two years, keep records of receipts and distributions, and report theft or significant loss in writing within one business day.
- Poison Prevention Packaging Act
- Requires child-resistant packaging for most oral prescription drugs, with exceptions for prescriber-directed or patient-requested noncomplying packaging that the pharmacist must document.
- Durham-Humphrey Amendment
- Created the prescription-only drug category and required the federal legend warning on legend drugs, distinguishing them from over-the-counter products available without a prescription.
- Kefauver-Harris Amendment
- Added the requirement that manufacturers demonstrate efficacy and safety before approval and strengthened informed consent and good manufacturing practice obligations for prescription drugs.
- Combat Methamphetamine Epidemic Act
- Restricts retail sale of ephedrine and pseudoephedrine by requiring behind-the-counter placement, logbook records, photo identification, and daily and monthly purchase limits.
- HIPAA Privacy Rule
- Governs protected health information, permitting disclosures for treatment, payment, and operations while requiring minimum necessary use and patient authorization for other purposes.
- DEA Form 222
- The order form used to transfer Schedule I and II controlled substances between registrants; it must be completed accurately, retained, and reconciled with received inventory.
- Refill limits Schedule III-V
- Schedule III and IV prescriptions may be refilled up to five times within six months of the issue date unless the prescriber limits refills; Schedule V refills follow state and prescriber limits.
- Prescription oral orders
- Pharmacists may accept oral prescriptions for most controlled substances, but Schedule II oral orders require a written prescription within seven days and are limited to genuine emergencies.
- DEA power of attorney
- A registrant may authorize an agent to sign Schedule II order forms using a power of attorney; the authorization must be executed and retained with the registrant's records.
- FDA legend drug labeling
- Legend drugs must carry the federal prescription-only warning and approved labeling; pharmacists must dispense with required labeling and provide counseling consistent with federal and state rules.
- Combat Meth logbook
- Retail sellers must maintain a written or electronic logbook of ephedrine and pseudoephedrine sales, including purchaser identification, product, quantity, and date, retained for at least two years.
- DEA controlled substance theft reporting
- A registrant must notify DEA in writing within one business day of discovering a theft or significant loss and must also notify state authorities as required.
- HIPAA minimum necessary
- Covered entities must limit protected health information used or disclosed to the minimum needed for the purpose, except for treatment disclosures and other specified exceptions.
- Federal food and drug definitions
- The FDCA defines drugs, devices, and cosmetics and prohibits adulterated or misbranded products; enforcement includes warning letters, seizures, injunctions, and criminal prosecution.