pharmacy technician - Ontario College of Pharmacists
pharmacy technician - Ontario College of Pharmacists
pharmacy technician - Ontario College of Pharmacists
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DPRA<br />
the patient reached 18 years,<br />
whichever is longer. While original<br />
prescriptions are only required<br />
to be kept for two years, scanned<br />
copies are also required as part <strong>of</strong><br />
the patient record. Safeguards must<br />
also be in place to ensure privacy<br />
and adequate storage.<br />
PRESCRIPTION REFILL<br />
AUTHORIZATION BY<br />
PHARMACISTS<br />
It is important to note that this<br />
authorization differs from the<br />
proposed regulations to enhance<br />
the scope <strong>of</strong> practice under the<br />
Pharmacy Act. The intent in the<br />
DPRA is to continue medication<br />
therapy for patients under all <strong>of</strong> the<br />
following conditions:<br />
o Reasonable efforts to contact<br />
the prescriber have been made<br />
but the pharmacist has been<br />
unsuccessful<br />
o The Pharmacist believes that the<br />
prescriber would have authorized<br />
the continuing medication<br />
therapy<br />
o The patient has chronic or long<br />
term condition<br />
o The patient has a stable history<br />
with drug<br />
o The medication is not a narcotic,<br />
controlled drug or targeted<br />
substance<br />
o The total amount <strong>of</strong> the refill does<br />
not exceed the amount previously<br />
dispensed or is a three-month<br />
supply, whichever is less<br />
o The pharmacist must provide<br />
notification <strong>of</strong> the date, drug,<br />
quantity to the prescriber or<br />
primary health care provider<br />
within seven days <strong>of</strong> refilling the<br />
prescription<br />
In terms <strong>of</strong> record-keeping and<br />
documentation, a refill prescription<br />
authorized by the pharmacist<br />
must have a unique prescription<br />
identification number. Further,<br />
the prescription identification<br />
number, the name <strong>of</strong> the authorizing<br />
pharmacist and the original<br />
prescriber must be recorded in<br />
the patient record. In short, there<br />
must be sufficient documentation<br />
within the patient record to support<br />
the decision-making process. The<br />
name <strong>of</strong> the authorizing pharmacist<br />
should also appear on the prescription<br />
label as the prescriber.<br />
REGISTERED PHARMACY<br />
TECHNICIANS<br />
These changes to the DPRA<br />
Regulations allow for registered<br />
<strong>pharmacy</strong> <strong>technician</strong>s to accept<br />
and record a verbal prescription,<br />
except for narcotic and controlled<br />
substances. However, they may not<br />
transfer and accept a transfer until<br />
changes are made to the Food and<br />
Drug Act, which is under federal<br />
jurisdiction.<br />
PROPRIETARY MISCONDUCT<br />
The provisions under the new<br />
DPRA Regulations mirror those<br />
<strong>of</strong> pr<strong>of</strong>essional conduct and are<br />
intended to hold owners and<br />
operators equally accountable as<br />
members for <strong>pharmacy</strong> operations.<br />
CONFLICT OF INTEREST<br />
Conflict <strong>of</strong> interest is declared when<br />
any arrangement or agreement<br />
that is likely to adversely influence<br />
member’s pr<strong>of</strong>essional judgment<br />
or ethical care <strong>of</strong> the patient is<br />
in question. There must be full<br />
disclosure prior to patient choice.<br />
ADVERTISING REGULATIONS<br />
The language has been updated<br />
to be more applicable to current<br />
practice. The language is parallel to<br />
that under the Pharmacy Act which<br />
refers to member responsibility.<br />
REMOTE DISPENSING<br />
The DPRA Regulations make<br />
remote dispensing locations<br />
(RDL) legal in <strong>Ontario</strong>, effective<br />
immediately.<br />
DEFINITIONS:<br />
Remote Dispensing Location means<br />
a premises where drugs are<br />
dispensed or sold by retail to the<br />
public and that is operated by, but<br />
is not at the same location as, a<br />
<strong>pharmacy</strong> whose certificate <strong>of</strong><br />
accreditation permits its operation.<br />
Automated Pharmacy System means<br />
a mechanical system that performs<br />
operations or activities with respect<br />
to the storage and packaging <strong>of</strong><br />
PHARMACY CONNECTION ~ SPRING 2011 ~ PAGE 13