July â¢ August 2003 - Ontario College of Pharmacists

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Q&A Q A& Q A Greg Ujiye, B.Sc.Phm. Manager, Pharmacy Practice Programs PRACTICE QHas the Drug and Pharmacies Regulation Act been changed to allow prescriptions from out of the province? This question refers to s. 158 of the DPRA which states: A pharmacist may dispense a drug pursuant to a written order signed by a physician or dentist licensed to practise in a province in Canada other than Ontario, if in the professional judgment of the pharmacist the patient requires the drug immediately, but such order shall not be refilled. In the strict legal sense, only prescriptions that the pharmacist believes that a patient immediately needs (in their professional judgement) can be filled. However, prescriptions written in other provinces have been an issue for Ontario pharmacists for some time — especially since Ontario patients often receive health services from a bordering province (Manitoba or Quebec). In these border community situations, pharmacists are expected to use their professional judgment to verify the authenticity of a prescription order and to ensure optimal patient care. Pharmacists are also expected to make their decisions in the best interests of the patient. The issue of cross-border fills was first considered by Council in June 1999. At that time, Council “approved in principle”, that amendments be made to the DPRA to accept transfers from pharmacists from any province in Canada and to fill prescriptions written by prescribers across Canada. All other provinces permit this practice. These amendments have not been approved nor adopted by the Ontario Government. The situation is further confused as the proposed amendments to the DPRA allowing pharmacists to fill prescriptions from other Canadian prescribers was, along with the new Proprietary Misconduct Regulations, published in the July-August 2002 issue of Pharmacy Connection for member and stakeholder feedback and eventual re-submission to the government. Please bear in mind that these regulations remain as proposals that still require government approval and adoption. QI wish to subdivide my pharmacy to permit me to operate a “lock and leave” pharmacy. What must I do? Do I need to inform the College? In 1997, Council approved a recommendation from the Accreditation Committee to amend the DPRA regulations that require members to notify the College whenever they intend to operate a subdivided or “lock and leave” pharmacy. As such, the pharmacy must be constructed to separate the dispensary and non-prescription drug products (Schedules II and III) from general merchandise (unscheduled products). College inspectors have found instances where changes have been made to pharmacies without the College being notified. Simply ticking the “lock and leave” check box on your annual Certificate of Accreditation renewal does not constitute proper notification to the College that you intend to operate a “lock and leave”. Notifying the College When you notify the College of your intent to implement a “lock and leave” operation, the College will: • Send you the requirements for operating a “lock and leave” pharmacy • Require your pharmacy’s designated manager or owner to sign and submit an updated floor plan 16 Pharmacy Connection July • August 2003
Q&A • Ensure that all relevant documentation is included in the pharmacy’s file so it can be later reviewed by a College inspector “Lock and Leave” Design The pharmacy must be constructed to ensure that the area can be locked and made inaccessible to the public when a pharmacist is not on the premises. • The barrier must be at least 2.44 metres (8 feet) hight and wide enough to render the area inaccessible (amended March 2001) • If the barrier does not extend to the floor, it cannot be more than 15 centimeters from the floor • All products must be at least one meter from the barrier if it is possible for a person to reach products either over the top, under the bottom, or through the barrier The barrier should be constructed so that front store staff can also access the back storage areas and staff facilities whenever the barrier is in place. Situations where such access can only be achieved by opening the barrier are in violation of the policy. In such situations the pharmacy is considered opened and unsupervised. No drugs in the Food and Drug Act, Controlled Drugs and Substances Act or National Schedules I, II, or III may be sold while the pharmacy is closed. As well, the pharmacy phone must not be answered during the absence of an on-duty pharmacist. Renovations Creating a “lock and leave” is considered a renovation. Any renovation where the physical structure of the pharmacy is changed must be reported to the College. These changes include moving or changing the size of the dispensary, moving or removing walls, or expanding or decreasing the size of the pharmacy. In these cases, the designated manager or owner must sign and submit an updated copy of the floor plan. All questions or notifications should be directed to Elaine Maloney at 416-962-4861 x 293 at the College. Suspensions 2003 Pursuant to Section 24 of the Regulated Health Procedural Code, the Registrar has suspended the following members’ Certificates of Registration for nonpayment of annual fees. As of June 13, 2003 Deborah Lynne Appel Denise Nancy Baldwin Krista Anne Baragar Keith Bernard Emiko Michiko Bolton Larry Howard Broadfield Lori Lynn Brown Dante Pugay Buhain Ahmad Haiderali Ramji Charania Shu Ki (William) Chung Paul Morton Cutler Nigel Alistair Degruyther Job Steven Goulding Trudy Carly Huyghebaert Tariq Ijaz Woon-San Ip Ranbir Kaur (Randi) Kataria Michael Frederick Kemp Samuel Sadak Kolta Susan Kotlyar Kevin Peter Kowalchuk Linda Irene Kuber John Yuen Fai Lee Anna Fay Leong Aaron Troy Marchand Brendan Joseph McGinn Nazanin Mehin Shiu-Cheung Richard Ng Vinh Hung Nguyen Tanya Marie O'Brien Chiemezie Oti Eric Boakye Poku Lori Jean Power Sunita Rao Jane Elizabeth Royle Rosemary Sibanda Margaret Frances Smith Charlene Gabrielle Soulliere Peter John Walters James Stuart Watson Mary Katherine Wulff Lingling Xu Christelle Marie Zacharki Pharmacy Connection July • August 2003 17
Page 1 and 2: July/August 2003 New Precursor Cont
Page 3 and 4: Ontario College of Pharmacists 483
Page 5 and 6: Come out and vote in Districts 2, 6
Page 7 and 8: COUNCIL this goal by helping the Fa
Page 9 and 10: NOTICE Don’t Forget….. The next
Page 11 and 12: COVER STORY Greg Ujiye, B.Sc.Phm. M
Page 13 and 14: COVER STORY Information Office of C
Page 15: CLASS A PRECURSORS INDIVIDUAL EXEMP
Page 19 and 20: FEATURE currently 15 weeks versus 1
Page 21 and 22: Q&A Q A& Q A Stephanie Edwards, B.S
Page 23 and 24: HEALTH CANADA Advisories & Notices
Page 25 and 26: COLUMN which include routine, re-in
Page 27 and 28: COLUMN deficiency is extreme, the i
Page 29 and 30: COMPLAINTS Reasons The Complaints C
Page 31 and 32: REPORT Recommendation #9 to the Gov
Page 33 and 34: DISCIPLINE DISCIPLINE CASE 2 Failur
Page 35 and 36: DISCIPLINE DISCIPLINE Order 1. A re
Page 37 and 38: DISCIPLINE DISCIPLINE regulations t
Page 39 and 40: COLUMN scription Renewals/Changes C
Page 41 and 42: B U L L E T I N B O A R D Class 7T3
Page 43 and 44: O C P M A N U A L - June 2003 Each

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July â¢ August 2003 - Ontario College of Pharmacists