good stuff about immediate supervision

[bob271340]

Question : Pharmacist intern can dispense medicine if

a) only if pharmacist is available in same building
b) Rx from other state
c) emergency cases
d) when p'cist is sick and can not come in
e) intern cannot dispense control rx


I answered option E : intern cannot dispense control rx, but my supervisor says that correct answer is option A : only if pharmacist is available in same building...

is that true.... ?

I checked board site : it says that intern can dispense only if he is in immediate or direct supervision of pharmacist.

need help

[landee]

"immediate or direct supervision of pharmacist" means the pharmacist is in the same building or pharmacy area where the intern is.

I would say letter a.

An intern may perform the same functions as a license Pharmacist , provided the intern is in the presence of and under the direct supervision of a licensed preceptor. Therefore an intern can dispense controlled Rx.

[pharmking]

A is right.

[LRx]

Under OBRA '90 requirements, a pharmacist needs to perform the DUR (Drug Utilization Review) before dispensing a prescription, and only pharmacist alone.

Therefore, legally, an intern cannot perform DUR and so cannot dispense a prescription.

In practice, eventhough pharmacist allows intern to do the DUR, pharmacist's initials is always on the prescription label. It means, in the court of laws, the pharmacist does the DUR and so the dispensing, not the intern.

Besides, answer A is not a good choice. A "pharmacist is available in the same building" does not really mean that he/she directly supervises the intern!

So, legally, the correct answer is E.

[suma2005]

Answer E is correct.Intern cannot dispense but can only dispense under the supervison of the pharmacist..According to law intern can't dispense any rx drug without a pharmacist.

[LRx]

Whoever dispenses the prescription needs to perform DUR (under OBRA '90 requirements). And it clearly states that only pharmacist may do DUR.

OBRA '90 also states that intern may offer to counsel patient under the supervision of a pharmacist. It never states that intern may do DUR under the supervision of a pharmacist.

[bob271340]

I am not sure but i think option A is correct. I googled the definition of direct supervision at uslegal.com and found imp information.

Link is : Direct Supervision Law & Legal Definition

Direct supervision generally means to be physically present, or within an immediate distance, such as on the same floor, and available to respond to the needs of something or someone. Precise definitions vary by context and governing entity. For eaxample, in the context of employment law, it may involve defining the degree of control over a worker's tasks. Direct supervision on a job may be defined by the degree of supervision by a person overseeing the work of other persons, by which the supervisor has control over and professional knowledge of the work being done.

The following is an example of a state law dealing with occupational therapy:

671-2-.03 Direct Supervision Defined.
Direct Supervision as used in the Law shall mean daily on-site, close contact whereby the supervisor is able to respond quickly to the needs of the client or supervisee.

still, I am confused... thanks for your all help

[pharmking]

According to the state law, the pharmacy intern can nearly do everything like a pharmacist except QA if the pharmacist is on site supervising.