Pharmacy Jurisprudence and Ethics 1

Disclaimer “ I am speaking today in my individual capacity and not as an employee of any college or organization. The information printed here should not be construed as an official explanation or interpretation” 2

Objectives To understand why technicians need to know, and understand the legislation and ethics. To outline what laws; Federal & Provincial and ACP Standards are important To show where to find the information To identify who needs to know jurisprudence and ethics 3

Why? 4

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What? ActsRegulationsSchedules 6

Pharmacy Legislative Framework Federal LegislationProvincial Legislation Regulatory Bodies (ACP) Standards of Practice & Code of Ethics 7

Federal Legislation 8 Food and Drug Act – Food and Drug Regulations Schedule F-Part I & II Controlled Drugs and Substances Act (CDSA) – Narcotic Control Regulations – Schedule G Regulations – Precursor Control Regulations – Benzodiazepines and other targeted substances regulations

Prescription Requirements Category – Narcotics, Narcotic preparations, Controlled Drugs or preparations, benzodiazepines & Schedule F Prescription Transmission – Written or Verbal Refills – Permitted or Not – Is an time interval required – Part fills (Narcotics) Transfers Filing Orders – Electronically, Written, Faxed or Verbally over the phone Documentation – Recording receipt or sale 9

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Provincial Legislation The Health Professions Act Pharmacists Profession Regulation The Pharmacy and Drug Act Pharmacy and Drug Regulation 12

Provincial Legislation Health Profession Act – Self regulation – Restricted activities – Transparency to the public – Mandatory registration – Continuing competence – Disciplinary process Pharmacists Profession Regulation 13

Provincial Legislation The Pharmacy and Drug Act Pharmacy and Drug Regulations 14

Alberta Drug Scheduling Schedule 1 – Prescription required, includes all federally scheduled drugs and those specific to Alberta Schedule 2 – No prescription required, no public access, information must be recorded Schedule 3 – No prescription, self-selection, only sold in pharmacy, lock and leave Unscheduled – No prescription required, not restricted to pharmacies 15

Triplicate Program A provincial program established to reduce the misuse of certain prescription drugs Prescriptions for these drugs can not be written on a regular prescription pad, only on a triplicate prescription Must be taken to a pharmacy with 72 hours 16

Regulatory Bodies and Organizations (ACP) Standards for Pharmacist Practice Standards for Operating Licensed Pharmacies Code of Ethics 17

Standards for Pharmacist Practice 18

Standards for Operating Licensed Pharmacies 19

Pharmacy Code of Ethics 20

Privacy Legislation Consent Express consent Implied consent 21

Federal Privacy Legislation Personal Information Protection and Electronic Documents Act (PIPEDA) 22

Provincial Privacy Legislation Health Information Act (HIA) Personal Information Protection Act (PIPA) Freedom of Information and Protection of Privacy Act (FOIP) 23

Health Information Act Applies to custodians and their affiliates who collect, use and disclose health information in the publicly funded health care system Custodian Affiliates Controlled Arena 24

Scenarios Mrs. Smith wants her prescription delivered – Employee of the pharmacy – Delivery service – Taxi Mrs. Smith wants a printout of the prescription receipts for her family. – Husband – Teenage daughter 17 years old – 7 year old son 25

Scenarios Dentist – Jim has a prescription that needs clarification. His private insurance plan pays for dental work – Jim has another appointment for his wisdom teeth to be removed and the dentist needs his current medication list. WCB – WCB calls and wants information on the prescriptions a client is taking and what they are indicated for. 26

Where? Alberta College of Pharmacists at – National Association of Pharmacy Regulatory Authorities (NAPRA) at – Government of Canada Website-Department of Justice –

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Health Professions Act Pharmacy technicians will be a new regulated profession under the Health Professions Act Requires that professionals are competent and can safely perform restricted activities 30

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References Alberta College of Pharmacists. (2007). Code of Ethics. Retrieved June 12, 2010 from Alberta College of Pharmacists. (2010). Prescription Regulations. Retrieved June 13,2010 from regulations-2010r.pdf Alberta College of Pharmacists. (2007). Standards of pharmacist practice. Retrieved June 12, 2010 from Alberta College of Pharmacists. (2007). Standards for operating licensed pharmacies. Retrieved June 12, 2010 from Alberta College of Pharmacists. (2007). Understanding Alberta's drug schedules. Retrieved June 12, 2010 from The Transition Times. (Spring 2010). Welcoming a new healthcare profession. Retrieved June 12, 2010 from 33