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
Why?
5
What?
Acts
Regulations
Schedules
6
Pharmacy Legislative Framework
Regulatory Bodies
(ACP)
Federal Legislation
Provincial
Legislation
Standards of
Practice
&
Code of Ethics
7
Federal Legislation
• 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
8
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
10
11
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
– https://pharmacists.ab.ca
• National Association of Pharmacy Regulatory
Authorities (NAPRA) at
– http://napra.ca
• Government of Canada Website-Department
of Justice
– http://laws.justice.gc.ca
27
28
29
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
31
32
References
•
•
•
•
•
•
Alberta College of Pharmacists. (2007). Code of Ethics. Retrieved June 12, 2010
from https://pharmacists.ab.ca/Content_Files/Files/CodeofEthics_Poster.pdf
Alberta College of Pharmacists. (2010). Prescription Regulations. Retrieved June
13,2010 from https://pharmacists.ab.ca/Content_Files/Files/prescriptionregulations-2010r.pdf
Alberta College of Pharmacists. (2007). Standards of pharmacist practice.
Retrieved June 12, 2010 from
https://pharmacists.ab.ca/Content_Files/Files/HPA_Standards_FINAL.pdf
Alberta College of Pharmacists. (2007). Standards for operating licensed
pharmacies. Retrieved June 12, 2010 from
https://pharmacists.ab.ca/Content_Files/Files/PDA_Standards_FINAL.pdf
Alberta College of Pharmacists. (2007). Understanding Alberta's drug schedules.
Retrieved June 12, 2010 from
https://pharmacists.ab.ca/Downloads/documentloader.ashx?id=5900
The Transition Times. (Spring 2010). Welcoming a new healthcare profession.
Retrieved June 12, 2010 from
https://pharmacists.ab.ca/Content_Files/Files/TransitionTimes.pdf
33