APHA Quality Assurance & Compliance 4

Question 1

A patient presents a vaccination record showing an MMR dose given 25 years ago with no lot number documented. How should this be treated for compliance purposes?

Accepted Answer

Accept the record if the date and provider are documented; lot number absence does not invalidate the dose

Answer

Historical records may lack lot numbers; ACIP allows acceptance of written records with a date from a credible source even if the lot is missing.

Question 2

Which best describes a 'near-miss' in the context of pharmacy quality assurance for immunizations?

Accepted Answer

An error that was caught before reaching the patient

Answer

A near-miss is an error intercepted before administration, providing a quality improvement opportunity without patient harm.

Question 3

Which statement about lot number tracking is CORRECT in a pharmacy immunization program?

Accepted Answer

Lot numbers must be recorded for each vaccine dose administered for traceability in case of a recall

Answer

Associating the lot number with each patient's record is essential for identifying affected patients if a vaccine recall occurs.

Question 4

A pharmacist discovers a patient was given varicella vaccine when the order read zoster vaccine. What should happen FIRST?

Accepted Answer

Assess the patient clinically and notify the prescriber

Answer

The first step in a vaccine error is clinical assessment of the patient and communication with the prescriber to determine next steps.

Question 5

Under the Affordable Care Act, immunizations recommended by ACIP with an 'A' or 'B' rating must be covered without cost-sharing. This applies to which insurance plans?

Accepted Answer

Non-grandfathered private health plans and Medicaid expansion plans

Answer

The ACA requires non-grandfathered private plans and Medicaid expansion to cover ACIP A/B-rated vaccines without cost-sharing.

(APHA) APhA Pharmacy-Based Immunization Certificate Practice Test

(APHA) APhA Pharmacy-Based Immunization Certificate Practice Test

APHA Quality Assurance & Compliance 4