Collaborative Practice Agreements Flashcards
7 cards from real MTM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Collaborative Practice Agreements flashcards as text
Which of the following best describes a 'statewide' or 'statewide protocol' CPA model?
Answer: A state-issued protocol allows all licensed pharmacists to provide specific services without an individual physician agreement
Statewide protocol models authorize all qualifying pharmacists to provide defined services without requiring individual physician agreements.
In the context of CPAs, what does 'non-delegable duty' mean?
Answer: A clinical responsibility that cannot be legally transferred from the physician to the pharmacist
Non-delegable duties are legal obligations a physician cannot delegate, such as diagnosing a new disease, even under a CPA.
A pharmacist-run anticoagulation clinic operates under a CPA. A patient's INR is supratherapeutic at 5.2 with no bleeding. Per protocol, the pharmacist should:
Answer: Hold warfarin doses per the protocol algorithm and schedule follow-up
Supratherapeutic INR without bleeding is managed per protocol by withholding doses and scheduling close follow-up.
What differentiates a CPA from a 'prescriptive authority' grant given directly to pharmacists in some states?
Answer: A CPA requires a physician as a collaborator, while direct prescriptive authority does not
Direct prescriptive authority allows pharmacists to prescribe independently, whereas a CPA always requires a collaborating physician partner.
Which scenario illustrates an ethical conflict a pharmacist may face under a CPA?
Answer: Being asked by the collaborating physician to document interventions they did not actually perform
Documenting interventions that did not occur constitutes fraud and is an ethical violation regardless of physician request.
A pharmacist under a CPA initiates ACE inhibitor therapy for a hypertensive patient. Three days later the patient develops angioedema. The pharmacist's FIRST action should be:
Answer: Discontinue the ACE inhibitor, ensure patient safety, and immediately notify the physician
Angioedema is a life-threatening reaction requiring immediate discontinuation, safety intervention, and urgent physician notification.
What is the primary purpose of the 'communication plan' section within a CPA?
Answer: To define how and when the pharmacist will update the physician about patient status and interventions
The communication plan specifies the frequency, method, and content of updates the pharmacist provides to the collaborating physician.