CCP Administrative and Facility Responsibilities Questions and Answers

Question 1

A skilled nursing facility's administration wants to implement a therapeutic interchange program for proton pump inhibitors to manage costs.
What is the consultant pharmacist's primary administrative responsibility in developing this program?

Accepted Answer

Co-chairing the Pharmacy & Therapeutics (P&T) committee to review evidence, establish criteria, and gain medical staff approval for the policy.

Answer

Notifying all residents and their families of the impending formulary change.

Answer

Negotiating contract pricing for the preferred agent with the pharmaceutical manufacturer.

Answer

Individually contacting each prescriber to request a change for every resident on a non-preferred agent.

Question 2

A long-term care facility's Director of Nursing asks the consultant pharmacist about the proper procedure for disposing of a resident's discontinued, non-controlled medications. Which of the following represents the consultant pharmacist's most accurate guidance?

Accepted Answer

The facility must develop and follow a written policy for medication destruction that complies with all state and federal environmental regulations.

Answer

All discontinued medications must be returned to the dispensing pharmacy for credit and proper disposal.

Answer

Only a licensed pharmacist is legally permitted to witness and document the destruction of non-controlled medications on-site.

Answer

The medications should be flushed down the toilet to prevent accidental ingestion or diversion by staff.

Question 3

During a quarterly Quality Assurance and Performance Improvement (QAPI) committee meeting, which of the following aggregate data reports, prepared by the consultant pharmacist, would be MOST useful for identifying systemic risks and trends in medication management?

Accepted Answer

A report showing the percentage of residents currently prescribed antipsychotics without a corresponding diagnosis of psychosis, trended over the past four quarters.

Answer

A detailed case study of a single resident who experienced a significant adverse drug event.

Answer

A list of all specific medication errors that occurred in the previous month.

Answer

The total cost of all medications for the facility compared to the previous quarter's budget.

Question 4

While conducting a routine facility inspection, a consultant pharmacist discovers an unlocked medication cart unattended in a hallway. After securing the cart, what is the pharmacist's MOST appropriate immediate administrative follow-up action?

Accepted Answer

Notify the Director of Nursing (DON) of the specific event and recommend an immediate in-service for all nursing staff on medication security policies.

Answer

Lock the cart and wait for the nurse to return to provide a one-on-one verbal warning.

Answer

Report the facility to the state Board of Pharmacy for a serious regulatory violation.

Answer

Write a formal citation for the specific nurse involved and place it in their employee file.

Question 5

A skilled nursing facility's medication event review committee notes a recurring pattern of dosing errors involving insulin pens. Which administrative action by the consultant pharmacist would be the MOST effective initial intervention?

Accepted Answer

Developing and conducting a mandatory skills-based competency training for all licensed nurses on proper insulin pen use and documentation.

Answer

Recommending the facility switch all residents from insulin pens to vials and syringes to eliminate the source of error.

Answer

Placing informational posters about insulin safety in the medication rooms.

Answer

Adding a hard-stop alert to the electronic health record for every resident prescribed an insulin pen.

Question 6

During the monthly inspection of the emergency drug kit (EDK) at a skilled nursing facility, the consultant pharmacist finds the seal is broken and a controlled substance is missing without a corresponding physician's order or administration record. What is the pharmacist's primary administrative responsibility?

Accepted Answer

Immediately report the discrepancy to the Director of Nursing and the facility Administrator to initiate an investigation for potential diversion.

Answer

Personally interview the last nurse who accessed the kit to ask why there is no physician order.

Answer

Replace the missing controlled substance and reseal the kit to ensure it is ready for a true emergency.

Answer

Document the finding in the monthly report and wait for the quarterly QAPI meeting to discuss the trend.

A skilled nursing facility's administration wants to implement a therapeutic interchange program for proton pump inhibitors to manage costs.What is the consultant pharmacist's primary administrative responsibility in developing this program?

A skilled nursing facility's administration wants to implement a therapeutic interchange program for proton pump inhibitors to manage costs.
What is the consultant pharmacist's primary administrative responsibility in developing this program?