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1Z0-874 MySQL 5 Database Administrator Certified(R) Professional portion II

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1Z0-874 exam Dumps Source : MySQL 5 Database Administrator Certified(R) Professional portion II

Test Code : 1Z0-874
Test cognomen : MySQL 5 Database Administrator Certified(R) Professional portion II
Vendor cognomen : Oracle
: 138 existent Questions

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Oracle MySQL 5 Database Administrator

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No influence discovered, are attempting original keyword!The Database team gives everyday Database Administration hearten for the creation, development, peep at various database environments across the supported database applied sciences MySQL, Oracle, PostgreSQL, ...

Database Administrator (DBA) with MySQL abilities income | killexams.com existent Questions and Pass4sure dumps

The benchmark pay for a Database Administrator (DBA) with MySQL talents is $18.79 per hour.

The generic pay for a Database Administrator (DBA) with MySQL talents is $72,264 per year.

earnings $forty three,636 - $114,833 Bonus $304 - $10,850 income Sharing $252 - $22,a hundred and fifty complete Pay (? XTotal Pay combines basis annual revenue or hourly wage, bonuses, earnings sharing, suggestions, commissions, additional time pay and different forms of money revenue, as applicable for this job. It doesn't include equity (inventory) compensation, cash cost of retirement benefits, or the cost of different non-money benefits (e.g. healthcare). ) $39,127 - $116,311 Hourly price $11.00 - $42.forty five extra time $12.16 - $fifty nine.18 Bonus $304 - $10,850 profit Sharing $252 - $22,one hundred fifty total Pay (? XTotal Pay combines basis annual salary or hourly wage, bonuses, earnings sharing, information, commissions, additional time pay and other sorts of money earnings, as germane for this job. It does not include fairness (inventory) compensation, cash expense of retirement advantages, or the value of other non-cash advantages (e.g. healthcare). ) $39,127 - $116,311 Job Description for Database Administrator (DBA)

A database administrator (DBA) is an IT skilled who ensures that the software used to manipulate a database is properly maintained to enable speedy access when obligatory. as a result of regular access, searches, traffic are likely to believe a damaging sequel on any company database, the DBA works to maintain the efficiency of the servers. she or he furthermore will customarily drudgery to exist sure statistics safety, coordinating with an IT protection knowledgeable or crew in higher organizations to aid retain the integrity of sensitive industry facts.

examine extra...

one of the most leading jobs of a database administrator is to hold a company's information purchasable in an effective manner. Many companies require that information exist attainable by means of cloud servers in order that it may exist accessed at any time. in reality, a DBA residences most effective a small percentage of facts in a cloud environment, due to the expense and security issues created when doing so. despite the fact, the DBA ensures that cloud entry to statistics will furthermore exist accomplished quickly and correctly.

To drudgery as a database administrator, an individual typically will want a bachelor's degree in laptop science, an affiliate's degree in database administration, or a similar degree. Many corporations will additionally require a DBA candidate to believe a history in IT drudgery on database administration teams. usually, an administrator works ordinary enterprise hours throughout the week, however many groups require a DBA to exist accessible on summon consistently, in case of a gadget emergency. (Copyright 2019 PayScale.com)

Database Administrator (DBA) tasks

  • enforce, configure, and troubleshoot database situations, replication, backup, partitions, storage, and entry.
  • Set consumer privileges inside the database atmosphere.
  • computer screen and optimize system performance the expend of index tuning, disk optimization, and different strategies.
  • deploy, configure, troubleshoot, and maintain a database equipment.
  • Pay by artery of journey stage for Database Administrator (DBA)

    Pay via undergo for a Database Administrator (DBA) has a positive fashion. An entry-level Database Administrator (DBA) with under 5 years of adventure can call to win a benchmark total compensation of $sixty one,000 according to ninety nine salaries provided by artery of nameless users. benchmark complete compensation contains assistance, bonus, and additional time pay. A Database Administrator (DBA) with mid-career undergo which includes personnel with 5 to 10 years of adventure can call to win a intimate total compensation of $80,000 based on fifty nine salaries. An skilled Database Administrator (DBA) which contains employees with 10 to twenty years of undergo can await to win a intimate total compensation of $83,000 in accordance with 42 salaries. A Database Administrator (DBA) with late-career event which comprises employees with superior than twenty years of journey can call to win a intimate complete compensation of $seventy four,000 in line with 11 salaries.


    Oracle starts drudgery on MySQL 5.6 | killexams.com existent Questions and Pass4sure dumps

    With drudgery under artery to build the next edition of the MySQL relational database software, Oracle is focusing a total lot of its efforts on improving the utility’s performance and replication capabilities, in line with an Oracle government overseeing the utility’s building.

    The business’s developers are making top notch improvements to the core InnoDB storage engine, which should silent execute the database equipment greater responsive. also, the capacity to duplicate a database to one other region, always helpful for backup and calamity recovery, is being superior in a brace of approaches, said Tomas Ulin, Oracle’s MySQL vice chairman of engineering.

    Such drudgery is being applauded in the MySQL neighborhood.

    “From an engineering standpoint, Oracle is doing the most efficient drudgery on MySQL that’s ever been carried out,” mentioned Baron Schwartz, chief efficiency architect at Percona, which sells an optimized edition of the database application.

    Marten Mickos, ex-CEO of MySQL AB, has additionally praised Oracle’s efforts with MySQL. MySQL AB changed into bought in 2008 through sun Microsystems, which itself changed into purchased by using Oracle final yr.

    Oracle released the last edition of MySQL, version 5.5, in December. The industry has now not set a unencumber date for the subsequent edition, however remaining month Oracle released the first preview, or construction milestone, version 5.6.

    a majestic deal of the drudgery now beneath manner goes into making the database sooner, Ulin observed. The InnoDB storage engine and the optimizer believe both been revamped for quicker efficiency. The optimizer, for instance, can uphold its algorithms for a selected query, should the administrator exist pleased with the efficiency of that query below the optimizer.

    Schwartz said that this version of MySQL implements some of the efficiency enhancements his company built into its own edition of MySQL, known as Percona Server. “This capacity they gained’t necessity to hold these features to any extent further,” Schwartz mentioned.

    One such characteristic being mulled for inclusion in 5.6 is the skill to “pre-heat the buffer pool cache,” Schwartz talked about. A database can construct up a cache of generally consulted entries. When a server is shut down, youngsters, this cache disappears, and, upon restarting, it might assume a few hours to build the cache back up. in the meantime, despite the fact, users may additionally adventure slower-than-normal response from the database.

    “this is a gargantuan difficulty with servers with a lot of reminiscence,” Schwartz spoke of. Pre-warming the cache without problems skill the database can recreate a cache after it's rebooted. It keeps a list of utter the required entries, which it will probably fetch rapidly from the database in an systematic method.

    The company is accomplishing fairly a petite of labor on MySQL’s replication capabilities, which automatically copy databases to secondary places.

    With this release, replication is being sped up even though multithreaded support. Multithreaded replication is “an completely killer function,” Schwartz referred to. When facts is replicated on a backup server, the application can now spawn dissimilar threads on the backup server to replica the material in parallel.

    In prior versions, “you may completely overpower a replica with even a reasonably powered master server. That’s been a sober problem for a very long time,” Schwartz observed.

    also on the replication entrance, the industry has brought time-delay replication, the plot the copying process will furthermore exist delayed by means of a preset size of time, which can exist effortless in these situations where an administrator makes a extreme mistake, akin to inadvertently dropping a database desk. since the replication is not instantaneous, the administrator can fetch the replicated dropped desk earlier than it vanishes too.

    Ulin pointed out the enterprise plans to free up some more milestone beta releases earlier than the closing launch. also, the industry is releasing distinct preview models of MySQL, each one enforcing a potentially original function. This manner can ease the job of checking out the application before inserting it into a creation atmosphere, Schwartz stated. “If i wished to examine a selected feature, i will examine that devoid of caring about the repercussion of different aspects,” Schwartz noted.

    typical, Schwartz is completely satisfied by means of the drudgery that Oracle is doing.

    past releases of MySQL tended to believe lots of bugs, which then later needed to exist patched, he observed. version 5.5, besides the fact that children, which was generally overseen by using Oracle, changed into a antiseptic unlock and Schwartz expects that version 5.6 may exist sturdy as neatly.

    “Oracle is doing good, formal software engineering,” he said.

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    MySQL 5 Database Administrator Certified(R) Professional portion II

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    Another vendor-neutral certification from the Open Group, this is the 2nd plane of architect certification it offers. industry and enterprise architect certifications are in evolution but currently the focus is on IT architecture.

    Premium pay for this architect certification is up 14.3 percent in the last 12 months and is forecasted to grow in the next three-six months.

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    An Overview and Update of the Controlled Substances Act of 1970 | killexams.com existent questions and Pass4sure dumps

    Virgil Van Dusen, RPh, JD & Alan R. Spies, RPh, MBA, JD, PhD

    Behavioral Objectives

    After completing this continuing education article, the pharmacist should exist able to:

    1. represent the Controlled Substances Act (CSA) and clarify how it impacts the profession of pharmacy.

    2. Appraise his or her drill setting for potential violations, and, if present, execute the necessary changes to comply with the federal law.

    3. discuss the recent changes (both enacted and proposed) to the CSA, while relating how these changes will repercussion everyday pharmacy practice.

    The Congress of the United States enacted into law the Controlled Substances Act (CSA) as Title II of the Comprehensive Drug misuse Prevention and Control Act of 1970.1 The CSA serves as the legal foundation of the government's fight against drugs of abuse. This law consolidates numerous laws regulating the manufacture and distribution of narcotics, stimulants, depressants, hallucinogens, anabolic steroids, and chemicals used in the illicit production of controlled substances.

    The major purpose of the CSA, however, was to enable the United States to comply with the requirements of 2 international treaties. These treaties, the 1961 lone Convention on Narcotic Drugs and the 1971 Convention on Psychotropic Substances, set a system for classifying controlled substances in several schedules in accordance with binding scientific and medical findings of a public health authority. In the United States, that authority rests with the Secretary of Health and Human Services (HHS).

    The Drug Enforcement Administration (DEA) carries out the enforcement of the CSA. Established in 1973, the DEA is the federal agency amenable for the implementation of regulations related to the CSA.2 It replaced what was known at the time as the Bureau of Narcotics and uncertain Drugs (BNDD). Currently, the DEA is a unit of the Federal Bureau of Investigation within the Department of Justice. Although the federal BNDD has been eliminated, many states continue to believe their own drug enforcement agency, with laws similar to federal statutes and regulations and known by the same name.

    Registration

    In enacting the CSA, Congress restricted access to controlled substances to those registered to manufacture, distribute, or dispense such products. Making application on an appropriate figure to the US Attorney generic provides registration. Pharmacies, as dispensers, currently register for a epoch of 3 years.3 The DEA divides the registrant population among retail and wholesale lines, which includes more than 1 million total registrants. For more information, notice Table 1.

    Whereas the goal of the CSA may exist to limit access to controlled substances and ensure accountability of inescapable drugs, exemptions execute exist for registration. The most notable exemption relating to the drill of pharmacy is pharmacists employed by a registered pharmacy or institution. The exemption is universal in that every pharmacy that handles controlled substances must exist registered, which in whirl provides the automatic exemption for the pharmacist who works for such a pharmacy.

    Although federal provisions give some exemptions, the individual states may remove such exemptions. For example, a manufacturer's representative who handles controlled substance samples may exist exempt from registration under federal requirements.5 A status may require registration and accountability, however, under either statutory or regulatory provisions.6

    Identification and Classification of Controlled Substances

    The CSA places utter regulated substances under existing federal law into one of 5 schedules. This classification is based on the substance's medical value, harmfulness, and potential for misuse or addiction. Schedule I is reserved for the most uncertain drugs that believe no recognized medical use, and Schedule V is the classification used for the least uncertain drugs. Dispensing pharmacies should never possess a Schedule I drug.7 The CSA provides a mechanism for substances to exist controlled, added to a schedule, removed from a schedule, or rescheduled. This mechanism requires initiation by the DEA, by the HHS, or by petition from any interested party. These interested parties may include the manufacturer of a drug, a medical society or association, a pharmacy association, a public interest group concerned with drug abuse, a status or local government agency, or an individual citizen. When the DEA receives a petition, the agency begins its own investigation of the drug, which includes a request to the HHS for a scientific and medical evaluation regarding whether the drug should exist controlled or removed from control. This recommendation on scheduling is binding only to the extent that, if the HHS recommends that the substance not exist controlled, the DEA may not control the substance.

    Obtaining Controlled Substances by Pharmacies

    Pharmacies may receive or transfer controlled substances to or from other registrants only by means of an invoice. This invoice creates a record of transfer, which the CSA requires. This record must hold (1) the cognomen of the controlled substance, (2) the dosage form, (3) the strength or concentration of the dosage unit, and (4) the number of dosage units per commercial container. Additionally, the receipt record by the pharmacy to obtain the controlled substance must include the number of commercial containers received, the date of receipt, and the name, address, and DEA registration number of the supplier.8 A commercial invoice serves as a record of receipt for Schedules III, IV, and V drugs as long as the document contains required information.

    DEA figure 222

    Schedule II drugs may exist obtained by the expend of a DEA figure 222.9 Obtaining DEA figure 222 initially occurs when a DEA registrant files an application for registration and asks for such forms by checking the appropriate box on the application. Subsequent order forms may exist obtained by submitting DEA figure 222(a) to the registration arm of the DEA.10 DEA figure 222 is a triplicate form; the pharmacy keeps the third copy, which must hold a notation of the number of commercial containers received and the date of receipt.11 Pharmacists must forward copies 1 and 2 of the triplicate figure to the supplier, who then forwards copy 2 to the DEA. Unusually large purchases of inescapable kinds of Schedule II controlled substances may trigger a drug accountability audit by the DEA.

    Electronic Orders for Controlled Substances

    On April 1, 2005, the DEA issued a final rule that provides an electronic equivalent to DEA figure 222. original regulations now allow, but execute not require, registrants to order Schedule II substances electronically and to maintain the records of these orders electronically.12 To exist valid, the purchaser must sign an electronic order for a Schedule II controlled substance with a digital signature issued to the purchaser (or the purchaser's agent) by the DEA and must complete data fields that are establish blank on the electronic order.13 Leaving data fields vacant will require the supplier to reject the order and notify the purchaser of the rejection.14 Unique to this type of electronic order is that a purchaser may include controlled substances that are not in Schedule II as well as noncontrolled substances. To learn more about the electronic ordering of controlled substances, view the DEA Web site located at www.deaecom.gov.

    Validity of Controlled substance Prescriptions

    To exist valid, a controlled substance prescription must exist issued for a legitimate medical purpose by an individual practitioner acting in the customary course of his professional practice.15 Should a pharmacist knowingly fill a purported prescription not issued in the customary course of professional treatment, then that pharmacist is matter to penalties provided for violations relating to controlled substances.16 Whereas the prescribing practitioner may exist held amenable for issuing a bogus controlled substance prescription, a corresponding responsibility and resulting criminal liability rests with the pharmacist who fills such a prescription. Pharmacists believe been establish guilty based on circumstantial evidence of prescription legitimacy.17 The DEA has published a lead to hearten pharmacists determine whether controlled substance prescriptions are being issued for a legitimate medical purpose (Table 2). Additional guidelines may exist establish at www.deadiversion.usdoj.gov/pubs/ brochures/pharmguide.htm.

    DEA Policy Statement on throe Treatment

    On September 6, 2006, the DEA issued a policy statement regarding the dispensing of controlled substances for the treatment of pain.19 Although this policy primarily addresses physicians, the DEA furthermore holds pharmacists to the same benchmark as referenced earlier?a registered physician acting within the customary course of professional drill must issue a prescription for a legitimate medical purpose. A recent survey conducted by the University of Michigan of 8th, 10th, and 12th graders indicated that, while a generic decline in drug expend has occurred, tall rates of nonmedical expend of prescription medications continue, especially opioid throe killers.20 For example, in 2005, 9.5% of 12th graders reported using Vicodin (hydrocodone) in the past year, and 5.5% of these students reported using OxyContin (oxycodone) in the past year.21 Before pharmacists become overly concerned about dispensing controlled substances for throe control, they should note that the treatment of throe with controlled substances is unquestionably a legitimate medical purpose. The overwhelming majority of physicians who prescribe controlled substances execute so in a legitimate manner that will never warrant investigation by federal or status law enforcement officials. Reports witness that in any given year, including 2005, fewer than 1 of every 10,000 physicians in the United States (<0.01%) lose their controlled substance registrations based on a DEA investigation of indelicate prescribing. The majority of these cases in which physicians lose their DEA registrations result from actions by status medical boards to revoke or suspend the physician's status medical license. In recent years, many status medical boards believe developed guidelines for the proper expend and prescribing of controlled substances for throe control.

    Facsimile Prescriptions

    When the CSA first came into existence, telling prescriptions for controlled substances in Schedules III, IV, and V needed to exist in writing or based on an oral order of the physician. Schedule II drugs prescriptions could only exist in writing or based on an emergency prescription order. Today, a facsimile prescription for a Schedule III, IV, or V drug may serve as the original order.22

    Exceptions to the written requirement for Schedule II furthermore exist today. These exceptions are permitted if the faxed prescription is:

    1. For a narcotic Schedule II substance, which is to exist compounded for direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous, or intraspinal infusion.23

    2. For a Schedule II substance for a resident of a long-term care facility (LTCF).24

    3. For a patient enrolled in a hospice certified by Medicare under Title XVIII or licensed by the state, and if the prescription notes that the patient is a hospice patient.25

    Prescription Monitoring Programs

    Courts believe established that the prescribing of an inordinately large quantity of controlled substances can exist evidence of a violation of the CSA. The DEA can only view such a distribution of controlled substances if germane information is made available. In 2003, the federal National utter Schedules Prescription Electronic Reporting Act was introduced in Congress. The purpose of the act was to establish an electronic system for practitioner monitoring of the dispensing of controlled substances in Schedules II, III, and IV. This act would require that inescapable information exist reported, such as a patient identifier, drug dispensed, quantity dispensed, as well as the prescriber and the dispenser. Although this federal legislation has not been enacted, many states believe enacted similar legislation requiring prescription monitoring programs.26 As of August 2005, 22 states had such programs operating, and an additional 4 states were in the start-up phase. An additional 21 states are in the process of proposing, preparing, or considering similar legislation. The information required of pharmacists may exist submitted electronically. Such programs effectively preclude "doctor shopping" and assist in helping pharmacists identify prescription forgeries. Whereas status legislation has been helpful, a national electronic database would exist more helpful in identifying jurisdictional controlled substance shopping and regional physicians bent on abusing prescriptive authority privileges.

    Verification of DEA Physician Registration Number

    The law requires prescribers to include their registration number on each controlled substance prescription. Determining the validity of the number is possible. A DEA registration number is a 9-character number consisting of 2 alphabet letters followed by 7 digits. Registration numbers for physician practitioners may legitimately inaugurate with the letters A, B, or C. Registration numbers for mid-level practitioners (eg, physician assistants, nurse practitioners) inaugurate with the note M. The second note in the registration number is usually, but not always, the first note of the registrant's last name. The next 6 positions represent a computer- generated number unique to each registrant. The final position, or seventh number, is a computer-calculated check digit or verifying number. To confirm the validity of the DEA registration number, the pharmacist should add the first, third, and fifth digits together, then add the second, fourth, and sixth digits, multiplying that sum by 2. The right-most digit of the sum of these 2 calculations will correspond with the final, or seventh, digit of a telling number. While this manner may exist useful in determining an invalid registration number, an apparently telling registration number cannot exist assured as indeed valid. Forgers may exist intimate with this verification process and could invent a number that may issue valid.

    Schedule II, III, IV, and V Prescription Requirements

    Insertion of Corrected or Missing Information

    A pharmacist may change inescapable items on a controlled substance prescription, provided that he or she has received authorization from the prescriber.27 Even with the proper authorization, however, documenting his or her actions is imperative for the pharmacist.

    After consultation with the prescribing practitioner, the pharmacist is permitted to add or change the:

  • Dosage form
  • Drug strength
  • Drug quantity
  • Directions for use
  • Issue date
  • The pharmacist is permitted to execute information additions that the patient or bearer provides, such as the patient's address, but such additions should exist verified. The pharmacist is never permitted to execute changes to:

  • The patient's name
  • The controlled substance prescribed (except for generic substitution permitted by status law)
  • The prescriber's signature
  • Emergency Oral Schedule II Prescriptions

    An emergency situation can permit the dispensing of a Schedule II drug without meeting the generic requirement of a written prescription. An emergency situation is defined as a situation in which:

  • Immediate administration of the controlled substance is necessary for the proper treatment of the patient.
  • No appropriate alternative treatment is available.
  • Provision of a written prescription to the pharmacist prior to dispensing is not reasonably workable for the prescribing physician.28
  • In order to comply with the provisions permitting the pharmacist to fill an oral Schedule II emergency prescription, the pharmacist must meet the requirements establish in Table 3.

    Emergency Schedule II Requirements

    Partial Filling of Schedule II Prescriptions

    The partial filling of a prescription for a controlled substance listed in Schedule II is permissible, if the pharmacist is unable to supply the plenary quantity called for in a written or emergency oral prescription, and if he or she makes a notation of the quantity supplied on the puss of the written prescription (or written record of the emergency oral prescription). The remaining portion of the prescription may exist filled within 72 hours of the first partial filling; however, if the remaining portion is not or cannot exist filled within the 72-hour period, the pharmacist shall so notify the prescribing individual practitioner. No further quantity may exist supplied beyond 72 hours without a original prescription.30

    A prescription for a Schedule II controlled substance written for a patient in an LTCF or for a patient with a medical diagnosis documenting a terminal illness may exist filled in partial quantities to include individual dosage units. If any question exists as to whether a patient may exist classified as having a terminal illness, the pharmacist must contact the practitioner prior to partially filling the prescription. Both the pharmacist and the prescribing practitioner believe a corresponding responsibility to ensure that the controlled substance is for a terminally ill patient. The pharmacist must record on the prescription whether the patient is "terminally ill" or an "LTCF patient." A prescription that is partially filled and does not hold the notation "terminally ill" or "LTCF patient" shall exist deemed to believe been filled in violation of the act. For each partial filling, the dispensing pharmacist shall record on the back of the prescription (or on another appropriate record, uniformly maintained, and readily retrievable) the date of the partial filling, quantity dispensed, remaining quantity authorized to exist dispensed, and the identification of the dispensing pharmacist. The total quantity of Schedule II controlled substances dispensed in utter partial fillings must not exceed the total quantity prescribed. Schedule II prescriptions for patients in an LTCF or for patients with a medical diagnosis documenting a terminal illness shall exist telling for a epoch not to exceed 60 days from the issue date unless terminated sooner by the discontinuance of medication. Information pertaining to current Schedule II prescriptions for patients in an LTCF or for patients with a medical diagnosis documenting a terminal illness may exist maintained in a computerized system if this system has the capability to permit storage and retrieval of significant information.31

    Pre-or Postdating Schedule II Prescriptions

    According to the CSA, a prescription for a controlled substance must exist dated and signed on the date when issued (Practitioner's Manual). This provision has become a existent problem for pharmacists who receive pre-or postdated Schedule II prescriptions.A prescription that is preor postdated refers to the fact that the prescription was either (1) written and signed on a different date than when issued or (2) written on the same day as issuance with instructions such as "do not fill until a later date." Under the current regulations, both of these prescriptions are invalid and must not exist filled by the pharmacist.

    For some patients, obtaining a original prescription each month presents tremendous difficulty. Furthermore, many physicians believe expressed concern as to why the stringent regulations were enacted. As a result, the DEA proposed a original rule on September 6, 2006, that would amend the current regulation. This proposed rule, in part, is provided here.

    Sec. 1306.12 Refilling Prescriptions; Issuance of Multiple Prescriptions

    (a) The refilling of a prescription for a controlled substance listed in Schedule II is prohibited.

    (b)(1) An individual practitioner may issue multiple prescriptions authorizing the patient to receive a total of up to a 90-day supply of a Schedule II controlled substance provided the following conditions are met:

    (i) The individual practitioner properly determines there is a legitimate medical purpose for the patient to exist prescribed that controlled substance and the individual practitioner is acting in the customary course of professional practice;

    (ii) The individual practitioner writes instructions on each prescription (other than the first prescription, if the prescribing practitioner intends for that prescription to exist filled immediately) indicating the earliest date on which a pharmacy may fill the prescription;

    (iii) The individual practitioner concludes that providing the patient with multiple prescriptions in this manner does not create an undue risk of diversion or abuse;

    (iv) The issuance of multiple prescriptions as described in this section is permissible under the applicable status laws; and

    (v) The individual practitioner complies fully with utter other applicable requirements under the act and these regulations as well as any additional requirements under status law.

    (2) Nothing in this paragraph (b) shall exist construed as mandating or encouraging individual practitioners to issue multiple prescriptions or to notice their patients only once every 90 days when prescribing Schedule II controlled substances.

    Rather, individual practitioners must determine on their own, based on sound medical judgment, and in accordance with established medical standards, whether it is appropriate to issue multiple prescriptions and how often to notice their patients when doing so.32

    This original rule would permit an individual practitioner to issue multiple prescriptions authorizing the patient to receive a total of up to a 90-day supply of a Schedule II controlled substance. Due to the fact that the public observation epoch of 60 days has now concluded, the DEA is amenable for determining whether this proposed regulation becomes law.

    Partial Filling of Schedule III, IV, and V Prescriptions

    Pharmacists often question the DEA rule regarding the partial refilling of Schedule III, IV, and V prescriptions as stated in Section 1306.23 of the Code of Federal Regulations. Confusion lies in whether to account a partial fill or refill as one fill or as a refill, or if the prescription can exist dispensed any number of times until the total quantity prescribed is met or 6 months has passed. According to the DEA's interpretation, as long as the total quantity dispensed meets the total quantity authorized and the refills are dispensed within the 6-month period, the number of refills is irrelevant. For more information, advert to Table 4.

    Transferring of Controlled substance Prescriptions

    The DEA allows the transfer of original prescription information for Schedule III, IV, and V controlled substances for the purpose of refill dispensing between pharmacies on a one-time basis if status law permits. If pharmacies participate a realtime, online database, however, then the prescription may exist transferred up to the maximum number of refills permitted by law and authorized by the prescriber. Such systems must hold the information required for any telling controlled substance prescription.

    For circumstantial information required to exist famed in the transfer, advert to Table 5.

    Records and Inventories of Controlled Substances

    Reporting Theft or Significant Loss of Controlled Substances

    The law requires that pharmacies report the theft or significant loss of controlled substances immediately upon discovery to the nearest DEA office and local police.35 Such a report is made on a DEA figure 106. The figure may either exist completed manually or submitted online through a secure connection via the Internet to DEA headquarters. The original interactive figure is located at the Diversion Control Program's Web site at www.deadiversion.usdoj.gov.

    Waiver of Employment of Convicted Individuals

    A pharmacy registrant must not employ an individual in a position that will allow access to controlled substances if that individual has been convicted of a felony relating to controlled substances or has had an application for registration denied, revoked, or surrendered for cause. "For cause" means surrendering a registration in lieu of, or as a consequence of, any federal or status administrative, civil, or criminal action resulting from an investigation of the individual's handling of controlled substances.

    Should a pharmacy registrant crave to employ an individual who meets any of the criteria mentioned above, the registrant must apply for an exception with the administrator of the DEA. utter such requests are then sent to the appropriate DEA realm office for a thorough investigation. Information the registrant must provide in the waiver request includes (1) the circumstances of the employee's or prospective employee's conviction of loss/surrender of DEA registration; (2) the status of the individual's status licenses; (3) the circumstances surrounding the individual's access to controlled substances, plus safeguards the registrant intends to implement to guard against diversion; and (4) other circumstantial information, such as board actions, to enable the DEA to execute a honest evaluation of the situation.36

    New Laws: Combat Methamphetamine Epidemic Act

    In 2006, original requirements of the federal Combat Methamphetamine Epidemic Act passed by Congress for utter single- and multi-ingredient pseudoephedrine- and ephedrine-containing products became effective. This original law placed nonprescription ephedrine, pseudoephedrine, and phenylpropanolamine in the original CSA category of "scheduled listed chemical products." Products containing the ingredients listed above are matter to sales restrictions, storage requirements, and record-keeping requirements.

    A 3.6-g/day basis product sales limit, 9- g/30-day basis product purchase limit, a blister package requirement, and mailorder restrictions went into sequel on April 8, 2006, for utter sellers of these products. Logbook requirements went into sequel on September 30, 2006 (Table 6).

    A summary of this act's requirements can exist establish on the DEA Web site at www.deadiversion.usdoj.gov/meth/ cma2005.htm.

    Conclusion

    The CSA of 1970 continues to play an distinguished role in the day-to-day activities of pharmacy practice. As the law continues to evolve, pharmacists must tarry abreast of the many changes that continue to occur. As famed in several cases that believe been brought against pharmacists, ignorance of the law is no defense. Therefore, each and every pharmacist must exist amenable to not only uphold the dignity and veneration of the profession, but furthermore to drill pharmacy within its legal framework.

    Virgil Van Dusen, RPh, JD, Professor of Pharmacy Administration, Southwestern Oklahoma status University, Weatherford, Okla; Alan R. Spies, RPh, MBA, JD, PhD, lieutenant Professor of Pharmaceutical, Social, and Administrative Sciences, Samford University, Birmingham, Ala.

    Pharmacy Times/Ascend Media Office of Continuing Professional Education is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program is approved for 2.0 contact hours (0.20 CEUs) under the ACPE universal program number of 290-000-07-001-H03. The program is available for CE credit through February 1, 2010.

    References

    1. Controlled Substances Act, 21 USC ?801 et seq (2002).

    2. Drug Law Enforcement, Executive Order No. 11727, July 6, 1973, 38 FR 18357.

    3. Application for Registration (codified at 21 CFR ?1301.13(d)).

    4. Registrant Population-Summary. Drug Enforcement Administration Office of Diversion Control Web site. Available at: https://www.deadiversion.usdoj.gov/webforms/jsp/odrReports/odrRegSummaryReport.jsp. Accessed December 6, 2006.

    5. Controlled Substances Act, 21 USC ?822c (2002).

    6. Oklahoma status Bureau of Narcotics and uncertain Drugs Control, Title 475: 20-1-5(d) (2001).

    7. Application for Registration, 21 CFR ?1301.13(e)(1)(iii).

    8. Records for Manufacturers, Distributors, Dispensers, Researchers, Importers and Exporters, 21 CFR ?1304.22(c).

    9. Procedure for Obtaining DEA Forms 222 (codified at 21 CFR ?1305.11).

    10. Procedure for Obtaining DEA Forms 222 (codified at 21 CFR ?1305.11(b)).

    11. Records for Manufacturers, Distributors, Dispensers, Researchers, Importers and Exporters (codified at 21 CFR ?1304.22(c)).

    12. Persons Entitled to Order Schedule I and II Controlled Substances (codified at 21 CFR ?1305.04).

    13. Requirements for Electronic Orders (codified at 21 CFR ?1305.21).

    14. Unaccepted and Defective Electronic Orders (codified at 21 CFR ?1305.25).

    15. Purpose of Issue of Prescription (codified at 21 CFR ?1306.04(a)).

    16. Controlled substance Act, 21 USC ?842 (2002).

    17. Vermont & 110th Medical Arts Pharmacy v. status Board of Pharmacy, 177 Cal Rptr 807 (Cal App 2d 1981).

    18. Pharmacist's Manual, An Information silhouette of the Controlled Substances Act of 1970. Drug Enforcement Administration Office of Diversion Control Web site. Available at: www.deadiversion.usdoj.gov/pubs/manuals/pharm2/2pharm_manual.pdf. Accessed December 6, 2006.

    19. DEA Policy Statement on Dispensing Controlled Substances for the Treatment of Pain. Drug Enforcement Administration Office of Diversion Control Web site. Available at: www.deadiversion.usdoj.gov/fed_regs/notices/2006/fr09062.htm. Accessed December 6, 2006.

    20. Monitoring the Future. Available at: http://monitoringthefuture.org. Accessed December 6, 2006.

    21. 2005 Monitoring the Future Survey Shows Continued Decline in Drug expend by Students [NIDA word release]. December 19, 2005. Available at: www.nih.gov/news/pr/dec2005/nida-19.htm. Accessed December 6, 2006.

    22. Requirement of Prescription (codified at 21 CFR ?1306.21(c)).

    23. Requirement of Prescription (codified at 21 CFR ?1306.11(e)).

    24. Requirement of Prescription (codified at 21 CFR ?1306.11(f)).

    25. Requirement of Prescription (codified at 21 CFR ?1306.11(g)).

    26. status Prescription Monitoring Programs. Drug Enforcement Administration Office of Diversion Control Web site. Available at: www.deadiversion.usdoj.gov/faq/rx_monitor.htm. Accessed December 6, 2006.

    27. generic Questions and Answers. Drug Enforcement Administration Office of Diversion Control Web site. Available at: www.deadiversion.usdoj.gov/faq/general.htm. Accessed December 6, 2006.

    28. Controlled Drugs (codified at 21 CFR ?290.10).

    29. Requirement of Prescription (codified at 21 CFR ?1306.11(d)).

    30. Partial filling of prescriptions (codified at 21 CFR ?1306.13(a)).

    31. Partial filling of prescriptions (codified at 21 CFR ?1306.13(b)).

    32. Issuance of Multiple Prescriptions for Schedule II Controlled Substances. Drug Enforcement Administration Office of Diversion Control Web site. Available at: www.deadiversion.usdoj.gov/fed_regs/rules/2006/fr0906.htm. Accessed December 6, 2006.

    33. Partial filling of prescriptions (codified at 21 CFR ?1306.23).

    34. Transfer between pharmacies of prescription information for Schedules III, IV, and V controlled substances for refill purposes (codified at 21 CFR ?1306.25).

    35. Other Security Controls for Practitioners (codified at 21 CFR 1301.76(b)).

    36. Requests for Waivers. Drug Enforcement Administration Office of Diversion Control Web site. Available at: www.deadiversion.usdoj.gov/faq/waiver_1301_76.htm. Accessed December 6, 2006.

    This educational lesson will exist available to pharmacists online at www.pharmacytimes.com. (Based on the article starting on page 107) pick the 1 most remedy answer.

    1. The Controlled Substances Act (CSA) was enacted into law by Congress in what year?

  • 1961
  • 1970
  • 1971
  • 1973
  • 2. Under the CSA, pharmacies register with the Drug Enforcement Administration (DEA) every ____ year(s).

  • 1
  • 2
  • 3
  • 4
  • 3. How many schedules are mandated by the CSA?

  • 2
  • 3
  • 4
  • 5
  • 4. When ordering Schedule II drugs via DEA figure 222, which of the triplicate form(s) is/are sent to the supplier?

  • Copy 1
  • Copy 2
  • Copy 3
  • Copies 1 and 2
  • 5. For a controlled substance prescription to exist telling under federal law, it must be:

  • Issued for a legitimate medical purpose.
  • Prescribed by an individual practitioner acting within the customary course of professional practice.
  • Written for no greater than a 1-month supply.
  • Both a and b
  • 6. Which of the following are characteristics of a forged prescription?

  • Prescription is illegible
  • Directions are written with abbreviations
  • Prescription appears to exist a textbook presentation
  • Both a and b
  • 7. In any given year, what percentage of physicians lose their controlled substances registration based on a DEA investigation?

  • Less than 0.01%
  • Less than 0.1%
  • Less than 1%
  • Less than 10%
  • 8. A facsimile may serve as the original prescription for which of the following?

  • Schedule II prescription to handle a child's attentiondeficit/ hyperactivity disorder
  • Schedule III, IV, or V prescription
  • Both a and b
  • No faxed controlled substance prescription may serve as the original.
  • 9. Which of the following DEA numbers are remedy for Moe Stooge, MD?

  • AM1234561
  • AS1463253
  • MS1257232
  • AS1387425
  • 10. After consulting the patient's prescriber, a pharmacist is allowed to change which of the following on the puss of a controlled substance prescription?

  • The patient's name
  • The prescriber's signature
  • The directions for use
  • Both a and c
  • 11. Within ______ days after authorizing an oral emergency prescription, the prescriber must deliver a written prescription for the emergency quantity dispensed to the pharmacist.

  • 3
  • 5
  • 7
  • 10
  • 12. When partially filling a Schedule II prescription for a patient (assume that the patient is not "terminally ill" or a long-term care facility patient), a pharmacist has up to __________ days to provide the remaining quantity to the patient once the prescription has been filled.

  • 2
  • 3
  • 7
  • 60
  • 13. Under the proposed DEA regulation, a prescriber could issue up to a _______ supply of a Schedule II medication for a patient.

  • 45-day
  • 60-day
  • 90-day
  • 120-day
  • 14. In what time frame may Schedule III prescriptions, if authorized, exist refilled?

  • 3 months
  • 6 months
  • 1 year
  • There is no time requirement for a Schedule III prescription.
  • 15. When partially filling a Schedule IV prescription, which of the following is/are required?

  • No dispensing occurs after 12 months following the date on which the prescription was issued.
  • Each partial filling is recorded in the same manner as a refilling.
  • Both a and b
  • Schedule IV prescriptions may not exist partially filled.
  • 16. Under federal law, how many times may a Schedule III, IV, or V controlled substance exist transferred from 2 different chain pharmacies?

  • None
  • Once
  • Twice
  • Up to the number of refills authorized by the prescriber
  • 17. The pharmacist receiving the transferred prescription shall write the word __________ on the puss of the transferred prescription.

  • Transfer
  • Void
  • Invalid
  • Both a and b
  • 18. Which DEA figure is used by pharmacists to report theft or loss?

  • DEA figure 222
  • DEA figure 41
  • DEA figure 106
  • DEA figure 224
  • 19. Which of the following product(s) is/are included in the original CSA category of "scheduled listed chemical products"?

  • Phenylpropanolamine
  • Pseudoephedrine
  • Ephedrine
  • All of the above
  • 20. Under the Combat Methamphetamine Epidemic Act, the seller is required to maintain which of the following in the logbook?

  • Purchase price
  • Purchaser's date of birth
  • Name of pharmacy
  • Time of the sale
  • TESTING AND GRADING PROCEDURES

  • Each participant achieving a passing grade of 70% or higher on any examination will receive a statement of credit giving the number of CE credits earned. This figure should exist safeguarded and may exist used as documentation of credits earned.
  • Participants receiving a failing grade on any exam will exist notified and permitted to assume 1 reexamination at no extra cost.
  • All answers should exist recorded on the own figure attached. For each question, determine which selection is the best answer, and circle the note of the response representing your choice.
  • Mail your completed exam figure to the following address: Pharmacy Times, 405 Glenn Drive, Suite 4, Sterling, VA 20164-4432.
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