Chapter 8 - Community Pharmacy Practice

The Rx symbol represents:

Prescription, the pharmacy

Which of the following is not the duty of a technician upon taking in a prescription?

Providing patient consultation

If the medication has to be counted or measured:

Put medication into a bottle of appropriate size

Scan prescriptions:

Quality assurance tool that reduces medication errors.

Five rights of the patient to medication safety

1. Correct Patient 2. Correct medication 3. Correct timing 4. Correct route of administration 5. Correct dose

When you check the label against the script, for what are you checking?

1. Drug 2. Strength 3. Dosage form 4. Signatura

Many computer systems have a labeling system. What information is printed on one sheet?

1. Name, address and telephone number of the dispensing pharmacy 2. A prescription number 3. Prescriber's name 4. Patient's name 5. Date the prescription was dispensed 6. Name, strength, and quantity of the medication dispensed 7. Directions for use

Options for filled prescriptions

1. Patient bins 2. Pick up

List the required information every prescription is required to contain

1. Prescriber information 2. Patient information 3. Superscription 4. Inscription 5. Subscription 6. Signa

List four different ways a new prescription can be received in a community pharmacy

1. Telephone 2. Fax 3. e-Prescribing 4. Hardcopy/Walk-in

Prescriptions that have a red "C" stamped on the right side when filed in the pharmacy indicate that the prescription is:

A controlled substance.

Auxiliary Label

A label that provides supplementary information about proper and safe administration, use, or storage of a medication

Dispense as Written (DAW) Code

A numeric set of codes, created by the National Council for Prescription Drug Programs (NCPDP), that is used when filling prescriptions; they can affect reimbursement amounts from insurance companies

Therapeutic Alliance

A trust relationship between a health care professional and a patient, incorporating patient perceptions of the acceptability of interventions and mutually agreed upon goals for treatment

Pharmacy technicians must be capable of:

A. Interpreting and transcribing prescriptions B. Filling prescriptions quickly and accurately C. Following proper billing practices

Repackaging

Act of reducing the amount of medication taken from a bulk bottle

Which of the following is not printed on a prescription label as required by law?

Address and phone number of prescriber.

pc

After meals

Which of the following may be identified during a prospective drug review?

All of the Following: A. Drug-Disease Contraindications B. Drug Duplication C. Therapeutic Duplication

Drug Utilization Evaluation (DUE)

An authorized, structured, ongoing review of health care provider prescribing, pharmacist dispensing, and patient use of medication

Pharmacy Technicians role in the medication use process:

Answering phones and providing customer service. Data entry. Preparing medications for dispensing. Compounding medications. Packaging/labeling prescriptions. Managing inventory and ordering. Accepting payments and processing insurance claims.

ut dict

As directed

prn

As needed

ac

Before meals

po

By mouth

Attitude

Can have a direct effect on whether or not a pharmacy customer comes back and can also alter your image as a technician.

When labeling prescription bottles, a technician should remember professionalism. Why is this important?

Customer service is important in retail pharmacy integrity

What dispense as written (DAW)code is assigned to a prescription for "No product selection indicated?"

DAW 0

If a prescription is for a controlled substance, the technician must make sure the prescription includes the physician's:

DEA Number

Why would elderly patients want non-safety lids on their medications?

Decreasing dexterity and strength

Prescription

Designates a specific medication and dosage to be administered to a particular patient at a specific time

Every patient should be treated with the same:

Dignity and respect

gtts

Drops

au

Each ears

A patient profile is a tool that can help:

Eliminate medication errors

qd

Every day

If technicians cannot interpret the information on a prescription, they should quickly make an educated guess.

False

Submitting a prescription claim using the incorrect DAW code will not affect the pharmacy being reimbursed properly for the medication that was dispensed.

False

The Pure Food and Drug Act requires that every ambulatory pharmacy maintain patient profiles.

False

qid

Four times a day

hs

Hour of sleep

Which of the following is not an advantage of e-prescribing?

Increasing errors associated with illegible handwriting

Which term refers to the name of the prescription?

Inscription

The Pharmacist:

Is responsible for reducing medication errors and drug related illnesses.

as

Left ear

os

Left eye

Which of following is not a common auxiliary label of NSAIDS?

May cause sensitivity to light.

Medication Therapy Management

Medical care provided by pharmacists whose aim is to optimize drug therapy and improve outcomes for patients.

Which of the following is not an exception to the safety lid law?

Nitroglycerin

aa

Of each

ung

Ointment

Most boards of pharmacy prefer to allow transfer of prescriptions only _______ time(s).

One

Refill

Permission by a prescriber to replenish a prescription

When a new prescription is called in to the pharmacy, who can take the prescription over the phone?

Pharmacist

tsp

Teaspoon

When taking in a prescription, neither the technician nor the pharmacist can decipher the physician's writing; therefore:

The Pharmacist should call the physician.

e-Prescribing

The computer-to-computer transfer of prescription data between pharmacies, prescribers, and payers

Inscription

The name, dosage form, strength, and quantity of the medication prescribed

Signatura

The part of a prescription that indicates the information to print on the medication label

Subscription

The part of the prescription that provides specific instructions to the pharmacist on how to compound the prescription

You have received a faxed prescription from a doctor's office. You are not sure what the drug is on the prescription so you consult the pharmacist. After some discussion, the two of you decide what the drug is and the order is prepared. Who else would be able to verify that this is the correct medication before it is dispensed to the patient?

The physician

Adjudication

The process by which a prescription is submitted electronically to a third-party payer for the pharmacy to be reimbursed for the medication dispensed

tid

Three times a day

Why should technicians initial any prescriptions that they fill?

To demonstrate that the controlled substance was counted accurately to prevent drug abuse. In case the pharmacist has questions. To inform of errors to fix

A controlled substance inventory should be done twice yearly and when there is a change of the pharmacist-in-charge.

True

State laws require that patient product information be provided to the patient when specific medications are dispensed.

True

The metric system is the official system of measurement for weights and volumes in the US

True

The success of a community pharmacy is very dependent on the knowledge and training of it's pharmacy technicians

True

The technician should check the medication against the script and the label when selecting medication from the shelf.

True

When the prescription is being picked up, the pharmacy technician will ask the patient if he or she has any questions for the pharmacist.

True

bid

Twice a day

The law states that all prescriptions must be kept on file for at least

Two years

National Provider Identifier (NPI)

Unique 10-digit identification number for covered health care providers that is issued by the Centers for Medicare and Medicaid Services

National Drug Code Number (NDC)

Unique 11 digit number assigned to a drug product First 5 - manufacturer/distributor Next 4 - strength, dosage form, and formulation Last 2 - package size *NDC does NOT indicate FDA approval

Locked safe:

Used by retail pharmacies to ensure that all schedule two medications are kept secure at all times.

According to federal law, when should a patient receive counseling?

When a new prescription is filled

WA

While awake

stat

Within 15 minutes, immediately/at once

Help Desk

a 24/7 toll-free hotline to an insurance company for pharmacists that can address specific questions relating to insurance claims and coverage, as well as pharmacy-specific inquiries

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Right ear

ou

Right eye

Superscription

Rx symbol, take this drug

Which of the following is not a form of nonverbal communication?

Saying hello to each other

Bank Identification Number

Six-digit number, found on a prescription drug card, which is used for routing and identification in order to process a prescription claim

The different types of community pharmacies

Sole Proprietorship - Independent pharmacy; services provided depended on pharmacist location, and patient population. Franchise - Authorization to operate under a well-known trade name. Chain Pharmacy - Corporate-owned, share brand and central management, standardized business practices.

SQ

Subcutaneously

Tbsp

Tablespoonful (15mL)