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
ad
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)
