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Pharmacy Technician University > Assisting the pharmacist > Flashcards

Assisting the pharmacist Flashcards

1
Q

in ambulatory pharmacy, what are PT responsible for? (8)

A

processing prescriptions/data entry, checking accuracy, refilling prescriptions, working with 3rd party/insurance, filling orders, customer service, administrative tasks, organization

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2
Q

in a hospital, what is the PT responsible for? (7)

A

preparing IV admixtures, prepping meds, delivering meds to nursing floors, filling dispensing systems, communicating with doctors/nurses, administrative, unit-dosing meds

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3
Q

what is an ambulatory setting pharmacy

A

patients can walk to get to the pharmacy

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4
Q

what is the ambulatory pharmacy workflow

A

greeting patient > data entry > dispensing > verification > release

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5
Q

all hard copies of prescriptions must be kept for ___ years

A

2

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6
Q

what is included in the hard copy of a prescription (7)
patient - 4
prescriber - 5

A

patient name/phone/address/DOB
prescriber name/address/phone/signature/DEA
date prescription written
med strength/quantity/dose/dosage form
administration route
signa/directions
refill info

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7
Q

controlled substances must be signed by ___ and not the PA/NP

A

physician

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8
Q

C6 meds expire a year after written date
C2
C3-C4

A

C2 = filled only once (no refill)
C3-4 = 6 months after written

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9
Q

true or false

PT can transfer meds from different pharmacies

A

false - only pharmacist

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10
Q

NKA means

A

no known allergies written on prescriptions

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11
Q

when looking for forged prescriptions, look for (5)

A

handwriting, signatures, quantities/refill looks altered, looks copied, different pen colors

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12
Q

when transferring prescriptions from another pharmacy, we need (9)

A

patient name/address/phone/DOB/allergies/insurance
previous pharmacys phone
prescription # & drug

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12
Q

when transferring prescriptions from another pharmacy, we need (9)

A

patient name/address/phone/DOB/allergies/insurance
previous pharmacys phone
prescription # & drug

(dose, strength, quantity, fill date, refills, directions, physicians name obtained by pharmacist)

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13
Q

C3-C5 controlled substances can be transferred between pharmacies how many times

A

once

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14
Q

what are therapeutic duplications

A

drugs in same drug class with same functions prescribed

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15
Q

what are special considerations added to a patients profile (2)

A

anything restricting patient such as arthritis preventing opening of a bottle or language restriction

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16
Q

what is medication therapy management (MTM) (4)

A

pharmacists review patients medication history to check for compliance with taking medication, therapeutic duplications, patient counseling , and inconsistencies in drug therapy

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17
Q

who is medicare for? (4)

A

65+, youngers blind, widowed, disabled due to long-term illness

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18
Q

what do each part of medicare cover? ABCD

A

A - hospital services/inpatient
B - doctors appointments/outpatient
C - medicare advantage plans
D - prescription drugs

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19
Q

who is TRICARE for

A

servicemen and veterans

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20
Q

for formularies, (list of drugs approved by insurance) what are 1st, 2nd, 3rd tier drugs?

A

1 - generic, copay lowest
2 - preferred brands
3 - non-formulary drugs, highest copay

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21
Q

who is medicaid for? (4)

A

income below poverty level, blind, disabled, members of family with children only supported by one parent (and financially eligible)

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22
Q

what are daw codes? What is 0-9?

A

-when doctor/patient prefers brand drugs over generic
0 = no instructions, generic okay
1 = no substitution by prescriber, brand necessary
2 = patient prefers brand
3 = pharmacist chose brand
4 = generic not in stock, substitution okay
5 = brand name dispensed at generic price
6 = override code
7 = brand dictated by law
8 = generic not available
9 = other

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23
Q

what is the grace period allowed by insurance companies to refill

A

5-7 days

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24
Q

step therapy

A

when insurance companies require patients to use first-line drug before others

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25
Q

what are some reasons for claim reject? (7)

A

expired coverage, invalid PI, quantity exceeds limit, refill too soon, prescriber not covered, NDC not covered, PA required

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26
Q

reimbursement in the ambulatory setting is done as ___ (2)

A

retrospective payment or fee for service

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27
Q

what is WAC & AMP

A

wholesale acquisition cost = the price manufacture sells to the wholesaler
average manufacturers price = price paid to manufacturers from wholesalers to distribute to pharmacies

28
Q

examples of health insurance fraud (5)

A

billing for services not rendered
altering monetary amount on claims
leaving important information off claim
using another persons insurance card
billing for duplicate payment

29
Q

READ what is on a pharmacy label (15)

A

patient name & address
date of fill and refill
original prescription date
expiration date
order number
drug manufacturer & NDC
name, dose, dosage strength
dispense quantity
signa/sig code
# refills
pharmacy name, address, phone
initials of pharmacist verifying prescription
initials of PT entered prescription into system
auxiliary labels

30
Q

What 3 things does the NDC # tell? Which section must be the same for generic substitutions? Which section must be the same for it to be the same medication?

A

-manufacturer, product, package size (quanitity)
-first section/labeler/manufacturer must be the same
-second section/product code must be the same

31
Q

1 dram = ___ oz

A

1/8 oz

32
Q

which act ruled that caps must be chilproof

A

poison prevention packaging act of 1970

33
Q

what is DUR (6)

A

drug utilization review = alerts of therapeutic duplications, drug-disease contraindications, incorrect dosage, incorrect duration of treatment, drug allergies, drug misuse

34
Q

what are PT monthly (not daily) tasks in an ambulatory pharmacy

A

cycle counts (counting meds), checking expiration dates

35
Q

what is the 3040B program

A

federal law that reduces costs of medication by having drug manufacturers give discounts to hospital in return for using their medication

36
Q

the ___ alerts nurses as to when the medication needs to be administered

A

medication administration record - MAR

37
Q

what information must medication orders in hospitals contain? (9)

A

patient name, weight, height, allergies, DOB, medical conditions,
medical #,
hospital room #, nursing unit floor
dosage form, strength of drug
drug schedule
preparation instructions
route of administration
directions for use

For IVs: concentration & base solution

38
Q

CATH

A

cardiac catheterization lab

39
Q

CCU

A

coronary cardiac care unit

40
Q

ED or ER

A

emergency room

41
Q

ENDO

A

endoscopy

42
Q

L&D

A

labor and delivery

43
Q

MICU

A

medical intensive care unit

44
Q

NICU

A

neonatal intensive care unit

45
Q

OR

A

operating room

46
Q

PACU

A

post-anesthesia care unit

47
Q

PEDS

A

pediatrics

48
Q

SICU

A

surgical intensive care unit

49
Q

TCU

A

transitional care unit

50
Q

X-RAY

A

raidiology

51
Q

PT prepares enough of a scheduled order to last ___ (time)

A

24 hours

52
Q

what is CSP

A

compound sterile preparations/IV mixtures

53
Q

where is sterile medication compounded

A

sterile room

54
Q

what is central vs decentralized pharmacy

A

central = where center of pharmacy operations (compounding, med preparation, unit-dosed) occur
decentralized = nursing unit med rooms with automated dispensing machines (where patient specific meds prepared)

55
Q

in a hospital pharmacy all medications must be ___

A

unit-dosed (blister packages)

56
Q

the PT will prepare med for a patient for the next ___ (time)

A

24 hours

57
Q

how does a day as a PT in a hospital look like/flow (4)

A
  1. print labels for meds needed in the next 24 hours, fill meds, label meds, deliver it to decentralized pharmacy (nursing stations) after pharmacist verifies
  2. filling meds in automated machines
  3. fill STAT drugs (drugs needed to be prepared ASAP)
  4. prepare CSPs
58
Q

prepped medications are delivered to ___ in a hospital by PTs

A

nursing unit

59
Q

PTs check the ___ to see if a patient has been discharged

A

cencus

60
Q

why is it good to use pharmacy automation?

A

improve efficiency and accuracy

61
Q

investigational new drugs (INDs) must be approved by the ___

A

FDA

62
Q

True or false

Record keeping for all INDs is responsible by the PT

A

true

63
Q

for both hospitals and ambulatory pharmacies, all prescriptions start with the ___ putting in the order

A

physicians

64
Q

narrow therapeutic index (NTI) drugs (4)

A

drugs that cannot be substituted with generic drugs because small changes in dosages can result in adverse events or therapeutic failure

e.g., carbamazepine, cyclosporine, digoxin, levothyroxine, lithium carbonate, phenytoin, warfarin

65
Q

therapeutic substitution

A

the substitution of a prescribed drug with another medication that produces the same therapeutic effect (usually from the same class)

66
Q

benzodiazepines

A

drug class prescribed to reduce anxiety and relax muscles (–pam)

e.g., alprazolam (Xanax)

67
Q

anaphylaxis

A

life-threatening allergic reaction that requires immediate emergency care

68
Q

drug-disease interaction

A

when a medication taken for one disease causes or exacerbates a different disease

Pharmacy Technician University (7 decks)

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