Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharmacy Practice > Exam 2 Powerpoints > Flashcards

Exam 2 Powerpoints Flashcards

1
Q

Importance of communication

A

ineffective communication ID as root cause for nearly 66% of all reported sentinel events

2010-2013: communication among top 3 root causes of sentinel events reported

Data from Join commission continue to show importance of communication in patient safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Communication considerations

A

Audience

Mode of communication

Standards associated with specific mode of communication

Power of nonverbal communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Characteristics of Effective communication

A

Complete

Clear

Brief

Timely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SBAR

A

Framework for team members to effectively communicate info to one another

Situation - what is going on w/ patient

Background - What is clinical background or context

Assessment - what do you think problem is

Recommendation/request - What would I recommend? what do I need from you?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

handoff

A

Transfer of info during transitions in patient care

include an opportunity to ask questions, clarify and confirm

Both authority and responsibility are transferred

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Components of handoff

A

Responsibility: person aware of assuming responsibility

Accountability: you are accountable until both partiers aware of transfer

uncertainty: clear up all ambiguity before transfer complete

Communicate verbally

Acknowledged: ensure handoff is understood and accepted

Opportunity: evaluate the situation for both safety and quality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Check - Back

A

Closed-loop communication strategy used to verify and validate info exchanged

asked: “Administer the influenza vaccine to Mrs.Green who is in Room 6.”

respond “ So you want me to give Mrs.Green, who is in room 6, an influenza vaccine?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

consequences of conflit

A

2008, employees spent 2.8 hrs per week dealing with conflict

equal ro ~ $359 bil in paid hrs, or 385 mil working days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Sources of conflict

A

Personal differences

Informational Deficiencies

Role Ambiguity or Incompatibility

Environmental Stressors

Disagreement over methods rather than outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Steps for Conflict Resolution

A

ID source of conflict

Look beyond the incident

Request solutions

ID solutions everyone can support

Find agreement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ineffective approaches to conflict resolution

A

Compromise

Avoidance

Accommodation

Dominance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Change from brand to generic

A

Interchange is mandated unless the practitioner indicates “ no substitution” in accordance with the law.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Flow of prescription

A 
Drop off - receive prescription
Prescription entry - enter into computer
Scan Rx
File Hard copy
Execute Rx production
Preform pre-quality check
Prepare for RPh final check
Put away stock bottles
Pick up
Offer patient counseling
Register transaction
Patient counseling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

OU

A

Both eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

OD

A

right eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

OS

A

left eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

AU

A

Both ears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

AD

A

Right ear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

AS

A

Left ear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

aa

A

of each

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

HA

A

Headache

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

WA

A

While awake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

HS

A

at bedtime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

AC

A

Before meals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

PC

A

after meals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

1 KG

A

2.2 lbs

27
Q

1 Fluid oz

A

30 ml

28
Q

1 lb

A

454 gram

29
Q

1 ounce

A

28.35 (use 30 gram)

30
Q

1 ml

A

20 drops

31
Q

1 tsp

A

5 ml

32
Q

1 tbsp

A

15 ml

33
Q

1 liquid ounce

A

30 ml

34
Q

1 pint

A

480 ml

35
Q

1 gallon

A

128 oz

36
Q

Mass Board of Pharmacy

A

Responsible for….

public safety in the drug procurement and dispensing process

Licensing pharmacists, interns, techs and tech trainee

licensing community, long-term-care, home infusion, nuclear and compounding pharmacy. Hospital pharmacies will be added to BOP

licensing drug distributors/wholesalers

PSUD

37
Q

Pharmacy intern law

A

complete 2 years of academic curriculum or standing beyond 2nd year

registered by the board

under direction of a preceptor

practical experience prerequisite for pharmacist licensure exam

can engage in full range of activities conducted by pharmacist provided that they are under direct supervision by preceptor, name tag has to say intern

38
Q

Pharm tech law

A

have name tag that says name and pharm tech

can really the pharmacists “offer to counsel”

request and accept refill auth as long as no changes

cannot perform DUR, provide clinical conflict resolution, contact prescribers to clarify an order or modify therapy, provide patient counseling, validate dispensing, receive new drug orders or transfer prescription

39
Q

Pharmacist to support staff rations

A

1:4 - pharmacist to support

1 of 4 is certified pharm tech, 1 is intern, or 2 certified tech

1:3 ratio - 1 of three is intern or certified tech

clerks, secretaries, messengers and other non pharmacy personal don’t count

40
Q

Pharm tech trainee

A

at least 16 yr old

in HS or equivalent

no prior convictions

have name tag as trainee

work up to 1000 hrs if 18 or older before tech registration is required

41
Q

tech check regulation

A

CPhT can verify inventory management functions using non-patient specific C-6 meds from pharmacy to patient care without verification of pharmacist

ex. transferring med from carousel or tallest to Pyxis or omnicell automated dispensing device

license healthcare professional must use an electronic device with bar code scanning or other validation at time of admin

42
Q

Preceptors and APPE students

A

up to 4 interns as long as they aren’t processing, verifying or dispensing medications

if APPE students are split between multiple medical teams, there needs to be a license pharmacist directly supervising the student on each team

43
Q

Pharmacy manager of record

A

Make sure pharmacy preceptor are adherent to all ratios

ensure all students licensed as interns prior to start of internship

ensure interns under direct supervision at all times

in event of sick calls or absences, staff schedules must be adjusted accordingly

44
Q

CI

A

Illegal drugs

45
Q

CII

A

highly addictive, including narcotics and stimulants

no refills, expire 30 day after written

In MA, only up to 7 day supply can be dispensed for short term treatment, exceptions for cancer or other long term needs must be documented

partial filing of CIIs is allowed, but balance is not allowed to be filled and MD must be notified

46
Q

Handling CII

A

accountability and security direct responsibility of the pharmacist

pharm tech and intern can assist in transporting CII

47
Q

CII inventory requirements

A

keep perpetual inventory of each controlled substance in schedule II which has been received, dispensed or disposed

inventory must be reconciled at least once every 10 days

inventory is a written record of the amount of all schedule II which are physically present

48
Q

Expired CIIs

A

must be inventoried and be separate from in date stock but kept in secure location

49
Q

Filing of prescriptions

A

CIIs in 1 file

CIII-CV in second file

Syringed no prescription needed but if one provided, filed separately

CVI in third file

50
Q

sale of hypodermic syringes and needle

A

no limit on number and type of requested syringes and needles

no record keeping requirements or limitations

pharmacies strongly recommended to stock single unit-of-use syringes for individual sale

51
Q

Collaborative Drug Therapy Management

A

CDTM

passed 2009

agreement between pharmacist and supervising physician

allows for extension of current therapy up to 30 days

modify drug therapy for certain indications

cant diagnose, or prescribe II-V

52
Q

Pharmacist CE requirements

A

20 hours every year

5 contact hours in sterile compounding
3 hours in complex non-sterile compounding

IF pharmacist oversees, prepares products or verify orders that require sterile compounding then….

5 law hours, 15 hours CE which can include sterile/non-sterile compounding

Vaccinators - 5 hours every 2 years

53
Q

Graduate pharmacists

A

year they graduate, don’t have to get CE credit

year after, its required

graduate from other state must be registered as an intern in MA until they take the MA license exam

54
Q

Naloxone-Opioid OD treatment

A

All retail pharmacies required to have standing order for naloxone dispensing

pharmacies must stock product

pharmacist can dispense either based on a prescription or standing order

55
Q

Immunizations

A

persons 3 years of age or older can get if doctor order and take the training course

56
Q

Pharmacist admin of medications for mental illness or substance abuse disorder

A

pharmacist or intern can admin to people over 18

need a valid prescription

first dose should be admin by or under physicians supervision

57
Q

Drug loss

A

must be reported to DEA within 1 business day

Copy of DEA form 106 must be submitted to BOP

MA board report within 7 days

Within 30 days, report with investigation results, police reports and other related documentation

58
Q

Drug loss causes

A

Employee pilferage/diversion

break-in

lost in transit

customer theft

Armed robbery

Other known or unknown loss

59
Q

MA prescription awareness Tool

A

prescribers and pharmacists must log into stewed database to determine if patient is filling multiple prescriptions from multiple providers at multiple pharmacies

for all C-II,III and benzo

60
Q

Substance Use disorder

A

pharmacists and other health professionals can be up to 25% rate, general public is 10%

61
Q

MA pharmacy SUD program

A

For Pharmacists, interns, techs

voluntary, confidential

5 year program

62
Q

E prescribing

A

allowed for CII-CVI

sent electronically by physician to a pharmacy selected by the patient

63
Q

Telepharmacy

A

pharmacy done remote

64
Q

central fill pharmacies

A

fill for one or more other pharmacies

CII-CV delivered to pharmacy where prescription originated for final dispensing

CVI can be shipped to patient

Pharmacy Practice (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions