Midterm 1 Flashcards

(77 cards)

1
Q

adult lifestyle retirement communities are geared towards…

A

fully independent seniors

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2
Q

outreach services allow…

A

people to live in their own homes and function independently as possible

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3
Q

independent supportive living housing allows…

A

people to live independently with support services

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4
Q

retirement homes/residences are for…

A

people who cannot manage activities of daily living but allow them to live as independently as possible

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5
Q

Palliative/hospice care provide…

A

End of life care

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6
Q

Combined care may…

A

offer 2 or more types of care services

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7
Q

LTC home meet…

A

all needs of people who have chronically impaired function

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8
Q

LTC Homes rates start at…

A

64/day

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9
Q

LTC Rates can be up to…

A

91/day

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10
Q

Retirement homes act include…

A

interpretation
retirement homes regulatory authority
license to operate
residences rights care and safety

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11
Q

retirement homes act fundamental principle

A

a retirement home is to be operated so that residents live with dignity, respect, privacy and autonomy, in security and comfort and can make informed choices about their care

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12
Q

Fixing LTC act fundamental principle

A

a LTC is primarily the home of residents and as such it is to be operated so that it is a place where they may live with dignity and in security, safety and comfort and have their physical, phycological, social, spiritual and cultural needs adequately met

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13
Q

Fixing LTC act includes…

A

interpretation
residents rights care and services
admissions of residents
councils
operation of homes
funding

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14
Q

how many rights do residents have?

A

27

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15
Q

who is the ontario minister of health?

A

Sylvia Jones

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16
Q

who is the ontario minister of LTC

A

Paul Calandra

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17
Q

which group of elders are at more of a risk being abused

A

those with poor family relationships and past abuse

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18
Q

who is most likely to abuse elders?

A

family members

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19
Q

what percentage of elders get abused?

A

10%

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20
Q

Role of the attending care provider

A

perform physical exams and file reports, attend home regularly

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21
Q

role of nursing care

A

organize, direct and evaluate nursing care

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22
Q

How often does the administrator, medical director, DNCP, pharmacist and dietitian meet?

A

yearly

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23
Q

how often do the administrator, medical director, DNPC and pharmacist meet?

A

every 3 months

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24
Q

who does the pharmacy coordinate care with?

A

DNPC

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25
Who can administer drugs in LTC?
Physician Dentist RN RPN
26
who can destroy controlled drugs
RN directed by DNPC in presence of pharmacist or physician
27
what do medical records include
copy of application written reports of history, physical exams, diagnoses and orders for treatment signed copy of telephone orders daily nursing noted
28
What are Medication Administration Records
a system to indicate when meds are taken, a list of all the meds and any meds that may have been refused
29
What are Treatment Administration Records
used in place of MARS, contain medication and non-medication treatment, ie Alcohol
30
what are Narcotic Medication records
very detailed sheet to monitor administration of narcotic and controlled drugs
31
How can RPhT's adapt rx's
alter dose dosage form regimen or route
32
what happens if a medication cannot be delievered
it is returned to the pharmacy
33
Who can give a covid vaccine
Part A pharmacist intern registered pharmacy student pharmacy technician
34
What is most important for preventing spread of infection
Hand Washing
35
Disinfectants
usually applied to surface for cleaning
36
Antimicrobial
stops or slows the growth of micro-organisms
37
Antibacterial
targets bacteria specifically
38
Domestic waste
waste produced in household, not considered biomedical waste
39
medical waste
waste produced by diabetics in their home, not considered biomedical waste
40
sharps waste is...
any waste that can cause punctures or cuts and which have come in contact with blood waste
41
public drug plans
seniors program ODSP OW home care Trillium OHIP+
42
Private Drug Plans
Sunlife green shield Johnson ESI
43
What do Third Part Carriers do
the people who actually pay out the claims
44
who has the cheapest dispensing fee
costco
45
what is a frozen plan
A plan that does not automatically allow for the inclusion of new products
46
What is a conditional plan
Each new drug is evaluated at time of introduction
47
Which plans get billed first for Rx's
public plan, ie ODB
48
For ODB plans what is the Identification number?
Health Card number
49
What are DUR
identifies potential drug therapy problems and alerts the pharmacy using codes
50
Intervention codes: LU
start new LU authorization
51
Intervention code: MN
Replacement claim
52
Intervention Code: MO
Valid claim value of 500 to 9999
53
Intervention code: MP
Valid claim of 1000 to 99999
54
Intervention Code: MR
replacement, item lost or broken
55
Intervention code: MV
Vacation supply
56
Intervention code: PB
Name entered is consistent with card
57
Intervention code: UA
Consulted prescriber and filled Rx as written
58
Intervention Code: UG
Cautioned patient, filled as written
59
Intervention Code: MM
Replacement claim, drug cost only
60
Intervention Code: PM
No private insurance
61
Intervention Code: ZR
Submit receipt to TDP or attest to no PI
62
High Income single seniors
above $22,200 after deductible $6.11
63
High Income senior couple
Above $37,100 after deductible $6.11
64
Low income single seniors
under $22,200 $2/Rx
65
Low income senior couples
Under $37,100 $2/Rx
66
Exceptional Access Program
Drugs that are not currently covered on eformulary
67
New drug funding Program
Pays for newer injectable cancer drugs administered at a health care facility
68
Special Drug Programs
certain outpatient drugs used in treatment, usually hospitals dispense these drugs
69
of Blood glucose testing strips on insulin/year
3,000
70
of blood glucose strips for non insulin users/year
400
71
Intervention Code: NF
Override - quantity appropriate
72
Intervention Code: MG
Override- clinical reasons
73
In order to be reimbursed for a higher interchangeable the patient must have...
Experienced 2 significant ADR
74
Pharmaceutical opinions: Not filled as prescribed
Rx not filled resulting from falsified Rx or not filled due to clinical concern
75
Pharmaceutical opinions: no change to Rx therapy
Filled as prescribed
76
Pharmaceutical opinions: Change to Rx therapy
recommendations were discussed between the RPhT and prescriber and a change was made
77
who has access to naloxone kits
people who use/have used opioids or people who are in a position to help someone on opioid