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Pharm 1049 > Midterm 1 > Flashcards

Midterm 1 Flashcards

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
Q

Who can administer drugs in LTC?

A

Physician
Dentist
RN
RPN

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26
Q

who can destroy controlled drugs

A

RN directed by DNPC in presence of pharmacist or physician

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27
Q

what do medical records include

A

copy of application
written reports of history, physical exams, diagnoses and orders for treatment
signed copy of telephone orders
daily nursing noted

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28
Q

What are Medication Administration Records

A

a system to indicate when meds are taken, a list of all the meds and any meds that may have been refused

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29
Q

What are Treatment Administration Records

A

used in place of MARS, contain medication and non-medication treatment, ie Alcohol

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30
Q

what are Narcotic Medication records

A

very detailed sheet to monitor administration of narcotic and controlled drugs

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31
Q

How can RPhT’s adapt rx’s

A

alter dose
dosage form
regimen or route

32
Q

what happens if a medication cannot be delievered

A

it is returned to the pharmacy

33
Q

Who can give a covid vaccine

A

Part A pharmacist
intern
registered pharmacy student
pharmacy technician

34
Q

What is most important for preventing spread of infection

A

Hand Washing

35
Q

Disinfectants

A

usually applied to surface for cleaning

36
Q

Antimicrobial

A

stops or slows the growth of micro-organisms

37
Q

Antibacterial

A

targets bacteria specifically

38
Q

Domestic waste

A

waste produced in household, not considered biomedical waste

39
Q

medical waste

A

waste produced by diabetics in their home, not considered biomedical waste

40
Q

sharps waste is…

A

any waste that can cause punctures or cuts and which have come in contact with blood waste

41
Q

public drug plans

A

seniors program
ODSP
OW
home care
Trillium
OHIP+

42
Q

Private Drug Plans

A

Sunlife
green shield
Johnson
ESI

43
Q

What do Third Part Carriers do

A

the people who actually pay out the claims

44
Q

who has the cheapest dispensing fee

A

costco

45
Q

what is a frozen plan

A

A plan that does not automatically allow for the inclusion of new products

46
Q

What is a conditional plan

A

Each new drug is evaluated at time of introduction

47
Q

Which plans get billed first for Rx’s

A

public plan, ie ODB

48
Q

For ODB plans what is the Identification number?

A

Health Card number

49
Q

What are DUR

A

identifies potential drug therapy problems and alerts the pharmacy using codes

50
Q

Intervention codes: LU

A

start new LU authorization

51
Q

Intervention code: MN

A

Replacement claim

52
Q

Intervention Code: MO

A

Valid claim value of 500 to 9999

53
Q

Intervention code: MP

A

Valid claim of 1000 to 99999

54
Q

Intervention Code: MR

A

replacement, item lost or broken

55
Q

Intervention code: MV

A

Vacation supply

56
Q

Intervention code: PB

A

Name entered is consistent with card

57
Q

Intervention code: UA

A

Consulted prescriber and filled Rx as written

58
Q

Intervention Code: UG

A

Cautioned patient, filled as written

59
Q

Intervention Code: MM

A

Replacement claim, drug cost only

60
Q

Intervention Code: PM

A

No private insurance

61
Q

Intervention Code: ZR

A

Submit receipt to TDP or attest to no PI

62
Q

High Income single seniors

A

above $22,200
after deductible $6.11

63
Q

High Income senior couple

A

Above $37,100
after deductible $6.11

64
Q

Low income single seniors

A

under $22,200
$2/Rx

65
Q

Low income senior couples

A

Under $37,100
$2/Rx

66
Q

Exceptional Access Program

A

Drugs that are not currently covered on eformulary

67
Q

New drug funding Program

A

Pays for newer injectable cancer drugs administered at a health care facility

68
Q

Special Drug Programs

A

certain outpatient drugs used in treatment, usually hospitals dispense these drugs

69
Q

of Blood glucose testing strips on insulin/year

A

3,000

70
Q

of blood glucose strips for non insulin users/year

A

400

71
Q

Intervention Code: NF

A

Override - quantity appropriate

72
Q

Intervention Code: MG

A

Override- clinical reasons

73
Q

In order to be reimbursed for a higher interchangeable the patient must have…

A

Experienced 2 significant ADR

74
Q

Pharmaceutical opinions: Not filled as prescribed

A

Rx not filled resulting from falsified Rx or not filled due to clinical concern

75
Q

Pharmaceutical opinions: no change to Rx therapy

A

Filled as prescribed

76
Q

Pharmaceutical opinions: Change to Rx therapy

A

recommendations were discussed between the RPhT and prescriber and a change was made

77
Q

who has access to naloxone kits

A

people who use/have used opioids or people who are in a position to help someone on opioid

Pharm 1049 (12 decks)

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