T3: Final Old Stuff Flashcards
What is the goal of transcribing?
Transform the prescription into a dispensed medication with correct instructions that can safely be interpreted by patients/caregivers
What is the MS regulation for transferring meds?
Must be done by a pharmacist or supervised intern
1. Phone and address
2. Name of transferring pharamcist
3. Date prescription was issued
4. Original and last fill date
5. Original and remaining refills
Can’t transfer any controlled substances
What is pharmacy informatics?
The use and integration of data, info, knowledge, technology, and automation in the medication use process for the purpose of improving health outcomes
What are the characteristics of a closed-loop med system?
- Involves feeding the outcomes for med management process back into current system
- Enables the development and implementation of improved practices and effective monitoring of patient care throughout the entire healthcare system
- Automation of med use processes
- Involves seamless transitions between each step of the process
- Prevents med errors
- Helps healthcare providers to make appropriate patient care decisions through the entire process
What is assess?
- Identify and prioritize problems
What is plan?
patient-centered, individualized, collaborative
What is implement?
put the plan into action, collaborate with patient and healthcare professionals
What is follow-up?
How are thing, is it effective, what changes need to be made
Develop an individualized patient-centered care plan using SMART goals
Specifc: What is the goal
Measurable: How will we know when the goal is reached
Achievable: Is it in your power to accomplish it?
Realistic: Can it be done?
Timely: When do we want to accomplish it?
Utilize appropriate PPCP documentation
- Each med condition has a care plan
- Each plan should be documented separately
What is medication use process?
multistep process in which drug travels from the pharmacy to patient
What are the steps of medication use process?
- Prescribing
- Transcribing/Documentation
- Dispensing
- Adminsitering
- Monitoring
What is prescribing?
- Evaluate the patient
- Establish need for meds
- Select right med
- Determine interactions and allergies
- Precibe med
What is Transcribing/Documentation?
- Transcribe
- Transmit to pharmacy
What is dispensing?
- Review order
- Confirm transcription
- Contact prescribe for discrepancied
- Prepar medicine
- Distribute medicine
What is administering?
- Review order
- Review warnings
- Evaulate patient
- Confirm transcription
What is monitoring?
- Assess patinet
- Report and document results
What is the purpose of medication use process?
- Provide safe and effective medication management
- You are responsible for patient safety
- Safeguard for you and patient
Explain the steps in the dispensing process
- Drop off
- Order entry
- DUR
- Filling
- Final verification
- Patient counceling
What is drop off?
- Recive prescription
- Obtain any necessary info
- Provide an estimated ready time
What is order entry?
- Scan hard copy Rx and file original
- Type Rx info into system
What is DUR?
Review Rx accuracy, appropriateness, and DRPs
What is filling?
- Counting out all the needed tablets and label bottle
- Pick up the appropriate medicationa and scan the bottle and label
What is final verification?
Verify all aspects of the Rx are accurate
What is patient counceling?
Make sure you are giving the right prescription to right patient, IHS open ended questions
Character of drop off?
- Practice ethically and legally
- Ensure all required parts of a prescription are present
Chemistry of drop off?
- Build rapport by excellent customer service
- Let the patient know what to expect
Competence of drop off?
- Verify and update all pertinent patient information.
- Ensure that the medication is in stock.
Character of order entry?
Be thorough
Chemistry of order entry?
- Proactive in contacting prescriber
- Let patient know of delays
Competence of order entry?
Check for appropriateness, double check work
Character of DUR?
Be ceratin before moving fast
Chemistry of DUR?
Respectfully communicate DRPs
Competence of DUR?
- Consult drug resources
- Consider all
aspects of appropriateness
Character of filling?
- Follow procedures
- Don’t cut corners to save time
Chemistry of filling?
Build rapport with techs and prais work
Competence of filling?
Always scan, dowuble check work, avoid overrides
Character of final verification?
Send back errors to be corrects
Chemistry of final verification?
- communicate errors with kindness
- Use as training opportunities
Competence of final verification?
always open every bottle, eliminate distractions
Character of patient counseling
correct errors, educate patient with humility
Chemistry of patient counseling
communicate genuine care and concern for the patient
Competence of patient counseling
verify patient and med info, ask open ended questions
Identify the goal of medication reconciliation
Avoid medication erros such as omissions, duplications, dosing errors, or drug interactions
Explain the 5 steps of medication reconciliation
- Preparation: review patient records and develop interview questions
- Verification: conduct med history
- Reconcilliation: Compare med lists and make clinical decisions
- Documentation: Document changes and update med recs
- Communication: Communicate changes/discrepancies and new med list to patient and appropriate caregivers
What is preparation in med rec?
- Review chart thoroughly
- Are allergies listed (Always ask if they have allergies)
- Decide what questions you want to ask
What is verification in med rec?
- Verify ID
- HIPAA compliance
- Open ended questions
- OTCs?
- Adherence?
- Confirm patient’s current pharamacy
What is reconciliation in med rec?
- Compare med lists and check for:
- Omissions
- Commissions
- Dosing errors
- Discontinued meds
- DDI
- Drug disease interactions
- Duplications - Use clinical judgement to assess:
- Appropriateness
- Safety
- Effectiveness
- Adherence
What is documentation in med rec?
- Update med list in chart
- Document any recent or recommend changes in the chart
What is communication in med rec?
- Communicate discrepancies
- Communicate any med changes
- Provide the patient and team with updated list
Describe when medication reconciliation is most beneficial
- Admission: 24-48 hours of admission
- Internal tranfer points: tranfers within facility, most difficult places to implement
- Discharge: communicate med changes
- Transitions of care: any change in setting, service, practitioner, or level of care
What is the role of Pharm tech?
- Support pharmacist with order fulfillment
- Manage all tasks not requiring a pharmacist’s direct participation or judgment
- Free time for the pharmacist to preform professional responsibilities
- Certification and CE may be required
What is the role of pharm clerk?
- Conduct sales transactions
- Resonds to quesitons about general merchandise
- Dircet customers to the correct department
- May assist with accepting new prescriptions, triaging customer inquireies, and helping to answer general questions
