Tech 2 Training: Manual Information Flashcards
What are the 3 job roles of non qualified pharmacy techs?
Assist in prescription data entry
Deal with customer service
Help with inventory control
What are the qualifications for qualified pharmacy techs?
Be at least 18, have a high school diploma or equivalent, pass a criminal record and background check, be fingerprinted and pass examination approved by the state board of pharmacy
What are the 3 job roles of qualified pharmacy techs?
Place medication in the proper packaging (product dispensing but do not say that!)
Label medication appropriately
Take part in compounding medications at the discretion of the pharmacist on duty
What are the 7 steps to reconstitution that may be performed without pharmacist supervision?
Make sure caregiver is in store
Read the mixing directions
Loosen the powder
Add half of the water
Shake well
Add second half of the water
Shake well
What are the 5 roles of pharmacy interns?
Take prescriptions over the phone from physicians or physician representatives
Transfer non-controlled prescriptions to and/or from another pharmacy
Sell schedule five products - controlled substances available without a prescription
Counsel patients
Administer a variety of immunizations to both minors and adults, in which both the intern and pharmacist are trained
What are the six job roles of the pharmacist?
Interpret prescriptions
Dispense drugs and drug related products (aka verification)
Perform drug utilization reviews (DURs)
Transfer controlled prescriptions to and/or from other pharmacies
Administer a variety of immunizations to both minors and adults, in which they are trained
Must insure that inventory is correct, drugs and pharmacy records are stored appropriately and that the pharmacy is run in a manner that all laws, rules and regulations are followed
At what temperature range must the shelves be at?
68-78 degrees
At what temperature range must the refrigerators be at?
36 to 46 degrees
At what temperature range must the freezer be at?
5-10 degrees
What are the names of some quality control procedures? Name at least four.
Tall man lettering
Post fill audit
Final four check at data entry
Counseling
Incident Reports
Bar code verification scanning at product dispensing
Bar code verification scanning at release to patient
What are the Five S’s?
Sort: items into 3 categories based on how much they are required to perform tasks like counting tray in various stations
Straighten: relocate items that will never be used in a station, put items that may be required at some point in drawers, find location for regularly used items
Shine: Remove clutter and clean
Standardize: Label all designated locations for items
Sustain: Put items back where they belong, keep stations clutter-free
Name reasons for insurance audit triggers. Know at least three.
‘Use as directed’ is not to be used as the sig unless the directions are preprinted on the manufacturers packaging
Eye drops must have the day supply calculated correctly and say which eye is being treated
Headache medications must include the maximum daily dose
Insulin prescriptions must have the maximum units per day noted
Override codes must be used appropriately and make sure the reason as to why a third party gives a code is documented
If a doctor writes dispense quantity ‘1’, select the smallest package size available
What two things are required with pet prescriptions?
The owner’s first and last name must be written on the prescription hard copy
The species must be selected in the patient’s profile
How many refills can non control and schedule five drugs have?
Up to a year’s worth
How many refills can schedule 3 and 4 drugs have?
Up 5 refills and must be used within 6 months
How many refills can schedule 2 drugs have?
None
What DAW codes should be used and why?
0- No product selection indicated
1- Substitution is not allowed by prescriber
2- Substitution not allowed by patient
3 - ?
Other codes could affect total pricing and pharmacy reimbursement aka shrink
What kinds of medications require the counting tray and spatula used to be clean with alcohol afterwards?
Medications that could be harmful to a fetus and/or cause birth defects (identify by package). Ex: chemotherapy meds, prostate meds, immuno-suppressants, medications to end pregnancy
Medications that people are commonly allergic to. Ex: Opioids, penicillins, sulfonamides, NSAIDS
Warfarin / Coumadin
What 9 things must a prescription label include?
Name and address of pharmacy
Name of the patient
Full name of prescriber
Directions
Date of dispensing
Any cautions that could be required by law
Prescription number
Written and dispensed med names, manufacturer, strength
Quantity
When labeling a manufacturer’s stock bottle for a prescription, what 4 things must not be covered?
NDC
Lot #
Expiration date
Directions for reconstitution
What two things must be on all prescription containers too small to bear a complete label?
Patients name
Prescription number
What does HIPAA stand for?
Health Insurance Portability and Accountability Act of 1996
What is HIPPA?
A rule that protects medical records and other personal health information maintained by health care providers. It empowers patients by guaranteeing them access to their medical records and more control over how their protected health information is used and/or disclosed
What can a patient to get authorization for release of PHI if they can’t get it themselves?
If a patient is unable to pickup a printout in person, you can offer to mail it to them, making sure it’s sent in a separate envelope to prevent hippa violation
They can fill out an authorization for the release of phi to authorize someone else to pick it up for them. The form must be kroger approved and the patient must still fill out the mes request form in order for you to process their request
How long must we keep hard copy prescriptions?
Three years, less medicare then must be kept for 10 years from date of issuance
How long must we keep electronic prescription files (patient profiles)?
3 years
How long must we keep signature logs?
3 years, unless medicare then must keep record of signatures for 10 years
How long must we keep immunization records?
forever
How long must we keep pseudoephedrine invoices?
2 years
How long must we keep pseudoephedrine log books?
2 years
When do we pull expired products?
When they are expiring within 3 months
When do we need to put a sticker on medications about the expiration?
Within a year of their expiration date
How long must drugs be kept in the quarantine area?
Until they are destroyed or returned and must not be stored for more than one year from their expiration / adulterated date
Roman numeral: I
One
Roman numeral: V
Five
Roman numeral: X
Ten
Roman numeral: L
Fifty
Roman numeral: C
One hundred
Roman numeral: xxx
30
Roman numeral: xii
12
Roman numeral: vii
7
Roman numeral: xiv
14
Roman numeral: iv
4
Roman numeral: xl
40
Roman numeral: xxc
80
Roman numeral: cxv
115
Roman numeral: cc
200
AMP
ampicillin
ASA
aspirin
ETOH
Ethanol/alcohol
FeSO4
Ferrous sulfate
SMZ/TMP
Sulfamethoxazole / trimethoprim
APAP
Acetaminophen
IBU
ibuprofen
KCl
Potassium chloride
PCN
Penicillin
1 oz = ? Ml
30 ml
8oz = ?ml
240 ml
6oz = ?ml
180ml
1 pint = ?oz
16 oz
16oz = ?ml
473/480 ml
1tsp = ?ml
5ml
What does cc mean?
Milliliters
4cc qid x10 = ?cc
160cc
2tsp tid x10 = ?ml
300ml
1tsp qam for 30 days = ?ml
150ml
0.5 oz bid x2, then 0.5oz qd x2 = ?ml
90ml
2 tabs qid x7 = ? Tabs
56
3 tabs qd x3, 2 tabs qd x3, 1 tab qd x3 = ? Tabs
18
2 tabs bid x5, 2 tabs qd x5, 1 tab qd x5 = ? Tabs
35
absorption
the way in which a drug enter the bloodstream
acquisition cost
the price a pharmacy pays for a product intended for re-sale
adjudication
the process of sending a prescription claim from the pharmacy to the patient’s insurance provider
allergy
the abnormal sensitivity to a substance
anaphylaxis
a rare, but potentially, life-threatening allergic reaction to a drug
anesthetic
a substance that produces partial or complete lack of feeling
anti-inflammatory
a drug that decreases inflammation
arrhythmia
an irregular heart rate or beat
arthritis
acute or chronic inflammation of a joint
awp
average wholesale price. this is the published price for the drug, not what is paid by most end users
boh
balance on hand: the amount/quantity of medication int he stock bottle and on the shelf.
bar
bill after release: this tool is used when a prescription has already been sold and needs to be re-billed
bin
a claims processor to identify a third party payer for a claim; uses the bank identification number
cao
computer assisted ordering: program we use, in the legacy system, to order pseudoephedrine products and pharmacy supplies
cmr
comprehensive medication review
controlled substance
medications identified as having the potential for abuse and therefore require more strict regulations, as defined by the controlled substances act of 1970
copay
the amount the patient must pay above what is paid by the third party insurance for a prescription
dangerous drug
any drug who’s commercial package bears a label containing (RX ONLY)
decongestant
a drug used to relieve congestion, usually of the nose, lungs, or chest
diabetes
the inability of the body to use sugar
dur
drug utilization review: a method of checking drug interactions, dosages, allergies when dispensing a medication
enteric-coated
a special outer coating on tablets that allows them to dissolve in the intestine instead of the stomach
eprn
easyfill pharmacy retail network: java based application called enterprise rx that has been dated to process prescriptions and help communicate with all kroger family pharmacies
expectorant
an agent used to reduce the thickness of mucous; promoting the discharge of phlegm of other fluid from the respiratory tract
fda
food and drug administration: federal agency responsible for putting into effect rules and regulations meant to ensure public safety regarding drug products
formulary
a list of drugs that a particular prescription plan prefers
hormone
a substance secreted by the glands in the body
hypertension
high blood pressure
im
intramuscular route of injection of a drug
iv
intravenous route of injection of a drug
mtm
medication therapy managment
ndc
national drug code: a universal product identifier for medications
non-formulary
occurs when the prescribed medication is not on the list of preferred drugs
nopp
notice of privacy practices is a document that contains krogers policy towards releasing and protecting patients’ health information
ophthalmic
pertaining to the eye
phi
protected health information
r-dac
random daily access code: barcode that prints off once an associate has logged onto the refill pen system based on their enterprise id and password and gives specific access to applications
subcutaneous
injected beneath the skin
sublingual
under the tongue. drugs enter the blood stream without passing through the stomach
third party
any business or organization that insures or pays the health care expenses on behalf of the patient
time released or sustained
releasing medication gradually to produce a sustained effect
tmr
targeted medication review
transdermal delivery system
a medicated patch that delivers the drug to the blood through the skin
troche
a lozenge dissolved in the mouth
vertigo
dizziness
aa
of each / affected area
ac
before meals
ad
right ear
as
left ear
au
both ears
biew
twice a week
cm
centimeter
gtt(s)
drop(s)
im
intramuscular
od
right eye
