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59 Cards in this Set
- Front
- Back
Describe the minimum procedures for compounding/dispensing:
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-receive rx orders and determine tx compatibility and legality
-read and interpret directions for use -prepare product (tech may prepare if rph verifies accuracy) -make a final check of the accuracy and correctness of the rx and indicate who performed final check on rx order -give appropriate consultation (if delivering, must notify pt to call with questions) -transfer product to patient -receive renewal authorizations if applicable (date renewed, name of practitioner, quantity, RPh ID) |
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What are the maximum number of interns and technicians a pharmacist can manage at a given time?
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one intern and 4 technicians
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define: pharmacy technician
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non-pharmacist/intern who, under the direction of a pharmacist, assists the pharmacist in the technical and nonjudgmental functions related to the practice of pharmacy in the processing of prescription orders and inventory management
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list activities that technicians can perform:
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-accept written or electronic rx orders
-accept oral orders if recorded and verified by a pharmacist -request refills -accept refill authorizations provided there are no changes -accept refill requests from patients -obtain and enter patient data into computer system -prepare prescription labels -retrieve medications from stock and place in final container -reconstitute pre-fabricated dosage forms -compound pursuant to written P&Ps -affix label to final container -place aux stickers on bottle -prepackage and label drugs for pharmacist -prepare unit dose carts for final review by rph -retrieve and transport stock medications -other technical functions not requiring professional judgment -transfer product to patient if pharmacist has provided consultation |
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list activities that technicians cannot perform:
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-provide final verification for accuracy, validity, completeness, appropriateness of a filled prescription
-participate in final DURs -make independent tx alternative drug selections -participate in final drug regimen screening -perform any act necessary to be a managing pharmacist -administer medications/vaccines -provide patient counseling/consultation/pt specific judgement (including info about tx values, hazards, and uses) |
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What are the labeling requirements for a brand name medication? Generic medication?
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-Brand name and strength
-generic name, strength, and manufacturer |
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Label options for: rx for brand name, dispense brand name
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-brand name (generic name optional)
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Label options for: rx for brand name, dispense generic drug
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-generic name (brand name optional)
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Label options for: rx for generic name, dispense brand name
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-brand name (generic name optional)
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Label options for: rx for generic name, dispense generic name
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-generic name (not sure if brand name can appear on bottle)
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When do non-controlled substance prescriptions expire?
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-one year after issuance
-when the provider-patient relationship expires |
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When can health items (drugs, syringes, etc.) be returned to a pharmacy?
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-provided by an inpatient health care facility (if still in original packaging)
-dispensed in error, were defective/adulterated/misbranded/dispensed after expiration date -if harm could result to the public if they remain in the patient's possession -inmates and LTC patients if: drug never in patient's possession, stored in tamper-resistant packaging, includes beyond use date and lot #, not mixed with other items unless being returned to same patient, item still in original container -pre-packaged item for consumer use if package is unopened, sealed, intact, unaltered labeling, unadulterated contents |
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What can be done with returned health items?
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-Destroy them or deliver them for destruction by an authorized person.
-Medications can be returned to same patients if LTC or jail patients. -Returned meds can be re-used for jail patients. |
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Can a patient return a medication to a pharmacy to be repackaged and redispensed to the same patient?
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Yes. This is not considered a return.
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What are the requirements of electronic prescription recordkeeping?
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-capable of providing a printout of rx data w/i 48 hours
-equipped w/ an auxiliary procedure for dispensing medications during down time |
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How long do prescription records need to be maintained?
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5 years after the date of the last refill
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What information needs to be recorded in a prescription dispensing system?
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-patient ID
-name, strength, dosage form of dispensed product -quantity dispensed -all dispensing dates -prescriber ID -RPh ID -retrieval designation |
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Can prescriptions be transferred via fax?
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Yes, but only if verbally verified between 2 pharmacists
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How long must transferred prescriptions be maintained?
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At least 5 years from the date of last refill
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What information must be recorded when transferring a prescription in?
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-"TRANSFER"
-name and address of patient -name, address, and DEA # of prescriber (if controlled substance) -name, quanitity, and dosage form of medication -directions for use -original date of issuance -original # of refills -original dispensing date and most recent dispensing date -refills remaining (and date of previous refills, if controlled substance) -DEA # if controlled substance -pharmacy name, address, rx # -name of pharmacists -name, address, telephone # of original pharmacy |
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How many times can controlled substance Rx's be transferred?
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once, unless transferred between pharmacies with shared central processing units
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What information must be recorded when transferring a prescription out?
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-"VOID"
-pharmacy name, address, pharmacist name, date, transferring pharmacist name -DEA # if controlled substance |
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Can answering machines be used to receive prescription orders?
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Yes, if the voice if the prescriber is recognizable to the RPh.
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What information must be contained in a medication record system?
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-patient name
-address of patient -DOB -name of drug -strength of drug -dosage form -quantity -directions for use -retrieval designation (Rx number?) -dispensing dates -prescriber -allergy information and chronic disease states, if possible |
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How long do medication profile records need to be maintained?
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Five years unless other documentation source is also used (then just 1 year)
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Are faxed prescription orders considered electronic or written?
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generally written
-but depends how generated (if from computer and signed electronically, then it is an electronic rx) |
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T/F: CII medications can be prescribed electronically
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false
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When are electronic prescription orders allowed?
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-order was sent to the pharmacy designated by the patient w/o third party access (other than for relaying rx info)
-order identifies sender's name, telephone #, time and date of transmission, intended pharmacy -designated as "electronically transmitted prescription" -contains all normally required information |
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Are electronic signatures acceptable?
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Yes
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T/F: electronically received prescriptions should only be visible within the professional pharmacy service area
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true
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T/F: electronic orders do not need to be password protected
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false
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T/F: automated dispensing systems used by inpatient facilities may be located outside of the institutional pharmacy and inpatient health care facility
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false
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What are the requirements of a manager of a community pharmacy before implementing an automatic dispensing system?
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-assure system is in good working order and is accurate
-implement quality assurance program, with P&Ps -provide board with notice of installation (including location of installation) -assign/reassign personnel access to the system -assure that access to medications complies with federal/state laws -ensure system is stocked according to P&Ps |
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T/F: the managing pharmacist must notify the PEB if an automated dispensing system will be moved within a community pharmacy
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false, only when first installing
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What documentation must a pharmacy maintain on-site regarding its automated dispensing system?
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-name and address of pharmacy where system is used
-mfgr's name, model, serial # -description of how system is used -written quality assurance procedures -written P&Ps for system operation, safety, security, accuracy, access, and malfunction |
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Where must written P&Ps regarding automated dispensing systems be stored?
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within the pharmacy responsible for the ADS
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Describe the records that must be kept by an automated dispensing system
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-must be electronic
-time and location system accessed -identification of individual accessing the system -type of transaction -name, strength, dosage form, and quantity of the drug accessed -name of patient drug ordered for |
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Who can stock an automated dispensing system? What type of supervision (general or direct) is required?
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-qualified personnel under at least general supervision
-unless ADS is in pharmacy, then supervision must be direct |
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How long must ADS restocking records be kept?
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5 years, including name of person restocking and pharmacist checking for accuracy
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T/F: automated dispensing systems must be able to account for returned items and wasted items
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true
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T/F: remote dispensing sites are registered as pharmacies
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false
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T/F: remote dispensing sites are registered as remote dispensing sites
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false, but most notify board 30 days before opening
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T/F: remote dispensing sites may display the title "Pharmacy"
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false
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Where can remote dispensing sites be located?
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-health care facilities
-clinics/office of a practitioner -county jail, rehab facility, state prison, county house of correction -juvenile correctional facility |
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What must be displayed at a remote dispensing site?
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Sign stating:
-prescriptions may be filled here -info for supervising phcy (name, address, telephone) -pharmacist is requried to talk to you each time you pick up meds |
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T/F: remote dispensing sites can operate if the supervising pharmacy is closed
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false
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T/F: remote dispensing sites can dispense drugs if the patient is unable to speak to a pharmacist due to technical difficulties
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false
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T/F: remote dispensing sites must have centrally monitored alarms
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true, personnel must record name, date, time, and purpose for entering after hours and maintain these records for 2 years
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T/F: remote dispensing sites must comply with all minimum activities for dispensing and labeling requirements
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true
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What address is written on the label of a prescription dispensed by a remote dispensing site?
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address for supervising pharmacy
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What are the requirements of the managing pharmacist for a remote dispensing site?
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-have written P&Ps
-quality assurance program to monitor # of Rxs/month, errors per month, diversion, remedial training of staff -visit the site at least monthly and conduct controlled substance inventories -retain documentation of visits for at least 2 years |
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What are the technician/intern requirements for remote dispensing sites?
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18 yo, high school graduate/GED, 1500 hrs work as a technician within previous 3 years or certified as a technician
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T/F: a central fill pharmacy and the originating pharmacy must be owned by the same person
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True, unless both pharmacies have a written contract outlining responsibilities of each
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If not defined by P&Ps, which pharmacy (central fill or originating) is responsible for compliance with compounding and dispensing requirements?
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originating pharmacy
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When is it acceptable/unacceptable for a central fill pharmacy to perform profile reviews/DURs/refill authorizations/interventions/drug interactions, etc?
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only acceptable when both pharmacies share a central processing unit
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What address is placed on the label of a prescription filled at a central pharmacy?
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originating pharmacy
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What date of dispensing is placed on the label of medication filled by a central fill pharmacy?
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date of fill at central pharmacy
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Which pharmacy (originating or central fill) maintains the original prescription?
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originating
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Which prescriptions do central fill pharmacies keep?
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records of refill and new rx requests made by originating pharmacy
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