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Chapters 16, 17, 18
Questions and Definitions
| Question | Answer |
|---|---|
| Community, or _____, pharmacy practice is the practice of providing _____ _____ to the public. | 1. retail 2. prescription services |
| Almost ____-___ of all prescription drugs in the United States are dispensed by ____ _____. | 1. two-thirds 2. community pharmacies |
| One of the key characteristics of community pharmacy is the _____ interaction with patients. | 1. close |
| _____ ______ is a major area of importance in the community pharmacy. Technicians employed there must have strong ____ _____. | 1. Customer service 2. interpersonal skills |
| What are the four types of community pharmacies? | 1. Independent Pharmacies 2. Chain Pharmacies 3. Mass Merchandiser Pharmacies 4. Food Store Pharmacies |
| What are interpersonal skills? | skills involving relationships between people |
| Rapidly growing aspects of community pharmacies ____ ____ management (DSM) programs, ____ _____ ______ (MTM) services, and other clinical services and programs. | 1. disease state 2. Medication Therapy Management |
| DSM programs provide one-on-one ______-_______ consultation sessions to help manage _______ diseases or conditions such as _______. | 1. pharmacist-patient 2. chronic 3. diabetes |
| MTM includes five core elements: ___ ____ ___ (MTR), ____ ____ record (PMR), _____-_____ action plan (MAP), intervention and/or _____, and documentation and _____. | 1. medication therapy review 2. personal medication 3. medication-related 4. referral 5. follow-up |
| Good customer service requires presenting yourself to customers in a ____, _______, and professional manner. | 1. calm 2. courteous |
| What are some ways to protect patients' privacy? | 1. Never discuss patients outside of pharmacy. 2. Shred documents, papers, labels with patient info. 3. Speak to patients or about patients to other authorized health-care professionals in private areas. |
| You should only discuss patients with any individual when...? | That patient has provided written authorization to do so. |
| What is the Medicare Prescription Drug Improvement and Modernization Act? | federal legislation that created Medicare Part D and made allowance for Medicare recipients to receive Medicare medical coverage through private health insurance plans. |
| What is the Red Flag Rule? | a set of provisions created by the Federal Trade Commission (FTC) to help prevent identity theft from patient billing accounts maintained by medical and financial institutions. |
| A major pharmacy technician responsibility is to process ____ and ______ prescriptions. | 1. new 2. refill |
| Most medications will be dispensed with a _____ _______ (MedGuide) that provides info to help the patient take their medication ______ and derive ______ benefit from it. | Medication Guide 2. safely 2. maximum |
| What is a patient package insert (PPI)? | informational sheet provided by the product manufacturer detailing special information about how to correctly and safely use the product. |
| Pharmacy technicians are responsible for _____ stock as needed, _____ stock, keeping the pharmacy stock organized and up to date, and knowing whom to go to to _____ stock problems. | 1. reordering 2. receiving 3. resolve |
| The pharmacy technician is also generally responsible for keeping the ______ clean, ______, and in _____ working order. | 1. pharmacy 2. neat 3. proper |
| What is a markup? | the difference between the retailer's purchase price and their sale price. |
| What are shelf stickers? | stickers with bar codes that can be scanned for inventory identifications. |
| What is a unit price? | the price of a unit of medication, such as one ounce of a liquid cold remedy. |
| Pharmacy technicians in the ____ work under the supervision of a pharmacist or _____ technician. | 1. hospital 2. supervising |
| Pharmacy technicians play a vital role in the ____, ____, and ____ of medications to patients. | 1. preparation 2. storage 3. delivery |
| What is Central Supply? | an area of the hospital that may carry supplies not provided by the pharmacy (e.g. lotion, mouthwash, pill cutters). |
| In hospitals that have _____ pharmacies, the main inpatient pharmacy is called the _____ pharmacy. | 1. satellite 2. central |
| What is an Institutional Review Board (IRB)? | a committee that assures hospital research complies with federal, hospital and ethical standards. |
| What is an outpatient pharmacy? | a pharmacy attached to a hospital that services patients who have left the hospital or who are visiting doctors in a hospital outpatient clinic. |
| What is a central pharmacy? | the main in-patient pharmacy in a hospital that has pharmacy satellites. It is the place where most of the hospital's medications are prepared and stored. |
| What is inpatient pharmacy? | a pharmacy located in a hospital that services only those patients in the hospital and its ancillary areas. |
| What is a pharmacy satellite? | a branch of the inpatient pharmacy responsible for preparing, dispensing, and monitoring medication for specific patient areas. |
| What is a unit inspection? | a review of a nursing unit to ensure compliance with hospital medication policies. |
| What are some pharmacy satellites? | 1. Pediatric satellite 2. Operating room (OR) satellite 3. Oncology satellite |
| What is a closed formulary? | a type of formulary that requires physicians to order only those medications on the formulary list. |
| What is a formulary? | a list of drugs stocked at the hospital that have been selected based on therapeutic factors as well as cost. |
| What is a non-formulary? | drugs not on the formulary list and not regularly stocked in the pharmacy. |
| The pharmacy technician is often responsible for _____ and _____ phone calls. | 1. answering 2. directing |
| Computerized order entry systems allow _____ _____ to be put directly into the computer and _____ to the pharmacy. | 1. medication orders 2. transmitted |
| What is a pneumatic tube? | a system that shuttles objects through a tube using compressed air as the force; commonly used in hospitals for delivery of medication. |
| _____ _______ or health records are detailed ______ accounts of a patient's medical history and care. | 1. Medical records 2. chronological |
| What are admission orders? | the initial medications ordered when a patient is admitted to the hospital. |
| What is a CPOE? | a system in which the physician or agent of the physician enters orders directly into the hospital computer system. |
| What is a medication administration record (MAR)? | a form that tracks the medications administered to a patient. |
| What is a PRN order? | an order for medication to be administered only on an as needed basis (e.g. 1 tablet every 4 to 6 hours as needed for pain) |
| What is a standing order? | a standard medication order for patients to receive medication at scheduled intervals (e.g. 1 tablet every 8 hours) |
| The pharmacy inventory is usually ordered through a ______ program that communicated with the ______/wholesaler. | 1. computer 2. distributor |
| Controlled substances require an exact record of the ______ and ______ of every item, and must be ordered in a particular way according to ____ and _____ laws. | 1. amount 2. location 3. state 4. federal |
| If narcotic medication is damaged for any reason, a ______ with another pharmacist or ____ _____ must sign a form to witness the disposal. | 1. pharmacist 2. pharmacy technician |
| What is a drug recall? | the voluntary or involuntary removal of a drug product by the manufacturer. |
| What is an emergency drug procurement? | to quickly obtain a medication not currently in stock in the pharmacy in situations where the drug is urgently needed. |
| What is a floor stock? | supplies, over-the-counter medications, and IV fluids available for immediate use on a nursing unit or ancillary area; these items are not labeled for individual patients. |
| What is a par? | the amount of drug product that should be kept on the pharmacy shelf. |
| What is IVPB (intravenous piggyback)? | a small volume parenteral that will be added into or "piggy-backed" into a large volume parenteral (LVP). |
| What is a short stability? | medication that will expire soon after preparation (i.e. within 1-6 hours after preparation). |
| What is a hand hygiene? | a broad term that pertains to proper handwashing or use of antiseptic hand gel/rub. |
| What is an Infection Control Committee? | a hospital committee in charge of the surveillance, prevention and control of infection within the hospital. |
| What are standard precautions? | an infection control practice where healthcare providers avoid direct contact with blood, mucous membranes, body fluids, and non-intact skin by use of barriers such as gloves, goggles, gowns, face shields. |
| What is an adverse drug event? | injury or harm due to medication use that may be preventable in some cases but may be unpredictable and unavoidable in other cases. |
| What is a medication error? | any error occurring during the medication-use process. |
| What are the first four regulatory agencies? (T....C...D....B) | 1. (TJC) The Joint Commission 2. (CMS) Centers for Medicare and Medicaid 3. (DPH) Department of Public Health 4. (BOP) State Board of Pharmacy |
| What are the last three regulatory agencies? (U....D...O) | 1. (USP) United States Pharmacopeia 2. (DEA) Drug Enforcement Administration 3. (OSHA) Occupational Safety and Health Administration |
| What is a code cart? | a locked cart of medications and other medical equipment designed for emergency use only. |
| Chain community pharmacies are the _____ segment of the retail pharmacy market, but ____ _____ pharmacy is the fastest growing. | 1. largest 2. mail order |
| What is an acute condition? | a sudden condition requiring immediate treatment. |
| What is a chronic condition? | a continuing condition that requires ongoing treatment for a prolonged period. |
| What is a maintenance medication? | a medication that is required on a continuing basis for the treatment of a chronic condition. |
| What is a consultant pharmacist? | develops and maintains an individual pharmaceutical plan for each long-term care patient. |
| What is a distributive pharmacist? | makes sure long-term care patients receive the correct medications ordered. |
| Home care provides care in a patient's ____ that might otherwise be provided in an _____ setting or physician's office. | 1. home 2. institutional |
| The fastest growing area of home health care is _____ ______. | home infusion |
| What are the primary providers? | 1. Home Care Agencies 2. Home Infusion Pharmacies 3. Hospitals |
| What are the primary home infusion therapies? | 1. Antibiotic Therapy 2. Parenteral Nutrition 3. Chemotherapy |
| What are home care agencies? | home nursing care businesses that provide a range of health-care services, including infusion. |
| Nuclear pharmacies are specially licensed and _____ pharmacies that prepare ______ materials called radiopharmaceuticals that are used for _____ as well as treatment of diseases. | 1. regulated 2. radioactive 3. diagnosis |
| Nuclear pharmacies are usually located for easy access to _____ and _____ where most of the diagnostic testing takes place. | 1. hospitals 2. clinics |
| Chapter <800> will be implemented ____ ___, 2018, that complements chapters <___> and <____> and provides standards for handling hazardous materials. | 1. July 1st 2. <795> 3. <797> |
| Pharmacists and pharmacy technicians who work with __________ are required to wear _____ to monitor radiation exposure. | 1. radiopharmaceuticals 2. badges |
| What are the regulation and oversight of compounding pharmacies? | 1. State boards of pharmacy 2. FDA 3. DEA 4. USP <795>, <797>, and <800> 5. Pharmacy Compounding Accreditation Board (PCAB) |