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Excpt 1
Role/Responsibility/General Duties of the Pharmacy Technician
| Pharmacy Technicians can... | Answer questions about prices & refills a prescription has left & can triage phone calls to the pharmacist |
| Pharmacy Technicians can ... | process electronic prescriptions (In some states, written, telephone, or verbal prescriptions) |
| Pharmacy Technicians can... | submit refill requests to providers offices through healthcare interface network/by fax/or by phone |
| Pharmacy Technician can... | prepare prescriptions by counting + labeling, they can also compound sterile & non-sterile products (eyedrops, antibiotics, chemotherapy & total parenteral nutrition) |
| Inventory and Supplies/ Pharm Techs... | keep pharmacies adequately stocked, can order medication + stock shelves when they arrive from suppliers |
| Inventory & supplies/ Pharm Techs... | check expiration date, add/delete inventory based on pharmacy needs, they can remove recalled/discontinued/expired, and overstocked products from inventory |
| Inventory & Suppliers/Pharm Techs... | prepare insurance claims for online adjunction |
| Pharmacists Duties | Receive oral prescriptions from prescribers/prescribers authorized designees (telephone prescriptions/refill authorizations) |
| Pharmacists Duties | Can consult with prescribers/prescriber's designee about patient's prescriptions and /or recommend changes |
| Pharmacists Duties | Perform MTM (Medication Therapy Management) |
| Pharmacists Duties | Recommend OTC medications |
| Store Controlled substances in one of two ways: | Locked in a secure cabinet or spread among other medications on the shelf |
| Pharmacies must conduct regular audits & reconciliations of ____________ ___________ inventory to detect discrepancies | Controlled Substances |
| Medication Reconciliation, Pharm Techs work primarily in ________ ________ _________ & _______ ________ to interview patients about their medications | Hospital Emergency Department, Surgical Centers |
| Pharm Techs performing Medication Reconciliation: | Document patients list of prescription medications, OTC medications, herbal supplements on a form /in an electronic health record for the pharmacists/provider to view |
| Pharm Techs when listing for Medication Reconciliation should... | be specific & contain medication, dose, frequency & route of administration |
| MTM | Medication Therapy Management: allows pharmacists to recommend changes to patient's medication therapy and /or educate patients on their medication |
| MTM: Pharmacists can... | recommend most cost-effective options, identify drug interactions, side effects, adverse effects, and suggest lifestyle changes |
| MTM: Pharm Techs... | Techs can help patients who would benefit from MTM/ After MTM meeting with pharmacists, the Technician follows up with patients |
| Adherence: | Patients takes medications exactly as prescribed & then has follow up appointments |
| Adherence/Compliance Aids & Devices include: | Automatic Refill/ Weekly Medication Containers/Lock Boxes: secure storage solutions to prevent unauthorized access to prescription drugs |
| Adherence/Compliance Aids & Devices help to... | not miss doses of medication + to make it easier for patients |
| ROP | Reorder points: a set minimum stock level at which a medication should be reordered |
| Ordering (Pharmacy Inventory) | Techs perform regular visual inspection of fast movers & emergency medication shelves to assess stock levels |
| ROQ | Reorder quantities identify how much of the medication should be ordered |
| Backorders/Discontinued Items (Pharmacy Inventory) | Techs should notify the pharmacist and try to source the item from alternative suppliers |
| Receiving (Pharmacy Inventory) | Pharm Techs are charged with verifying the suppliers name & address as well as the quantity of the order received, the info should match the purchase order |
| Stocking Inventory | Pharm Techs must check the expiration date of new products against those already in stock |
| FIFO | First in, First out: method to prioritize dispensing items with earlier expiration dates (First product received into stock is the first product used/sold) |
| Monitor Expiration Dates | Most pharmacies have a policy to pull medications that expire in 3 months or less as medication can become toxic/lose its effectiveness after reaching expiration |
| Wholesale acquisition cost: | Represents the manufacturers list price for a drug before any discounts/rebates are applied |
| Average Wholesale Price: | Average price at which wholesales sell drugs to pharmacies (Average wholesale price is often higher than the actual price paid due to discounts & rebates) |
| Acquisition Cost: | Reflects the price paid by the pharmacy after factoring in discounts/rebates from wholesaler's supplies |
| Medication Recall/ Class 1: | A medication product is being recalled because there is a strong chance of serious adverse effects/death |
| Medication Recall/ Class 2: | A medication is being recalled because there is a temporary chance of adverse effects or little chance of serious adverse effects |
| Medication Recall/ Class 3: | A medication is being recalled because of a problem that is not likely to cause adverse effects |
| USP | United States of Pharmacopeia: an independent, scientific, nonprofit organization that focuses on building trust in the supply of safe, quality medicines |
| USP <795> | Nonsterile compounding guidelines for preparing non-sterile preparations, covering ingredient quality, proper documentation, and facility requirements |
| USP <797> | Sterile compounding mandatory standards to prevent microbial contamination, requiring specific clean room environments, specialized training & rigorous quality assurance |
| USP <800> | Hazardous drugs: standards for protecting personnel/environments during, storage, compounding, dispensing, and disposal of hazardous drugs. |
| Hazardous Substance Disposal/ P-Listed medications: | Acutely hazardous medications, empty containers of these medications are considered hazardous |
| Hazardous Substance Disposal/ D-Listed medications: | Toxic, ignitable, corrosive, or reactive, they have potential to get into drinking water, toxic medications contain mercury/heavy metals, all aerosols are included in the ignitable category |
| Hazardous Substance Disposal/ U-Listed medications: | Many chemotherapy drugs are toxic |
| Patient Responsibility in Disposing Meds | Solid medications can be crushed & mixed with liquids/water in a disposable zipper bag, Patients can add cat litter/coffee grounds to the mixture to deter humans/animals from consuming, patient then can throw away in regular trash |
| Community Pharmacy (Retail): | Most common setting, includes chains, groceries, and independent pharmacies |
| Hospitals/Institutionalized Pharmacy: | Involves inpatient care, sterile compounding & close collaboration with medical teams, often using automated dispensing cabinets |
| Clinical Pharmacy: | These pharmacist work in hospital wards, outpatient clinics, and physician offices |
| Specialty Pharmacy: | Focuses on high-cost, high-touch medications for chronic/complex conditions |
| LTC (Long Term Care) Pharmacy: | Pharmacists manage medication regimen for residents in nursing homes/assisted living facilities |
| Mail Order & Specialty Pharmacy: | High-volume dispensing facilities that deliver prescriptions directly to patients |
| SDS | Safety Data Sheets |
| MSDS | Material Safety Data Sheets |
| SDS/MSDS | A standardized document that contains crucial occupational safety & health information (mandated by the International Hazard Communication Standard or HCS) |
| SDS/MSDS covers... | Essential details such as chemical properties, potential health and environmental hazards, recommended potential measures and safety precautions for proper storage, handling, and transportation of chemicals |
| PAR | Periodic Automatic Replenishment |
| PAR: | The minimum amount of inventory that must be on hand at any given time to avoid stockouts |
| Fast movers require constant ______ monitoring | stock |
| "Orange Book" | Approved Drug Products with Therapeutic Equivalence Evaluations |
| "Orange Book" : | Book that identifies drug products approved on the basis of safety & effectiveness |
| "Orange Book"/ A- Code: | Products considered therapeutically equivalent |
| "Orange Book"/ B- Code: | Products not considered therapeutically equivalent due to the bioequivalence issues or other factors |
| Drug Facts & Companies: | A comprehensive, trusted drug information resource for healthcare professionals, covering 22,000 Rx & 6,000 OTC items. Data includes indications, contraindications, warning, precautions, adverse reactions & dosage forms |