T3: Final Old Stuff

Question 1

What is the goal of transcribing?

Answer 1

Transform the prescription into a dispensed medication with correct instructions that can safely be interpreted by patients/caregivers

Question 2

What is the MS regulation for transferring meds?

Answer 2

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

Question 3

What is pharmacy informatics?

Answer 3

The use and integration of data, info, knowledge, technology, and automation in the medication use process for the purpose of improving health outcomes

Question 4

What are the characteristics of a closed-loop med system?

Answer 4

1. Involves feeding the outcomes for med management process back into current system
2. Enables the development and implementation of improved practices and effective monitoring of patient care throughout the entire healthcare system
3. Automation of med use processes
4. Involves seamless transitions between each step of the process
5. Prevents med errors
6. Helps healthcare providers to make appropriate patient care decisions through the entire process

Question 5

What is assess?

Answer 5

1. Identify and prioritize problems

Question 6

What is plan?

Answer 6

patient-centered, individualized, collaborative

Question 7

What is implement?

Answer 7

put the plan into action, collaborate with patient and healthcare professionals

Question 8

What is follow-up?

Answer 8

How are thing, is it effective, what changes need to be made

Question 9

Develop an individualized patient-centered care plan using SMART goals

Answer 9

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?

Question 10

Utilize appropriate PPCP documentation

Answer 10

1. Each med condition has a care plan
2. Each plan should be documented separately

Question 11

What is medication use process?

Answer 11

multistep process in which drug travels from the pharmacy to patient

Question 12

What are the steps of medication use process?

Answer 12

1. Prescribing
2. Transcribing/Documentation
3. Dispensing
4. Adminsitering
5. Monitoring

Question 13

What is prescribing?

Answer 13

1. Evaluate the patient
2. Establish need for meds
3. Select right med
4. Determine interactions and allergies
5. Precibe med

Question 14

What is Transcribing/Documentation?

Answer 14

1. Transcribe
2. Transmit to pharmacy

Question 15

What is dispensing?

Answer 15

1. Review order
2. Confirm transcription
3. Contact prescribe for discrepancied
4. Prepar medicine
5. Distribute medicine

Question 16

What is administering?

Answer 16

1. Review order
2. Review warnings
3. Evaulate patient
4. Confirm transcription

Question 17

What is monitoring?

Answer 17

1. Assess patinet
2. Report and document results

Question 18

What is the purpose of medication use process?

Answer 18

1. Provide safe and effective medication management
2. You are responsible for patient safety
3. Safeguard for you and patient

Question 19

Explain the steps in the dispensing process

Answer 19

1. Drop off
2. Order entry
3. DUR
4. Filling
5. Final verification
6. Patient counceling

Question 20

What is drop off?

Answer 20

1. Recive prescription
2. Obtain any necessary info
3. Provide an estimated ready time

Question 21

What is order entry?

Answer 21

1. Scan hard copy Rx and file original
2. Type Rx info into system

Question 22

What is DUR?

Answer 22

Review Rx accuracy, appropriateness, and DRPs

Question 23

What is filling?

Answer 23

1. Counting out all the needed tablets and label bottle
2. Pick up the appropriate medicationa and scan the bottle and label

Question 24

What is final verification?

Answer 24

Verify all aspects of the Rx are accurate

Question 25

What is patient counceling?

Answer 25

Make sure you are giving the right prescription to right patient, IHS open ended questions

Question 26

Character of drop off?

Answer 26

1. Practice ethically and legally 2. Ensure all required parts of a prescription are present

Question 27

Chemistry of drop off?

Answer 27

1. Build rapport by excellent customer service 2. Let the patient know what to expect

Question 28

Competence of drop off?

Answer 28

1. Verify and update all pertinent patient information. 2. Ensure that the medication is in stock.

Question 29

Character of order entry?

Answer 29

Be thorough

Question 30

Chemistry of order entry?

Answer 30

1. Proactive in contacting prescriber 2. Let patient know of delays

Question 31

Competence of order entry?

Answer 31

Check for appropriateness, double check work

Question 32

Character of DUR?

Answer 32

Be ceratin before moving fast

Question 33

Chemistry of DUR?

Answer 33

Respectfully communicate DRPs

Question 34

Competence of DUR?

Answer 34

1. Consult drug resources 2. Consider all aspects of appropriateness

Question 35

Character of filling?

Answer 35

1. Follow procedures 2. Don’t cut corners to save time

Question 36

Chemistry of filling?

Answer 36

Build rapport with techs and prais work

Question 37

Competence of filling?

Answer 37

Always scan, dowuble check work, avoid overrides

Question 38

Character of final verification?

Answer 38

Send back errors to be corrects

Question 39

Chemistry of final verification?

Answer 39

1. communicate errors with kindness 2. Use as training opportunities

Question 40

Competence of final verification?

Answer 40

always open every bottle, eliminate distractions

Question 41

Character of patient counseling

Answer 41

correct errors, educate patient with humility

Question 42

Chemistry of patient counseling

Answer 42

communicate genuine care and concern for the patient

Question 43

Competence of patient counseling

Answer 43

verify patient and med info, ask open ended questions

Question 44

Identify the goal of medication reconciliation

Answer 44

Avoid medication erros such as omissions, duplications, dosing errors, or drug interactions

Question 45

Explain the 5 steps of medication reconciliation

Answer 45

1. Preparation: review patient records and develop interview questions 2. Verification: conduct med history 3. Reconcilliation: Compare med lists and make clinical decisions 4. Documentation: Document changes and update med recs 5. Communication: Communicate changes/discrepancies and new med list to patient and appropriate caregivers

Question 46

What is preparation in med rec?

Answer 46

1. Review chart thoroughly 2. Are allergies listed (Always ask if they have allergies) 3. Decide what questions you want to ask

Question 47

What is verification in med rec?

Answer 47

1. Verify ID 2. HIPAA compliance 3. Open ended questions 4. OTCs? 5. Adherence? 6. Confirm patient’s current pharamacy

Question 48

What is reconciliation in med rec?

Answer 48

1. Compare med lists and check for: - Omissions - Commissions - Dosing errors - Discontinued meds - DDI - Drug disease interactions - Duplications 2. Use clinical judgement to assess: - Appropriateness - Safety - Effectiveness - Adherence

Question 49

What is documentation in med rec?

Answer 49

1. Update med list in chart 2. Document any recent or recommend changes in the chart

Question 50

What is communication in med rec?

Answer 50

1. Communicate discrepancies 2. Communicate any med changes 3. Provide the patient and team with updated list

Question 51

Describe when medication reconciliation is most beneficial

Answer 51

1. Admission: 24-48 hours of admission 2. Internal tranfer points: tranfers within facility, most difficult places to implement 3. Discharge: communicate med changes - Transitions of care: any change in setting, service, practitioner, or level of care

Question 52

What is the role of Pharm tech?

Answer 52

1. Support pharmacist with order fulfillment 2. Manage all tasks not requiring a pharmacist’s direct participation or judgment 3. Free time for the pharmacist to preform professional responsibilities 4. Certification and CE may be required

Question 53

What is the role of pharm clerk?

Answer 53

1. Conduct sales transactions 2. Resonds to quesitons about general merchandise 3. Dircet customers to the correct department 4. May assist with accepting new prescriptions, triaging customer inquireies, and helping to answer general questions