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Medication order entry & Fill process

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Presentation on theme: "Medication order entry & Fill process"— Presentation transcript:

1 Medication order entry & Fill process
PTCE Practice Questions

2 Question 1 Anyone who has worked in a pharmacy for a minimum of 1 year may receive a telephone prescription from a physician. True False

3 Question 1 Anyone who has worked in a pharmacy for a minimum of 1 year may receive a telephone prescription from a physician. True False State laws vary in their requirements for telephone prescriptions. In many states, only the pharmacist is able to take verbal orders over the phone (IL law says a pharmacist must take the rx)

4 Question 2 Which of the following pieces of information should be on a prescription in an outpatient pharmacy and is also required on a medication order for a hospitalized patient? Patient’s address Prescriber’s address and telephone number Refill information Patient’s name

5 Question 2 Which of the following pieces of information should be on a prescription in an outpatient pharmacy and is also required on a medication order for a hospitalized patient? Patient’s address Prescriber’s address and telephone number Refill information Patient’s name

6 Question 3 What does “dispense as written” on a prescription mean?
The brand name product ordered by the prescriber must be used to fill the prescription. Generic substitution is prohibited, but an alternative brand name product may be used if the ordered one isn’t available Generic substitution may occur, but only if the patient insists on it The brand name drug can be substituted with a generic, if available

7 Question 3 What does “dispense as written” on a prescription mean?
The brand name product ordered by the prescriber must be used to fill the prescription. Generic substitution is prohibited, but an alternative brand name product may be used if the ordered one isn’t available Generic substitution may occur, but only if the patient insists on it The brand name drug can be substituted with a generic, if available

8 Question 4 Considerations in determining an inpatient or outpatient order’s priority include all of the following except The type of medication prescribed and what it is used to treat. The type of patient identification used. The patient’s or caregiver’s expectation for the time of delivery Specific instructions from the prescriber as to the delivery time.

9 Question 4 Considerations in determining an inpatient or outpatient order’s priority include all of the following except The type of medication prescribed and what it is used to treat. The type of patient identification used. The patient’s or caregiver’s expectation for the time of delivery Specific instructions from the prescriber as to the delivery time.

10 Question 5 A thorough review of a well-kept patient profile in an outpatient pharmacy will generally allow the technician to identify all of the following except Existing orders for the same medication Allergies that may indicate that the medication should not be used. A disability, such as blindness, that requires special attention. How the patient will pay for the amount the insurance company does not pay (i.e. the copay)

11 Question 5 A thorough review of a well-kept patient profile in an outpatient pharmacy will generally allow the technician to identify all of the following except Existing orders for the same medication Allergies that may indicate that the medication should not be used. A disability, such as blindness, that requires special attention. How the patient will pay for the amount the insurance company does not pay (i.e. the copay)

12 Question 6 Common screening options during a pharmacy or nursing operated computerized order entry process in a hospital include all of the following except Therapeutic duplication Price range checking Allergy screening Dose range checking Drug interactions with existing orders

13 Question 6 Common screening options during a pharmacy or nursing operated computerized order entry process in a hospital include all of the following except Therapeutic duplication Price range checking Allergy screening Dose range checking Drug interactions with exisiting orders

14 Question 7 Which of the following statements about prescription labeling is false? Some prescriptions require labeling beyond what will fit on the label itself Auxiliary labels are often used to clarify or elaborate on directions for us If the patient is in a hurry, it is acceptable to dispense the prescription without an affixed label as long as you talk to the patient about how to use the medication and he or she understands Most states have specific requirements about what information must be included in prescription labeling.

15 Question 7 Which of the following statements about prescription labeling is false? Some prescriptions require labeling beyond what will fit on the label itself Auxiliary labels are often used to clarify or elaborate on directions for us If the patient is in a hurry, it is acceptable to dispense the prescription without an affixed label as long as you talk to the patient about how to use the medication and he or she understands Most states have specific requirements about what information must be included in prescription labeling.

16 Question 8 Which of the following best incorporates all recommended components of label directions for outpatient use? Take one tablet by mouth three times daily Take one tablet three times daily Take one tablet by mouth three times daily for 10 days Take one tablet by mouth three times daily for 10 days as needed for pain Six pieces of information recommended for inclusion in outpatient labeling: 1)Administration directions 2)Number and type (dosage form) of units constituting one dose 3)The route of administration 4) Frequency of administration 5) Duration of therapy 6) The indication or purpose

17 Question 8 Which of the following best incorporates all recommended components of label directions for outpatient use? Take one tablet by moth three times daily Take one tablet three times daily Take one tablet by mouth three times daily for 10 days Take one tablet by mouth three times daily for 10 days as needed for pain? Six pieces of information recommended for inclusion in outpatient labeling: 1)Administration directions 2)Number and type (dosage form) of units constituting one dose 3)The route of administration 4) Frequency of administration 5) Duration of therapy 6) The indication or purpose

18 Question 9 Pharmacy computer database systems can assist with maintenance of which of the following? Inventory Controlled substances documentation Drug Pricing All of the above

19 Question 9 Pharmacy computer database systems can assist with maintenance of which of the following? Inventory Controlled substances documentation Drug Pricing All of the above

20 Question 10 Which of the following can help predict a patient’s potential drug allergies? Date of birth Previous allergic reaction Previous adverse drug reactions Psychosocial history

21 Question 10 Which of the following can help predict a patient’s potential drug allergies? Date of birth Previous allergic reaction Previous adverse drug reactions Psychosocial history

22 Question 11 Which of the following is an example of a patient limitation that may necessitate special prescription packaging or labeling? Previous adverse drug reactions Previous allergic reactions Visual impairment History of drug abuse

23 Question 11 Which of the following is an example of a patient limitation that may necessitate special prescription packaging or labeling? Previous adverse drug reactions Previous allergic reactions Visual impairment History of drug abuse

24 Question 12 How often should a patient’s profile be updated?
Each time that a patient’s information (i.e. address, medication list, etc.) changes Never Every year Every 10 years

25 Question 12 How often should a patient’s profile be updated?
Each time that a patient’s information (i.e. address, medication list, etc.) changes Never Every year Every 10 years

26 Question 13 Medication orders are intended for patients in which of the following settings? Inpatient Outpatient Ambulatory Healthy

27 Question 13 Medication orders are intended for patients in which of the following settings? Inpatient Outpatient Ambulatory Healthy

28 Question 14 Medications that require administration in individual doses need what type of packaging? Bulk medication packaging Multi-dose packaging Unit-dose packaging In-stock medication packaging

29 Question 14 Medications that require administration in individual doses need what type of packaging? Bulk medication packaging Multi-dose packaging Unit-dose packaging In-stock medication packaging

30 Question 15 Additional information about medication storage, administration, or cautions can be applied to the prescription bottle as: Patient package insert Self-care labels Drug info labels Auxiliary labels

31 Question 15 Additional information about medication storage, administration, or cautions can be applied to the prescription bottle as: Patient package insert Self-care labels Drug info labels Auxiliary labels

32 Question 16 A prescription th at is sent to, or received from, another pharmacy to be dispensed is called a/an: Refill Order Transfer Electronic Request

33 Question 16 A prescription that is sent to, or received from, another pharmacy to be dispensed is called a/an: Refill Order Transfer Electronic Request

34 Question 17 Which of the following automated computer warnings alerts the pharmacist or technician to a potential problem with a prescription? FDA alerts DUR alerts PPI alerts Medication Guide

35 Question 17 Which of the following automated computer warnings alerts the pharmacist or technician to a potential problem with a prescription? FDA alerts DUR alerts PPI alerts Medication Guide


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