ExCPT Study Guide questions and answers well illustrated.

ExCPT Study Guide questions and answers well illustrated. Pharmacy Technician Duties - correct answer. 1. Answer phone and handle questions that do not require a pharmacist's expertise or judgement 2. receive written prescriptions or telephoned refill requests 3. Gather information needed to prepare prescriptions 4. Record information needed before prescriptions can be dispensed 5. Enter data into the pharmacy's computer system 6. notify the pharmacist of patient or prescriber questions, as well as medication warnings or interactions 7. Help the pharmacist prepare prescriptions by counting, pouring, labeling, or pricing medications 8. Keep pharmacy supplies stocked 9. place completed prescriptions in the pick up area 10. order and stock medications 11. prepare insurance claims and verify payments 12. help patients find otc meds and stock otc department 13. complete purchase transactions and log them when necessary 14. perform housekeeping duties What a tech cannot do - correct answer. 1. receive oral prescriptions, refill authorizations, or changes to prescriptions 2. consult with prescribers about prescriptions 3. provide confidential patient information to other health professionals or insurance companies 4. checking medications before dispensing them. 5. consult with patients about medication use and other health issues 6. recommending otc medications intake area - correct answer. 1. where patients leave prescriptions. keep clean and uncluttered. Scan rx in a timely manner to prevent delays processing area - correct answer. data entry occurs here. Keep free from distraction. also houses counting equipment. processed rx area - correct answer. completed prescriptions are stored until pick up out window- - correct answer. where patients pick up completed prescriptions. cash register is used. nearby counseling area. other areas - correct answer. administration area, clean room for sterile compounding, otc area, and consultation room Pharmacy Security - correct answer. 1. pharmacy doors should always be closed. Unauthorized persons should not have access 2. Non pharmacy personnel should not be allowed to enter unless designated and approved to work in that area. 3. pharmacy should be locked any time a pharmacist is not on duty. Receiving Staff Responsible for- - correct answer. 1. verify name, address, DOB as well as quantity of orders received 2. shipments must be inspected for damage and observations noted 3. products requiring special care, such as temperature conditions should be given priority 4. shipments should be inspected to ensure they exactly match the details written on the purchase order. 5. invoice should be signed and dated by whoever receives the shipment 6. expiration dates must be checked to ensure that they are compliant with pharmacy standards. 7. Any product on back order should be brought to the pharmacist's or management's attention to prevent any possible outages Stocking Medications- Pay attention to - correct answer. 1. Expiration of new products 2. products inspected and anything unusual reported to pharmacist 3. report prescription patterns to members responsible for ordering/purchasing 4. stock should be examined for damaged or recalled products 5. as stock bottles are placed into inventory, label information should be noted. Identifying expired products- - correct answer. techs are responsible for checking dates prior to dispensing to determine whether the entire rx is likely to be used by the pt prior to expiration date. Controlled Substances Act- - correct answer. 1970. Regulates manufacture, importation, possession, use, and distribution of substances with abuse potential. Created five federal schedules of controlled substances. Scheduling determined by DEA. Techs responsible for knowing federal and state rules. Schedule 1 - correct answer. High potential for abuse no accepted medical use in US unsafe for use under medical supervision LSD and Heroin Schedule 2 - correct answer. Have current accepted medical use in US high potential for abuse or physical/psychological dependence morphine, methamphetamine, secobarbital Schedule 3 - correct answer. Have abuse potential less than C1-2 Moderate or low physical dependence May lead to high psychological dependence morphine/opium combo products, central nervous system stimulants and depressants Schedule 4 - correct answer. low potential for abuse limited risk for dependence compound/mixture containing limited amount of controlled substance with noncontrolled active ingredients (cough suppressants) difenoxin and dephenoxylate preparations Form 222 - correct answer. used when ordering controls pen and paper middle copy forwarded to DEA record quantity, date received How long must invoiced for controls be kept? - correct answer. 7 years How often must inventory of controls be taken? - correct answer. 2 weeks at a minimum How often must inventory of regular drugs be taken? - correct answer. monthly The records of which Schedule drugs must be kept separate? - correct answer. C2 How many times can c3-4 meds be refilled? - correct answer. Up to five times in 6 months if authorized How many times can a c2 be refilled - correct answer. it cannot be refilled if the entire quantity is not available, how long do you have to dispense the entirety of a c2 prescription? - correct answer. 72 hours, otherwise the rx is considered to be expired True/False, in an emergency, a c2 rx can be taken by phone - correct answer. True. Must say Emergency on rx. Must be followed by written rx. Prescriber has 7 days to follow with a written prescription. Some states require written rx within 24 hours. Information required in c2 books - correct answer. 1. dispensing date 2. name of product 3. quantity 4. name, signature, and address of purchaser 5. pharmacist signature Methamphetamine Precursor Control Act - correct answer. Customers required to show ID Must have: name, address, date/time, quantity Daily limit for Sudafed - correct answer. 3.6gm Monthly limit for Sudafed - correct answer. 9gm DEA numbers - correct answer. First letter will be A,B,M,F Second usually first letter of prescriber last name Four steps to Check DEA numbers - correct answer. add the first, third, and fifth digit add the second, fourth, and sixth digit and multiply by two add the result of the first two steps the last digit of the calculation should be the same as the seventh digit Generic Substitution - correct answer. substituting a lower cost generic when brand name is prescribed. Often mandated by third party. What determines whether or not you can substitute a generic for brand? - correct answer. Prescriber will either check "may substitute" or "DAW(dispense as written)" HIPAA - correct answer. Health Insurance Portability and Accountability Act 1996 Privacy is important OBRA 90 - correct answer. federal law requiring pharmacists to keep records of all medications used by medicaid patients. Pharmacists required to counsel all medicaid patients. Generally interpreted to include all patients. Consumer Product Safety Commission - correct answer. requires child-resistant packaging on any substance that might cause serious injury to children. Nitro is an exception FDA - correct answer. responsible for approval of drugs deemed safe and effective for human use. Testing phases are required State Boards of Pharmacy - correct answer. regulate safe practices and requiring registration for those practicing pharmacy. Determine scope of practice for techs Inspections to determine compliance. Standard Setting Organizations - correct answer. Joint Commission National Commission for Quality Assurance (NCQA) United States Pharmacopeia (USP) Manufacturer Drug Package Labeling must have - correct answer. 1. brand or trade name 2. generic name 3. medication's strength (amount of active ingred) 4. legend statement- (rx only) 5. storage requirements 6. package quantity 7. dosage form 8. Manufacturer's name 9. controlled substance mark 10. lot number 11. expiration date 12. NDC First five digits of NDC indicate - correct answer. Manufacturer Second four digits of NDC indicate - correct answer. name, strength, dosage form Last two digits of NDC indicate - correct answer. package size Common use of Analgesic - correct answer. treatment of mild to moderate pain Generic Analgesics - correct answer. acetaminophen acetylsalicylic acid acetaminophen/hydrocodone combo acetaminophen/oxycodone combo Brand Name Analgesics - correct answer. Tylenol Aspirin Vicodin Percocet Common use of Antibiotics - correct answer. treatment of bacterial infections Generic Antibiotics - correct answer. amoxicillin azithromycin