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16 Cards in this Set
- Front
- Back
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What is the minimum retrievable information required by state law for a medication profile record system?
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1) Patient name or other identifier
2) Address of the patient 3) Birth date of the patient if obtainable 4) Name of the drug product dispensed 5) Strength of the drug product dispensed 6) Dosage form of the drug product dispensed 7) Quantity of the drug product dispensed 8) Directions for use 9) Retrieval designation assigned to Rx order 10) Date of all instances of dispensing (new/refills) 11) Practitioner identification |
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What must the pharmacist review in the record system before deciding whether or not to dispense the medication?
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They must review the pt record for previous med history
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What is the minimum length of time medication profile records must be kept if they are the only source of documentation?
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5 years from the date of last entry
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What is the minimum length of time medication profile records must be kept if they are NOT the only source of documentation?
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1 year from the date of last entry
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What are the requirements for use of a computer system for prescription records?
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1) Must be capable of producing a printout of prescription data and said printout can be received within 48 hours of the request
2) An auxiliary procedure exists in case the system is unavailable that allows past history to be accessed |
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How long must a record of all prescriptions be maintained?
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A period of five years after the date of the last refill
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What is required by a record system to track prescription dispensing per state law?
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1) Patient's identification
2) Name, strength and dose form of the product 3) Quantity dispensed 4) Date of all instances of dispensing 5) Practitioner's identification 6) Pharmacist's identification 7) Retrieval designation |
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True or False
Offering to counsel to a patient is acceptable per Wisconsin law |
False - The only exception to this is when a prescription is delivered to a patient
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Aside from the normal information gathered like name, drug, prescriber, etc, what else is a pharmacist responsible for attempting to gather?
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- Allergies
- Adverse Drug Reactions - Drug idiosyncrasies - Chronic Conditions |
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What are MedGuides?
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Federally required information packets to prevent serious adverse events. Must be given to a patient each time a prescription is filled whether it is new or a refill
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What is ORBA 90?
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Legislation passed in 1990 that changed the practice of pharmacy. Created Drug Utilization Review (DUR), rebates and the requiring of patient consultations
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What is the significance of the rebate provision of OBRA-90?
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This gives Medicaid programs the ability to provide drugs at the best price possible.
For example: Best price = $20 per 100 capsules Avg Price = $30 per 100 capsules Rebate Given = $10 per 100 capsules |
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What are the three parts of a DUR?
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- Retrospective Review
- Educational Programs - Prospective Review |
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What is a retrospective review?
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The DUR board recognizes an ideal drug therapy and analyzes data to determine of the actual med usage conforms to the ideal.
This is to identify areas for improvement and to help design educational programs |
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What is a prospective review?
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Consists of:
1) A screen of prescriptions before dispensing 2) Patient counseling 3) Pharmacist documentation of relevant information The goal is to resolve active problems by reviewing all aspects of a patient's file |
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What are the OBRA-90 standard requirements for counseling?
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1) Name and description of medication
2) Doseage, form, route of administration, and duration of therapy 3) Special directions/precautions 4) Common severe side effects, adverse effects, etc 5) Techniques for self-monitoring 6) Proper storage 7) Prescription refill information 8) Action to be taken in the event of missed dose |
