Pharm: CH.8 - Community Pharmacy Practice

What might a pharmacist provide patients during consultation?

1. the name & description of the medication

2. the dosage form, dosage, route of administration, & duration of drug therapy

3. special directions & precautions for preparation, administration, & use by the patient

Who performs the final check?

a pharmacist

What are auxiliary labels?

provides the patient with additional information about taking the medication, may indicate when it is best to take a medication

What auxiliary label would you put on a suspension?

“Shake Well Before Use”

Types of information you need for a new patient

personal information (date of birth, name, address, phone number), insurance details, medical history, current medications, allergics, health concerns

Superscription

the part of the prescription, represented by the Latin symbol Rx meaning “take thou” or “you take”; the symbol has come to represent prescription or pharmacy

Inscription

the name, dosage form, strength & quantity of the medication prescribed

Subscription

the part of the prescription that provides specific instructions to the pharmacist on how to compound the prescription

Signatura

the directions on a prescription that explains how the patient is to take the prescribed medication; a latin expression meaning to “write on label”

DAW codes?

a numerical set of codes, created by National Council for Prescription Drug Programs (NCPDP) that is used when filling prescriptions; they can affect reimbursement amounts from insurance companies

Drops instilled per day

Days supply = (20 gtts/mL x Number of mL) ÷

Number of drops instilled per day

Inhalations breathed each day

Days supply = Number of inhalation per container ÷

Number of inhalations breathed each day

What is a BIN #?

bank identification number, which is a field in the telecommunication standard this is used for the routing & identification of pharmacy claims, the NCPDP assigns a six-digit to process a prescription claim

What is the minimum # of years a controlled substances invoices must be kept

must be kept for a minimum of 2 years

Non-verbal communication barriers

lack of eye contact, poor posture, slouching

5 mL

1 teaspoon (tsp)

15 mL

1 tablespoon (tbsp)

30 mL

1 fluid ounce (fl oz)

240 mL

1 cup

480 mL

1 print (pt)

960 mL

1 quart (qt)

3840 mL

1 gallon (gal)

What is best practice in counting medications on a tray?

counting by 5

What is DUE?

drug utilization evaluation, examines all the patients medication records before dispensing is conducted, reviews can be drug allergy problems, drug overutilization, incorrect dosages, drug-drug interaction, therapeutic duplication

What piece of equipment is required in a pharmacy per BOP

regulations determine the physical standards for all pharmacies, include the minimum amount of space, ventilated, proper storage, maintain a current dispensing information reference source that is consistent with the practice of the pharmacy, sink with running hot & cold water

BUD (beyond-use date)

is assigned by the pharmacy to replace the drug manufacturer's expiration date, found on bottles of custom compounded or mixed medication prepared by a pharmacy

Expiration Date

found on mass-produced, commercially, available medication bottles or blister packs

What info must a legal prescription label have?

patients full name, drug name/strength, explicit directions of use, the purpose of medication, filling date, pharmacy/prescriber information, with original prescription & the manufactures label

What type of water to use when reconstituting a medication?

distilled water

Providing services before, during, & after purchase is called?

customer service

2 principal purpose of communication between health professionals & patients

establish trust & build a therapeutic alliance understand goals of therapy

When dealing with mental health patients, what type of open ended questions should be asked?

patients should be asked on focusing on exploring emotions, behaviors, personal strength rather than yes/no