Pharmacy Technician Certification

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360 Terms

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DEA form 106

report of theft or loss of controlled substances

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DEA form 41

request permission to destroy exp C-2

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DEA form 224

Apply for a DEA registration number (to disp control)

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DEA form 222

Order form for CI and CII substances. Must be kept for 2 years.

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Medicare part A

hospital insurance

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Medicare part B

-physicians services

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-diabetic services

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-specialty meds

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-medical equipment

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Medicare part C

provides supplemental coverage allow patients to participate in HMO/PPO for extra cost

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Medicate part D

Prescription drug coverage (insulin, vaccines..)

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DAW 0

no product selection indicated, generic ok, pt ok

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DAW 1

substitution not allowed by prescriber, fill exactly as written

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DAW 2

substitution ok, but pt request that brand be disp'd

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DAW 3

substitution ok, but pharmacy fills brand even though generic is available

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DAW 4

Substitution allowed - generic drug not in stock

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DAW 5

substitution allowed but pharmacy uses the brand

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DAW 6

override

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DAW 7

substitution not ok, brand mandated by state

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DAW 8

substitution ok, brand disp'd because generic is not manufactured

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DAW 9

other

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Drug Utilization Review (DUR)

(pharmacist's job) reviewing the patient's profile with medication to ensure safety

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How many hours of CE are technicians required to complete? How often?

20 hours every 2 years

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Adjudication

submitting 3rd party insurance claim for payment

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How are legend and controlled prescriptions filed?

legend are filed together, c-ii are filed separately, and c-iii to c-iv are filed together

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ad

right ear

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as

left ear

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au

both ears

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bu

buccal

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im

intramuscular

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it

intrathecal (into the spine)

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od

right eye

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os

left eye

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ou

both eyes

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po

by mouth

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pr

rectal

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pv

vaginally

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sub q

subcutaneous

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sl

sublingual (under the tongue)

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ac

before meals

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bid

twice daily

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hs

at bedtime

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pc

after meals

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prn

as needed

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qh

every hours

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qid

four times daily

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tid

three times daily

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aaa

apply to affected area

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gtts

drops

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ha

headache

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qs

quantity sufficient

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ung

ointment

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Patience Adherence

pt taking meds exactly as directed and going to all doctor appointments and labs

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Why do hospital pharmacies only give a 24 hour supply?

reduces stealing, any qty after 24 hours would clutter the upper floor, its best to wait for pt's tests and results to come in

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the basic layout of the pharmacy

intake area, processing area, processed rxs area, out window

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first in first out

method for stocking medications, earlier exp date goes in the front

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common refrigerator vaccines

hepatitis B vaccine (all age groups)

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influenza vaccine (6 months/older)

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DTAP vaccine, tetinus, pertussis (11-18 y/o)

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common freezer vaccines

measles, mumps, rubella, varicella (MMRV)

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zoster

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USP 800

handling hazardous drugs

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Who releases medication recalls?

the FDA

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Class 1 medication recall

serious adverse effects or death, customer level

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Class 2 medication recall

temporary adverse effect or a small chance of an adverse effect

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Class 3 medication recall

problem not likely to cause adverse effects

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Department of transportation (DOT)

regulates how medication waste should be shipped

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P-listed

acutely hazardous waste (epinephrine, nicotine, warfarin)

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D-listed

toxic, ignitable, corrosive (benzoyl alcohol, albuterol inhaler)

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U-listed

toxic (chemotherapy)

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What is on a patient profile

(basic demographic info) name, address, DOB, phone#, email

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types of drug interactions

drug-drug

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drug-age

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drug-health condition

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NKDA

no known drug allergies to all drugs

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NKA

no known allergies to anything

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Trissel's Handbook on Injectable Drugs

Provides information on the stability and compatibility of injectable drugs

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post

after, behind

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peri

around, surrounding

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how to dispose of antibiotics

mixed with coffee grounds or soaked in water

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how to dispose of warfarin

hazardous, so meant to be placed in a specific bin for professional disposal

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how to dispose of chemotherapy

yellow sharps container

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how to dispose of fentanyl patches

flush down toilet

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USP

United States Pharmacopeia: info about product, med quality standards, and info about legend + OTC

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Pink book

provides info about vaccines and diseases

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The Merck Index

lists chemical attributes of chemicals, meds, and biologicals

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barbiturates

central nervous center depressant, used to treat seizures and anxiety

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medicaid

health care coverage for low income children, adults, elderly, and people with disabilities

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National Formulary (NF)

list of officially recognized names of drugs that have an established usefulness

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how often is the national formulary updated

every 5 years

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PDR (Physician's Desk Reference)

The most widely used refernces for drugs in current use.

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Who act created the FDA

Pure Food and Drug Act of 1906

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Pure Food and Drug Act of 1906

prevented the adulteration and mislabeling of foods and pharmaceuticals

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The Joint Commission

Independent non-profit organization, sets healthcare quality standards and protects patients and visitors, conducts inspections of healthcare facilities.

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tort

act that causes harm/injury to a person intentionally or negligently

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Harrison Narcotic Act of 1914

curb the recreational use of opium, established that opiums cannot be purchased without an rxs

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Federal Food, Drug, and Cosmetic Act of 1938

created because the pure food and drug act was not worded strictly enough, emphasized adulteration and misbranding

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Durham-Humphrey Amendment of 1951

required all rx drugs to be labeled "caution: federal law prohibits dispensing without an prescription", created the distinction between legend and OTC

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Kefauver-Harris Amendment of 1962

ensured that drugs be proven safe and effective, gave FDA authority to approve manufacturers marketing

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Controlled Substances Act of 1970

enforced by the DEA, created the drug classes I-V