Dispensing to Ambulatory Patients in Pharmacy Practice
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Questions and Answers

What is the primary focus of ambulatory care services?

  • Long-term care and daily personal health needs
  • Complex procedures and interventions
  • Supplementation of in-patient teaching programs
  • Basic health evaluation and prevention (correct)

    • According to the ASHP statement, what is the primary goal of ambulatory care pharmaceutical services?

  • Developing and maintaining comprehensive pharmaceutical services
  • Supervision of storage and preparation of medication
  • Provision of health care services and education to patients who do not require admission (correct)
  • Providing education to patients requiring admission

    • What is the responsibility of a pharmacist in ambulatory care services?

  • Verifying appropriateness of therapy and preventing duplication of drug therapies
  • Participating in drug utilization reviews and clinical drug investigations
  • Providing drug information and assisting prescribers in proper selection of drug therapies
  • All of the above (correct)

    • What is a requirement for ambulatory care services?

    <p>Must be directed by a qualified pharmacist</p> Signup and view all the answers

    What is the primary goal of a residency program in ambulatory care services?

    <p>Provision of training in providing clinical pharmacy services to ambulatory care patients</p> Signup and view all the answers

    What is a requirement for a medical record in ambulatory care services?

    <p>Must be accessible on real-time</p> Signup and view all the answers

    What is the primary goal of drug information resources in ambulatory care services?

    <p>Providing centralized medical literature</p> Signup and view all the answers

    What is the primary goal of a preceptor in ambulatory care services?

    <p>Providing training in providing clinical pharmacy services</p> Signup and view all the answers

    What is the primary goal of dispensing routine in ambulatory care services?

    <p>Depends on the location and kind of hospital</p> Signup and view all the answers

    What is the primary responsibility of a pharmacist in ambulatory care?

    <p>Guaranteeing that the patient gets the right medication</p> Signup and view all the answers

    What is the minimum standard for labeling of medicine in ambulatory care?

    <p>Presence of name, address, and telephone number of the pharmacy, date of dispensing, and serial number of the prescription</p> Signup and view all the answers

    Who reviews medication orders for legality and clinical appropriateness in ambulatory care?

    <p>Pharmacist</p> Signup and view all the answers

    What information is required on a medication order in ambulatory care?

    <p>Patient name and address, medication name, dose, frequency, route, and quantity or duration</p> Signup and view all the answers

    What happens if there are discrepancies in medication orders in ambulatory care?

    <p>The discrepancy is resolved and the information is communicated to the patient and healthcare providers</p> Signup and view all the answers

    What is the purpose of home care prescriptions in ambulatory care?

    <p>To dispense and refill medication as a service to home care patients</p> Signup and view all the answers

    What is the primary goal of a pharmacist in ambulatory care?

    <p>To ensure patient safety</p> Signup and view all the answers

    What is included in the labeling requirement for medicine in ambulatory care?

    <p>Name, address, and telephone number of the pharmacy, date of dispensing, and serial number of the prescription</p> Signup and view all the answers

    What is the role of the pharmacist in dispensing medication in ambulatory care?

    <p>To guarantee the patient gets the right medication and provide instructions</p> Signup and view all the answers

    What is assessed during each dispensing of a new or refilled prescription?

    <p>Allergies, adherence, duplicate therapy, untreated conditions, and over/under-dosing</p> Signup and view all the answers

    What is considered when evaluating over/under-dosing?

    <p>Renal and hepatic function</p> Signup and view all the answers

    What is the primary goal of a home medicines review?

    <p>To optimize medication use and minimize potential risks</p> Signup and view all the answers

    Which of the following is a criterion for a patient to have a home medicines review?

    <p>Currently taking 5 or more medications or 12 doses or more in a day</p> Signup and view all the answers

    What is an example of a medication that may require monitoring?

    <p>Medications with a narrow therapeutic index</p> Signup and view all the answers

    Which of the following is a reason for a patient to have a home medicines review?

    <p>The patient is experiencing a sub-therapeutic response to treatment</p> Signup and view all the answers

    What is a potential indicator of a need for a home medicines review?

    <p>The patient is attending several different doctors</p> Signup and view all the answers

    Which of the following is NOT a criterion for a patient to have a home medicines review?

    <p>Having a medication regimen that is unchanged for the past year</p> Signup and view all the answers

    What is the purpose of establishing criteria for a home medicines review?

    <p>To identify patients who are at risk of medication-related problems</p> Signup and view all the answers

    What is the primary reason why pharmacists are responsible for verifying vaccination orders?

    <p>To understand the epidemiology of vaccine-preventable diseases</p> Signup and view all the answers

    What is the purpose of screening for contraindications and precautions of vaccination in each patient?

    <p>To assess the patient's risk of experiencing an adverse reaction</p> Signup and view all the answers

    What is the term for the concept of pre-packaged medication bins in emergency patient dispensing?

    <p>Unit dose dispensing</p> Signup and view all the answers

    What is the primary goal of public health goals for immunization?

    <p>To reduce the risk of vaccine-preventable diseases</p> Signup and view all the answers

    What is the purpose of maintaining a 24-hour supply of medication in emergency patient dispensing?

    <p>To provide immediate access to life-saving medications</p> Signup and view all the answers

    What is the term for the type of patient care that involves dispensing medication to emergency patients?

    <p>Ambulatory care</p> Signup and view all the answers

    What is the primary responsibility of a pharmacist in vaccination services?

    <p>To verify the vaccination order</p> Signup and view all the answers

    What is the term for the concept of ensuring vaccine safety through risk-benefit analysis?

    <p>Risk-benefit analysis</p> Signup and view all the answers

    What is the primary goal of pharmaceutical service in ambulatory care?

    <p>To support the overall health and well-being of patients</p> Signup and view all the answers

    What is the primary classification of ambulatory patients?

    <p>Emergency, primary, and tertiary care</p> Signup and view all the answers

    What is the main characteristic of ambulatory patients?

    <p>Not occupying beds at a hospital</p> Signup and view all the answers

    What type of care is usually provided to inpatients?

    <p>Tertiary care</p> Signup and view all the answers

    What is the primary goal of emergency care?

    <p>To provide immediate medical attention</p> Signup and view all the answers

    What are the settings where ambulatory patients are typically found?

    <p>Hospitals, clinics, and health centers</p> Signup and view all the answers

    What is the primary focus of tertiary care?

    <p>Specialized consultative health care</p> Signup and view all the answers

    What is the main difference between ambulatory and inpatient care?

    <p>Location of care</p> Signup and view all the answers

    What is the primary characteristic of emergency care?

    <p>Acute symptoms of sufficient severity</p> Signup and view all the answers

    What type of care is provided to patients with chronic conditions?

    <p>Primary care</p> Signup and view all the answers

    Study Notes

    Ambulatory Care Definition

    • Ambulatory patients refer to patients not occupying beds at a hospital, including those in physician's offices, clinics, and health centers.
    • Ambulatory care can be classified into three types: emergency care, referral or tertiary care, and primary care.

    Emergency Care

    • Emergency care is provided after the sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity.
    • The absence of immediate medical attention could result in serious health jeopardy, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.

    Tertiary Care

    • Tertiary care is specialized consultative health care, usually given to inpatients, and includes complex procedures and interventions.
    • May be long-term care, and basic evaluation is done in primary care.

    Primary Care

    • Primary care is the majority care, providing daily personal health needs, including prevention, health, and initial care.
    • Basic health evaluation, general discomfort, early complaints, symptoms, and issues are addressed in primary care.

    Ambulatory Care Growth Attributes

    • Ambulatory care growth is attributed to the supplementation of in-patient teaching programs, demands of population growth and increase in access to healthcare services, community health program participation, and focus on primary care.

    Ambulatory Care Pharmaceutical Services

    • Pharmaceutical services in ambulatory care encompass the provision of health care services and education to patients who seek medical attention but do not require admission.
    • Patient-oriented pharmaceutical services are deemed required, and directors are responsible for developing and maintaining comprehensive pharmaceutical services.
    • Activities include obtaining and documenting patient medication histories, monitoring safety and efficacy of drug therapy, providing drug information, assisting prescribers in proper selection and adjustment of drug therapies, and detecting and reporting adverse drug reactions, interactions, and non-compliant behavior of patients.

    Minimum Standards for Ambulatory Care

    • Pharmaceutical services in ambulatory care must be directed by a qualified pharmacist.
    • The appropriateness of therapy should be verified by a pharmacist.
    • Prevention of duplication of drug therapies and contraindications is ensured.
    • All medicines dispensed to patients are correctly and completely labeled and in accordance with all applicable regulations and standards of practice.
    • Upon receipt, it is the responsibility of the pharmacist to ensure patient or caretaker's understanding related to the use of medicine.

    Residency Training in Ambulatory Care

    • Residency programs are post-graduate programs of training that provide clinical pharmacy services to ambulatory care patients.
    • Training sites should include institutional ambulatory care settings, satellite clinics, and have minimum standards of ASHP.

    Dispensing Routine in Ambulatory Care

    • Dispensing routine in ambulatory care is similar to both discharge and community care.
    • Patients take written prescriptions by the physician, which are given to the pharmacist, where they are dispensed.
    • The pharmacist guarantees that the patient gets the right medication, provides instructions, and labels the medicine.
    • Maintenance of payments by the pharmacist and finally, payment by the patient.

    Labeling Requirements

    • Labeling requirements vary according to federal laws and include minimum standards such as name, address, and telephone number of the pharmacy, date of dispensing, serial number of the prescription, patient's full name, name, strength, and dosage form of the medication, directions to the patient for use of the medication, authorized refills, name of the prescriber, precautionary information, and initials (or name) of the responsible pharmacist.

    Medication Orders

    • All medication orders shall be reviewed for legality and clinical appropriateness by a pharmacist before being dispensed.
    • Medication orders shall contain at a minimum the patient's name and address, medication name, dose, frequency, route, and quantity or duration, prescriber's name, address, and telephone number, and DEA number for controlled substances.

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    Dispensing to Ambulatory Patients PDF

    Description

    This quiz covers the definition and types of ambulatory care, pharmaceutical services, minimum standards, residency training, and the process of dispensing in ambulatory care settings.

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