Dispensing to Ambulatory Patients in Pharmacy Practice
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Questions and Answers

What is meant by ambulatory patients?

  • Patients who are treated at home
  • Patients who are mentally unstable
  • Patients who are not occupying beds at a hospital (correct)
  • Patients who require hospitalization

    • Where do ambulatory patients typically receive care?

  • Physician’s office, clinics, and health centers (correct)
  • Surgical units
  • Hospital wards
  • Emergency rooms

    • What is the primary focus of emergency care?

  • Chronic disease management
  • Health education and promotion
  • Disease prevention
  • Acute symptoms requiring immediate attention (correct)

    • What is the main characteristic of tertiary care?

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

    What type of care is focused on providing health education and promotion?

    <p>Primary care</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 focus of ambulatory care?

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

    What is the primary goal of ambulatory care?

    <p>To provide routine medical care</p> Signup and view all the answers

    What is the role of a pharmacist in ambulatory care?

    <p>To monitor safety and efficacy of drug therapy</p> Signup and view all the answers

    What is meant by referral or tertiary care?

    <p>Specialized care provided by a specialist</p> Signup and view all the answers

    What type of care is focused on providing immediate medical attention?

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

    What is the purpose of the ASHP statement in ambulatory care?

    <p>To provide a definition of ambulatory care</p> Signup and view all the answers

    What is an important activity in ambulatory care pharmaceutical services?

    <p>Providing drug information</p> Signup and view all the answers

    What is a requirement for ambulatory care pharmaceutical services?

    <p>A qualified pharmacist</p> Signup and view all the answers

    What is a minimum standard for ambulatory care?

    <p>All medicines dispensed to patients are correctly labelled</p> Signup and view all the answers

    What is the purpose of a residency program in ambulatory care?

    <p>To provide training in clinical pharmacy services</p> Signup and view all the answers

    What is an important aspect of a ambulatory care service program?

    <p>All of the above</p> Signup and view all the answers

    How is a prescription typically dispensed in ambulatory care?

    <p>The patient takes a written prescription to the pharmacist</p> Signup and view all the answers

    What is one of the responsibilities of a pharmacist in ambulatory care?

    <p>Giving instructions to the patient about dispensed medicine</p> Signup and view all the answers

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

    <p>Vary according to federal laws and must include certain information</p> Signup and view all the answers

    What should be reviewed by a pharmacist before being dispensed?

    <p>Medication orders</p> Signup and view all the answers

    What information should be included in a medication order?

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

    Who should be communicated to in case of discrepancies in medication orders?

    <p>The patient, caregiver, and other involved healthcare providers</p> Signup and view all the answers

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

    <p>To provide a service to the patient population</p> Signup and view all the answers

    What is included in the labeling of medicine in ambulatory care?

    <p>Name, address, and telephone number of the pharmacy, date of dispensing, and directions to the patient</p> Signup and view all the answers

    What is the role of a pharmacist in ensuring the patient gets the right medication?

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

    What should be included in a medication order to ensure legality and clinical appropriateness?

    <p>All the necessary information to ensure legality and clinical appropriateness</p> Signup and view all the answers

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

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

    What is considered when evaluating untreated conditions and over/under-dosing?

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

    What type of interactions are assessed during drug therapy?

    <p>Drug-drug, drug-food, and drug-disease interactions</p> Signup and view all the answers

    Who establishes the criteria for a home medicines review?

    <p>Relevant authorities</p> Signup and view all the answers

    What is one 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 another criterion for a patient to have a home medicines review?

    <p>Significant changes made to medication regimen in the last 3 months</p> Signup and view all the answers

    What is a consideration for a home medicines review?

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

    What is a possible reason for a home medicines review?

    <p>Symptoms suggestive of an adverse reaction</p> Signup and view all the answers

    What is a challenge that may trigger a home medicines review?

    <p>Difficulty managing own medicines</p> Signup and view all the answers

    What is another term for vaccination services?

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

    Who is responsible for verifying the vaccination order?

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

    Why is a pharmacist involved in vaccination services?

    <p>To monitor vaccine safety and patient populations at risk</p> Signup and view all the answers

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

    <p>To identify potential risks and side effects</p> Signup and view all the answers

    How are emergency medications typically stored and dispensed?

    <p>In pre-packaged medication bins with 24-hour supply</p> Signup and view all the answers

    What type of medications are typically kept in areas of ready access?

    <p>Life-saving medications</p> Signup and view all the answers

    What is the primary focus of ambulatory care?

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

    What is included in the dispensing routine of ambulatory care?

    <p>Prescription handling and verification</p> Signup and view all the answers

    What is the goal of pharmaceutical services in ambulatory care?

    <p>To ensure patient safety and medications safety</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

    Assess your knowledge of ambulatory care pharmaceutical services, including dispensing processes and minimum standards. This quiz covers pharmacy practice and residency training in ambulatory care settings.

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