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Questions and Answers
What can lead to increased chances of selecting the wrong product during the prescription filling process?
What can lead to increased chances of selecting the wrong product during the prescription filling process?
Which factor does NOT contribute to the risk of medication errors?
Which factor does NOT contribute to the risk of medication errors?
What is a potential consequence of a medication error?
What is a potential consequence of a medication error?
What is crucial for minimizing risks related to medication errors?
What is crucial for minimizing risks related to medication errors?
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Which form of patient interaction can significantly reduce medication errors?
Which form of patient interaction can significantly reduce medication errors?
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What aspect should personnel focus on to prevent errors effectively?
What aspect should personnel focus on to prevent errors effectively?
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Which of the following is an incorrect practice that can lead to medication errors?
Which of the following is an incorrect practice that can lead to medication errors?
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What is the maximum supply duration for CII medications?
What is the maximum supply duration for CII medications?
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Which characteristic is NOT true about CI medications?
Which characteristic is NOT true about CI medications?
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What is the maximum supply period for CIII-IV medications?
What is the maximum supply period for CIII-IV medications?
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In what situation is an oral order for CII medications permitted?
In what situation is an oral order for CII medications permitted?
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What must a prescribing practitioner provide after an emergency oral order for CII medications?
What must a prescribing practitioner provide after an emergency oral order for CII medications?
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How long may CV medications be written for in many states?
How long may CV medications be written for in many states?
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What is the purpose of the National Provider Identifier (NPI)?
What is the purpose of the National Provider Identifier (NPI)?
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What does CPOE stand for?
What does CPOE stand for?
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Which entity acts as an intermediary between pharmacies and insurance plans?
Which entity acts as an intermediary between pharmacies and insurance plans?
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What is required when the written prescription for a CII medication is not received?
What is required when the written prescription for a CII medication is not received?
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What does the term 'SIG' signify in a prescription?
What does the term 'SIG' signify in a prescription?
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Which of the following is NOT a common cause of delays in processing a prescription?
Which of the following is NOT a common cause of delays in processing a prescription?
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What is a significant issue that can arise from handwritten prescriptions?
What is a significant issue that can arise from handwritten prescriptions?
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Which abbreviation is recognized as a potential source of medication errors when written by hand?
Which abbreviation is recognized as a potential source of medication errors when written by hand?
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What is the primary responsibility of the pharmacist during the verification process?
What is the primary responsibility of the pharmacist during the verification process?
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Which of the following is NOT a part of the minimum 7-step check during pharmacist verification?
Which of the following is NOT a part of the minimum 7-step check during pharmacist verification?
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Which factor is crucial for ensuring correct data entry in the transcription process?
Which factor is crucial for ensuring correct data entry in the transcription process?
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What is the most critical piece of information to verify a patient's identity during medication pick-up?
What is the most critical piece of information to verify a patient's identity during medication pick-up?
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Which of the following best describes an issue related to look-alike or sound-alike drug names?
Which of the following best describes an issue related to look-alike or sound-alike drug names?
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What can happen if discrepancies are found during the verification process?
What can happen if discrepancies are found during the verification process?
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What is a primary concern when using vague directions such as 'as directed'?
What is a primary concern when using vague directions such as 'as directed'?
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Which type of medication error is most commonly associated with the use of abbreviations such as 'ml', 'cc', or 'tsp'?
Which type of medication error is most commonly associated with the use of abbreviations such as 'ml', 'cc', or 'tsp'?
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Which of the following is required during the medication pick-up process?
Which of the following is required during the medication pick-up process?
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Which of the following is a common issue that may arise during the medication check process?
Which of the following is a common issue that may arise during the medication check process?
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What does a DUR message typically pertain to?
What does a DUR message typically pertain to?
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What is a required component of counseling during medication pick-up?
What is a required component of counseling during medication pick-up?
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Which of the following statements about controlled substances is accurate?
Which of the following statements about controlled substances is accurate?
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What role does bar code scanning play in the dispensing process?
What role does bar code scanning play in the dispensing process?
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Which method of prescription pick-up is typically permitted?
Which method of prescription pick-up is typically permitted?
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What is the purpose of the first 5 digits in a drug's NDC number?
What is the purpose of the first 5 digits in a drug's NDC number?
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Which of the following is NOT part of the filling process for a prescription?
Which of the following is NOT part of the filling process for a prescription?
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What does the fill process generate that is crucial for dispensing medication?
What does the fill process generate that is crucial for dispensing medication?
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Which information is typically included on a prescription label?
Which information is typically included on a prescription label?
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What is a key requirement for the packaging of medications?
What is a key requirement for the packaging of medications?
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What is the role of the pharmacist after the prescription filling process is complete?
What is the role of the pharmacist after the prescription filling process is complete?
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Which of the following is part of the labeling requirements for medications?
Which of the following is part of the labeling requirements for medications?
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What is the function of the bar code in the prescription filling process?
What is the function of the bar code in the prescription filling process?
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Study Notes
Prescription Filling Overview
- The prescription filling process involves several steps, from initial prescription writing to final dispensing and verification.
- Prescriptions can be written in various ways (paper, phone call, electronic).
- Prescriptions must include critical information like prescriber details, patient info, medication details and directions.
- Data entry into pharmacy systems is essential to process the order.
- Pharmacy staff enter information entered from the prescription to create an order for filling, which includes data points like prescriber's details, patient's details, medication details and dosage.
Prescription Components
- A prescription is a formal communication from a healthcare provider to a pharmacist authorizing dispensing medication.
- Prescriptions must contain specific patient and drug-related information like the patient's name, date of birth, the name of drug and dosage, dosage form, frequency of dose, refills (if applicable).
- Controlled substance prescriptions require a DEA number.
- Prescriber's signature (either physical or electronic) is also necessary.
Prescription Delivery Methods
- Prescriptions can be delivered in different ways to a pharmacy.
- These methods include written prescriptions, telephone prescriptions, e-prescriptions, and faxed prescriptions.
Prescription Processing
- Once a prescription arrives to the pharmacy, the data is transcribed into the dispensing system.
- Pharmacists enter details into the system.
Prescriber and Patient Information
- During data entry, prescriber details are critically important and include name, address, contact information, DEA number and NPI.
- Similarly, patient information includes name, date of birth, address, contact details, allergies, current medications, and preferences (e.g., safety lids).
- Insurance details are also used during data entry to process payments.
Prescription Label Information
- Pharmacy name, address, and phone number,
- Prescription number,
- Date of filling,
- Prescriber name,
- Patient name,
- Medication name (drug name), strength, dosage form, quantity dispensed,
- Directions for use,
- Remaining refills,
- Any warning labels
Medication Errors
- Errors during prescribing can lead to serious consequences including mild side effects, disability, hospitalization, life-threatening situations, and even death.
- Various types of medication errors can occur, including the use of abbreviations, non-standard abbreviations, sound-alike and look-alike drug names, dose, quantity, notation errors, generic vs brand name errors, liquid volumes, formulation and concentration mix-ups, and other data issues.
Minimizing Errors and Preventing Issues
- Focus on the quality of information over quantity
- Pay close attention to detail
- Call prescribers if any questions arise or clarity is needed
- Follow the proper workflow prescribed.
- Always verify relevant information to guarantee accuracy.
- Accurate patient demographics and adherence to guidelines help.
Drug Utilization Review (DUR)
- A DUR is a review of the prescribing/dispensing of a medication.
- The process ensures patient safety by looking for potential interactions between the prescribed medication and other medications the patient may be taking.
Common DUR Issues
- Therapeutic Duplication,
- Drug-Drug Interactions,
- High dosage Alert,
- Allergy Alert,
- Age-drug Alert
Prescription Pick Up
- Pick up involves patient verification, payments, counseling, and filing of dispensed prescriptions.
Prescription Processing Calculations
- Calculations to confirm various aspects of prescriptions may need to be done like split or dosing, and other calculations might be required in practice.
Prescription Overview, Definitions, Terms, and Abbreviations
- CPOE: computerized prescriber order entry
- NPI: National Provider Identifier
- PBM: pharmacy benefits manager
- SIG: Signatura (instructions for medication use)
- Route and other abbreviations are important to note for clarity during data entry.
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Description
Test your knowledge on the prescription filling process, including the critical components and steps involved from writing to dispensing. This quiz covers essential information required on a prescription and the data entry necessary for pharmacy operations.
