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The Pharmacy Technician Workbook & Certification Review Ch5
Terms in this set (126)
A written, verbal, or electronic order from a practitioner for the preparation and administration of a medicine or a device.
prescription
It is necessary to check with the pharmacist on potential forgeries, on prescriptions that are more than a few days old, or on prescriptions that in any way appear questionable.
prescription verification
A prescription is interpreted and confirmed by the prescription system. If third party billing is involved, this is done online simultaneously.
online billing
Once the prescription and third-party billing is confirmed, the label and receipt are printed and the prescription is prepared.
preparation
The general purpose of the prescription is to provide information to the patient regarding the dispensed medication and how to take it. Additionally, the label includes information about the pharmacy, the patient, the prescriber, and the prescription or transaction number assigned to the prescription. Computer-generated prescription labels must be placed on containers so they are easy to locate and easy to read.
label
The definition for use on a prescription that should be printed on the label.
signa/sig
If a prescription has been prepared by a technician, there is a final check by the pharmacist to make sure that it is correct.
pharmacist check
Technicians must request the advice of the pharmacist whenever judgment is required.
judgment questions
The additional warning labels that are placed on filled prescription containers.
auxiliary labels
Schedules II, III, and IV substances must carry an auxiliary label stating: "Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed."
controlled substance labels
There are different requirements for institutional prescriptions since nursing staff generally administer medications to patients. Rules for institutional pharmacy prescription labels vary by institution but often do not contain much more than the name, strength, manufacturer, expiration date, and dosage form of the medication.
institutional settings
The form used to prescribe medications for patients in institutional settings.
medication orders
A federal law that protects patient privacy and regulates the sharing of protected health information.
Health Insurance Portability and Accountability Act (HIPAA)
a.d.
right ear
a.s., a.l.
left ear
a.u.
each ear
i.m., IM
intramuscular
inj.
injection
i.v., IV
intravenous
i.v.p., IVP
intravenous piggyback
IVPB
intravenous piggyback
o.d.
right eye
o.s., o.l.
left eye
o.u.
each eye
per neb
by nebulizer
p.o.
by mouth
p.r.
rectally, into the rectum
p.v.
vaginally, into the vagina
SC, subc, subq
subcutaneously
S.L.
sublingually, under the tongue
top.
topically, locally
aq, aqua
water
caps
capsules
cm
cream
elix.
elixir
liq.
liquid
supp.
suppository
SR, XR, XL
slow/extended release
syr.
syrup
tab.
tablet
ung., oint.
ointment
a.c.
before food, before meals
a.m.
morning
b.i.d., bid
twice a day
h
hour, at the hour of
h.s.
at bedtime
p.c.
after food, after meals
p.m.
afternoon or evening
p.r.n., prn
as needed
q.i.d., qid
four times a day
q
each, every
q.d.
every day
q_h
every hour
qod
every other day
stat.
immediately
t.i.d., tid
three times a day
a.a. or aa
of each
ad
to, up to
aq.ad
add water up to
dil.
dilute
div.
divide
f, fl.
fluid
fl.oz.
fluid ounce
g., G., gm.
gram
gtt.
drop
l, L
liter
mcg.
microgram
mEq.
milliequivalent
mg.
milligram
ml., mL
milliliter
q.s.
quantity sufficient
q.s. a.d.
add sufficient quantity to make
ss
one-half
tbsp.
tablespoon
tsp.
teaspoon
c
with
disp.
dispense
f, ft.
make, let it be made
NR
no refill
s
without
ut dict., u.d.
as directed
sig.
write, label
per g button
per gastric button
per ngt
per nasogastric tube
D5W
dextrose 5% in water
NS
normal saline
q6h
every 6 hours
Abbreviation for the Latin word "recipe"
Rx
Dispense As Written, meaning generic substitution not allowed.
DAW
Protected health information defined under HIPAA.
PHI
Often do not contain much more than the name, strength, manufacturer, expiration date, and dosage form of the medication.
institution labels
Drug utilization review.
DUR
Prescriber's unique national identification number.
NPI
Required on all controlled prescriptions.
DEA number
The pharmaceutical preparation of a medication from ingredients.
extemporaneous compounding
Drug names that have similar appearance, particularly when written.
look-alikes
True of false: In addition to the primary prescribers, nurse practitioners and physician assistants are allowed to write prescriptions in some states.
true
True of false: Prescriptions may be handwritten or electronically produced.
true
True of false: The signa indicates the medication and its strength.
false- the signa indicates the directions for the prescription
True of false: If DAW is indicated, generic substitution may not be used.
true
True of false: A prescription has no time limit.
false-expiration dates for prescriptions are set by the state board of pharmacy most non-controlled exp 1 year later, with controlled substances exp 2-6 months later.
True of false: Counseling patients on the use of OTC medications should be done by the pharmacist.
true
True of false: One of the primary purposes of the prescription label is to provide the patient with clear instructions on how to take the medication.
true
True of false: Institutional labels must have the same information as in the community setting.
false-name, strength, manufacturer, exp date, and dosage are often all that are on institutional labels
True of false: The prescription label may have either the date dispensed or the expiration date but does not need both.
false-both expiration and dispensing dates must be on the label
True of false: A DEA number is required on all prescription.
false-DEA numbers are required on controlled substance prescriptions only
Why must the pharmacist always check the filled prescription before it is dispensed to the patient?
To make sure the prescription is as prescribed and to evaluate any clinical issues.
Why must the directions be clear and understandable to the patient in the community setting?
Because patients must be able to self-administer the prescriptions according to the prescriber's directions.
What are the differences between the prescription and the medication order? Why?
Medication orders don't require as in depth information as a prescription. This is because medication orders are administered by a nurse, physician or physician's assistant whereas prescriptions are administered by the patient.
Why must prescriptions be written in ink?
To prevent forgeries or changes to the prescription by the patient. Also to prevent smudges that make the prescription unclear to the pharmacist/technician.
Why are auxiliary labels important?
They provide additional information to the patient (i.e. shake well, keep refrigerated, take with food or milk).
A prescription was written for Zocor and Simvastatin was dispensed in accordance with insurance plan guidelines. This is an example of
a. D.A.W.
b. look-alike.
c. generic substitution.
d. prior authorization.
c. generic substitution.
In community pharmacies _____ generally receive the prescription and collect
patient data and enter this information into the computer.
a. pharmacists
b. pharmacy technicians
b. pharmacy technicians
In institutional settings, _____ generally administer medications to patients.
a. nursing staff
b. pharmacy staff
a. nursing staff
When a prescription is written for a medication that is not
commercially available, the medication can be prepared by mixing the ingredients required and this is called
a. alligation.
b. extemporaneous compounding.
c. trituration.
d. admixture.
b. extemporaneous compounding.
If a new prescription has been prepared by a pharmacy technician, the final check is done by
a. lead pharmacy technician.
b. pharmacist.
c. patient.
d. physician.
b. pharmacist.
Prescriptions are written in
a. ink.
b. either ink or pencil.
c. pencil.
a. ink.
The DEA number is required on prescriptions for
a. legend drugs.
b. medical devices.
c. controlled substances.
d. OTCs.
c. controlled substances.
The
name of the drug, its strength, and quantity make up the
a. insigna.
b. signa.
c. inscription.
d. DAW indicator.
c. inscription.
PSC stands for
a. prescription safety code.
b. prescription signa code.
c. product select code.
d. profile safety code.
c. product select code.
The route of administration
should be indicated on the prescription if it is different from
a. injectable.
b. rectal.
c. oral.
d. topical.
c. oral.
When the Sig contains t.i.d., the medication should be take _____ times a day.
a. one
b. two
c. three
d. four
c. three
Labels from _____ pharmacies contain more information than labels
from _____ pharmacies.
a. community, institutional
b. institutional, hospital
c. institutional, community
d. hospital, institutional
a. community, institutional
If a prescription requires extemporaneous compounding, the technician should inform the patient that
a. the medication may be obtained without a prescription.
b. there may be a delay in filling the prescription.
c. a DEA number is
required.
d. any refills cannot be honored.
b. there may be a delay in filling the prescription.
Directions should start with a
a. verb.
b. noun.
c. adjective.
d. pronoun.
a. verb.
For the prescription: Bactrim DS #20 ibid nr, how may days should the prescription last?
a. 2
b. 5
c. 10
d.
20
c. 10
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