T3 - Product Dispensing

Question 1

What is the dispensing process?

Answer 1

1. Drop off
2. Order entry
3. Drug utilization review
4. Filling
5. Final verification
6. Patient counseling

Question 2

What is drop off?

Answer 2

1. Receive the prescription
2. Obtain any necessary information
3. Provide an estimated ready time

Question 3

What is character of drop off?

Answer 3

1. Practice ethically and legally.
2. Ensure all required parts of a prescription are present.

Question 4

What is chemistry of drop off?

Answer 4

1. Begin building rapport through excellent customer service.
2. Let the patient know what to expect.

Question 5

What is competence of drop off?

Answer 5

1. Verify and update all pertinent patient information.
2. Ensure that the medication is in stock.

Question 6

What is order entry?

Answer 6

1. Scan hard copy Rx and file the original
2. Type Rx information into the system

Question 7

What is character of order entry?

Answer 7

Be thorough

Question 8

What is chemistry of order entry?

Answer 8

1. Proactively contact the prescriber with any clarifications/questions.
2. Let the patient know if this results in any delays.

Question 9

What is competence of order entry?

Answer 9

1. Check for appropriateness.
2. Double check your work.

Question 10

What is drug utilization review?

Answer 10

Review Rx for accuracy, appropriateness, and DRPs

Question 11

What is character of DUR?

Answer 11

Be certain in your decisions before moving forward.

Question 12

What is chemistry of DUR?

Answer 12

Respectfully communicate DRPs, questions, recommendations to prescribers.

Question 13

What is competence of DUR?

Answer 13

1. Consult drug resources when necessary.
2. Thoroughly consider all aspects of appropriateness.

Question 14

What is filling?

Answer 14

1. Count out the needed tablets and label the bottle.
2. Pick the appropriate medication and scan both the bottle and the label.

Question 15

What is character of filling?

Answer 15

Follow procedures. Don’t cut corners to save time.

Question 16

What is chemistry of filling?

Answer 16

Build rapport with technicians and praise their work.

Question 17

What is competence of filling?

Answer 17

1. Always scan.
2. Double check your work.
3. Avoid overrides.

Question 18

What final verification?

Answer 18

Verify that all aspects of the prescription are accurate. This includes looking inside the bottle and comparing the label to the Rx.

Question 19

What is character in final verification?

Answer 19

Send back any errors to be corrected.

Question 20

What is chemistry in final verification?

Answer 20

1. Communicate errors/corrections with kindness.
2. Use this as a training opportunity.

Question 21

What is competence in final verification?

Answer 21

1. Always open every bottle.
2. Eliminate distractions.

Question 22

What is pick up/patient counseling?

Answer 22

1. Make sure you are giving the right medication to the right patient.
2. Use the IHS open ended questions.

Question 23

What is character in patient counseling?

Answer 23

1. Correct any errors.
2. Educate the patient with humility.

Question 24

What is chemistry in patient counseling?

Answer 24

Communicate genuine care and concern for the patient.

Question 25

What is competence in patient counseling?

Answer 25

1. Verify patient and medication information.
2. Ask open ended questions.

Question 26

Example insulin vials?

Answer 26

Humalog and Humulin

Question 27

What is example of U-500 insulin?

Answer 27

Extremely High risk
Humulin R

Question 28

What is Humulin R?

Answer 28

500 units/mL (5x times as much as U-100)
Reserved for patients who use more than 200 units per day
Special syringes, however, most patients don’t have them
Patient should know how many units they are receiving and be able to show you on the syringe

Question 29

Difference between insulin pens and vials?

Answer 29

1. Pen: needles
2. Vial: Syringes

Question 30

All insulin users need what?

Answer 30

1. Lancets
2. Strips
3. Alcohol swabs
4. Glucometer

Question 31

How much does a 3/10mL syringe draw out (insulin)?

Answer 31

30 units

Question 32

How much does a 1/2mL syringe draw out (insulin)?

Answer 32

50 units

Question 33

How much does a 1mL syringe draw out (insulin)?

Answer 33

100 units

Question 34

What is a higher gauge syringe?

Answer 34

Thinner needle

Question 35

What is a lower gauge syringe?

Answer 35

Thicker needle

Question 36

What are the steps to draw up and inject insulin?

Answer 36

1. Wash hands
2. Get all supplies
3. Roll insulin if cloudy
4. Wipe the top of vial with alcohol
5. Pull syringe plunger with desired unit
6. Push syringe needle into vial
7. Push the plunger down
8. Turn vial upside down and pull the plunger down to withdraw insulin
9. Remove all air bubbles and check dose
10. Pick clean injection site and push needle in skin
11. Push plunger and withdraw needle

Question 37

What are the types of IV Bags?

Answer 37

1. NS
2. LR
3. Ringers solution
4. D5LRS
5. D5W
6. D10W
7. D20W

Question 38

What are non-PVC IV bags?

Answer 38

Made of non-PVC film

Question 39

What are the advantages of non-PVC bags?

Answer 39

Safety and compatibility
Prevention of leeching of drug into plastic (Diazepam)

Question 40

What are the IV bag sizes?

Answer 40

1000, 750, 500, 250mL