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IPC > T3 - Transcribing > Flashcards

T3 - Transcribing Flashcards

1
Q

What is transcribing?

A
  1. Act of writing down or copying from one place to another
  2. Entering prescription information into pharmacy software
  3. Take verbal prescription from a prescriber or their representative
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2
Q

What is the goal of transcribing?

A

Transform the prescription into a dispensed medication with correct instructions than can safely be interpreted by patients/caregivers

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3
Q

What are the requirements of a legend drug prescription?

A
  1. Patient name
  2. Date of insurance
  3. Name and address of prescriber
  4. Name, strength, dosage form, and quantity of drug
  5. Directions for use
  6. Refills
  7. Prescriber’s signature
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4
Q

What are the requirements of a control drug prescription?

A
  1. Patient address
  2. Prescriber DEA
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5
Q

What is the Article XII MSBOP Regulations?

A

Prescription drugs shall be dispensed only pursuant to a valid prescription or a valid order. A pharmacist shall not dispense a prescription which the pharmacist knows or should know is not a valid prescription. A Prescription Drug Order, to be effective, must be issued for a legitimate medical purpose by a Practitioner acting within the course of legitimate professional practice

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6
Q

What is an electronic prescription?

A

Electronically, faxed, hand delivered to pharmacies

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7
Q

What are the errors associated with eletronic prescription?

A
  1. More than one set of directions
  2. Incompatible directions
  3. Inappropriate quantities
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8
Q

What are e-scribes?

A

“True” electronic prescribing, or “e-prescribing,” exchanges prescriptions directly between a prescriber’s computer system and a pharmacy’s computer system.

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9
Q

What are the benefits of e-scribes?

A

Improve medication safety

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10
Q

What are the disadvantages of e-scribes?

A

May be a lack of communication with changes in orders

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11
Q

What are the disadvantages of e-scribes?

A

May be a lack of communication with changes in orders

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12
Q

What are the practical points of telephone prescriptions?

A
  1. Make sure you get the name of the person calling – document.
  2. Make sure you have a phone number for the practice – document.
  3. Read back all information given to you – document.
  4. Document any follow up with prescriber’s office or patient.
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13
Q

What are the benefits of voicemail?

A
  1. Allows you to record necessary information at your own pace.
  2. Allows you to listen several times if necessary.
    3.Allows you to keep a record.
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14
Q

What are some instances would you ask about a patients meds?

A
  1. Allergies
  2. Comorbidities
  3. Indication
  4. Duration
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15
Q

Who can accept an oral prescription?

A
  1. Federal guidance – pharmacists, technicians, or interns
  2. Mississippi law – only pharmacists or interns under supervision of a pharmacist
  3. Always follow the more stringent regulation
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16
Q

What are somethings to consider when typing a new prescription?

A
  1. Pharmacists, interns, or techs can enter prescription
  2. Pharmacists are responsible for performing DURs
  3. Pharmacists may use clinical support systems and guidelines in performing DURs
  4. Check patient’s profile and reported allergies/health conditions.
  5. Check prescription for indications.
  6. Pay attention to copay.
17
Q

How do you fill a prescription?

A
  1. Can be completed by pharmacists, interns, and technicians.
  2. Check and double check NDC.
18
Q

What is the best practice to fill a prescription?

A
  1. Complete one prescription at a time
  2. Separate family members
19
Q

What are the benefits of a compounding prescription?

A
  1. allows for patient specific dose and dosage form.
  2. Beneficial for patients with allergies and sensitivities to common additives.
  3. Beneficial for patients requiring a strength or dosage form not already in mass production.
20
Q

How do you verify a prescription?

A
  1. Ensure all the patient information is correct.
  2. Ensure medication, strength, and dosage form are correct.
  3. Ensure quantity is correct.
  4. Ensure all necessary medication information is included.
  5. Ensure auxiliary labels are appropriate.
21
Q

What should you do before you dispense?

A

Verify two patient identifiers

22
Q

What are things you can offer for dispensing?

A
  1. cousel
  2. automatic refills
  3. Delivery
  4. Text reminders
23
Q

What are the challenges of prescriptions?

A
  1. Fraud prescription
  2. Prescribers writing outside their scope
  3. Prescribers writing for themselves/loved ones
  4. Drug seeking/Doctor shopping
24
Q

What makes an effective prescription drug order?

A

must be issued for a legitimate medical purpose by a Practitioner acting within the course of legitimate professional practice.

25
Q

What are the characteristics of drug seeking and doctor shopping?

A
  1. Presentation of prescription
  2. Patient behavior
  3. Medication taking/supply
  4. Illegal
26
Q

How is presentation of prescription an indication of doctor shopping?

A
  1. Too many patients with the identical Rx
  2. Too perfect
27
Q

How is patient behavior an indication of doctor shopping?

A
  1. Typically wants to refill early.
  2. PMP search reveals multiple pharmacies/prescribers.
  3. Appears to be under the influence.
  4. Too friendly/talkative.
  5. Presents multiple Rx’s but only wants the control.
28
Q

How is medication taking/supply an indication of doctor shopping?

A
  1. Large quantities of controls or multiple controls
  2. Highly abused “cocktails” (opioid, benzodiazepine and muscle relaxant).
29
Q

How is doctor shopping illegal?

A
  1. Indicates medication will be shared/sold
  2. Prescribers DEA registration or state license is suspended or revoked.
  3. Altered prescription.
30
Q

What is a DEA number?

A

A number issued to a practitioner to identify persons authorized by the state and Drug Enforcement Agency to prescribe controlled substances

31
Q

What are the components of a DEA number?

A
  1. It consists of nine characters; the first two are letters, and the next seven are numbers
  2. Originally, the first letter was A or B and the second letter was the first letter of the registrant’s last name.
  3. The second group of characters consists of a set of numbers that are unique to each registrant.
32
Q

How do you verify a DEA number?

A
  1. Add the first, third, and fifth digits.
  2. Sum the second, fourth, and sixth digits, multiply this sum by 2, and add the results to the first sum.
  3. The last digit of the sum should correspond to the ninth character of the DEA number.
33
Q

What are the guidelines of transferring a prescription in MS?

A

Only done by pharmacist or supervised intern

No transfers for controlled substances

34
Q

What info do you need to transfer a prescription?

A
  1. Phone and address of the pharmacy.
  2. Name of the transferring pharmacist.
  3. Date prescription was issued.
  4. Original and last fill date.
  5. Original and remaining refills.
35
Q

What are the practical points of transcribing prescriptions?

A
  1. The pharmacy receiving the prescription makes the call.
  2. If the patient is transferring multiple prescriptions, consider faxing.
  3. Remember to introduce yourself.
  4. If you are giving a copy to another pharmacy, be mindful of how you present the necessary information.

IPC (41 decks)

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