Tech 2 Training: Manual Information

Question 1

What are the 3 job roles of non qualified pharmacy techs?

Answer 1

Assist in prescription data entry

Deal with customer service

Help with inventory control

Question 2

What are the qualifications for qualified pharmacy techs?

Answer 2

Be at least 18, have a high school diploma or equivalent, pass a criminal record and background check, be fingerprinted and pass examination approved by the state board of pharmacy

Question 3

What are the 3 job roles of qualified pharmacy techs?

Answer 3

Place medication in the proper packaging (product dispensing but do not say that!)

Label medication appropriately

Take part in compounding medications at the discretion of the pharmacist on duty

Question 4

What are the 7 steps to reconstitution that may be performed without pharmacist supervision?

Answer 4

Make sure caregiver is in store

Read the mixing directions

Loosen the powder

Add half of the water

Shake well

Add second half of the water

Shake well

Question 5

What are the 5 roles of pharmacy interns?

Answer 5

Take prescriptions over the phone from physicians or physician representatives

Transfer non-controlled prescriptions to and/or from another pharmacy

Sell schedule five products - controlled substances available without a prescription

Counsel patients

Administer a variety of immunizations to both minors and adults, in which both the intern and pharmacist are trained

Question 6

What are the six job roles of the pharmacist?

Answer 6

Interpret prescriptions

Dispense drugs and drug related products (aka verification)

Perform drug utilization reviews (DURs)

Transfer controlled prescriptions to and/or from other pharmacies

Administer a variety of immunizations to both minors and adults, in which they are trained

Must insure that inventory is correct, drugs and pharmacy records are stored appropriately and that the pharmacy is run in a manner that all laws, rules and regulations are followed

Question 7

At what temperature range must the shelves be at?

Answer 7

68-78 degrees

Question 8

At what temperature range must the refrigerators be at?

Answer 8

36 to 46 degrees

Question 9

At what temperature range must the freezer be at?

Answer 9

5-10 degrees

Question 10

What are the names of some quality control procedures? Name at least four.

Answer 10

Tall man lettering

Post fill audit

Final four check at data entry

Counseling

Incident Reports

Bar code verification scanning at product dispensing

Bar code verification scanning at release to patient

Question 11

What are the Five S’s?

Answer 11

Sort: items into 3 categories based on how much they are required to perform tasks like counting tray in various stations

Straighten: relocate items that will never be used in a station, put items that may be required at some point in drawers, find location for regularly used items

Shine: Remove clutter and clean

Standardize: Label all designated locations for items

Sustain: Put items back where they belong, keep stations clutter-free

Question 12

Name reasons for insurance audit triggers. Know at least three.

Answer 12

‘Use as directed’ is not to be used as the sig unless the directions are preprinted on the manufacturers packaging

Eye drops must have the day supply calculated correctly and say which eye is being treated

Headache medications must include the maximum daily dose

Insulin prescriptions must have the maximum units per day noted

Override codes must be used appropriately and make sure the reason as to why a third party gives a code is documented

If a doctor writes dispense quantity ‘1’, select the smallest package size available

Question 13

What two things are required with pet prescriptions?

Answer 13

The owner’s first and last name must be written on the prescription hard copy

The species must be selected in the patient’s profile

Question 14

How many refills can non control and schedule five drugs have?

Answer 14

Up to a year’s worth

Question 15

How many refills can schedule 3 and 4 drugs have?

Answer 15

Up 5 refills and must be used within 6 months

Question 16

How many refills can schedule 2 drugs have?

Answer 16

None

Question 17

What DAW codes should be used and why?

Answer 17

0- No product selection indicated
1- Substitution is not allowed by prescriber
2- Substitution not allowed by patient
3 - ?

Other codes could affect total pricing and pharmacy reimbursement aka shrink

Question 18

What kinds of medications require the counting tray and spatula used to be clean with alcohol afterwards?

Answer 18

Medications that could be harmful to a fetus and/or cause birth defects (identify by package). Ex: chemotherapy meds, prostate meds, immuno-suppressants, medications to end pregnancy

Medications that people are commonly allergic to. Ex: Opioids, penicillins, sulfonamides, NSAIDS

Warfarin / Coumadin

Question 19

What 9 things must a prescription label include?

Answer 19

Name and address of pharmacy

Name of the patient

Full name of prescriber

Directions

Date of dispensing

Any cautions that could be required by law

Prescription number

Written and dispensed med names, manufacturer, strength

Quantity

Question 20

When labeling a manufacturer’s stock bottle for a prescription, what 4 things must not be covered?

Answer 20

NDC

Lot #

Expiration date

Directions for reconstitution

Question 21

What two things must be on all prescription containers too small to bear a complete label?

Answer 21

Patients name

Prescription number

Question 22

What does HIPAA stand for?

Answer 22

Health Insurance Portability and Accountability Act of 1996

Question 23

What is HIPPA?

Answer 23

A rule that protects medical records and other personal health information maintained by health care providers. It empowers patients by guaranteeing them access to their medical records and more control over how their protected health information is used and/or disclosed

Question 24

What can a patient to get authorization for release of PHI if they can’t get it themselves?

Answer 24

If a patient is unable to pickup a printout in person, you can offer to mail it to them, making sure it’s sent in a separate envelope to prevent hippa violation

They can fill out an authorization for the release of phi to authorize someone else to pick it up for them. The form must be kroger approved and the patient must still fill out the mes request form in order for you to process their request

Question 25

How long must we keep hard copy prescriptions?

Answer 25

Three years, less medicare then must be kept for 10 years from date of issuance

Question 26

How long must we keep electronic prescription files (patient profiles)?

Answer 26

3 years

Question 27

How long must we keep signature logs?

Answer 27

3 years, unless medicare then must keep record of signatures for 10 years

Question 28

How long must we keep immunization records?

Answer 28

forever

Question 29

How long must we keep pseudoephedrine invoices?

Answer 29

2 years

Question 30

How long must we keep pseudoephedrine log books?

Answer 30

2 years

Question 31

When do we pull expired products?

Answer 31

When they are expiring within 3 months

Question 32

When do we need to put a sticker on medications about the expiration?

Answer 32

Within a year of their expiration date

Question 33

How long must drugs be kept in the quarantine area?

Answer 33

Until they are destroyed or returned and must not be stored for more than one year from their expiration / adulterated date

Question 34

Roman numeral: I

Answer 34

One

Question 35

Roman numeral: V

Answer 35

Five

Question 36

Roman numeral: X

Answer 36

Ten

Question 37

Roman numeral: L

Answer 37

Fifty

Question 38

Roman numeral: C

Answer 38

One hundred

Question 39

Roman numeral: xxx

Answer 39

30

Question 40

Roman numeral: xii

Answer 40

12

Question 41

Roman numeral: vii

Answer 41

7

Question 42

Roman numeral: xiv

Answer 42

14

Question 43

Roman numeral: iv

Answer 43

4

Question 44

Roman numeral: xl

Answer 44

40

Question 45

Roman numeral: xxc

Answer 45

80

Question 46

Roman numeral: cxv

Answer 46

115

Question 47

Roman numeral: cc

Answer 47

200

Question 48

AMP

Answer 48

ampicillin

Question 49

ASA

Answer 49

aspirin

Question 50

ETOH

Answer 50

Ethanol/alcohol

Question 51

FeSO4

Answer 51

Ferrous sulfate

Question 52

SMZ/TMP

Answer 52

Sulfamethoxazole / trimethoprim

Question 53

APAP

Answer 53

Acetaminophen

Question 54

IBU

Answer 54

ibuprofen

Question 55

KCl

Answer 55

Potassium chloride

Question 56

PCN

Answer 56

Penicillin

Question 57

1 oz = ? Ml

Answer 57

30 ml

Question 58

8oz = ?ml

Answer 58

240 ml

Question 59

6oz = ?ml

Answer 59

180ml

Question 60

1 pint = ?oz

Answer 60

16 oz

Question 61

16oz = ?ml

Answer 61

473/480 ml

Question 62

1tsp = ?ml

Answer 62

5ml

Question 63

What does cc mean?

Answer 63

Milliliters

Question 64

4cc qid x10 = ?cc

Answer 64

160cc

Question 65

2tsp tid x10 = ?ml

Answer 65

300ml

Question 66

1tsp qam for 30 days = ?ml

Answer 66

150ml

Question 67

0.5 oz bid x2, then 0.5oz qd x2 = ?ml

Answer 67

90ml

Question 68

2 tabs qid x7 = ? Tabs

Answer 68

56

Question 69

3 tabs qd x3, 2 tabs qd x3, 1 tab qd x3 = ? Tabs

Answer 69

18

Question 70

2 tabs bid x5, 2 tabs qd x5, 1 tab qd x5 = ? Tabs

Answer 70

35

Question 71

absorption

Answer 71

the way in which a drug enter the bloodstream

Question 72

acquisition cost

Answer 72

the price a pharmacy pays for a product intended for re-sale

Question 73

adjudication

Answer 73

the process of sending a prescription claim from the pharmacy to the patient's insurance provider

Question 74

allergy

Answer 74

the abnormal sensitivity to a substance

Question 75

anaphylaxis

Answer 75

a rare, but potentially, life-threatening allergic reaction to a drug

Question 76

anesthetic

Answer 76

a substance that produces partial or complete lack of feeling

Question 77

anti-inflammatory

Answer 77

a drug that decreases inflammation

Question 78

arrhythmia

Answer 78

an irregular heart rate or beat

Question 79

arthritis

Answer 79

acute or chronic inflammation of a joint

Question 80

awp

Answer 80

average wholesale price. this is the published price for the drug, not what is paid by most end users

Question 81

boh

Answer 81

balance on hand: the amount/quantity of medication int he stock bottle and on the shelf.

Question 82

bar

Answer 82

bill after release: this tool is used when a prescription has already been sold and needs to be re-billed

Question 83

bin

Answer 83

a claims processor to identify a third party payer for a claim; uses the bank identification number

Question 84

cao

Answer 84

computer assisted ordering: program we use, in the legacy system, to order pseudoephedrine products and pharmacy supplies

Question 85

cmr

Answer 85

comprehensive medication review

Question 86

controlled substance

Answer 86

medications identified as having the potential for abuse and therefore require more strict regulations, as defined by the controlled substances act of 1970

Question 87

copay

Answer 87

the amount the patient must pay above what is paid by the third party insurance for a prescription

Question 88

dangerous drug

Answer 88

any drug who's commercial package bears a label containing (RX ONLY)

Question 89

decongestant

Answer 89

a drug used to relieve congestion, usually of the nose, lungs, or chest

Question 90

diabetes

Answer 90

the inability of the body to use sugar

Question 91

dur

Answer 91

drug utilization review: a method of checking drug interactions, dosages, allergies when dispensing a medication

Question 92

enteric-coated

Answer 92

a special outer coating on tablets that allows them to dissolve in the intestine instead of the stomach

Question 93

eprn

Answer 93

easyfill pharmacy retail network: java based application called enterprise rx that has been dated to process prescriptions and help communicate with all kroger family pharmacies

Question 94

expectorant

Answer 94

an agent used to reduce the thickness of mucous; promoting the discharge of phlegm of other fluid from the respiratory tract

Question 95

fda

Answer 95

food and drug administration: federal agency responsible for putting into effect rules and regulations meant to ensure public safety regarding drug products

Question 96

formulary

Answer 96

a list of drugs that a particular prescription plan prefers

Question 97

hormone

Answer 97

a substance secreted by the glands in the body

Question 98

hypertension

Answer 98

high blood pressure

Question 99

im

Answer 99

intramuscular route of injection of a drug

Question 100

iv

Answer 100

intravenous route of injection of a drug

Question 101

mtm

Answer 101

medication therapy managment

Question 102

ndc

Answer 102

national drug code: a universal product identifier for medications

Question 103

non-formulary

Answer 103

occurs when the prescribed medication is not on the list of preferred drugs

Question 104

nopp

Answer 104

notice of privacy practices is a document that contains krogers policy towards releasing and protecting patients' health information

Question 105

ophthalmic

Answer 105

pertaining to the eye

Question 106

phi

Answer 106

protected health information

Question 107

r-dac

Answer 107

random daily access code: barcode that prints off once an associate has logged onto the refill pen system based on their enterprise id and password and gives specific access to applications

Question 108

subcutaneous

Answer 108

injected beneath the skin

Question 109

sublingual

Answer 109

under the tongue. drugs enter the blood stream without passing through the stomach

Question 110

third party

Answer 110

any business or organization that insures or pays the health care expenses on behalf of the patient

Question 111

time released or sustained

Answer 111

releasing medication gradually to produce a sustained effect

Question 112

tmr

Answer 112

targeted medication review

Question 113

transdermal delivery system

Answer 113

a medicated patch that delivers the drug to the blood through the skin

Question 114

troche

Answer 114

a lozenge dissolved in the mouth

Question 115

vertigo

Answer 115

dizziness

Question 116

aa

Answer 116

of each / affected area

Question 117

ac

Answer 117

before meals

Question 118

ad

Answer 118

right ear

Question 119

as

Answer 119

left ear

Question 120

au

Answer 120

both ears

Question 121

biew

Answer 121

twice a week

Question 122

cm

Answer 122

centimeter

Question 123

gtt(s)

Answer 123

drop(s)

Question 124

im

Answer 124

intramuscular

Question 125

od

Answer 125

right eye