WASHINGTON STATE BOARD OF PHARMACY Staff …...Mar 06, 2020 · Staff Recommendation: Approved...

WASHINGTON STATE BOARD OF PHARMACYReview Form

PHARMACY TECHNICIAN TRAINING PROGRAMS

Type of approval: New Program [X] Re-approval/Renewal: || Date program expired:

Program Type: On-the-Job (OJT): [X] Formai/Academic: || Online: Q

Facility/ Institution name: Yakima Neighborhood Health Credential # (if applicable):

Location Address: 12 S 8th St/ Yakima WA 98901

Mailing Address (if different:

Name of Program Director : RonJennings Phone Number: 509-853-2354

[email protected]

Email Address for Director:

Corporate/institution Contact Information:

Staff Recommendation: Approved

Requirements for all program types:

Multicultural health awareness and education effective July 1,2008-NewrequirementRCW43.70.615

1. The training program must adequately prepare the trainee topass an approved national pharmacy technician certificationexamination, such that the trainee successfully passes prior to

license application.

2. Prior to starting an OJT training program in Washington, thetrainee is required to show proof of high schooi graduation or ahigh school equivalency certificate/ such as a 6ED.

3. Minimum of 8 hours of instruction is designated for review ofrelevant Washington state pharmacy law. This must includeaccess to and use of the WA Pharmacy Commission's website to

obtain the most current information. This is in addition to a

review of all other applicable state and federal laws.

4. Trainee is registered with the Pharmacy Commission as a

pharmacy assistant prior to starting an OJT program or anexternship through an academic program in Washington state.

5. Director of the program isa registered pharmacist. For WA

YES

x

x

x

x

x

x

NO

See page 5 of this form forcomplete info.

WAC 246-901-060 states proofof passing an NCCA-accreditednational certification exam isrequired for licensure

(effective 1/1/09).

Out-of-state applicants must

submit a completedVerification of law' form that

is signed off by a pharmacistwho is licensed in WA (butdoes not have to reside here

& can have licenses in more

than one state).

This does not apply to traineeswho are in or have completed

out-of-state technician

training programs that are notphysically located in WA.

Program directors of WA state

IIT0303

Highlight

state - the director must also be a licensed preceptor. WAC 246-

901-050 states that the "director shal! be a pharmacist."

Pharmacists directing or supervising the training of pharmacytechnicians must meet the same requirements as those of

pharmacy intern preceptors. The program direction or delegates

must sign off on an applicant's application verifying successfulcompletion of the program.

6. Specify the names/ license numbers, and training experience of

the Director and alt program instructors. Describe training

responsibilities and functions

7. Length of the program is 12 months or less for whatever is

sufficient to meet the requirements in hours and/or credits foreither OJT or academic programs. Note that there are 3 types of

programs that are recognized: (1) OJT programs at licensedpharmacies; (2) academic programs; & (3) online programs. NOTE:Anyone who works in a pharmacy in WA must be licensed in WA.Trainees are licensed as pharmacy assistants and can only work as

technicians

8. The training and resource materials are current/ relevant and

are listed by title and publication date, with a description of howthey will be used.

9. The minimum passing score for a final exam other than the

PTCE or ExCPT is 75%. However, an option is to use proof of

passing an NCCA-accredited national technician exam as your

program's final examination.

10. The Pharmacy Commission must be notified in writing or emailprior to any significant changes to the program, including changein the Director, course content, and time frames.

11. Ail student-specific records must either be retained on-site

and kept for a minimum of 2 years, as well as be made available

within 72 hours upon request.

Additional requirements for OTJ programs:

1. The program consists of 520 total hours of supervised work

experience which includes: didactic instruction and 12 hours ofindividualized instruction provided when the trainer is not working'on-line". Alt work experience within this time frame must be

supervised by pharmacists and be part of the training programrequirements.

2. The program must also Enciude training on Job functions thatare unique to a particular practice setting (eg, preparing parenteralproducts; extemporaneous compounding; providing long termcare services; etc.). These job functions must be documented on

the ancillary utilization plans submitted for review.

x

x

x

x

x

x

Yes

x

x

No

programs must also be

licensed as preceptors. [WAC

246-858]

The Board must be notifiedimmediately of any changes inprogram director or delegates

and must have an updated list

at all times.

Eg, 520 hours for OJTprograms to include didactictraining & supervised workexperience training at the

pharmacy. 30 credits foracademic, vocational,

technical/ online, and similar

types of programs.

The passing scores for thePTCEand ExCPT are eachcalculated in different waysand not by percentage.

Changes in director and/or

other training personnel donot require resubmission of

the entire program for

approval.

These records must be readily

retrievable.

The requirement for 12 hours

of individualized instruction isspecific for pharmacies

licensed inWA.

Ancillary personnel utilizationplans are required of allpharmacies licensed in WA.

[RCWs -18.54.011,18.64A; &

WACs - 246-863, -869, -901].

http://www.doh.wa.Rov/hsqa

/Professions/Pharmacy/defau!

3. The utilization plans for ancillary personnel are included,

namely, pharmacy assistants and technicians. [See the web

document on 'Developing a Pharmacy Technician Training

Program7 for resources.]

x

t.htm

These plans must describe themanner in which ancillarypersonnel wi!i be utilized. This

requirement only applies topharmacies licensed in WA.

Additional requirements for academic programs:

1. The academic program consists of a minimum of 2 quarters

equal to 30 quarter credits (or equivalent in semester hours) andincludes a mandatory externship of a minimum of 160 hours.

2. The vocational program consists of a minimum of 800 hours of

instruction and includes a mandatory externship of a minimum of160 hours.

3. A comprehensive training manual is provided and includes the

following: list of faculty (names/ licenses, training experience/ &program responsibilities); institutional policies & procedures;description of the Advisory Committee functions & list ofmembers; complete curriculum description & goals; training andtesting methods; description of facilities (eg, drug preparationlabs/ computer labs, etc.) & equipment used; description of thequality assurance program; and anything else relevant to theprogram and its administration and operations.

4. The externship is described by practice site and number of

hours spent at each site, as well as description of tasks/

expectations and required outcomes. Students in externships are

evaluated by their externship site supervisor and their academicprogram instructor (based on a midterm and final clinical

evaluation form/ as well as the student's work reports, attendance

and performance). Students evaluate their externship experience

and include a seff-evaluation of each experience. The program's

policy and procedure for dealing with negative evaluations ofstudents and by students is included.

5. Program requirements and expectations are included with a

description of what constitutes misconduct and how it is handled.One example would be the criteria for expulsion from the

program.

6. If the vocational or academic institution is accredited by anaccreditation organization and/or licensed in a state/ provide this

information.

Yes No

Additional requirements for online programs:

1. Online programs must meet the same requirements as

academic programs.

2. Program staff must be available to students on a 24-hour basis

daily, with a policy & procedure in places for this.

Yes No

INCLUDE THE POLICY &PROCEDURE FOR THIS.

ADDITiONAL REQUIREMENTS

1. All programs are approved for a 5-year period and must be submitted for renewal before their

expiration date. Typically programs that are submitted for renewal do not have to be presented at

a board meeting for re-approvai. However, if such a program is completely revamped/ a

determination will be made if formal board approval wil! be necessary, at which time your program

would be notified.

2. For OJT programs offered through pharmacies that are licensed in Washington and for

academic/vocationai programs based in Washington/ the documented director (or delegates) of a

training program must sign the Director's Certification . The director may designate delegates who

can sign this section of the application on his or her behalf, but a letter must be submitted to the

board by the director of the program stating who these delegates are and the effective dates. Any

changes to this document must be submitted in writing. If either a director s or delegate s names

are not on record with the board/ this will cause delays in the processing of applications.

3. For pharmacies licensed in Washington/ you must maintain an on-site file containing all

documentation related to your approved technician training program, including your most current

approved ancillary utilization plans. This documentation will be requested as part of the inspection

process.

4. Anyone who works in a pharmacy In WA must be licensed in WA. Trainees must first be licensed as

pharmacy assistants and can only work as techmcians-in-training when they are being trained!

Trainees cannot /fi!l in/ as technicians 'as needed . Their work experience must be part of the

approved training program. And/ since proof of passing one of the NCCA-accredited national

certification exams is a requirement for licensure, trainees should be preparing for an exam while

they re in training. The training program should be preparing them to take an exam. The national

exam should be taken sooner rather than later/ meaning that your trainee can t be a tech-in-training

indefinitely, especially after they have completed the training program. At the latest/ trainees

should be ready to take a national exam when they have just completed a training program.

5. Always remember to access the Board of Pharmacy website for the most current pharmacy

technician or assistant applications, as the applications are periodically updated. The same applies

for the most current information on Board of Pharmacy laws/ rules, policies/ guidelines/ and the like.

6. Training programs that are reviewed as part of a specific applicant's application process will oniy be

approved for that applicant. Out-of-state training programs that are interested In obtaining board

approval must submit all the documentation requirements listed In the review form above.

Note: 'Formal' academic programs include the following settings: universities; community colleges; technical colleges;technical/community colleges; vocational/technical schools. These are institut'ionaf-based programs, whereas OJTprograms are employer-based.

http://www.doh.wa.Rov/hsqa/Professions/Pharmacy/forms.htm - Pharmacist Preceptor Application

Packet and Experiential Training Manual.

NEW REQUIREMENT FOR ALL TRAINING PROGRAMS APPROVED in WASHINGTON

Cultural Competency Resources

The legislature finds that it shall be a priority for the state to develop the knowledge/ attitudes/ and

practice skills of health professionals and those working with diverse populations to achieve a greater

understanding of the relationship between culture and health and gender and health. By July I/ 2008, each

program with a curriculum to train health professionals for employment in a profession credentialed by a

disciplining authority under chapter 18.130 RCW shall integrate into the curriculum instruction in

multicultural health as part of its basic education preparation curriculum.

The Washington State Department of Health (department) is pleased to announce a new resource to help

health care providers serving diverse populations of patients. A law passed in 2006 requiring all health care

providers licensed by the department to receive mu!ticu!turai health awareness education and training. The

Cultural Competency in Health Services and Care - A Guide for Health Care Providers is a tool in that effort.

The law did not mandate anything more specific than this. There are no requirements for how the training

is conducted/ what resources should be used/ and number of contact hours or credits. There are many

resources for this. A sampling of resources is listed on the review form.

This guide is intended to increase the knowledge/ understanding/ and skills of those who provide health

care in cross-cultura! situations. The guide is available on our Web page. We hope it will broaden your

awareness of health disparities, provide a better understanding of why cultural competency is important/

and illustrate some of the resources available to you. There are several online resources that offer

continuing education credits. There are also resources with important information and statistics on the

populations you serve.

h'l.Vti'.l Siv h^FTnli;

ealthPh.irm.tcy Quality AssurnnaCommissionro Box 47S77OlympEa, WA ^8504-78633(i0-23fi-'i7«[l

Yakima Nelghbortwod HealthServices Pharmacy12S8thStYakima.WA 98901-3020TRNG.TG.606139WTEC-0

RECEIVED

NOV 08 2019

DOH/HSQA/OCSPharmacy Technician

Education and Training Program Approval FormThe complete program of study including resource materials, content of instruction, and detailed programadministration must accompany this application as well as a description of the criteria for admission orselection into the training program. and details on how the program will measure the student's proficiency.

Application TypeQ Original [î Renewal

Check OneD Association

D Corporation

D Federal Government Agency

D Limited Liability CompanyQ Limited Liability Partnership

Q Limited Partnership

Q Municipality (City)Municipality (County)Non-Profil Corporation

Q Partnership

Q Public Hospital DistrictQ Sole Proprietor

Q Stale Government Agency

Q Tribal Government Agency

D Trust

1- Demographic InformationUBI#

£0i - ±V\ - G05Federal Tax ID (F£IN)#

cri0<?18811Legal Owner/Operator Name

-faLiir^/ NeJÛo<<(«)d ti«sJ/A &rî'az<»Mailing Address

PO 2.C.OS

City"fah'ff^

Phone (enter 10 digit #)

SQC\- ^Z -^3?H

State

1^Zip Code

fÔT-Cell (enter 10 digit #)

County-/afc/'^l/

Fax (enter 10 digit #)SW- 9^3- •235'J

Legal Name of Institution or Employec-based Programor Lmployer-Dasea Proaram i /) ^

âldim. MC^WôodlPhysical Address f^ S ^ ^City

"lakiff^Facility Phone (enter 10 digit #)

W- 3^- ^54

StateuvA

Zip Code

Cell (enter 10 digit #)

County^~yôl ['""^

Fax (enter 10 digil#)

SVl- ^3-^SSMailing Address

po ôy AÔSCity

^k{ft>ouState

\ÂEmail address

Zip Code

w?County

/rrWeb Address

m/uJ»A/. ^nh^ . o^S

2. Type of ProgramPlease check which type of pharmacy technician education and training program or school.

Q Formal/Academic Training HOn-the-Job Training at a licensed pharmacy Q Vocational Training

Q Military Training D Other, explain

3. Contact Information

Name of Contact Person

6o/^ ^je/w^STitle

PAa/-,macy DiêÂyr-

Physical Address(2- S ^^C-

City"fakfn^

State

WAEmail Address

ron .j^n'^^^s • °3

Zip Code

WQ 1County

^[a.kffyûPhone (enter 10 digit #)

cp(\- ?S3- 235^4. Program Director Informationi Attached additional pages ifthetrainEng Droaram uses nnultiple directors.Name of Program Director

fior\ ~jty\nir^STitle

?lwfW.(M C^ <^TNumbeTPharmacist Credential Numbe?

?H OQO'W)Preceptor Certification Number

PH ww^.Physical Address

f^ S 8it\ g-

City

^LirM/State

U/A-Email Address

l-^jcnru^g^.

Zip Code

w\County

Phone (enter 10 digit #)^- ?53-'^^[

S. Additional Pharmacies and Program DirectorsList all pharmacies associated with this training program.

Pharmacy Name and Address Pharmacy License ff Program Director Pharmacist's license #

RECEIVED

NOV 08 7019

DOH/HSQX/OCS

DOH 690-279 Msv 2014 Paao 2 of 3

j6. Signature ;

I certify that I have received, read, understood, and agree to comply with state laws and rules regulating educationand (raining programs. I also certify that the information herein submitted is true to the best of my knowledge andbelief.

^Program Di^ctor/aulhorized representative

t^-s\^ ^ A.WVN.*V<*1^

Print Name

\ i- ^ - ^ADate

^ ^><x-< ^S-) OY (^C-\o ^

Print Title

Additional Forms and Resources

Pharmacy Webpaae

Guidelines to Implementation

DECEIVED

WVQ8?ofa°°WHSQA/OCS

DOH 690.279 Mav 2014 Paao 3 o( 3

Yaltima Neighborhood Heafth SerWces Pharmacy Technician Trsming Program12 S.8(fl StreetYakima.WA. 98901

Pharmacy Technician Training Program

Introduction

Yakinia Ncighhorlmod Hc;ilth ScivEccs (YNI-IS). ;i coninuiniiy I'teallh cenicr in ViikiiniiWnshington. was founded in 1()75 10 pfovidc prevent f) live huntlli ciirc imd cift)L';i(iuii si.'t'vicv? tolow income mid uiKlcrserved pcopk in llie Vtikiniii tn-cii. Tndity. \vit!i ovrr 160 rni]itt*\'ui;.s.

YNI-IS provides over 600 pinicnf/dien! visits per day in tour lnuitiitm;t in Yitkinui i)«(l Sunny.Mde.

We pi-ovidc mcdicitl find dcntiil c»rc fw .ill ngcs. liL'liavitir.tl lieitlth. preiiitlnl cin'c. pnlilic lieiillli

Stfrvicus as v/yU as hcalthcaru and housing services For honmly^s indivkiuiils. Our communityinnhuhilory piKiriiKiuy is lociilucl witliin (lie clinie ;md |->rovide.s sefvices 10 llii; palicnis/cIiciHs

Ibllowcd by our providers iht'ough (lie 34()!t purchiising jirogi'iitn. We ciii'ivnfly nrc <t(Tu)'c(l ns ;in

exiern site for \VSU Sylio»i of l*ttnrnitiey tor 4"' yutif iilt)dt;i)t I'iHiHions. Our |)ii;n't«;ir\ ;)l^n

provides services llirough collnboftitivc pi'iicliyc iiiircciticitti.. mttlti-littiyf;n.sc conttselini;. nml

dpplicnlion help with iti;uuil';tcnncr provided palient assistaitcc proimiins.

Due to our diverse ;md yroxving pnlicnt popuhumn. {(IKI llic s|)ecinc ciiiillL'nycs of n Idc.il nol-tor-

prot'tt health clinic pliarinncy, we iiHund. witli (his pro|w.s;il lo ci'ttfl a |)li;irniiicy irchniuionmiiniim progrnm nt our facility. I'iicrc nrc nllicr ptiEimiiicy icclinici.'in intininy proyiiun? n\oi|{iblc

in our local coniimmily. bul dL'innud lor lltcsc yfndiiiitcs c.\cccds (lie .sii|)|iiy nviiilnhtc. pnt'ticulm 1>tlioitc lccimiciiins willi bitingnal mid noi-lbr-pt'oHt cx|iL'nii;c. We lcet (liis trinnin^ |)royr;nn \vunl(l

provide an cxcdlynl opporiunity for can-er iidvunccmcnl for uur currcnl cinployct:^. ;is \vc!l ;isluliirc empim'ccs with liic potcn(i{>I to .succeed in our phanuiicy.

Potential Pharmacy Technician Candidate

Prior to starting our Pluinnncy Tcchnicinn 1'rninnig Proynun. liic slitdciu icclniicinn nmsl iirtn'ide

thu (ollowiny:

• Proof'ofhigh school gradiiiition or G\ID CL'rtil'icntu.

• KegisEi'nHuii with (lie Wflshinyton Simc l.k)fircl of I'liiu'iuncy, fis ff licensed [ihiti'niitcy

nssistnnl.

NOV08?01.q

DOM/HSQA/OCS

Pharmacy License Number;PHAR.CF.00058001 (Class A)

Yakittta Neighborhood Heafth Services12 S. 8th StreetYaklirta, WA. 98901

Pharmacy Technician Trainfng Program

Pharmacy Technician Training Program facilitators

The ibUowing uulividimls employed at the YNHS Ptuunuicy witl provide insttuciion »ntloversight for the plnirt»tu:y studvtH ivclmiciinis:

PROGRAM OIHKCTOK

Ronald WJcnnings. RHIUww Number: 1*1-1 0001 720 Prcccptor Ucensu Nnmhcr: Pl f <)()()(t67ft7

• Employed nt YNNS as Pharmacy Directoi- lor 12 ycnrs:• Prior expmencc imining phiimucy stutfcnls iin<f (cclnitciiins. iind fnciliuitiny sludem

e.Mcmships ns n licensed preccplor Stnce lt)H5:

ADDITIONAL TRAINERS

Christine Trcolo. RPHUccnfse Number: I'll 60743^07 E'n-ccpforNumbrr: I'll 60S80X22

HungNguyen. PliiirmDLicvn$c Number: 1*11 6076.1336

PrecepinrNuntbt;!': I'M An<)|4077

KftvTlmnhTo. Phiii'mOUccn<;e Number: I'M 604S1666

Prcccplur Number: I'l I (){W)MW

Phiirmdcy License Number:PHAltCF.0005KOOI (Class A)

RECEIVED

NOV 0 8 ?DOH/HSQA/OCS

Yakima Neighborhood Hea!th Services Pharmacy Technicfan Training Program12 S. 8th StreetYakima. WA. 98901

Pharmacy Technician Training ProQram_Respyrcesand^^^

Thf Ibilnwing resources will be used tlifonglituit die plutrmiicy luclniiciitii iraiinng ()i'(iun-;u)i. ;UKI

specific relcfcncc to end) rcstHu'ce is nitide on the sylljihus. iiuM lo cacli ti'iiiiiiim ohjcciive:

Resource Miitcrials:

i. Phwmctcy Cafcnlaiwfu'; An /niiwfncfffw /or Pinn'nitn'y Techmcitim. \\v I tinS. t-kichenheimcr. Jovs Sakai. Lcanorii Kasnn. aiul Marv Ann .StuluinSoftbounclP3828: ISBN: 978-1-58528-382-8

2. Umhrsfamfm^ Phar/micohg\iji}f PluiniKicy Ta'fnncuiw. l.ly Hi.:h".

l?iichcnhchncr. Joys Sakai. I..ciinora Kusiui, ;ind M;H.V Ann SluhunSort boundP3828; ISBN: 97X-1-58528-382-8

3. Mcnwuljbr Phwnwcy Tecfwk'iaw. -/" Kt/ifnw. [,iy Bonnic ^ it tetn.'^';'! '•<••. Joys

Snkiii. Lcnnora Kasun. iincl Mary Ann StulninSollboundP3828: ISBN: 978-1-58528-382-8

4. T'At' lthnrntaceufk'(tl HtiMS ttf'HwrniH'iUk'.^ Goodman. Louis S. tirul Cnhmin.

Altrcd. Miicmilliyn Publishing Co.. New York. Aviiilabic nt WSU btmkstorc.

5. Pharmacy iawx wuf R^nlulions. Washinglon Stale Depanmem of Huiillh.

Washinglon State Board of Pharmacy, ]',0. Box 47863, OlympiiL W/\ 9K504-7863. http://www.doh.wa.gov/hsqa/profesRions/pharmHGy/delT "li htp^

6. Plun'macisf's Leiie.r. http://www.pharmaciststettet'.con\

7. Clinicff/ Phdnnawlo^. http://www.ciinica!pharmacologv corr.

8. HIV Training.http://www.doh.wa.gov/You?ndYourFamily/l!lnessandDise-^e/l-l!\/AIDS/Prevention/Training.aspx

9. Cultural Competency, http://diabetes.doh.wa.gov/resoutces-foi-hf-\:*!thprofessionals-2/dinical"practice"guideltnes"'t/Cu!turnlCnnT- fKtt('/''-:'.\-

RECEIVED

NOV 08 20)9DOH/HSQA/OCS

Pharmacy License Number:PHAR.CF.00058001 (Class A)

Yffkima NGighborhood Health Services Pharmacy Technician Training Program12 8.8th StreetYakima.WA. 98901

Content of Instruction and Program Administration:

The proposed Pharmacy Technician Training proyrfini will combine did.iclic lecture imd hunds-ontrnininy in a workplncc scltuig. 'f'hu student icchmciiuis will t\:ccivc tlitlaciic lectin'vs otiis«ly oF

Ihe phannncy setting, where the instiitL-tor nnd smdcnl wlli uitgngc in cimkigtic rugnrditig nssiyuctl

readings, course innlcrinls. itnd cnrrcnl lesson topics. Tlic slndcnt leclitticE;tii will llicn t'cceivc

hnnds-on training with tlicir instructor. (hronnli tlieorcticnl sccnnrius iinii pnictient tttsk coin|)Iclion

exercises. I-'iimlly. siudcnl technicians will he supervised in ;in iictnat pliHniiticy L'nviroiuneiti l\v

their iroinurs. mid will inleraci willi tlic phanniicy. VNI [S pnfiyuis. and otttyr VNI-IS vmplo\ce.s.

'('lie following syllnbus contains <i list of spcciHed phiimincy tL'clinicKin n'fiining iiiiEiieci.s;

A. Orientation to I'hamincv Practicv

• (Utili/.in^ resources #3 nnd #5)• (All trainers)

Tfie yfwleni fectimcKm \fn)ul{/ (lcmiwxmile fippt'ftpriafe ftttmv/edne (intt mnterfffHtnIinfi ^fYNHS fWft ifft phwimicy tlepnrlnienf.

'['o accompiish tliis tibjcctive. phnrnincy siuduiit icclMiiciiiiKS imist dtfinonsintte tiK' tollowini!

compete nc ics:

1, Intcrprcl the YNHSoryiini^itiaficlmil En lcnnsnrEhc nnmcand tilteoi'llieiitlniinisimlivcperson to whom tlic dircctoi' orphunnncy ryports ;unl Ilic iidtiiEnistrativc and jirofc.ssidiiiil

rchttionship ofllie pharniney tlcpanmcin to any other dcpiti'tnK'nli; in the in.stiluikm.

2. Describe ihc genera! responsibilities iiiul job snitus of'pcrsoniitfl in oihcr i(isliliilion;i!de|)iirtincnts with whom (lie phannticy stndctil leciinicinn will linvc contiicl with in

c.irrying out {tssiyned dtttics and aeiiviiics.

3. State at lcnst (hree rCR;i«ns why inlbniiiition iihonl pnln.'ms nmsl be kept conlklenli.il.

4. Locale the YNI-IS L'mployce hEindhook and dii;cuss YNI IS policies a«() proccilin'cs.

5. Describe iltc role of a plisinnacy tccliniciiin in 1111 ninbutntory |)li'iU'in<icy.

RECEIVEDB. Pharmacy Tcrminoloio' and Basic Pharmacuulics"""'""'""" NOV082Q19

• (UtiIi/Jng rcsourcet #2 and #4): (Ainrai^)""""--""""" DOWHSQAA3CS

Tfie slwienf fecfink'ititi xfnwhf fmve n wwkm^ fififtwlwlffe <tfffte pfninftncenfh'nf-»nf(fk'(ifterms, rthhrevwffMis, <mtl symhnlft tWfwnfnfy nxeilin the firtwrihffiff. tfiHpensm^ tindchurtw^

ttfmetIk'ifliwDi ui YNHS.

To accomplish ihis objcclivc. |)Iiannacy stncfciu levltiiiciiins nmsi deintiitsti'itic llu: (bllowiny

coinpetcnctcs:


Yskime Neighborhood Health Services Pharmacy Technician Training Program123.8th StreetYattima, WA. 98901

1. Interpret medical presyriptions.

2. Transcribe witluuil error 10 randomly selected prc.scriptions.

The sfwlenf fecfffik'nm shwiht be ithle fn {IfffcftiHfittfc (fruff cfnxmfiaifnui.v tWfI pfuft'nnwili^n-

ficfiwis ^fftfetlictifwttx nxe(f in the phttnnttcy.

To accomplish this objcciivc. plmrmacy stmlcnt lcchniciiiDs nnii.t deiiionsti'iilc the follo\\iniicompetencies:

1. Describe the iinportani actions and/or tlici'iipcndc nse.s tbr llic itiajor drug chihsch.

2. Describe special dispensing prycmilmns (or llie nmjor (Ifitg clitssc.s.

The afwlenf feclmk'um stwutd tlemtmstrufe n HW/sififf kiwwlml^ ^ftlr^K fftwifft^. nmie\ ofadtiiifiisfrttHfw, ami <ltWiffeftwns.

To iiccomplish this objcciivc. pharmacy sludcnl technicEitns musi dfc*mo«t*nTiiie lliu f«l!o\MHti

coinpetcncies:

I. List at least six routes ofndminisinitinn.

2. List ten dosage t'urms and iheir rcsprctn i' roulcs.

C. Pharmacy Law

• (Utlli/ing resources #3 and #5)• (All trainers)

The sfinletit fechnidim jiftuiihl denwnslrule a flwnm^h fifnwlftlfff wnt ntttit'rfiftimtifin of the

ituliw Mttl reji/nmsihffffkv of his/her ffoxitnw, hu'/Mlinff sfmnl{irff.v nfeffm'y fi^vfftm'Kplmmwcy praclice.

To accompfiiih tliis objective, phiirmncy student tccitniciiins ninst ttcitiunMinic ttn; fol)tn\inycoinpclcncics:

I. Stale all ofllie phamiacy student tcclinicitni's primary Job ix\spoi).'iEI)ililiu<. ttiitl \w\\ (ltL'\

diHcr from the primar>' responsibilities oFlhc pliarmitcist.

2. Define whnt is meant by "n decision rcquiriuy a pliiu'jniicist'sjitdgmciu." iiiul uitr ;u k\isi

lOcxiimplcs.

3, UitYcrcntiatc and describe thu various drug clnssillciuEons.

RECEIVED

NOV 0 8 2019DOH/HSQA/OCS

Pharmacy License Number: 5PHAR.CF.0005K001 (Class A)

Yekima Neighborhood Health Services Pharmacy Technician Traming Program12 S. 8th StreetYakima,WA. 989014. Describe who inny prescribe incdicntEnns. inclnduig conu'otk'd stihsiaiK'cs. ;ind list itic

prescription, pruticriplinn Inbcl. rcllll. und rec^'d rctiuiivmciils iis.sociiiled wHli ihcfv

ntcdicatiniis.

5. Describe the rcquircmums ot'lhe Cnntrollcd Snhstnnces Act (CSA). jnL-ludii)g ordcriiiiJtiiiu) record rcquircniunls.

6. State llie history, counseling guidelines, documentalion icqnircineitls. sfaittlnrds. .'ind

cnfbrccnwni o)'the Otnnibus llndgci Rcconciliaiion Act ^' 1990 (OBKA 00).

1). Pharmnceutical Cntuuladons

• (Utilizing resources #1 and #3)• (All trainers)

The sfwfeitf fc'cftifk'tffii xfnwlfl ileitifwxirnli' (M fihHUy f^ cwry wf tlm wk'nffftwnx reqwwl fur

f lie usual th.vage {fertwitsiratifms uml wttifhms prepurnl'uws. nxin/f wfifffit fifiif vnffwe

effMVfffenfs in fmt/t fhe metric tW(f apttlhecwy aysfemx.

To accoinplisli ihis otijcctive, p!iarinacy studeni lcchniciiins nmsi dcitionstritte ihe IbHoivinucompetencies:

1. Cnlcuhitc coiivursions bciwc'cii dilTetx'ul initiibcring ;ind uieasiiriny syiiluins.

2. Cnlcnlate mcdicmion doses from viirions nicdiciilion diluiions.

3. Cntcuiatc qunntily sul'ficicnt bnscd un dosngc rcqucsicd by incdiciil provider, w'w^medication co"c<;ntr;itkm avinlyble in tlic phiirmiicy.

RECEIVEDE. Proccssine the Prescription/

NOV 0 8 7m• (Utilixing resources #3): (AU'trai^)"""""' DOH/HSQA/OCS

The snitfent techmciiw yhrwftf flemfw.vfrHfe f/ie ffhHtfy fo pcrjwm twttu'fmltiffvr Hififrewnlkeepittfffwif^tttis nsswinfeit with the ffixpensw^ offtFtwripfnntsfffr wnhitfntwypnfiettfx.

To accomplish this objective, pharmncy slndeiH tccliniciiins must dcmonsifiitc thu Ibllowinncompcicncics:

1. Carry out the tblkwing tunctionstbmny 10 riindntnlysclucicdnmbui.'iiory pnUcniprc.scitplioiis;

a. Correcily type llie label.

h. Select the proper drug front llic tlis|)unsing siock.

Pharmacy License Number; <i

PHAR.CF.00058001 (Class A^

Yaklma NQfgfiborhood Health Services Pharmacy TQChnician Training Program12 3.8th StreetYakima.WA. 98901

c. Accurutdy count or mcitsurc (lie pnuluci. iiiid |)l;iue it in tlic projicf cnnmincr.

d. Complete the ncccssnry rcconfs nitd documents.

c. Cnlculatu llic chnrge for (lie prcscripUoti.

2. Locale ami input the 7 most common paticni "msurotiev" types seen in tin: YN) IS

pharmacy.

3. Discuifs the procedures required for trunsfcmnj;i a inedicmion troin (UK' plinrniiicy 10

nnotlKlr.

F. Stocking/Ordcring/Invcnton'/R<!ccivin),i/Rcturns

- (Utilizing resources #3)• (All trainers)

The xnnfenf fec'tinicfttn xfifwld (lennmstntle the tthtlily fff pwfmm tfie t'fi.wnfml finit'lifws

relHfht}f it) ttn^ pnf'ffnffii'iK tw^ wvemwy cmtiro/.

'I*o accoinplisli tins objeclive. plmrmncy student tcchnicinns must (!cnn>nstr;tlu the Iblkm'ing

campeicncics:

I. Dclcrniinc (rom cNistiitg level which inventory Jtciits should be m'tEered iind in wli;n

qimntity.

2. DemoHiitralc an ability lo check in a drug shipinenl by using liie lacking list of invoiceand pnrctiasc order niid adding tfie itcinii to itic invuiitory.

3. Describe ihu procedure for rclurning uini.seil m over-onk'rcd drugs Ki llic distribuloc.

4. Describe lltc procedure tbrdetenniiiinynutdiites imd where to pul tlic oitlditd'if dt'ugs.

5. Coniplcie ihc approprintc proccssus in (lie handling orpluu'tnaci*uiii:;il rrciilt? imd llu;disposal ofphnrmnccuticol producis.

G. Telephone Procvdurc and Communication

• (Utilizing resources #3 and #5). (All trainers) DOH/HSQA/OCS

The sttitfettf fe^'fnnciwi slnwlt! <lemtwslfrtte the njie nfcwrecf le/eplnwe fimt wnlfcfi

CfftfHfmnicttlMfi technique nwf protfft'tff, hoth in rai'eivinfi nfnt in iiiififffwff cuffs.

To accomplish this objeclivc. pharniiicy studciK lcclmicinns nuist dcntonsli'nte ide loliowiim

competencies:

Pharmacy License Number: 7PHAR.Cr.00058001 (Class A)

Yahima Neighborhood Health Services Pharmwy Technician Training Program12 S. 8th StreetYakima,WA. 98901

E. Discuiis pruccdurcs mid rcquircinctits fcgiirding tlic rclcnsc ot'p.ilicnt nilbrDiftiion nnd

compliance vvilh 1-IIPPA rcgulntions,

2. Judge situations where a pliannacisl rcturrnl is required.

3. Dmw up a list of'lhe typical da(n thiit sliould be coltccled when rectfivinji ;i prcscri|)iimifrom a patient.

4. Dcmonsiraic the ability lo provide good customer service ;ind elciir c<Hnnuinic;ition skills.

H. OTC Drugs

« (Utilizing resources #2, #6, nnd #7)• (All trainers)

The .vfwteisf technk'Km slionhl îfferentmfe rfwjyv nvttiluhle over the twwterfrwn (/rfif{\-m'tiiluhle tlmw^ft preycrtpfhw uwlfhe !uwx Feûlttth^ ffifir tfiapenains'

To accomplish tliis objective, pharmacy student technicians must dcnionsli'itlu the Iblkm m^compclencics:

I. Discuss the 10 most common over ilic counter dmgs.

2. Idcnnl'y prevailing rcgiilntinns for uinnagmg over llic couiuvr drnys. RECEI^ÊD

NOV 0 8 7019I. Pharmaceutical Compounding

DOH/HSQA/OCS• (Utilixing resources #3)• (Ati trainers)

The yfwfenf fcc/midmi s/n/iittf hnve H wMfciitfi ktwwlcdse tfflfiepnK.wfnre.v aittf tevhniquesre/fHiitff to twnpHHfitfift^ ^xeptfc cm^ptwmlw^ wnl parefilcrnl (H/nnxfHFe nfiemti<in.\.

To accomplish lliis objective, phiinnncy stutlcnt tcchnici.tns must (lemons I r;Hc tin: lollowingcnmpctcncics;

t. Identify the iniijorconiponcnisoflhc lammur-flow IKUHI. iiitd stiilc ihcir tunctioith.

2. Demonstrate ide proper tccfiniqne lor asuptic t'ccnnslilulion of';tii idjccKon.

3. List Hvc dEIHercm possibilities for eonlsunin;nioii or«in mjcciiiblu solutnm (lnritiui itsprcpnnuion and for caeli |wssibility ;t precaution llml xvonld ]>ruvent (lie cuiHinntnalion.

4. Dcmunstmleilic proper technique Ibrvisuitl inspection «rptirciHci'{tl?<olu(ions.

5. Determine iiunntily and approprialc dilinL'nl for itie i^coiisttlntion o('p(n\tfci-luii>cd druyis.

Pharmacy License Number:PHAR.CP.00058001 (Class A)

Yakima Neighborhood Health Services Pharmacy Technician Training Program12 S. 8th StreetYaklma, WA. 98901

6. Dvmonslratc proper hnnd-washinyi lcclmiqnc.

J. Pharmacy Computer System

• (Utilr/ing resources #3)• (AH trnincr.s)

Tfiff xfmlent tecfink'mn slnmlft tteimmslrufe ti fffwfl imleFfftHm/infi (fffiU iwnpnfer wffmire mn/

pFtf^rums used for p fwesa'Wff pfescr'tptumx, repnrHn^ aittf ffHiitifnhiinfi ptifk'nt ret'nnh.

invenlHry wnf wtter wfifmt, ffinf efecfnmic medkut rei.wits n.wif nt fhf Yt\/fS pfHn'tWft'y.

To accomplish lliis objective, pliRfinncy sludenl tectiniciniis mwl dcmon.su'iitv lliv toi!«« ing

competencies:

1. Locate patient prolHf. inedicaiions prcscrilK'd. cun'cnt insui'tincc covcrnyc. ;UKI ));nicm

dono&rapliics nsiny the clucironic inetfical record.

2. Create order tonn and receiving documcnttilion fbi' slupmenls 1't'on) clniy disu'ilunorh.

3. Process prcscripfions using current palient |)roi1lc nml msuraiicc rc^ti'iclidns.

K. HIV Training

• (Utili/.iny resources #8)(Sclf-trainin^)

The sfifftenf fechnkiwi shtwtd LWfiptete titnl t'eceive t'ertific'ttfiini in tfie l^uifint{{nni SnifePeparfffwttf <ffHtniff/i HIViwlme cei'fiftnffwn.

To accompiish this objectlvt:. pharniticy stndetU tcclinician.s must dcnionsirntu the tollm ingcompete ncics:

1. Access Stale of Washington 1-11 V online uciiiHeuie lihnnv iincl sclccl ;i prelcri'cd I 1)V

training method.

2. t7utf1ll all Siaie of Washington HIV ccHiHcution requircmcnlii .st)i:ccs*.tull\ ,

RECEIVEDL. Cultural Competency

NOV 0 8 rnis• (Utili/inu resources #9). (All trainers) ' DOH/HSQA/OCS

the alnffeni lechniciwf slnw/if he able ft) rf/.ft'WA' the fiti/wrftiftcc iffffinllk'nffnrifl {imfrcfifsx,

when senwff tHvet.w pftpnlnlffwx tffpHfietitx.

Pharmacy License Number:

PHAR.CF.0005800I (Class A)

Yakima Neighborhood Health Services Pharmacy Technician Training Program12S.8thSlreetYakima,WA. 98901

I o accomplish tills objeclivc. ihe phnnnacy .si«((tfiit iccimicians imist d 1:111 on simtc llic lolliwinycompclcneics:

I. Locate ;uui discuss a few key rcsoiircvs nvniliiblc for trainiiiti.

2. Internet with YNHS ptilients/employccs in «'i mnnnc) tlononslrating cnltuiiil nxv.'irciici.s

mid conipelcncc.

RECEIVED

NOV 0 8 7(119

DOH/HSQA/OCS

Pharmacy License Number: 1(1PHAR.CF.00058001 (Cfnss A)

Yakima Neighboftiood Health Services12 S. 8? StreetYakima,WA. 98901

Content of Instruction and Program Administration:Phiirmacy Technician Training Schedule:Subicci: Didactic leciure Ibliowed bv hand on tryininu:

Pharmacy Technician Training Program

A. Oricnlation to phnrmacy priicticcB. Kharmacy icrminofogy and basic phurmaccnticsC Pharmacy Law0. Phurmacculicai CalcuIaUons

E. Proccssiny the Prcscription/drny orderI". Slockiny/ordcring/invenioryG. Receiving merchandisei-I. Inventory and ReUirn goods procedure

I. Telephone procedure and communicationJ. OTC drugsK. Pharmaceutical compoundingL Pharmacy coinputt'r system

WeeksI4442211Jt

9

Hours51510202015;>

510151520


RECEIVED

NOV 0 8 ?niS

DOH/HSQA/OCS

Yakima Neighborhood Health Services Pharmacy Technician Training Program128.8th StreetYakima, WA. 98901

Evaluation Methods for Student Technicians

Documcnlalion/Notification

• Sludeni records will be rclnincd on she I'or no tcss tlian two vciirs t'or cacli sUidrnl li-iiiin;c.

mid/or slrnll be mndc nv.iitablc to the Wnshinglon Stale Hoiu'dot I'hiinnitcy williin 72 hours olreqitcsl.

• The Washington Stale Bvoi'd of l>linrinacy wilt bv noiiHcri prior to nny stgmHcnin pionriunchanges.

The (bllowing cvaluntion methods will bu finplcincnied throughoui (he course ol'iln: pl)finn;icyicchnicifin n-aimng |)rograni. for tile purpose ol'eviiluiiting stmlcni lccltiiiciiin |>rogii;s}i;

• Ancndnncu - daily auendancc ami p»nyUiylily requireil for sclicditkd didHctic IUCIHI'C. on^lK1-

job obscrvfttioiis. oml discussions, nnd Hn.il coinprchciiisive u.Mtiii

• Assicmncnt Oimstions - maicrial locnlcd in liie course tcxi nii(f wHlun diiily (raitiiny ;uui

practice" evaluated by an answer rubric

• Unit Ouizxes - niatcrial located in ihe coitfsu iti Ihc coursu (c.st and within (htily tiiiinin.u .init

practice - evnfitiilud by un answer key iiiuf ;in tnisivcr rubric

• On-Thc-Job Obitcrvations - content Irrtin didactic fccturc uiitt triiinin.u • cvitlnutetl liv un

assessment rubric - will also observe mtcrpcisoiuil rclnlions ;mtl pei^onal ntit'ilxtlcs {hiclmtiny

honesty)

• Oral Discussion " mmt;riul locoteci m tliu cinirse text ;tiid wiiliin dn Ely iriiiuinu {in d practice -cvalua[e<i by ;ui ,'tStic.ssniviH nibric

• Final Coinorclieitsive l:i\am - Completion yt';m approved iuttional |)lKiniiiiey tcclnticiiin

ccrtfficiilion L'.\i»nhiation (current ncccplablc cxiuns include the PTCG mid the I^CPT)

RECEIVED

NOV 0 8 7019

DOH/HSQA/OCS

Pharmacy License Number: 12PI-IAR.CF.00058001 (Class A)

9) Careful, deliberately composed messages from a sender should be well understood by a

recipient.

a) true

b) false

10) If a recipient s response to a message shows the sender that the message was misunderstood, the

sender should

a) repeat the message.

b) restate the message loudly.c) ask what's wrong with the recipient.

d) respond to points of misunderstanding.

11) What is the effect ofnonverbal communication on verbal communication?

a) It can enhance it.

b) It can disrupt it.c) both a and bd) neither a nor b

12) Professional appearance is part ofnonverbal behavior.

a) trueb) false

13) Because body language reflects emotional states, it can t really be controlled.

a) trueb) false

14) Which of the following distances is acceptable for a business discussion?a) 1.5 feet or less so personal touch can be added as needed

b) 1.5 to 4 feetc) 4 to 12 feetd) 8 to 16 feet

15) Written communication is essentially "putting verbal communication on paper."

a) trueb) false

16) Which of the following is not a consideration in a patient encounter?a) the type of medicationb) the type of environmentc) the purpose of the encounter

d) the method of the encounter

17) Which of the following is not a method of a patient encounter?a) face-to-face

b) groupc) telephoned) Internet

18) Which oftlie following is the best methotl to use in order to elicit infonnafion from a patient?a) passiveb) aggressivec) passive-aggressive

d) assertive

19) Which of the following are important for a pharmacy technician to elicit importantinformation?a) closed-ended questions

b) open-ended questions

c) listeningd) all of the above

20) Which of the following types of responses is appropriate for responding to a patient who isfrustrated?a) advice-givlngb) empathizingc) placatingd) quizzing

21) What does HIPPA provide for?a) assurance ofen'or-free filling of prescriptions

b) honesty and ethics of pharmacistsc) confidentiality of medical informationd) legal guarantees against medical malpractice

22) What is the best way for a pharmacy technician to respond to patients with anger, grief, andother emotional states that can hinder communication?

a) active listeningb) refer the patient to the pharmacy supervisorc) deal with the person accompanying the patientd) share stories about your relatives who have similar illnesses

23) Strategies for dealing with older adult patients include all of the following excepta) materials in large print.b) a very loud voice.

c) bright lights.d) slower speech.

24) For patients with poor health literacy skills, which of the following is not an effective strategy?a) using visual imagesb) asking open-ended questionsc) reading the pharmacy insert aloudd) using nonmedical terminology

25) Teamwork is important becausea) it makes everyone feel better about their jobb) it provides more social opportunities outside of workc) it helps prevent lawsuits when everyone sticks togetherd) it helps improve performance and organizational success

26) Which of the following stereotypes helps in dealing with cultural differences?a) Foreigners understand filings as long as they are translated.b) Body language means the same tiling in all languages.c) Human touch is a way to communicate sympathy and understanding.

d) all of the abovee) none of the above

27) Technicians may provide counseling fora) legend drugs.b) OTC medications.c) herbs and vitamins.

d) al! of the abovee) none of the above

28) Health literacy refers toa) the ability of the patient to read health care information.b) the ability of the patient to understand health care information.c) the ability of the patient to act on health care information.d) all of the abovee) none of the above

29) Clues to poor health literacy skills includea) excuses for not reading or completing forms.

b) always bringing family members to fill out paperwork.c) asking questions contained in patient information.

d) all of the abovee) none of the above

30) When dealing with another culture, if is important toa) treat all people of that culture the same.

b) not make eye contact.

c) keep your distance.d) all of the'abovee) none of the above

Name:

Date:

Chapter 6 Quiz • Specialty Pharmacy Practice

1) What are radiopliarmaceuficals primarily used for?a) diagnosisb) treatmentc) both a and bd) neither a nor b

2) Naturally occurring radioactive material is not useful for medical imaging because ofa) its longhaif-Iife.b) its short half-life.c) its abundance.

d) its rarity.

3) What compound is introduced to the body to obtain diagnostic results in nuclear medicine?a) a radioactive substance

b) a ligandc) gamma photonsd) all of the above

4) Which populations can nuclear diagnostic procedures not be performed on?a) pediatric patientsb) elderly patientsc) both a and bd) neither a nor b

5) Nuclear pharmacy is a specialty area of pharmacy that requires a board cerlificafion exam.

a) trueb) false

6) Radioactive decay means that a radiopharmaceuticala) has reached its half-life.b) has become inactive.

c) is in the state of giving off gamma rays.d) is in the state of giving offphotons.

7) Nuclear pharmacies are located

a) anywhere in tlie country.

b) in restricted, licensed areas.

c) within 2 to 3 hours of hospitals that use their products.d) within 24 hours of hospitals that use their products.

8) Nuclear pharmacies are generally open or available

a) from9AMto5PM.b) from6AMto9PM.c) around the clock.

d) variably, depending on the pharmacy.

9) All of the following are restrictive areas of a nuclear pharmacy except

a) compounding area.

b) dispensing area.c) order entry.

d) reception.

10) An assay in nuclear medicine describes thea) radioactivity in a prescription.b) the compound used in a prescription.

c) the time it takes to prepare a medication.d) the time within which a medication must be used.

11) When radiopharmaceuticals are dispensed, the activity for the dose must be accuratea) at the time it is compounded.b) at the time it is dispensed.c) for the half-life of the material used.d) for the time the material is to be injected.

12) Materials for compounding radioactive pharniaceuficals are

a) obtained from manufacturers.

b) created at the pharmacy.c) both a and bd) neither a nor b

13) Radioactive materials for radioactive pharmacenficals area) obtained from manufacturers.

b) created at the pharmacy.c) both a and bd) neither a nor b

14) Quality control testing for radioactive pharmaceuticalsa) is complicated.b) is time consuming.c) can only be performed by a pharmacist.d) may be performed by a pharmacy technician.

15) The preparation of dosages of radiopharmaceuticals is primarily the responsibility of thea) pharmacist.

b) pharmacy technician.

c) both a and bd) neither a nor b

16) Which of the following is not a factor ofALARA?a) amountb) distancec) shieldingd) time

17) A film badge is used toa) identify radiopharmaceuticalsb) identify nuclear pharmaciesc) determine radioactivity exposure

d) protect against radioactivity exposure

18) Which of the following does not measure radioactivity in a nuclear pharmacy?a) Geiger Mueller survey meterb) dose calibratorc) tungsten shieldingd) scintillafion defector

19) Benefits of compounding pharmaceuticais include which of the following?a) patient-specific dosingb) delivery of specialized dosage formsc) dosing for specialized populationsd) ail of the above

20) Veterinary medications must be specifically formulated for animals.

a) trueb) false

21) Nuclear pharmacy is useful for:a) treatment of disease

b) diagnosis of diseasec) prophylaxis of diseased) both a and b

22) Radioactive emissions arc measured in

a) mgb) mLc) mCid) mDi

23) An example of naturally occurring radioactive material isa) helium.b) fluoride.c) radon.

d) folate.

24) Radioactive material is useful in nuclear imaging if it has aa) long half-life.b) short half-life.c) medium half-Ufe.

d) none of the above

25) Radioactive material is attached to a(n) _ so that emissions may be mapped as it moves

through the patients body.a) gamma photonb) electronc) ligandd) proton

26) Nuclear material is used ina) CT scans.

b) MRI imaging.c) x-rays.


27) Nuclear pharmacies are divided intoa) order entry areas and dispensing areas.

b) restricted and non-resfricted areas.

c) pharmacist and pharmacy technician areas.

d) diagnostic and treatment areas.

28) A prescription for a racHophannaceutical should include all of the following except thea) agent to be administered.b) amount ofradioactivlty to be dispensed to the patient.c) time of administration to the patient.d) rate of administration to the patient.

29) Ligands are supplied to nuclear pharmacies asa) ready-to-use IV bags.

b) kits.c) bulk tablets.d) lead-protected packs.

30) Radioactive material is considereda) harmful.

b) hazardous.

c) inert until attached to the ligand.d) deadly.

Name:

Date:

Chapter 4 Quiz • Hospital Pharmacy Practice

1) Who would most likely have direct responsibility for a pharmacy department?a) chief executive officerb) chief operating officerc) chief financial officerd) vice president for patient care services

2) Which of the following characterizes the pafient-focused care model?a) Managers are given responsibility for specific departments.

b) Managers are given responsibility for specific patient types.c) Patients are served according to the urgency of their visit.d) Patients are served according to the time of their visit.

3) A decentralized pharmacya) replaces a centralized pharmacyb) replaces a satellite pharmacyc) provides services from patient care areas

d) has satellites distributed throughout the community

4) Which of the following is a disadvantage of a decentralized pharmacy?a) It reduces face-to-face time with health care providers.

b) It requires increased time to deliver medication to patients.c) It requires additional resources.

d) It increases the amount of medication that needs to be dispensed.

5) In a satellite pharmacy, pharmacy technicians can do all of the following excepta) maintain appropriate inventoryb) prepare unit dosesc) clean and maintain equipmentd) answer clinical questions

6) With clinical pharmacy services, pharmacy technicians are used to do which of the following?a) collect routine clinical datab) track medication errorsc) assist in clinical projectsd) all of the above

7) Drug (listribufion services involve getting a medication to a patient from thea) manufacturer

b) doctorc) pharmacyd) nurse's station

8) The unit (lose drug distribution system has standardized all of the following excepta) the time required to dispense a drugb) all labeling requirementsc) both a and bd) neither a nor b

9) In an automated system for distributing medicaUon to patient care areas, a pharmacytechnician helpsa) maintain inventoryb) predict inventoryc) provide drugs on the fill listd) all of the above

10) Medications for a crash cart are determined by

a) individual patient needb) the nature of the emergencyc) both a and bd) neither a nor b

11) Pharmacy technicians can provide which of the following services for clinical pharmacyservices?

a) recording laboratory resultsb) screening medication ordersc) reviewing and collecting patient datad) all of the above

12) At which of the following medication management steps would transcribing verbal instructionsbe a consideration?

a) selection and procurement

b) prescribingc) preparation and dispensingd) monitoring

13) At which of the following medication management steps would a fonnulary list be aconsideration?



14) At which of the following medication management steps would responding to a drug allergy bea consideration?



15) At which of the following medication management steps would using unit doses of a medicationbe a consideration?



16) Which of the following requires the management task of prescribing and dispensing?a) expirationb) five rights of medical administrationc) Medication Administration Recordd) medication use evaluation

17) Which of the following requires the management task of evaluation?a) expirationb) five rights of medical administrationc) Medication Administration Recordd) medication use evaluation

18) Which of the following requires the management task of storage?a) expirationb) five rights of medical administrationc) Medication Administration Recordd) medication use evaluation

19) Which of the following requires the management task of administration?a) expirationb) five rights of medical administrationc) Medication Administration Recordd) medication use evaluation

20) Third-party payers have contributed to increased medical costs because third party payersa) include an administrative charge for their servicesb) provide full reimbursementc) promote competitive pricingd) do not provide wellness care

21) Which of the following is not a qualify improvement mode!?a) Six Sigmab) Quality Controlc) Total Quality Managementd) Continuous Quality Improvement

22) A system in which a restricted list of medications is available for a prescriber to use on his orher patient is a(n)a) closed formulary.

b) open formulary.

c) unit dose distribution system.d) investigational drug program.

23) Technician responsibilities in a central pharmacy include all of the following excepta) ordering labs needed to determine aminoglycoside dose.

b) preparing IV antibiotics.c) preparing IV chemotlierapeutic agents.

d) performing functions related to quality control and quality improvement.

24) Pharmacy technicians are being used to help pharmacists in all of the following areas excepta) collecting routine clinical data.b) providing patient education.c) tracking medication errors.

d) taking on management tasks.

25) For the manual process of filling medication carts or cassettes

a) each medication is assigned to a drawer.

b) each patient is assigned to a drawer.c) fill lists are generated to provide medications for 8 hours.d) drawers contain drug information.

26) The pharmaceutical care model allows for new roles for the technician, which might includea) recording laboratory results in the pharmacist's patient database.

b) pharmacokinefic dosing.c) infectious disease consultations.

d) drug information services.

27) Before a study is approved to be conducted in the hospital, a study protocol is developed,reviewed, and approved by

a) the Institutional Review Board.b) the P&T Committee.c) theCEO.d) the board of directors.

28) Formuiary decisions are based upon medications^

a) effectiveness.

b) potential for errors and abuse.

c) cost.d) all of the above

29) The five rights of drug administration area) right medication, right dose, right nurse, right time, right route.b) right medication, right dose, right physician, right time, right route.c) right medication, right dose, right documentation, right time, right route.d) right medication, right dose, right patient, right tune, right route.

30) The most basic and widely communicated infection control procedm'e isa) preventing overuse and misuse of drugs.

b) the creation offormulary restrictions on certain broad spectrum antibiotics.

c) infection committee's review of current infection rates.

d) hand washing.

Name:

Date:

Chapter 2 Quiz • Pharmacy Law

1) If state and federal laws or regulations differ regarding the requirements for dispensing acontrolled substance, which of the following choices applies?a) The federal law or regulation has priority and therefore prevails over the state law.b) The state law or regulation has priority and therefore prevails over the federal law.c) Federal and state laws or regulations always coincide regarding requirements for controlled

substances.

d) Sometimes the federal law or regulation must be followed and sometimes the state law orregulation must be followed.

2) Which of the following is not a regulatory function performed by the state boards of pharmacy?a) inspecting pharmaciesb) investigating complaintsc) issuing a prescriber's number

d) issuing rules and regulations

3) Which of the following statements about states' laws and regulations regarding pharmacytechnicians is false?a) The particular requirements for pharmacy technicians may vaiy from state to state.

b) Under special circumstances, some states allow pharmacy technicians to perform pharmacy tasks

that ordinarily only pharmacists can perform.

c) Pharmacy state laws are enacted by state legislatures, and regulations are issued by state

regulatory agencies.d) Some states require criminal background checks.

4) Which of the following statements about states' laws and regulations regarding pharmacytechnicians is true?

a) Federal regulations limit the number of pharmacy technicians who may assist a pharmacist at onetime.

b) States vary regarding the maximum number of pharmacy technicians who may assist a

pharmacist at one time, but at most the allowable ratio is 3:1.

c) In a few states, all pharmacy technicians are or will eventually be required to be certified bypassing a certification exam.

d) Pharmacy technicians share their Code of Ethics with pharmacists.

5) Which of the following sfafemenfs regarding patient counseling is true?a) In every state, patient counseling can be done exclusively by the pharmacist.

b) In eveiy state, an offer to counsel is required on refill prescriptions.

c) Many states permit pharmacy interns to provide patient counseling after they have been trainedby the pharmacist.

d) Some states allow pharmacy technicians to offer to be counseled by the pharmacist.

6) Which of the following statements regarding the schedules of controlled substances is true?a) Federal regulations allow certain controlled substances classified under Schedule I to be

dispensed by a pharmacist, exclusively with a prescription.b) Schedule I drugs ace available in pharmacies in limited quantities.c) Some controlled substances are not prescriptions drugs and, if certain conditions are met, can be

dispensed by a pharmacist without a prescription.d) All states require that controlled substances be dispensed by prescription only.

7) Which of the following statements regarding federal law on controlled substances is false?a) Schedule III and IV prescriptions can be refilled up to 5 times within 6 months after the date that

the prescription was issued by the prescribe!-.

b) Schedule II prescriptions can be refilled Just once and are not fransfen'able behveen pharmacies.

c) Pharmacies using a real-time online computer system connecting their pharmacies may transfer

Schedule III, IV, and V prescriptions up to the maximum number of authorized refills.

d) Pharmacies must keep records for 2 years.

8) Which oftlie following statements regarding generic drug substitution is true?a) For drugs that have an FDA-approved generic equivalent, pharmacists are permitted to substitute

the generic equivalent drug for the brand name drug unless the prescribe!' prohibits genericsubstitution.

b) Federal law requires prescribers who want to allow substitution to state it explicitly using termssuch as "substitution permitted."

c) The "Orange Book" lists drugs that cannot be substituted.d) All drugs have a generic equivalent.

9) Prescription monitoring programsa) require, in most states, pharmacies to report information about prescription and dispensing of

drugs in Schedules II and III.b) require, in most states, pharmacies to submit information on the controlled-substance

prescriptions that they dispense to the designated state authority.c) require, in most states, pharmacies to keep records on the controlled-substance prescriptions that

they dispense and have them readily available for inspection by the designated state authority.d) are used by states to analyze prescriptions of brand name drugs vs. generic equivalent drugs.

10) Federal law requires pharmacies to maintain complete and accurate records for all controlled

substances

a) that they purchase, receive, distribute, or dispense.

b) for one year.

c) that are not OTC.d) all of tlie above

11) Purchasers of products containing ephedriue or pseudoephedrinca) must provide their valid photo ID.b) must sign a logbook.c) must provide their address.

d) all of the above

12) The package insert included in prescription drug productsa) contains information for patients.

b) includes indications for use, dosage and administration, and adverse reactions.

c) is information on how to prepare the drug and proper storage and is intended exclusively forpharmacists.

d) all of the above

13) OTC drugs area) labeled to sufficiently inform the consumer of the uses of the drug, the recommended dosage,

how often to use the drug, who should or should not take the drug, and side effects.

b) always kept in the public access area of the pharmacy.c) always sold in child-resistant packaging.d) all of the above

14) Pharmacy records containing private patient health information includea) prescriptions.

b) oral conversations.

c) billing records.d) all of the above

15) Child-resistant packaginga) must meet a test to show that it will prevent 90% of children from opening the packaging but

allow 80% of adults to open the containers without difficulty.b) must be used in all OTC products.c) may not be required in some prescription drugs.

d) all of the above

16) Which of the following statements is true about state control of pharmacy?a) Pharmacy laws and rules are made by the state board of pharmacy.

b) Pharmacy laws are made by the state legislature, and pharmacy rules are made by the governor.

c) Pharmacy laws are made by the state legislature, and pharmacy rules are made by the state board

of pharmacy.

d) Pharmacy laws and rules are made by the legislature.

17) The jRrsf Food and Drug Act occurred ina) 1838b) 1906c) 1938d) 1951

18) The tamper-resisfant packaging regulationa) makes it a crime to tamper with packaged products and requires famperproof packaging.b) requires tamperproofand childproof packaging for prescription drugs.c) requires tamperproofand childproof packaging for prescription drugs and OTC medications.d) requires that most medications are childproof, allowing for some exceptions.

19) The state boards of pharmacy have regulatory authority over a number of areas, includinga) recalls of medications not conforming to industry standards.

b) registering or licensing pharmacy technicians.

c) disciplinary actions against drug manufacturers, pharmacies, pharmacists, and pharmacy

technicians for violations of pharmacy laws and regulations.

d) both b and ce) all of the above

20) Pharmacy techniciansa) may provide patient counseling under the supervision of a pharmacist.b) may provide counseling if they are fluent in the patient's language.c) may provide patient counseling under the supervision of a pharmacy intern.d) are not authorized to counsel.

21) Federal law allows Schedule III and IV prescriptions to be refilleda) up to 5 times within 6 months.b) 1 time within 72 hours.c) up to 6 times within 5 months.d) zero times—they require a new prescription for each filling.

22) If authorized by the prescriber, Schedule V prescriptions may be refilleda) 5 times within 6 months,b) 1 time within 72 hours.c) as needed within 6 months.

d) zero times—they require a new prescription for each filling.

e) none of the above

23) Federal law requires the pharmacy to keep controlled substance records for

a) 7 yearsb) 1 yearc) 2 yearsd) 5 years

24) The package inserta) must be included with the prescription to provide the consumer with information about the drug.b) provides physicians, pharmacists, and other health care professionals with medica! and scientific

information about the prescription drug.

c) is required by the PDA with the dispensing of certain prescription drugs such as estrogens andoral contraceptives.

d) contains FDA-approved information to assist patients with avoiding serious adverse events, to

inform patients about known serious side effects, or to promote patient adherence with their

treatment.

e) both c and d

25) Which of the following is not accurate regarding HIPAA?a) sets national standards for the privacy of medical recordsb) is the Health Insurance Portability and Accountability Actc) protects patient's individually identifiable health informationd) prevents the use and disclosure of patient health information as necessary to provide patient

health care services

26) The 1972 Over-thc-Counter Drug Review Act established that nonprescription medicationsa) must be safe and effective.

b) must be appropriately labeled.c) must have child-resistant packaging.

d) a and be) all of the above

27) What was the purpose of the Food and Drug Act of1906?a) to outlaw labeling drugs with fake medical claims meant to trick the buyerb) to name the Food and Drug Administrationc) to define the types of drugs that cannot be used safely without medical supervision and to limit

the prescription only to medical professionalsd) to outlaw states from buying and selling food, drinks, and drugs that have been mislabeled and

tainted

28) Examples of pharmacy protected health information, or PHI, area) pharmacy prescription records.

b) prescription container labels.c) oral communications about patients' prescriptions and health care treatment.


29) HIPPA allows the use and disclosure of PHI, or protected health information, fora) patient care.

b) patient treatment.c) health care operations.

d) billing for pharmacy services.e) a,b,and cf) all of the above

30) Examples of products exempt from child-resistant packaging are

a) nitroglycerin tablets.b) oral contraceptives.

c) household cleaners.


Name:

Date:

Chapter 7 Quiz • Drug Information Resources

1) A requestor for drug informafioii can be a

a) doctor.

b) nurse.

c) patient.d) all of the above

2) In general, pharmacy technicians may answer a question that requires specific knowledge of a

medication if it does not require professional judgment.a) trueb) false

3) Which of the following types of questions may a pharmacy technician not answer?a) allergiesb) costc) pharmacy lawd) preparation

4) Pharmacists should always confirm an answer they have located in a source with a second

source.

a) trueb) false

5) Which of the following is not likely to be included in a reference source for general druginformation?

a) adverse effectsb) availabilityc) costd) dosing

6) Which of the following would not be used as a general drug reference?a) CIimcal Pharmacologyb) Facts & Comparisonsc) Red Bookd) Umfed States Pharmacopeia Drug Information

7) Which of the following is the best way to locate updates for reference boolis?a) CD-ROMb) Internetc) monographs

d) monthly bulletins

8) Which of the following is widely used by pharmacy professionals?a) Climcal Pha/'mcico/og)'

b) Facts & Coniparisonsc) Drug Information Handbookd) United Siciies Piwrmacopeia Drug Information

9) Which of the following is used by health care professionals?a) CJmicaJ Pharmacohg)'b) Facts & Comparisonsc) Drug Information Hcmcibookd) Umted States Pharwacopeia Drug Information

10) Which of the following provides a volume of questions that patients may ask?a) C/nucci! PharmacoJogyb) Facts & Comparisonsc) Dnfg Information Handbookd) Um fed States Pfwrmacopeia Drug Information

11) Wliicli of the following is used in retail pharmacies and pharmacy schools?ci) CHmcaI Pharmacologyb) Facts & Cowparisonsc) Drug Information Handbookd) United States Phannacopeia Drug Information

12) Which of the following is most likely to have information about injectable drug compatibilityand stability?a) King Guide to Parentera} Achmxturesb) Physicians ' Desk Reference

c) Red Bookd) USP Pharmacist's Piwrnwcopeia

13) Which of the following is most likely to liave informatiou about compounding drugs?a) Kmg Guide to Pare^fera] Aclwixfuresb) Physicians' Desk Referencec) Red Bookd) USP Pharmacist's Pharmacopeia

14) Which of the following is most likely to have a list of Poison Control Centers in the UnitedStates?a) King Guide to Parentercil Ac/mixlnres

b) Physicians' Desk Referencec) Reel Bookd) USP Pharmacist's Pharmacopeia

15) Which of the following would not be included in a Material Safety Data Sheet?a) precautions needed for preparing and dispensing doxorubicm

b) side effects of doxorubicinc) where isopropyl alcohol should be storedd) how a chemotherapy spill should be cleaned

16) Which of the following Internet sites is least likely to have accurate information?a) commercial

b) governmentc) manufacturer

d) pharmacy organizations

17) Which of the following Internet sites is most likely to have a comprehensive database?a) Food and Drug Administrationb) MedlinePIusc) PubMedd) Virtual Library Pharmacy

18) Which of the following Internet sites is most likely to have citations and links to full-texfarticles?a) Food and Drug Administrationb) MedlinePlusc) PubMedd) Virtual Library Pharmacy

19) Which of the following Internet sites is most likely to have links specifically for pharmacy-related associations, manufactures, and government sites?

a) Food and Drug Administrationb) MedlinePlusc) PubMedd) Virtual Library Pharmacy

20) Which of the following Internet sites is most likely to have links for both consumers and healthcare professionals?

a) Food and Drug Administrationb) MedlinePlusc) PubMedd) Virtual Library Pharmacy

21) A drug information request is a(n)a) formal written inquiry.b) Internet-generafed query.

c) Internet search.

d) question regarding medication.

22) Before responding to a drug information question, it is important to knowa) who is asking the question.b) if the question is regarding a specific patient.c) if the answer is needed quickly.d) all of the above

23) Classifications of drug information requests include all of the following excepta) general drug information.b) storage and stability.c) cost.

d) Internet sites.

24) Drug iuformatiou questions appropriate for pharmacy technicians to answer inclucle all of the

following excepta) stock levels of a medication.

b) cost of a medication.

c) side effects of a medication.

d) third-party coverage of a medication.

25) Patients requesting informationa) do not always know who is appropriate to answer their questions.

b) may start with easy questions but really want pharmacist input.c) should not use a pharmacy technician as an intermediary.

d) all of the above

26) When looking for drug information, generally it is best to begin witha) primary references.

b) secondary references.

c) tertiary references.


27) Facts & Compansofis is an example of a

a) primary reference.

b) secondary reference.

c) tertiary reference.


28) The best format for references isa) online.

b) textbook.c) PDA.d) none of the above

29) A good place to find information on herbal medicines isa) Facts & Compariwmb) Trissei 'sc) Red Bookd) Nafnra! Medicwes Comprehensive Database

30) Poison Control Centers can be accessed

a) 24/7b) by calling 1-800-222-1222c) by calling 1-800-HELPME!d) all of the above

Name:

Date:

Chapter 5 Quiz • Home Care Pharmacy Practice

1) Which of the following can dictate where therapy will be provided?a) physiciansb) patientsc) insurance companies

d) al] of the above

2) Which of the following is responsible for providing information to initiate home care?a) case manager

b) intake coordinatorc) both a and bd) neither a nor b

3) A pharmacy technician would be involved in all of the following excepta) gathering supplies.b) providing educational materials.c) preparing the drugs.d) making home visits.

4) The role of a registered nurse in home infusion is toa) teach the patient about supplies and drugsb) prepare and deliver medicationc) administer medicationd) all of the above

5) The time required for anti-infective therapy can range from

a) 10 to 14 daysb) 10 to 21 daysc) 10 days to 2 monthsd) 2 to 4 months

6) What is the main advantage of cephalosporins?a) low adverse reactions

b) length of administrationc) drug stabilityd) all of the above

7) Which of the following is a problem with many antibiotics used for infusion therapy?a) high adverse reactionsb) long length of administrationc) drug instabilityd) all of the above

8) Parenteral nutrition is provided whena) oral nutritison is difficult or impossibleb) supplementation of nutrients is requiredc) both a and bd) neither a nor b

9) Which of the following is used for enteral nutrition therapy?a) mouthb) nasogastric tubec) gastronomy tubed) all of the above

10) Chemotherapy may be given in the home environment.

a) trueb) false

11) IV medication for pain can be used in home therapy along with oral, rectal, or transdermal

alternatives.

a) trueb) false

12) Which of the following would be the most cost-effective?a) minibag infusionb) syringe infusionc) rate-restricted TV administration systems

d) ambulatory electronic infusion pumps

13) What are the advantages of multiple-therapy devices for providers?a) A single device can be used for multiple therapies.b) Capital costs can be overcome more quickly.

c) Clinical staff training is simplified.d) all of the above

14) Which of the following are patient-related factors in the selection of ambulatory infusiondevices?a) distance from home care office

b) reimbursement issues

c) patient-controlled dose needs

d) level or presence ofcaregiver assistance

IS) Which of the following has the power to enforce guidelines for quality assurance of sterilecompounding?a) American Society ofHeaIth-System Pharmacistsb) United States Piiarmacopeia! Conventionc) Food and Drug Administrationd) all of the above

16) Which of the following would not be included on a home care product label?a) name and volume ofadmixture solution

b) method of compoundingc) name of person preparing the compound

d) address oftlie pharmacy providing the compound

17) Which of the following is not used for long-term IV access?a) peripheral access

b) peripheraUy inserted central venous cathetersc) subcutaneous vascular access ports

d) tunneled cenlral venous catheters

18) Heparin is used with IV catheters toa) prevent infectionb) prevent clotsc) act as adilutantd) act as a concentrator

19) Universal precautions should be used with patients to treat them as if theya) had low resistance to infectionb) were infectiousc) both a and bd) neither a nor b

20) Medical waste should bea) recycled in home recycling programsb) recycled by the hospital for reusec) disposed of at homed) disposed of by regulated collectors

21) Home infusion has become popular because

a) it is cost-effective.

b) patients may avoid infections originating from hospital stays.c) patients can continue with fairly normal lives.d) all of the above

22) The decision to accept or refuse the referral for home care therapy is based upon

a) the abiiity and willingness of the patient or the caregivers to perform the tasks required toadminister therapy at home.

b) the appropriateness and feasibility of the therapeutic plan.c) the assurance that home care therapy will not place too much of a financial burden on the patient

or the home infusion company.

d) all of the above

23) Goals of home care include all of the following excepta) reducing the hospital's liability for falls.b) improving the patient's quality of life.c) decreasing costs.

d) decreasing risk ofnosocomial infections.

24) In the home care environment, maintenance ofintraveuous cathcters is the sole responsibility of

thea) physician.b) pharmacist.c) patient or caregiver.

d) nurse.

25) Pharmacy technicians are responsible fora) compounding, preparing, and labeling medications.

b) maintaining the compounding room and drug storage areas.

c) coordinating the IV room.

d) all of the above

26) TIie initial visit to the patient s home is made by the home infusiona) physician.b) nurse.

c) pharmacist.

d) pharmacy tech.

27) The home care team leader is thea) physician.b) nurse.

c) pharmacist.

d) pharmacy tech.

28) A therapy often added to offset bone marrow toxicity isa) foscarnetb) ftlgrastimc) ganciclovird) none of the above

29) Patients receiving parenteral nutrition require intensive monitoring, which usually includesweeklya) laboratory tests.

b) fluid status.c) weights.d) all of the above

30) Due to reactions to amphotericin infusions, patients may be premedicated with

a) oral acetaminophen and diphenhydramineb) normal salinec) dextrose 5% syringesd) heparin

Name:

Date:

Chapter 3 Quiz • Community and Ambulatory Care PharmacyPractice

1) Which piece of legislation established the categories of legend drugs and over-the-counter

drugs?a) the Food, Drug, and Cosmetics Act (FDCA)b) the Durham-Humphrey Amendment to the FDCAc) the Omnibus Budget Reconciliation Act (OBRA)d) the Health Insurance Portability and Accountability Act (HIPPA)

2) Which of the following is the best definition ofaformulary?a) a list of drugs that a specific third-party payer will coverb) a list of all legend drugsc) a list of generic drugsd) a list of instructions for compounding a specific formulation

3) Which of the following explains how an automated counting machine determines the correctnumber of units to dispense?

a) A scale is used to count units based on their weightb) Light units are used to count units as they are poured through the machinec) Bulk quantities are stored in cells that dispense the required number of unitsd) all of the above

4) Which of the following statements about compounding prescriptions is not true?a) Most pharmacies have a "recipe book" that contains information on commonly prepared

compounds.

b) Many states require the pharmacy to maintain a log to document all compounded prescriptions.c) Technicians are never allowed to compound prescriptions.

d) Compounding sometimes involves preparing a liquid form of a medication that is available onlyas a tablet or capsule.

5) Which of the following pieces of information is not generally required when a new patient issubmitting a prescription for the first time?a) any drug allergiesb) insurance informationc) marital statusd) other prescriptions and OTC medications the patient fakes regularly

6) The Omnibus Budget Reconciliation Act (OBRA) requires a pharmacist to perform threefunctions when filling a prescription for a Medicaid recipient WIiicii of the following is not oneof the required functions?

a) Patient record maintenance—Pharmacists must keep records of each patient. Including all drugs

the patient is taking.b) Managed care status—Pharmacists must record whether a patient participates in a managed care

system.

c) Patient counseling—Pharmacists are required to talk to patients about their prescriptions andanswer any questions.

d) Prospective Drug Utilization Review—Pharmacists must review a patient's medication profile to

screen for any potential problems.

7) Crestor, a drug often prescribed for high cholesterol, is patented and available from only one

manufacturer. This makes it an example ofa(n)

a) brand name drug.

b) compounded drug.c) generic drug.

d) over-the-counter drug.

8) Which of the following provides the best example of an adverse reaction?a) The drug does not make the patient's symptoms improve.

b) The drug makes the patient drowsy.c) The drug causes the patient to develop a severe rash and break out in hives.

d) The drug cures the patient's disease.

9) The following text lists and describes various ambulatory care practice sites. Which description

is not accurate?

a) Independent pharmacies—These pharmacies are usually owned by one or two individualpharmacists. They may be part of a few stores in a limited geographical area.

b) Chain pharmacies—These pharmacies are owned by large corporations; usually several differentstores can be found across a wide geographical area.

c) Clinic pharmacies—These pharmacies are located in clinics or medical centers to serve the needs

of hospitalized patients.d) Managed care pharmacies—These pharmacies are part of a managed care system and serve the

needs of patients of the managed care system.

10) Which of the following is not a characteristic of mail-order pharmacies?a) They fill large volumes of prescriptions.

b) They specialize in maintenance medicines.

c) Patients can walk in and pick up prescriptions.d) They generally provide information to patients via telephone or websites.

11) A patient has become frustrated and is getting angry with you. You have tried talking calmly tothe patient, but that has not worked. Your best course of action is to

a) walk away.

b) tell the patient to go away and take the next customer.c) ask another technician to take over.

d) involve the pharmacist.

12) A patient has asked you to arrange for a prescription to be transferred from another pharmacy.

Which of the following best describes the information you should try to obtain?a) the patient's name, the prescribing doctor, and the name of the medicine.

b) the name of the medicine and the date when if is needed.c) the patient's name and date of birth, along with the name of the other pharmacy.d) the patient's name and date of birth, Ihe name and telephone number of the other pharmacy, and

the prescription number and/or name of the medication.

13) Which of the following best describes medication guides?a) They are large reference books containing descriptions and pictures of all drugs.b) They are paperback books that patients can buy for more information about drugs.c) They are federal publications designed to aid prescribers in choosing the right medications for

patients.

d) They are FDA-approved guides that inform the patient on proper use of the drug and possible sideeffects, and they must be dispensed with the prescription.

14) Which of the following best describes when a Risk Evaluation and Mitigation Strategy (REMS)is required?a) The REMS is required when prescribing generic drugs.b) The REMS is required when filling prescriptions for Medicaid patients.c) The REMS is required if the pharmacy has been named in a malpractice suit.d) The REMS is required for certain drugs with known severe side effects, such as thalidomide or

clozapine.

15) Which of the following is not a common reason for a third-party payer to reject a prescriptionfor reimbursement?

a) missing or invalid patient ID numberb) generic drug prescribed instead of brand namec) plan limits exceededd) refill too soon

16) Which of the following offers the best definition ofcopayment (copay)?a) A copayment is the amount paid by a second company if the patient is under two insurance plans.

b) A copayment is the portion of the total cost of the medication that the patient is responsible for.c) A copayment is the part of the palienfs bill for items other than prescription drugs.d) A copayment is the part of the patient's bill covered by a government program.

17) Which is the best definition of the National Drug Code (NDC) number and its potential use?a) Eacli unique drug, strength, and package size is assigned a unique NDC number that is printed on

the package. This can be used to double-check that the correct drug product has been selected.

b) Each pharmacist has a unique NDC number. It is used to track information when a crime issuspected.

c) Each drug has a unique NDC number, which is used for inventory control.

d) Each prescribe!- has a unique NDC number, and a prescription is not valid unless it has one.

18) Which of the following statements about dietary supplements is true?a) They are sold only in pharmacies.b) They provide little revenue for the pharmacy.c) Much of the consumer information about them is exaggerated or inaccurate.

d) They are tightly regulatedjust like medicines.

19) Which of file following statements about specialty compounding is most accurate?a) Most pharmacies will prepare simple compounds but are not equipped to handle more

complicated formulations.

b) All pharmacies are required by law to provide specialty compounding.c) Technicians are never allowed to participate in compounding medications.

d) It is difficult to find suppliers for many ingredients.

20) Which of the following best explains why you would ask a patient to provide identifyinginformation, such as name, address, and date of birth, when you give them a prescription

medication?a) This information ensures that the correct third-party payer is billed.b) This information ensures tliat the pharmacy's records are accurate.

c) This information ensures that the correct medication is given to the correct patient.

d) This information ensures that the pharmacy can send the patient promotional materials.

21) Examples of third"? a rty payers includea) private insurance purchased by individuals.b) government programs, such as Medicaid.

c) employers' health insurance policies.

d) all of the above

22) Most community pharmacies are

a) independent pharmacies.

b) clinic pharmacies,c) chain pharmacies.

d) managed-care pharmacies.

23) Technicians may be asked to assist when a pharmacy offers immunization. Which of the

following is not an area where technicians may be involved?

a) registering patientsb) ordering, storing, and preparing vaccine dosesc) identifying a patient's risk factorsd) keeping required records

24) You are placing a label on a manufacturer^ drug container when filling a prescription. Whichpieces of information from the manufacturer must be visible?

a) the product name and manufacturer's name

b) the dosage levelc) the expiration date, lot number, and storage requirements

d) the product name

25) Which of the following best describes tlie influence of thh'd-party payers on reimbursementsand on pharmacies?

a) Third-party payers have negotiated continually decreasing reimbursements, and pharmacies have

had to trim operating costs.

b) Third-party payers have kept pace with inflation, and pharmacies have made few adjustments.c) Third-party payers have increased reimbursements as drug prices rise, and pharmacies have

become more profitable.

d) Third-party payers have decreased reimbursements slightly, but not to a level that has affectedpharmacy operations.

26) Certain medications require special precautions and strategies to ensure that their benefits

ouhveigh the potential risks. All the following are examples of such drugs except

a) alosetron.

b) atorvaslatin.

c) clozapine.d) thalidomide.

27) Which of the following statements best describes the changes in the pharmacy technician'srole?a) The technician's roles and responsibilities liave remained the same.

b) The technician's roles and responsibilities have decreased.

c) The technician's roles and responsibilities have increased.

d) The technician's roles and responsibilities have increased only in states that require certification.

28) All the following are examples of health screenings offered by pharmacies excepta) automated blood pressure measurements.

b) bone density tests.c) cholesterol panels.

d) flu shots.

29) Which statement about automatic inventory software systems is most accurate?

a) These systems are very efficient, but human intervention is still needed.

b) These systems do not monitor inventory, so humans still need to do that task.

c) These systems have taken over all aspects of inventory, freeing technicians from this task.

d) The software is still unstable and cannot be trusted.

30) Disease state management requires prescribers to monitor patients, usually ones with chronic

coudifions, and make adjustments to medications. All the following are conditions for which

disease state management is common except

a) asthma.

b) hyperlipidemia.c) hypertension.d) pneumonia.

Name:

Date:

Chapter 1 Quiz • Introduction to Pharmacy

1) Which of the following offers the best definition of pharmaceutical care?a) care provided to patients in their own homes

b) a type of health insurance that allows patients to pay a blanket fee for health care coveragec) a service or group of services that optimizes therapeutic outcomes for patients

d) provision ofmedicatioiM-elated care whose outcomes improve a patient's quality of life

2) What, generally, is the minimum level of formal education a person must have to work as a

pharmacy technician?a) high school diplomab) an associate's degree from a community college

c) certification by the Pharmacy Technician Certification Board (PTCB)d) a bachelor of science in pharmacy

3) Which of the following is the most important consideration for a pharmacy technician whowishes to act in a professional manner?

a) assisting the pharmacist in completion of his or her dutiesb) respecting the confidentiality of patient informationc) ensuring the health and safety of the patientd) maintaining good relationships with coworkers

4) Which of the following best describes the continuing education requirements for a certifiedpharmacy technician who has passed the PTCE?a) The technician must complete 20 hours of training per year, with no restrictions on subjects or

types of training.

b) The technician must complete 25 hours of training outside of work in two years, with two hoursof training on pharmacy law.

c) The technician must complete 20 hours ofon-the-job training in one year, with one hour on

pharmacy law.

d) The technician must complete 20 hours of continuing education in two years, of which one hour

must be on pharmacy law and only ten may be earned at the workplace.

5) Which of the following best describes the function areas of the Professional TechnicianCertification Examination (PTCE) and percentages of each function area on the test?a) assisting the pharmacist in serving patients (60%), maintaining medication and inventory contra]

(25%), and participating in the administration and management of pharmacy practice (15%)b) assisting the pharmacist in serving patients (66%), maintaining medication and inventory control

(22%), and participating in the administration and management of pharmacy practice (12%)c) assisting the pharmacist in serving patients (50%), dispensing practices (35%), and maintaining

medication and inventory control systems (15%)d) regulations and technician duties (25%), drugs and therapy (23%), and dispensing process (52%)

6) Which of the following is part of the Code of Ethics for Pharmacy Technicians?a) The pharmacy technician will arrive at work on time,

b) The pharmacy technician will present a professional appearance at work by wearing appropriateclothing.

c) The pharmacy technician will respecttheconfidentialityofa patient's medical records.d) The pharmacy technician will serve customers in the store in preference to taking phone calls.

7) Which of the following best describes how technicians should approach certification if they areworking in states that do not require it?a) There is no reason to spend the time and money to become certified until it is required.

b) Certification shows that the technician has skills appropriate to any pharmacy environment anddemonstrates the technician's commitment to the profession.

c) Certification should be pursued only if required for job advancement.d) Certification should be pursued so you will be able to supervise coworkers.

8) New technicians starting their first job might expect to perform all the following duties excepta) filling automated medication dispensing cabinets.b) receiving prescriptions from customers or fax machines.

c) educating patients about medications and suggesting alternatives.d) checking out patients at the cash register.

9) Outpatient pharmacy and medical services are becoming more common. Which of the following

best explains why this is happening?a) the need to reduce the number of hours doctors work

b) the need to contain skyrocketing costs of health carec) the improvement in diagnostic servicesd) the reduction in the number of independent medical providers

10) A state passes a new law that requires all pharmacy technicians to send in information abouttheir residence, place of employment, and level of education. The state government will recor<?

this information in a database. This is an example ofa) registration.

b) accreditation.c) licensure.

d) certification.

11) A patient who is on heart medication comes in with a bad cold. TIie patient brings an over-the-

counter decongestant and an herbal remedy to the checkout counter. You think tliat these may

interact with the patients heart medication. Other people are in line behind the patient. Whatcourse of action is most appropriate in keeping with the Code of Ethics?a) run a quick Internet search to see if the combination is safeb) sell the person the decongestant and herbal remedy without saying anythingc) advise the patient that there may be an interaction with the heart medicationd) ask the patient to wait while you tell the pharmacist about the situation

12) Which of file following is not one of the ten characteristics of a professional, as listed by theAmerican Pharmacists Association (APhA)?a) conscience and trustworfhiness

b) knowledge and skills of the professionc) appropriate dressd) ethically sound decision making

13) What is required before a pharmacist can practice in a state?a) The pharmacist must earn a PhannD degree.

b) The pharmacist must earn a PhacmD degree and pass state board examinations.

c) The pharmacist must pass state board examinations and complete an apprenticeship.

d) The pharmacist must complete coursework beyond the PharmD degree.

14) Technical and community college programs for pharmacy technicians typically fake how longto complete?a) one semester

b) 3-6 monthsc) 6-24 monthsd) exactly one year

15) The practice of pharmacy takes place in many environments, which are commonly divided intothe following hvo settings:a) community pharmacies and mail-order pharmacies

b) hospitals and home health carec) ambulatory care and institutionald) general and specialty pharmacy services

16) A pharmacy benefit manager (PBM) can offer prescription medicines to members at lowerprices. Which answer best explains how this can happen?a) The PBM gets a professional discount from suppliers and passes it on.b) The PBM can insist that doctors prescribe generic versions of drugs.c) The PBM can import drugs from other countries, where they are often less expensive.

d) The PBM, because it has a large number of patients, can negotiate with manufacturers for

discounts and rebates.

17) Which of these statements most accurately describes the differences in responsibilities behveenpharmacists and pharmacy technicians?

a) Only pharmacists are responsible for the health and safety of patients.b) Both pharmacists and pharmacy technicians educate patients on drug interactions.c) Only pharmacists are required to maintain patient confidentiality.d) The pharmacist is ultimately responsible for the performance of the technicians.

18) Which of the following choices lists two examples of insfitufioual pharmacy services?a) community pharmacies and mail-order pharmacies

b) hospitals and home health carec) hospitals and long-term care centers

d) community pharmacies and long-term care centers

19) According to federal law, which of the following are required to establish medication therapymanagement (MTM) programs?a) pharmacy benefit managers

b) long-term care facilitiesc) Medicare prescription drug providersd) home health care providers

20) Which statement about automated dispensing technology is not accurate?

a) The system does not check for drug allergies or interactions.

b) The system is faster and more accurate than humans and makes the dispensing process safer for

patients.

c) Because no technology functions correctly all the time, the pharmacy technician should ensurethat any errors are corrected before tlie medication leaves the pharmacy.

d) Patient information is generally more accurate and easier to access.

21) Given current trends in health care, which of the following statements about the future ofpharmacy technicians seems most accurate?a) The increased use of technology will decrease the demand for technicians.

b) The current system will probably change in only minor ways, if at all.c) The roles of pharmacy technicians are expanding, and more will be expected of them.d) The use of technology will decrease.

22) Which of the following activities is not one that experienced pharmacy technicians might beexpected to perform?

a) reviewing billing statements and solving errors or discrepancies

b) assisting the pharmacist in monitoring patient outcomesc) preparing sterile solutionsd) overriding the programming of an IV pump

23) Patients in hospice care have incurable diseases and are generally expected to live

a) 6 weeks or less.

b) 3 months or less.c) 6 months or less.

d) I year or less.

24) TIie aim of hospice care is to provide dying patients with the best possible quality of life. Whichof the following is the usual focus for pharmacists and technicians in hospice settings?a) slowing the progress of the disease as much as possibleb) relieving symptoms, such as pain, anxiety, or nausea

c) minimizing the cost of medical treatmentd) treating all secondary conditions caused by the incurable disease

25) The top priority for pharmacists and technicians isa) efficient workflow.

b) profitability.c) patient safety.

d) legal workload.

26) Pharmacy technicians who fake the PTCE must be sure to keep track of their continuingeducation credits in order to

a) renew their accreditation.

b) renew their credentials.

c) renew their certification.

d) renew their degree.

27) Which of the following is a characteristic of a professional?a) leadershipb) conscience and truslworthiness

c) service orientation

d) all of the above

28) Technology hasa) improved safety to 100% with bar-coding.b) made a positive impact on patient safety.c) no impact on patient safety.

d) a negative impact on patient safety29) Students who complete an accredited pharmacy technician education program

a) may practice in hospital settings.b) may practice in retail settings.c) may practice in home health settings.d) may practice in most pharmacy settings.

30) Maintaining the day-to-day operations of automated dispensing devices is a task that is mostoften handled bya) pharmacy technicians.

b) pharmacists.c) pharmacy interns.

d) pharmacy managers.

WASHINGTON STATE BOARD OF PHARMACY Staff …...Mar 06, 2020 · Staff Recommendation: Approved...

Documents

Transcript of WASHINGTON STATE BOARD OF PHARMACY Staff …...Mar 06, 2020 · Staff Recommendation: Approved...