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PTCB Exam Prep

Terms

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Official name for "prescription"
Retail Medication Order
Required information in body of prescription order
(1) Name of drug prescribed
(2) Strength and dosage form
(3) Quantity of drug to be dispensed

How long is a prescription valid?
1 year (6 months for controlled substances)
Ways to establish authenticity of DEA number
(1) comparing letters with name and status of practitioner
(2) Numerical calculation
Required information in the bottom portion of prescription order
(1) Refill instructions
(2) Dosage instructions
(3) Substitution permission
(4) Signature of prescriber


If prescription is unreadable or questionable, the technician should...
Ask the pharmacist for clarification
Refill requests may be made by who and by what means?
The patient, by telephone, fax, or in person (does not apply to schedule II)
Who may approve refill requests?
The technician
If patient requests all refills be given in one lump sum, the technician...
Must consult the pharmacist for a decision based on his discretion.
Refills can not be dispensed for...
Schedule II drugs
Refills must only be dispensed in designated increments for...
Schedule III-IV drugs
Definition of "Refill Authorization"
If a patient runs out of a needed prescription without obtaining a new one, the practitioner may be contacted for an extension--but only by licensed pharmacy practitioner (pharmacist or pharmacy intern)
Receiving presciptions in electronic form
Only pharmacist or licensed pharmacy intern can take prescriptions from electronic devices, and must be transferred to hard copy before filing.
Inpatient Medication Order (basic definition)
Drug order given at a hospital or institutional pharmacy. It is much more detailed than a retail presciption
Information included on Medication Orders
(1) Schedule for administration of drugs
(2) Preparation instructions for the drugs (if necessary)
(3) Exact dosage form of the drugs
(4) Route of administration (in hospitals)


MAR
Medication Administration Record
MAR lists what actions by the pharmacy?
(1) Drugs dispensed from pharmacy
(2) Time of dispensing
(3) Initials of person dispensing
+ Dosages and times of administration (done by nurses)




MAR dosage schedule
Schedule determines when the patient should be given each drug and is normally determined by the institution.
Unit Dose System
Unit Dose is amount needed for one dose. Unit Dose System has one dose sent up at a time

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