Assignment 1 Critical Thinking Question Lesson 5 - Regulations and Standards Assignment Answer Key 1. Should a health care organization punish individuals for reporting prescription errors that they made or commend them for their honesty? Answers will. It takes a cooperative approach to monitor errors, evaluate them, and educate the public about strategies to keep errors from happening again. Assignment 2 Internet Activities Visit the Web sites to answer the following. 1. Visit www.jointcommission.org and identify standards affecting the practice of pharmacy. Answers depend on timing. Identifying standards that affect the practice of pharmacy can help you familiarize yourself with these requirements. 2. What safeguards to reduce prescription errors have been implemented by your state board of pharmacy? Answers will. Monitoring prescription errors is a continuous and important process managed by your state board to ensure safeguards are up-to-date and effective. Assignment 3 Apply Your Knowledge 1. A patient drops off a prescription for 60 tablets of Valium 5 with five refills indicated on it. The patient requests that the prescription be transferred to another pharmacy. What must you do and when? Answer: The pharmacy may transfer this prescription and all remaining refills to another pharmacy. The transferring pharmacy must record the name, telephone number, address and DEA number of the receiving pharmacy. The following other information must be included the name of the receiving party, the date of the transfer and the number of units or refills remaining on the prescription and the DEA number of your pharmacy. You must write on VOID your hard copy of the prescription. The prescription can only be transferred one time and it must be within six months of the date the prescription was written. 2. A patient brings in a prescription for 30 tablets of Vicodin with 0 refills. The patient has only money for 15 tablets. What do you tell the patient regarding this request? Answer: The patient may have the prescription filled for 15 tablets but they will not be able to receive the remaining quantity because the physician did not allow for a refill on the prescription.
3. The pharmacist has gone to the bathroom. A friend s mother enters the pharmacy and asks to purchase a 4-ounce bottle of Robitussin AC. According to the exempt narcotics register you notice that the patient purchased a bottle 72 hours ago. What do you do and why? Answer: Inform the patient that you must wait until the pharmacist returns to the pharmacy. An exempt narcotic can only be dispensed under the supervision of a pharmacist. 4. Explain the three methods of filing prescriptions and maintaining prescription records in a pharmacy. Answer: Option 1. Three separate files: a file for Schedule II drugs only; a file for Schedule,, and V only, and a file for all noncontrolled drugs. Option 2. Two separate files: A file for Schedule II drugs only and a file for all other prescriptions (Schedule,, V, and noncontrolled drugs); Schedules,, and V must be stamped with a red C. Option 3. Two separate files: A file for all controlled prescriptions (Schedule,, and V must be stamped with a red C ); and a file for all noncontrolled prescriptions. 5. Heroin is classified as a Schedule I Controlled Substance. Why is it classified as a Schedule I medication? Answer: Heroin does not have an approved medical use in the United States. Assignment 4 Practice Your Knowledge Goal To identify problems that may occur when receiving prescriptions for controlled substances and what corrective actions should be taken by pharmacy staff. Assignment In the following table, list the problem and solution for each prescription written.
Prescriptions: 1. 2. 3.
4. 1. Prescription # Problem Solution 2. 3. 4. Answers: 1. The physician has not included their DEA number on this prescription. Contact the physician s office to verify the prescription. Presently, federal law is being reviewed that will allow a pharmacy to add a missing DEA number to a prescription for a Schedule II medication. Until such time a decision is made, pharmacists must follow their state law. 2. The prescription is a scheduled medication and must be filled within six months from the date it is written. Secondly, this medication can only be refilled a maximum of five times. The pharmacy can contact the physician to seek permission for the prescription
to be filled. If approved, the prescription must be rewritten as a new prescription and the old prescription disposed. 3. The prescriber did not write the date on the prescription and wrote more than the approved number of refills (5). The pharmacy needs to contact the prescriber to obtain the date the prescription was written and verify the number of refills. 4. OxyContin is a schedule II medication and cannot be refilled according to federal law. The pharmacist should be notified of the problem with the prescription. Often a pharmacist will contact the prescriber to verify the prescription has been written. If the prescription has been obtained fraudulently, the prescriber will instruct the pharmacist what to do. If the refill was written in error, the pharmacist should inform the patient of the situation. Assignment 5 Pharm Facts Use an online reference such as www.rxlist.com or www.drugs.com to complete the following table. Indications and adverse effects of medication are part of the required knowledge base of a pharmacy technician. Brand Name Generic Name Strengths Schedule List two Indications of the medication Ativan lorazepam 0.5, 1 & 2 Dalmane flurazepam 15 & 30 Darvocet N propoxyphene with 100/650 100 acetaminophen Darvon 65 propoxyphene 65 Demerol meperidine 10, 25, 50, II 75 & 100 Dilaudid hydromorphone 1, 2, 3, 4,6, II 8, 12, 18, 24, 30 & 32 Fiorcet butalbital/acetaminoph en/caffeine/codeine 50/325/40/30 Fiorinal Butalbital/aspirin/caffe 50/325/40/30 ine/codeine Halcion triazolam 0.125 & 0.25 Librium chlordiazepoxide 5, 10 & 25 Lortab hydrocodone/acetamin ophen 2.5/500 5/500 7.5/500 10/500 List three adverse effects of the medication.
Brand Name Generic Name Strengths Schedule List two Indications of the medication Oxycontin Oxycodone 40 II Percocet oxycodone and 5 /325 II acetaminophen Percodan oxycodone and aspirin 5 /325 II Restoril temazepam 15 & 30 Ritalin methylphenidate 5, 10, 20 & II 20 SR Robitussin guaifenesin/codeine 100/10 AC per 5 ml Stadol NS butorphanol 2 & 10 Tranxene clorazepate 3.75, 7.5, 11.25, 15 & 22.5 Tussionex Tylenol with Codeine Tylox hydrocodone/chlorphe niramine acetaminophen with codeine 10/8 per 5 ml 325/15 325/30 325/60 oxycodone with acetaminophen 5/500 II Valium diazepam 2, 5, & 10 Vicodin hydrocodone with 5/500 acetaminophen 7.5/750 10/650 Vicoprofen hydrocodone with 7.5 /200 acetaminophen Xanax alprazolam 0.5, 1, 2 & 3 List three adverse effects of the medication.