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We have recently created new product for letting students familiar with sterile compounding and hazardous drugs. Below is the link for product information.
A 35-year-old man who is a regular patient of yours comes to your pharmacy counter with a new prescription. His shoulders appear tense and his eyebrows are knit tightly.
He says to you, “I can’t believe I have to fill another prescription today. I was just in three weeks ago and spent $75 dollars on some fancy new medication that didn’t do a darn thing!” What might be an appropriate active listening response to this patient?
a. It must be very frustrating to have to try something new.
b. It’s too bad we can’t take a prescription back for a refund.
c. I can provide you with a smaller quantity this time.
d. Your doctor is trying to find the best medication for you.
A 35-year-old man who is a regular patient of yours comes to your pharmacy counter with a new prescription. His shoulders appear tense and his eyebrows are knit tightly.
He says to you, “I can’t believe I have to fill another prescription today. I was just in three weeks ago and spent $75 dollars on some fancy new medication that didn’t do a darn thing!” What might be an appropriate active listening response to this patient?
a. It must be very frustrating to have to try something new.
b. It’s too bad we can't take a prescription back for a refund.
c. I can provide you with a smaller quantity this time.
d. Your doctor is trying to find the best medication for you.
Answer (a). It must be very frustrating to have to try something new. Answer “b” does not acknowledge the patient’s feelings; answer “c” moves to finding a solution without acknowledging the patient’s feelings and “d” is placating.
A critical path is one that reaches an end goal in the most direct possible manner. Water in the natural world, will always follow the line of least resistance - riding gravity along the most direct path. Often, we’re hampered throughout our own routines to recognize and chase our daily critical paths. It can be difficult to uncover the best route, and often, even if it is laid out before us – our responsibilities inhibit our progression.
A critical path is one that reaches an end goal in the most direct possible manner. Water in the natural world, will always follow the line of least resistance - riding gravity along the most direct path. Often, we’re hampered throughout our own routines to recognize and chase our daily critical paths. It can be difficult to uncover the best route, and often, even if it is laid out before us – our responsibilities inhibit our progression.
For a fortunate few though; for those selfless enough to sacrifice themselves for the care of the ill and the injured, there exists a beacon. This torch lighting the path of career progression for the CNA, is the “Nursing Ladder of Success”. A career spent as a CNA, is very respectable. Few will work as hard. However, it is common for the CNA to climb higher through the ranks of the Nursing track.
Clinical settings are full of nursing professionals at various stages of career growth. As a CNA, buzzing through the hospital amongst a swarm of Medical Assistants, LPN’s, RN’s, and NP’s, we’re able to see exactly what’s possible if we continue with our training and coursework. As a pocket guide for the humming hospital hallway, we refer to our “Nursing Ladder of Success”.
The 2016 CDC guideline for prescribing opioids suggests to reassess the evidence of “individual benefit and risk” when increasing daily dose to above ____ morphine milligrams equivalent per day.
a. 30
b. 50
c. 90
d. 120
The 2016 CDC guideline for prescribing opioids suggests to reassess the evidence of “individual benefit and risk” when increasing daily dose to above ____ morphine milligrams equivalent per day.
a. 30
b. 50
c. 90
d. 120
Answer(b): The 2016 CDC guideline for prescribing opioids suggests to reassess the evidence of “individual benefit and risk” when increasing daily dose to above 50 morphine milligrams equivalent per day, and avoidance of doses greater than 90 MME per day.
Which of the following are administered by Centers for Medicare & Medicaid Services (CMS)? [Select ALL That Apply]
a. Medicare
b. Medicaid
c. Clinical Laboratory Improvement Amendments (CLIA)
d. Children's Health Insurance Program (CHIP)
Which of the following are administered by Centers for Medicare & Medicaid Services (CMS)? [Select ALL That Apply]
a. Medicare
b. Medicaid
c. Clinical Laboratory Improvement Amendments (CLIA)
d. Children's Health Insurance Program (CHIP)
Answer (a, b, c and d). The Centers for Medicare & Medicaid Services (CMS), a component of the Department of Health and Human Services (HHS), administers Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Clinical Laboratory Improvement Amendments (CLIA) and parts of the Affordable Care Act (ACA.
Along with the Departments of Labor and Treasury, CMS also implements the insurance reform provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and most aspects of the Patient Protection and Affordable Care Act (PPACA) of 2010 as amended.
The Social Security Administration is responsible for determining Medicare eligibility, eligibility for and payment of Extra Help/Low Income Subsidy payments related to Part D Medicare, and collecting some premium payments for the Medicare program.
According to Washington State Pharmacy Law, which of the following information about Electronic Prescriptions for Controlled Substances (EPCS) is/are TRUE?
I. Electronic signatures are required on all electronically communicated prescriptions.
II. The prescription that is generated electronically and transmitted via fax shall follow the ECPS rules.
III. An ECPS cannot be used to prescribe Schedule II controlled substance.
a. I only
b. I and II only
c. II and III only
d. All
According to Washington State Pharmacy Law, which of the following information about Electronic Prescriptions for Controlled Substances (EPCS) is/are TRUE?
I. Electronic signatures are required on all electronically communicated prescriptions.
II. The prescription that is generated electronically and transmitted via fax shall follow the ECPS rules.
III. An ECPS cannot be used to prescribe Schedule II controlled substance.
a. I only
b. I and II only
c. II and III only
d. All
Answer: I only is true, [Washington State Pharmacy Law July 2016 News Letter].
All 50 states, including Washington State, have rules in place allowing electronic prescriptions for controlled substances (EPCS), including Schedule II medications.
Pharmacies and practitioners wishing to use EPCS must first select software that meets the requirements of Title 21 Code of Federal Regulations (CFR) §1311. The software application provider must be approved by the federal Drug Enforcement Administration (DEA), and in Washington State it must also be approved by the Commission. Practitioners may not transmit, and pharmacies may not receive, EPCS until their software provider obtains a third-party audit or certification review that determines that their software application complies with DEA’s requirements and provides the audit/certification report to the practitioner/pharmacy.
Under Title 21 CFR §1300.03, electronic prescription is defined as a prescription that is generated on an electronic application and transmitted as an electronic data file. Therefore, an electronic prescription does not include prescriptions transmitted by facsimile, even if generated electronically and transmitted via fax, or printed on a computer printer.
An electronic signature is defined as a method of signing an electronic message that identifies a particular person as the source of the message and indicates the person’s approval of the information contained in the message.
According to DEA, electronic signatures are required on all electronically communicated prescriptions and are not allowed on CS prescriptions delivered by fax or hard copy to the pharmacy. CS prescriptions sent from fax to fax, computer to fax, printed on a computer printer, or manually written must all contain a manual signature. A manual, or wet, signature means the practitioner directly signs the prescription by hand using ink or indelible pencil.
Signing a signature pad on a computer so the prescription is printed or faxed with the signature image, or stamping the prescription with a signature stamp, does not meet DEA requirements for manual signatures. This also applies to EPCS where the electronic transmission fails and the prescription is returned to the practitioner by the intermediary.
These prescriptions must be manually signed by the prescriber before being faxed to the pharmacy, even if they include an electronic signature. Pharmacists should recognize they are responsible for ensuring CS prescriptions meet DEA signature requirements and contacting the prescriber whenever necessary.
Illegal Purchases of Controlled Substances Are Made Easier via Rogue Internet Drug Outlets, Reports NABP.
Last week, NABP released its Internet Drug Outlet Identification Program Progress Report for State and Federal Regulators: July 2016. The report explores the connection between the dangers of rogue internet drug outlets and the risk of overdose from illegally dispensed prescription controlled substances (CS), as well as possibly tainted counterfeit medicines.
Over the past eight years, NABP has worked to identify illegally operating websites to keep consumers safe and to try to decrease the overdoses and fatalities related to prescription drug misuse and abuse. Currently, 11,299 online drug outlets that sell prescription medications have been reviewed by NABP, and 95.79% have been classified as Not Recommended given that the websites are selling prescription medications out of compliance with state and federal laws and/or Association patient safety and pharmacy practice standards.
For the full report, visit the Not Recommended Online Pharmacies page in the Acquire Safely section of the AWARXE® Prescription Drug Safety website. You can avoid rogue internet drug outlets by buying from websites with a .pharmacy domain name. To see the list of approved entities with registered .pharmacy domain names, visit the Buying Safely section at www.safe.pharmacy.
Pharmacists were rated as the most trusted health care providers, according to a new consumer health survey. The results of the survey show that 60% of consumers trust pharmacists, 56% trust doctors, and 51% trust dentists. The Meyocks Health Survey reports that consumers trust the people who directly provide health care more than others in the health care system. Pharmacists had the highest trust rate and the lowest distrust rate among other groups in the survey, notes Drug Store News.
Pharmacists were rated as the most trusted health care providers, according to a new consumer health survey. The results of the survey show that 60% of consumers trust pharmacists, 56% trust doctors, and 51% trust dentists. The Meyocks Health Survey reports that consumers trust the people who directly provide health care more than others in the health care system. Pharmacists had the highest trust rate and the lowest distrust rate among other groups in the survey, notes Drug Store News.
