Chapter 14… inventory management – Flashcards
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Formulary medications in the hospital setting are routinely reviewed by the P & T Committee to
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Review safety of older products and evaluate newer products
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What type of inventory is performed on controlled substances?
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Biennial inventory
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Which of the following would be considered a close formulary?
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Drug inventory is limited to a list of approved medications
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A hospital's Pharmacy and therapeutics (P&T) committee reviews medication error reports in order to help
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Decrease the number of adverse drug events caused by system weakness
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Therapeutic interchange in a hospital pharmacy allows the substitution of one drug for another that is
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Chemically different but with similar actions and effects
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A goal of inventory management is
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To ensure that drugs are available when they are needed
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What does an 80/20 Report tell a pharmacy technician?
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Drug products that reflect 80% of the pharmacies purchasing dollars
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Which of the following may result in unexpected medication shortages in the pharmacy?
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Changes in prescribing habits of physicians in the area Drug manufacturer shortages Increased need for seasonal medications
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What type of formulary would a retail pharmacy use?
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Open
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Who established a formulary for a hospital?
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Pharmacy & Therapeutics committee
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If the suppliers terms are 30 days net,
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It would be best to have a turnover less than 30 days
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What type of inventory indicates the actual quantity of a specific medication on hand at a particular moment in time?
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Perpetual inventory
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Which of the following may require an adjustment of a pharmacies inventory of a particular medication?
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Change in prescribing habits of a physician or group of physicians Change in the number of prescriptions a pharmacy fills Seasonal usage
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What is the cost of goods sold/average inventory value?
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Inventory turnover rate
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How often is the inventory of control substances taken?
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Every two years
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Which is not a goal of inventory management?
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Maximize costs associated with placing orders
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What term refers to all of the drugs available for dispensing in a pharmacy?
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Inventory
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A list of the goods or items a business will use in it's normal operation is called
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Inventory
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In an open formulary, when a medication that is needed for prescription is not in stock
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The medication may be ordered without obtaining additional permission
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Fast movers account for approximately what percent of a pharmacies order and prescriptions?
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80%
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POS Computer systems helps the pharmacy to determine the patient's
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Co-payment
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A community pharmacist wants to transfer out expensive drugs that the pharmacy rarely uses. In order to help determine which drugs to transfer, the pharmacy technician should generate what kind of report?
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Usage
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User access in pharmacy computer system should be
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Different based on an individuals role
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___________ is an inventory system in which the item is deducted from inventory as it is sold or dispensed
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Point of sale system
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Productivity reports are used by pharmacy management and staff to
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Evaluate and improve workflow
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The minimum/maximum inventory level for Prozac 20 mg is 6/12. While taking inventory to prepare for a stock order, You find only one bottle on hand. What is the reorder quantity you will request
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11 bottles
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Which of the following is typically an intended goal in implementing automation in a pharmacy?
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Creating quality assurance programs
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Which of the following is not used to store medication in the hospital?
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Kirby Lester counters
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A generic term used for computerized medication dispensing machines used in the hospital is
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Automated dispensing cabinet
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What is the primary source of medication for chain community pharmacies?
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Chain pharmacy warehouse
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What is the primary source of medication for a non- chain community pharmacy?
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Manufacture and wholesaler
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Wholesalers that provide medications to hospitals, pharmacies, and other medication dispensers account for about _____________of pharmaceutical manufacturers sales.
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75%
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The 340B Pricing program is
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A purchasing program for qualified clinics and hospitals
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Which of the following is an advantage of purchasing directly from the manufacturer?
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Lower drug cost
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A barcode on the manufacturers product
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Includes the NDC number
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Best practices for ordering medications include
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Having different people placed the order and check it in
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What term refers to the document describing a purchase made by the pharmacy and the amount due to the vendor?
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Invoice
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When an order is received in the pharmacy, the employee must be checked against the
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Purchase order
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Stock rotation is necessary to ensure that
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Short dated items are used first
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The primary purpose of rotating the inventory in the pharmacy is to
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Reduce the potential for dispensing expired medication
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A pharmacy technician who places orders for pharmacy purchases has been informed by a manufacturer that drug A has been discontinued. What should the technician do?
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Notify the pharmacist to research possible alternative drugs
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In addition to the FDA's website, information on current and resolve drug shortages can be found on what website?
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ASHP
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Where should one place medication with the shortest expiration date?
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In front
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When reconciling an order, if a technician detects discrepancies, the supplier should be notified
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Immediately
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A purchase order number is
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A number used to identify an order
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What USP term is assigned to any temperature between 15 Celsius and 30 Celsius?
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Room temperature
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How would a pharmacy technician store control substances?
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In a locked area or within regular stock
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What term refers to placing medication with the longest expiration date behind those containers with a shorter expiration date?
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Product rotation
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In an alpha generic organization, drugs are stored alphabetically by
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Generic name with the corresponding trade version placed next to the generic drug
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What is the meaning of the acronym JIT with reference to drug ordering?
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Just in time ordering
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Most drugs are kept at room temperature between
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59-86 degrees Fahrenheit
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What is an acceptable temperature for refrigerated items
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36-46 degrees Fahrenheit
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A reverse distributor for pharmaceuticals
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Remove and disposes of pharmaceutical waste
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Who may handle the disposal of controlled substance?
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Reverse distributer
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Proper disposal or distraction of non-returnable medication includes
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Using a company that meets EPA regulations
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Upon receiving notice of a drug recall, a pharmacy technician should immediately
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Separate out all stock with the recalled lot number for return to the manufacturer
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How long must a pharmacy retain records for each controlled substance purchased, received, distributed or dispensed ?
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Two years
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The DEA oversees the distribution of controlled substances. What paperwork is required for the pharmacy to order hydrocodone/APAP (norco) from a wholesaler?
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DEA form 222
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According to federal law, how could a pharmacy place an order for alprazolam 1mg tablets?
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Online from a wholesaler
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What form must be submitted to the DEA to request permission to destroy controlled substances?
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DEA form 41
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The DEA form is required to order schedule c-iii, c-iv, and c-v controlled medications?
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No DEA form is required
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For a pharmacy technician assigned to stock replenishment, Which item would be considered a high-risk medication?
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Potassium chloride injections
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Safety data sheets as required by OSHA provide
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Information concerning hazardous subsidence
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Chemotherapy agents should be stored
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In a separately identified area
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Safe handling of chemotherapy medication could be found in a publication by
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National Institute for occupational safety and health -(provides guidelines on chemo and other hazardous drugs)
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Which of the following drug category should be handled with care because it is considered hazardous?
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antineoplastic
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How are cytotoxic drugs disposed of?
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Place in a specialized container labeled hazardous waste
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If two drugs are commonly mistaken for each other, what strategy could reduce the possibility of an error reaching the patient?
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Separating where they are kept on the shelves
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A package that contains a single dose of a medication is called
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Unit dose package
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The label of a medication that has been repackaged should include the
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Generic name
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Consignment stock is
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Not pay for until sold
