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Medications (40%)
- Generic names, brand names, and classifications of medications
- Therapeutic equivalence
- Common and life-threatening drug interactions and contraindications (e.g., drug-disease, drug-drug, drug-dietary supplement, drug-laboratory, drug-nutrient)
- Strengths/dose, dosage forms, routes of administration, special handling and administration instructions, and duration of drug therapy
- Common and severe medication side effects, adverse effects, and allergies
- Indications of medications and dietary supplements
- Drug stability (e.g., oral suspensions, insulin, reconstitutables, injectables, vaccinations)
- Narrow therapeutic index (NTI) medications
- Physical and chemical incompatibilities related to non-sterile compounding and reconstitution
- Proper storage of medications (e.g., temperature ranges, light sensitivity, restricted access)

Federal Requirements (12.5%)
- Federal requirements for handling and disposal of non-hazardous, hazardous, and pharmaceutical substances and waste
- Federal requirements for controlled substance prescriptions (i.e., new, refill, transfer) and DEA controlled substance schedules
- Federal requirements (e.g., DEA, FDA) for controlled substances (i.e., receiving, storing, ordering, labeling, dispensing, reverse distribution, take-back programs, and loss or theft of)
- Federal requirements for restricted drug programs and related medication processing (e.g., pseudoephedrine, Risk Evaluation and Mitigation Strategies [REMS])
- FDA recall requirements (e.g., medications, devices, supplies, supplements, classifications)

Patient Safety and Quality Assurance (26.25%)
- High-alert/risk medications and look-alike/sound-alike [LASA] medications
- Error prevention strategies (e.g., prescription or medication order to correct patient, Tall Man lettering, separating inventory, leading and trailing zeros, bar code usage, limit use of error-prone abbreviations)
- Issues that require pharmacist intervention (e.g., drug utilization review [DUR], adverse drug event [ADE], OTC recommendation, therapeutic substitution, misuse, adherence, post-immunization follow-up, allergies, drug interactions)
- Event reporting procedures (e.g., medication errors, adverse effects, and product integrity, MedWatch, near miss, root-cause analysis [RCA])
- Types of prescription errors (e.g., abnormal doses, early refill, incorrect quantity, incorrect patient, incorrect drug)
- Hygiene and cleaning standards (e.g., handwashing, personal protective equipment [PPE], cleaning counting trays, countertop, and equipment)

Order Entry and Processing (21.25%)
- Procedures to compound non-sterile products (e.g., ointments, mixtures, liquids, emulsions, suppositories, enemas)
- Formulas, calculations, ratios, proportions, alligations, conversions, Sig codes (e.g., b.i.d.k, t.i.d., Roman numerals), abbreviations, medical terminology, and symbols for days supply, quantity, dose, concentration, dilutions
- Equipment/supplies required for drug administration (e.g., package size, unit dose, diabetic supplies, spacers, oral and injectable syringes)
- Lot numbers, expiration dates, and National Drug Code (NDC) numbers
- Procedures for identifying and returning dispensable, non-dispensable, and expired medications and supplies (e.g., credit return, return to stock, reverse distribution)



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The function of Pharmacists and Prescription Monitoring classes in Stemming the Opioid Epidemic | PTCB exam dumps and Latest Topics

Pharmacists can be instrumental in decreasing the main challenges in opioid use disorder—particularly deliver, demand, and hurt.

The opioid disaster is still a public health threat. in line with the centers for disease handle and Prevention, 70.6% of all overdose deaths are attributed to opioids.1

COVID-19 has fueled a spike in the instances of opioid overdose across the nation.2 a number of concepts to combat the disaster consist of the use of prescription monitoring programs (PMPs), expanding naloxone accessibility, opioid prescribing guidelines, provision of funding for treatment, and needle exchanges.

PMPs are essentially the most commonly used, having been adopted by means of 49 states. Literature has the same opinion that pharmacists are most useful suited to play a key position within the opioid epidemic on account of their accessibility, schooling, and their enjoyable relationship with patients.3

Pharmacists will also be instrumental in reducing the three main challenges in opioid use disorder—specifically give, demand, and damage. Pharmacists can make contributions to cutting back the supply of opioids by the use of PMP, drug take-returned programs, and meting out inside established prescribing instructions.

Demand can be minimized by using pharmacist counseling patients on non-opioid pain management options. Legislations have taken the primary steps in damage discount. All 50 states now have dispensing of naloxone by pharmacists improving neighborhood accessibility.4 Pharmacists must do their part by stocking naloxone, offering it to sufferers who need it, and providing the acceptable patient education.

Pharmacists have had a said function in checking PMP and refusing or accepting to fill an opioid prescription. This opioid “gate keeper” function is a vital defense position that forestalls opioid prescription medicine from flooding the streets; besides the fact that children, this surveillance function is a overlooked probability to play offense.

Pharmacists can use PMP as part of an opioid abuse and overdose chance screening system. there's a rise in the number of heroin overdoses that doubtlessly stem from prescription opioid abuse and provide discount of the drug, stemming from practices akin to PMP.5

it is a disservice to the patient and community to refuse to fill a prescription without proposing the patient with expertise treatments—secondary to identifying risky opioid use on a PMP. patients identified to be in danger for constructing an opioid use disorder should still get hold of counseling that encompasses alternate options for ache administration, schooling on opioid use ailment, aid group, and treatment alternatives.

The opioid epidemic is surging full steam ahead specially in easy of COVID-19. Pharmacists need to take the next step of PMP use and not simplest flip patients away, however appreciate, suggestions, and provide resources to patients in danger for opioid use sickness.

boundaries include time, lack of compensation, and education on the way to screen and speak readily with this affected person inhabitants. These hurdles nonetheless deserve to be overcome; youngsters, considering the fact that the accessibility and the trust6 sufferers region in pharmacists, the next step have to be taken to make use of PMPs to give positive patient care.

References

  • Drug overdose deaths continue to be excessive. CDC. updated March three, 2021. Accessed August 1, 2021. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/defense/defense-of-vaccines.htm
  • The Spike in Drug Overdose Deaths throughout the COVID-19 Pandemic and coverage options to stream ahead. March 25, 2020. Accessed August 1, 2021. https://www.commonwealthfund.org/weblog/2021/spike-drugoverdose-deaths-right through-covid-19-pandemic-and-coverage-alternate options-circulation-ahead
  • ancient drug, new life: Naloxone access expands to neighborhood pharmacies. APhA. 2015. Accessed August 1, 2017. http://www.pharmacist.com/historical-drug-new-lifestyles-naloxone-entry-expands-group-pharmacies
  • Naloxone entry: a realistic guideline for pharmacists. may also 10, 2020. Accessed August 1, 2021. naloxone-access.pdf (cpnp.org)
  • Phillips JK, Ford MA, Bonnie RJ. country wide Academies of Sciences, Engineering, and medication; fitness and drugs Division; Board on fitness Sciences policy; Committee on pain management and Regulatory thoughts to tackle Prescription Opioid Abuse. ache management and the Opioid Epidemic: Balancing Societal and individual merits and dangers of Prescription Opioid Use. Washington (DC): national Academies Press (US); 2017 Jul 13. 4, developments in Opioid Use, Harms, and medicine. available from: https://www.ncbi.nlm.nih.gov/books/NBK458661/
  • Pharmacists Rank 2nd once again amongst Gallup’s Most relied on gurus. NACDS. December 21, 2016. Accessed August 1, 2021. https://www.fda.gov/media/131878/down load



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