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The Pharmacy Technician 4E Chapter 17 Other Environments
Course Outline <ul><li>Mail Order Pharmacy </li></ul><ul><li>Long-Term Care </li></ul><ul><li>Home Infusion </li></ul>
Mail Order Pharmacy <ul><li>Chronic condition  </li></ul><ul><ul><li>Continuing condition that requires ongoing treatment ...
Mail Order Pharmacy <ul><li>Type of pharmacy that  mails or delivers medications . </li></ul><ul><li>Requires a delivery t...
Online Drugstores <ul><li>Online drugstores are a type of mail order pharmacy that  use the Internet to advertise  and tak...
Long-term Care Facility <ul><li>Long-term Care Facility </li></ul><ul><ul><li>An institution that provides care for  geria...
Institutional Pharmacy <ul><li>Skilled-care facilities (SCF)  </li></ul><ul><ul><li>Limited to patients requiring more rou...
Long-Term Care Pharmacists <ul><li>Distributive pharmacist </li></ul><ul><ul><li>Ensures long-term care patients receive t...
Licensed pharmacists’ Role <ul><li>Some long-term care facilities have an  “in-house”  pharmacy while others contract with...
A Pharmacy Technician’s Role <ul><li>Log prescriptions and refill orders via computer. </li></ul><ul><li>Prepare billings....
Long-Term Care Pharmacy <ul><li>In-house pharmacies may provide  a 7-day supply of medication in “blister packs .”  </li><...
Home Infusion Pharmacy <ul><li>A pharmacy that dispenses, prepares, and delivers drugs and medical supplies  directly to t...
Home Infusion Pharmacy <ul><li>Pharmacists and pharmacy technicians working in home healthcare. </li></ul><ul><ul><li>Prov...
Primary Home Infusion Cont.   <ul><li>The primary therapies provided by home infusion </li></ul><ul><li>service include: <...
Home Care Team <ul><li>The team that provides home health care includes the  </li></ul><ul><li>following: </li></ul><ul><l...
Home Care Team Cont. <ul><li>Pharmacy Technician  </li></ul><ul><ul><li>Works under the pharmacist's supervision. </li></u...
Managed Care <ul><li>A type of health insurance system that emphasizes keeping the patient healthy of diseases controlled ...
Managed Care Cont. <ul><li>Health maintenance organization (HMO) is another name for managed care. </li></ul><ul><li>Most ...
Managed Care Cont. <ul><li>After the patient sees the physician, the patient may go to the  HMO pharmacy  to fill a prescr...
Managed Care Cont. <ul><li>The pharmacy technician in managed care performs similar functions to those in the community ph...
Terms to Remember <ul><li>1. Acute condition </li></ul><ul><li>2. Antibiotic therapy </li></ul><ul><li>3. Automated dispen...
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Chapter 17 other environments(2)

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Chapter 17 other environments(2)

  1. 1. The Pharmacy Technician 4E Chapter 17 Other Environments
  2. 2. Course Outline <ul><li>Mail Order Pharmacy </li></ul><ul><li>Long-Term Care </li></ul><ul><li>Home Infusion </li></ul>
  3. 3. Mail Order Pharmacy <ul><li>Chronic condition </li></ul><ul><ul><li>Continuing condition that requires ongoing treatment for a prolonged period. </li></ul></ul><ul><li>Maintenance medication </li></ul><ul><ul><li>Medication that is required on a continuing basis for the treatment of a chronic condition. </li></ul></ul><ul><li>Acute condition </li></ul><ul><ul><li>Sudden condition requiring immediate treatment. </li></ul></ul>
  4. 4. Mail Order Pharmacy <ul><li>Type of pharmacy that mails or delivers medications . </li></ul><ul><li>Requires a delivery time of at least 24–48 hours . </li></ul><ul><li>Used for maintenance medication. </li></ul><ul><li>Serves broad geographic areas . </li></ul><ul><li>Process a high volume prescription which allows deep discounts. </li></ul><ul><li>Dispense a 3 month supply at time.. </li></ul><ul><li>Most third party insurers force their clients to use mail order pharmacy for maintenance medications. </li></ul>
  5. 5. Online Drugstores <ul><li>Online drugstores are a type of mail order pharmacy that use the Internet to advertise and take orders for drugs which are then mailed to the customer. </li></ul><ul><li>Canadian online drugstore industry has grown rapidly, and has been the subject of much consumer and political debate. </li></ul>
  6. 6. Long-term Care Facility <ul><li>Long-term Care Facility </li></ul><ul><ul><li>An institution that provides care for geriatric and disabled patients. </li></ul></ul><ul><ul><li>Includes adults who suffer from chronic (long-lasting) or debilitating illnesses as stroke or Alzheimer’s disease. </li></ul></ul><ul><li>Nursing Homes </li></ul><ul><ul><li>Most long-term care facilities are nursing homes that provide daily nursing care. </li></ul></ul><ul><ul><li>Patients in this setting are generally referred to as residents. </li></ul></ul>
  7. 7. Institutional Pharmacy <ul><li>Skilled-care facilities (SCF) </li></ul><ul><ul><li>Limited to patients requiring more round-the-clock nursing care (such as IV infusions) or recovery after a recent hospitalization. </li></ul></ul><ul><ul><li>Most patients are discharged from SCF to home when they have adequately recovered. </li></ul></ul><ul><li>Other long-term care facilities </li></ul><ul><ul><li>Include patients with acute or chronic psychiatric disorders or rehabilitation facilities for those with serious traumatic brain or spinal cord injuries. </li></ul></ul>
  8. 8. Long-Term Care Pharmacists <ul><li>Distributive pharmacist </li></ul><ul><ul><li>Ensures long-term care patients receive the correct medications ordered. </li></ul></ul><ul><li>Consultant pharmacist </li></ul><ul><ul><li>Develops and maintains an individual pharmaceutical plan for each long-term care patient. </li></ul></ul>
  9. 9. Licensed pharmacists’ Role <ul><li>Some long-term care facilities have an “in-house” pharmacy while others contract with a community pharmacy or allow each resident to choose his or her pharmacy. </li></ul><ul><li>Licensed pharmacists’ Role </li></ul><ul><ul><li>Establish record-keeping systems related to controlled substances. </li></ul></ul><ul><ul><li>Review drug regimens. </li></ul></ul><ul><ul><li>Monitor repackaging and storage of pharmaceuticals. </li></ul></ul><ul><ul><li>Ensure that medications are uncontaminated and have not expired. </li></ul></ul><ul><ul><li>Note medication errors and adverse reactions or interactions. </li></ul></ul><ul><ul><li>Educate residents on drug therapies and self-medication. </li></ul></ul><ul><ul><li>Provide medications to outpatients or residents on weekend leave. </li></ul></ul>
  10. 10. A Pharmacy Technician’s Role <ul><li>Log prescriptions and refill orders via computer. </li></ul><ul><li>Prepare billings. </li></ul><ul><li>Maintain drug boxes or trays for emergencies. </li></ul><ul><li>Package and label medications. </li></ul><ul><li>Deliver medications to the nursing home. </li></ul><ul><li>Maintain records, retrieve and organize patient charts. </li></ul><ul><li>Conduct inspections of drugs in the inventory and in the nursing stations. </li></ul><ul><li>Repackage drugs in unit doses labeled for each patient. </li></ul>
  11. 11. Long-Term Care Pharmacy <ul><li>In-house pharmacies may provide a 7-day supply of medication in “blister packs .” </li></ul><ul><li>Community pharmacies fill medication carts or trays with a 30-day supply of medication. </li></ul><ul><ul><li>Medication orders rarely change in this environment. </li></ul></ul>
  12. 12. Home Infusion Pharmacy <ul><li>A pharmacy that dispenses, prepares, and delivers drugs and medical supplies directly to the home of the patient. </li></ul><ul><li>Spiraling hospitalization costs, regulatory changes, and advances in parenteral therapies have created an explosion in this field. </li></ul><ul><li>The home healthcare market continues to grow because of our aging society and as an alternative to the higher cost of hospitalizations. </li></ul><ul><ul><li>Many hospitalized patients are discharged as soon as possible to continue their recovery at home with IV solutions. </li></ul></ul>
  13. 13. Home Infusion Pharmacy <ul><li>Pharmacists and pharmacy technicians working in home healthcare. </li></ul><ul><ul><li>Provide educational materials. </li></ul></ul><ul><ul><li>Carry out traditional compounding and delivery functions. </li></ul></ul><ul><ul><li>Prepare and provide infusions and infusion equipment. </li></ul></ul><ul><ul><li>Might be available for emergencies on a 24-hour basis. </li></ul></ul>
  14. 14. Primary Home Infusion Cont. <ul><li>The primary therapies provided by home infusion </li></ul><ul><li>service include: </li></ul><ul><li>Antibiotic Therapy </li></ul><ul><ul><li>Common home infusion service used in treating AIDS related and other infections. </li></ul></ul><ul><li>Parenteral Nutrition </li></ul><ul><ul><li>Required for patients with various intestinal disorders. </li></ul></ul><ul><li>Pain Management </li></ul><ul><ul><li>Applies to the infusion of narcotics for patients with painful terminal illnesses or other types of severe chronic pain. </li></ul></ul><ul><li>Chemotherapy </li></ul><ul><ul><li>Provided in the home, generally in conjunction with an oncology program at a hospital or clinic. </li></ul></ul>
  15. 15. Home Care Team <ul><li>The team that provides home health care includes the </li></ul><ul><li>following: </li></ul><ul><li>Physician </li></ul><ul><ul><li>Orders the infusion therapy </li></ul></ul><ul><li>Registered Nurse </li></ul><ul><ul><li>Responsible for coordinating and monitoring the care plan and the home care team, and for educating the patient </li></ul></ul><ul><li>Pharmacist </li></ul><ul><ul><li>Works with the supervising nurse to develop a pharmaceutical care plan which includes selection of the infusion device, identification of potential adverse reactions and interventions, and monitoring practices. </li></ul></ul>
  16. 16. Home Care Team Cont. <ul><li>Pharmacy Technician </li></ul><ul><ul><li>Works under the pharmacist's supervision. </li></ul></ul><ul><ul><li>May be involved with compounding, labeling, delivery, and other non-consulting activities. </li></ul></ul><ul><li>Home Care Aide </li></ul><ul><ul><li>Non-professional staff employed by the home care agency. </li></ul></ul><ul><ul><li>Work under the supervision of the registered nurse. </li></ul></ul><ul><ul><li>Assist in various aspects of a patient's care, but generally not in medication therapy. </li></ul></ul>
  17. 17. Managed Care <ul><li>A type of health insurance system that emphasizes keeping the patient healthy of diseases controlled to reduce healthcare costs. </li></ul><ul><li>A relatively new form of healthcare that has grown dramatically over the past 35 years. </li></ul><ul><ul><li>One of the first managed-care organizations was Kaiser Permanente. </li></ul></ul>
  18. 18. Managed Care Cont. <ul><li>Health maintenance organization (HMO) is another name for managed care. </li></ul><ul><li>Most HMOs are centralized primary-care clinics. </li></ul><ul><ul><li>Serve patients with pharmacy, x-ray, and laboratory departments. </li></ul></ul><ul><li>Similar to a hospital, HMO’s usually have an approved drug list or formulary that has been recommended by a drug information pharmacist and approved by the medical staff. </li></ul>
  19. 19. Managed Care Cont. <ul><li>After the patient sees the physician, the patient may go to the HMO pharmacy to fill a prescription. </li></ul><ul><li>Patients needing refills may call an automated telephone number to expedite processing and reduce waiting times. </li></ul><ul><ul><li>This “time savings” also allows the pharmacist to spend more time reviewing the computerized medication profile and counseling the patient. </li></ul></ul>
  20. 20. Managed Care Cont. <ul><li>The pharmacy technician in managed care performs similar functions to those in the community pharmacy. </li></ul><ul><ul><li>Insurance billing and cashiering are minimal. </li></ul></ul><ul><li>Clinical pharmacists may work closely with the primary-care physicians to better control chronic disease. </li></ul><ul><ul><li>Educating </li></ul></ul><ul><ul><li>Monitoring </li></ul></ul><ul><ul><li>Adjusting doses of medications per physician-approved protocols. </li></ul></ul>
  21. 21. Terms to Remember <ul><li>1. Acute condition </li></ul><ul><li>2. Antibiotic therapy </li></ul><ul><li>3. Automated dispensing system </li></ul><ul><li>4. Chronic condition </li></ul><ul><li>5. Consultant pharmacist </li></ul><ul><li>6. Distributive pharmacist </li></ul><ul><li>7. Home care agencies </li></ul><ul><li>8. Maintenance medication </li></ul>

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