PTCB Study Guide: Home Health Care

Pharmacy Practice Settings

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The profession of pharmacy is practiced in many environments, which are commonly divided into ambulatory care and institutional settings. 
 
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<li>Ambulatory Care, or outpatient, settings serve patients living in their own homes or similar situations and include community clinics, home care and mail order.</li>
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Institutional or inpatient settings are those in which patients reside in a facility where they receive long or short-term care from health professionals.  </li>
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Community Pharmacy 
The community pharmacy is the corner drug store or the local retail or grocery store pharmacy. 
 
Mail-Order Pharmacy 
Pharmacist and technicians also work in mail-order facilities, through which patients have their prescriptions filled and refilled through the mail. Mail-order pharmacies are really more like warehouses with pharmacists and technicians. 
 
Hospital Pharmacy 
Pharmacists are directly involved with patient care and have daily interactions with physicians, nurses, other care givers. 
 
Pharmacists develop plans of pharmaceutical care, medication management and with other caregivers, monitor the patients drug therapy. 
 
In addition to direct patient care, pharmacist evaluate trends in medication and physician prescribing, develop guidelines for medication use, educate patients and healthcare professionals, and implement and maintain drug distribution. 
 
In the hospital setting Pharmacy technicians can: 
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<li>Enter physician med orders into the computer</li>
<li>Prepare IV drug admixtures</li>
<li>Repackage and label unit dose medications</li>
<li>Restock automated dispensing units</li>
<li>Deliver medications</li>
<li>General paper work  </li>
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Home Health Care 
Home health care is defined as “physician ordered services provided to patients at their residences, be it in their own homes or any other setting in which the patient lives. Such services include: 
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<li>Personal care</li>
<li>Hospice & Respite Care</li>
<li>Shopping assistance</li>
<li>Drug and infusion therapy</li>
<li>Speech, physical and occupational therapy</li>
<li>Technician duties in a home care setting may include</li>
<li>Preparing sterile injectable products </li>
<li>Maintaining computerized patient profiles</li>
<li>Delivering medications and supplies to a patient’s home.</li>
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Long-Term Care 
Long-term care facilities are those institutions where patients stay for extended periods. They include: 
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<li>Nursing Homes</li>
<li>Psychiatric or behavioral health institutions </li>
<li>Intermediate care facilities for mentally disabled patients</li>
<li>Skilled nursing facilities </li>
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Most of these facilities do not have pharmacies on site but contract with local community pharmacies for needed services; pharmacists and technicians thus do not have direct patient interaction. 
 
Specialty Pharmacy Services 
Just as pharmacists may choose to specialize in an area of pharmacy (e.g, ambulatory care, cardiology, infectious diseases, nutrition, oncology, organ transplant, or pediatrics), so may technicians. Technicians may specialize in areas  such as: 
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<li>Inventory purchasing and management</li>
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Sterile product preparations</li>
<li>Surgical Pharmacy</li>
<li>Nuclear Pharmacy</li>
<li>Veterinary Pharmacy</li>
<li>Non-sterile (extemporaneous) compounding  </li>
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Pharmacy Practice Settings

The profession of pharmacy is practiced in many environments, which are commonly divided into ambulatory care and institutional settings....

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Key Terms: Intro to Pharmacy

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Accreditation is the process in which certification of competency, authority, or credibility is presented. The standards for accreditation are set by a peer review board whose members include faculty from various accredited colleges and universities. 
 
Certification: A voluntary process by which a non-governmental agency or association grants recognition to an individual who has met certain predetermined qualifications specified by the agency or association. 
 
Health-System Pharmacy: The practice of pharmacy that is part of a health-system. A health-system is two or more health care practice settings (e.g., hospital, home care, ambulatory clinic) that have a working relationship with each other and are managed or owned by the same business entity. 
 
Home Health Care: Physician-ordered health care services provided to a patient in the home or other settings in which the patient lives. 
 
Licensure: The process by which an agency of the government grants permission to an individual to engage in a given occupations upon finding that the applicant has attained a degree of competency necessary to ensure that public health, safety, and welfare will be protected. 
 
Medication Therapy Management (MTM): A service or group of services that optimizes therapeutic outcomes for a patient. Such services include: assessment of a patients health status; formulation of a medication treatment plan; selection; initiation, modification, or administration of medication therapy. 
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Pharmaceutical Care involves cooperation between the pharmacist, the patient, and other health care professionals in designing, implementing, and monitoring a therapeutic medication plan. 
 
Pharmacist: a person licensed to prepare and dispense drugs and medicines; druggist; apothecary; pharmaceutical chemist. 
 
Pharmacy: </div>
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<li> Also called pharmaceutics. the art and science of preparing and dispensing drugs and medicines. </li>
<li>a drugstore. </li>
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A Pharmacy Technician assists pharmacist by performing routine, day-to-day functions of the practice of pharmacy that do not require the judgement of a pharmacist. 
 
Registration: A pharmacy technician may be required to be registered with a state board of pharmacy before being legally able to carry out some pharmacy functions.</div>

Key Terms: Intro to Pharmacy

Accreditation is the process in which certification of competency, authority, or credibility is presented. The standards for accredita...

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