Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
A comprehensive guide for a urac (utilization review accreditation commission) interview exam, providing the correct answers to a variety of questions related to pharmacy operations, patient management, hazardous drug handling, compliance, and emergency preparedness. A wide range of topics, including access to controlled substances, recall procedures, immunization waste disposal, temperature and humidity monitoring, drug compounding, cold chain distribution, and employee training. The detailed responses suggest this document could be a valuable resource for pharmacy professionals preparing for a urac certification or accreditation exam. The comprehensive nature of the content and the focus on providing 100% correct answers indicate this document is likely intended to serve as a study guide or reference material for individuals seeking to demonstrate their knowledge and compliance with urac standards.
Typology: Exams
1 / 7
Who has access to the controlled substances? - Correct Answer-Only pharmacists Who has access to the pharmacy? - Correct Answer-Access is limited to pharmacists and technicians. How do you know if a recalled drug is currently being processed for an order and is still in the pharmacy in a tote or packed? - Correct Answer-The recall information (list of drugs, NDCs, and lot numbers) are communicated via Compass. We identify if we have the product in inventory, in filling prices, or in ready bins. We locate the product, do not dispense it, and stop all in-process deliveries. All recalled product is segregated in the quarantined area marked "Do Not Use." Do you have bio-hazardous waste? - Correct Answer-Yes, in the form of used immunization materials. Where is biohazardous waste kept? - Correct Answer-Red bio-hazard "sharps" container, usually kept in consult room or in shelves beside refrigerator. How are back orders or out-of-stocks handled? - Correct Answer-We notify the patient and prescriber as needed based in clinical significance. We make all attempts to utilize all Walgreens resources to obtain the product as quickly as possible. What is your service area? - Correct Answer-Describe the areas serviced and state licenses held by your pharmacy (licensed in TX and NM). What do you do if a temperature is out of range? - Correct Answer-Notify my manager. How are customer returned goods handled? - Correct Answer-We do not accept returns. Where are the equipment maintenance logs kept? - Correct Answer-Next to the unguator. How is the equipment used in the pharmacy cleaned, calibrated, random tested, and audited? (I.e. scales, pill counters, and hoods). - Correct Answer-All equipment is cleaned every day. Scales are calibrated every day. Random testing is done monthly and documented on the Equipment Log. The log is signed by a pharmacist at the end of each month to ensure tests were completed as the audit.
What are your triggers to send a call to an RPh? - Correct Answer-If the patient has any clinical questions or concerns we have a pharmacist speak with them. What is your involvement in Patient Management? - Correct Answer-Patient management involves prescription dispensing, reimbursement, counseling, and patient clinical care activities. My involvement depends on the role I am assigned for the day. How do we promote drug adherence? - Correct Answer-Initial counseling on the importance of compliance, refill reminders, recommendations to alleviate any side effects, and assistance obtaining financial assistance as needed. How do you collaborate with physicians or other healthcare providers involved in patient care? - Correct Answer-We communicate with them regularly over the phone. If the patient has any issue or if we have a recommendation/update we will call or fax. How do you advocate for a patient's access to drugs? - Correct Answer-Walgreens has access to many limited distribution drugs. We also help with prior authorizations and get patients signed up for financial assistance programs. How do you help with prior authorizations and appeals? - Correct Answer-We work with the insurance company and coordinate obtaining documents from the prescribers to help facilitate the process. How do you address language barriers? - Correct Answer-We have staff that are bilingual, use the Pharmacy Translator Tools, and other Health Providers or Caregivers. If a patient emergency situation arises, such as a suicide threat, what would you do? - Correct Answer-Keep the patient on the phone and signal a team member to call 9-1- as outlined in our Patient Crisis and Emergency Situation policy. How do you refer a patient to external support groups for help as needed? - Correct Answer-We refer the patient to local disease support groups or hospital social services. On our intranet site and disease state booklets there are national groups we can refer them to. How do you communicate patients' rights and responsibilities? - Correct Answer-We have them in our welcome booklet that is mailed to the patient and on our webpage. How do you update information in a patient's profile? - Correct Answer-As we become aware of changes we will update the information in the appropriate fields in IC+ or SR2. How do patients receive information on their disease and medication? - Correct Answer- We provide verbal education and written drug information leaflets, and other information as needed.
What is the process for collecting and communicating payment? - Correct Answer-Since the majority of our billing is through on-line adjudication, we have this information and inform the patient up front of all charges as much as possible. What precautions are taken when handling hazardous drugs? - Correct Answer-We use separate counting trays and spatulas for hazardous drugs. We wear personal protective equipment and handle hazardous drugs in an isolated area or powder hood if required by state law. How are hazardous drugs identified in the pharmacy? - Correct Answer-We have hazardous drugs labeled with green mylars and green dot stickers to indicate that they are hazardous. How is cross contamination prevented when handling hazardous drugs? - Correct Answer-We use separate, labeled, counting trays and spatulas then wipe them down with an alcohol wipe (not spray) after use. Hazardous drugs are handled designated in a low-traffic area. Where are cleaning supplies located? - Correct Answer-Cleaning supplies are kept under the sink or in a segregated area away from drugs. Where is the eyewash station located? - Correct Answer-Next to the sink, on the wall. Where is the hazardous drug/Chemoplus Spill kit located? - Correct Answer-To the left of the sink, on the wall. What precautions need to be taken when handling INTACT hazardous drugs? - Correct Answer-Use separate counting trays and spatulas and wear two pair nitrile (H-1) or gloves or one pair (h-2/H-3) latex gloves. How can you access Material Safety Data Sheets (MSDS)? - Correct Answer-We have a link on Localsprx> Operational Procedures> MSDS to gain immediate access to MSDS sheets. We can also call the number on the sticker on the phones if the system is down. Can you put information on a thumb drive? - Correct Answer-No, all external computer parts are deactivated. Do you ever email information to physicians or payers? - Correct Answer-Very rarely, and when we do it must be encrypted. What would you do if a HIPAA violation was brought to your attention by a patient? - Correct Answer-Notify my manager who would inform the Privacy Office. What do you do in the event of a PHI breach? - Correct Answer-Notify my manager who would inform the Privacy Office.
What precautions are taken to protect patient information? - Correct Answer-Put labels and other materials containing PHI in shred bins. Conduct counseling in private. What would you do if an ethics or compliance problem could not be handled within the company? - Correct Answer-Notify the State Board of Pharmacy. What would you do to report an ethics or compliance problem at Walgreens? - Correct Answer-Notify my supervisor or call the Hotline of the Compliance Office at 1-800-WAG- CODE (1-855-924-2633). What would be a conflict of interest for you? - Correct Answer-Looking up private patient information if it didn't pertain to your responsibilities. Referring business to my own or a relative's company. Have you participated in store emergency "what if" drills? - Correct Answer-Yes. Our last one was... Have you been trained on the Store Emergency Plan in the last year? - Correct Answer- Yes. How are calls routed in a disaster? - Correct Answer-We would work with our Security Operations Center to implement our disaster plan. Calls would be routed to the nearest open store or our Specialty Support Center. What would you do if the patient was displaced from their home? - Correct Answer-Ship to an alternate address or arrange for pick up in a retail store. How are patient's prescription needs handled in the event of a disaster? What happens if your facility cannot ship a drug? - Correct Answer-Patients can utilize other Walgreens stores or they can contact our Specialty Support Center for assistance obtaining the medication if unable to ship. We have an emergency plan for these scenarios. Where is the Store Emergency Plan located? - Correct Answer-On top of the consult room file cabinet. How is inventory reviewed for expiration dates? - Correct Answer-We complete a monthly check of on-hand inventory and pull drugs that are expiring 3 months out. All pharmacy stock found to be expired will be pulled from inventory and segregated into a quarantine area. These products will be returned to the Walgreens Windsor Return Center or Genco based on the type of product. How do you dispose of products that are expired, returned, recalled, discontinued, and damaged? - Correct Answer-We quarantine the product in the "Do Not Use" bin and then return to Windsor Returns Center or Genco on a routine basis.
How is recalled, discontinued, expired, damaged, adulterated, unacceptable, or misbranded product handled? - Correct Answer-If notified of a recalled or discontinued drug any product would be immediately quarantined and we would follow recall directions. If we found an expired, damaged, adulterated, unacceptable, or misbrandedd product it would be immediately quarantined and we would contact the SOC for directions. Patients and prescribers would be notified as needed per our Medication Handling Policy. How is the pharmacy room temp and humidity monitored? Room temp is less than 77F and room humidity is less than 65%. - Correct Answer-Room temp and humidity is checked and recorded daily. The manager is notified of any out of range readings. What do you do if the refrigerator or freezer temperature is out of range? (Refrigerator temp range is between 35-46F. Freezer should be at or under 5F). - Correct Answer- Document the issues on the log, notify the manager, and document action taken to resolve the issue. If temperature does not return to normal and stabilize after an appropriate period of time, medication will be moved to an alternate working refrigerator and repair services called. What would you do if a suspicious drug was received from the vendor? Such as a product that appears counterfeit, has an unusual odor, or has a broken seal? - Correct Answer-We would notify the manager and segregate the product in the quarantine area. Once quarantined, report to the Security Operations Center (SOC). The Rx inventory team will then provide direction. How do we ensure compliance with the Drug Quality and Security Act? - Correct Answer-Medication is only ordered and purchased through approved vendors (I.e. licensed wholesalers, vendors, or direct from the manufacturer). If we find suspicious product we quarantine it and report the situation to the Security Operations Center (SOC). The Rx inventory team will then provide direction. What sources do you use for your recipes or formulas? - Correct Answer-IC+ recipes or those provided by the Support Center. What type of drug compounding do you conduct? - Correct Answer-Non-sterile capsules, liquids, and topical. Have the shipping pack-outs been tested and validated? - Correct Answer-Yes, validation studies are available from the Support Office. Simulation test results are on our intranet site LocalSprx. How are drugs packed to ensure safety and integrity? - Correct Answer-Pill bottles contain child proof caps, are placed in stapled bags, and bubble pack envelopes.
Are the shipping scales estimated or exact? - Correct Answer-We estimate the weight, thus our scales aren't required to be calibrated. How do you know which states you can ship into? - Correct Answer-We only ship into states where our pharmacy is licensed or as allowed per state law. What is the process if shipments are delayed or missing? - Correct Answer-We reach out to the patient to see when it is needed and res hip based on the needs of the patient. How are packages tracked to ensure they arrive as expected? - Correct Answer-We get an exception report from FedEx or our courier calls us if there is an issue so alternate arrangements can be made. How long are designed seasonal pack-outs able to keep the medication within range? - Correct Answer-All coolers and pack-outs have been validated to maintain temperature for 36 hours. We are currently using 2 seasonal pack-outs. We use the summer pack- outs starting in the spring and winter pack-outs in late fall. What are the cold chain distribution processes, and what steps are taken to ensure integrity of the product? - Correct Answer-We prioritize checking refrigerated product so it is not left out of the refrigerator too long. We package shipments per a standard approved pack-out per season. Did you sign a confidentiality agreement? - Correct Answer-As part of our Conflict of Interest and PHI training we acknowledge an agreement to keep information confidential. Did you receive URAC training? - Correct Answer-LTMP training on URAC was assigned to us. How is staff educated on compliance, regulatory, and accreditation requirements? - Correct Answer-Annual training is assigned and tracked via Learning & Talent Management Portal (LTMP) including HIPAA, URAC, Conflict of Interest, etc. How do you access Policy and Procedures? - Correct Answer-They are posted on our intranet sites. How do you know what your job duties are? - Correct Answer-We all have job descriptions and within the pharmacy we have daily stations we are assigned to. How were you trained in your position? - Correct Answer-New hire orientation, job shadowing, and on-the-job follow-up training.
What is the responsibility of a licensed staff member to report an adverse change in their license status? - Correct Answer-Employees are required to notify their manager of an adverse change in licensure or certification status before working their next shift. How often does the Quality Management Committee (QMC) meet? - Correct Answer- The Support Office and regional committee meet quarterly. What are the two divisional Quality Improvement Projects (QIP)? - Correct Answer- Patient Assessment Compliance Rates and Incorrect Packages Sold. How are complaints documented? - Correct Answer-They are entered into a form on our intranet site for tracking. The RMGO gets a quarterly summary report. How are complaints handled? - Correct Answer-We attempt to resolve all complaints when they are presented to us from the customer. My manager is then informed of all complaints. How do you define a complaint? - Correct Answer-Any expression of dissatisfaction by a customer. What is your involvement in Quality Management? - Correct Answer-We report any incidents, complaints, or problems to the pharmacist and our manager. We then work as a team to improve and if any error occurred we go through the peer review process.