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Actually, the opposite. Allergies that I'd put up with for 40+ years disappeared 3 or 4 years before my dx. Some time after diagnosis, I began to wonder if the lymphoma had something to do with desensitizing my system to the pollens.LonFrom: Ellen <rhudy@...> Sent: Sat, October 2,

2010 10:46:27 AMSubject: question

I read a long time ago that cllers just do not get allergies. I seem to

have acquired an allergy to ragweed and pollen. It has something to do

with mast cells being activated. Has anyone else on this list acquired

an allergy years after dx.?

Thanks,

Ellen

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Certainly, many CLL patients are hyper sensitive both to food and things like

insect stings etc.

There is an excellent book on the immune system that I can recommend. Probably

available in your library...

It goes into great length about IgE and allergic reactions

How the Immune System Works

By Sompayrac

~chris

>

> I read a long time ago that cllers just do not get allergies. I seem to

> have acquired an allergy to ragweed and pollen. It has something to do

> with mast cells being activated. Has anyone else on this list acquired

> an allergy years after dx.?

> Thanks,

> Ellen

>

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Thanks to you and all else who responded. I USED to get mega-reactions to

mosquito bites, but in the last 2

yrs., the bites are about normal size. I've never had allergies before in my

life, and I'm 66. Wonder what's

going on. I now have classic ragweed and pollen symptoms. I will keep looking

into this. I'll check out the

book, too.

Ellen

cllcanada wrote:

> Certainly, many CLL patients are hyper sensitive both to food and things like

insect stings etc.

>

> There is an excellent book on the immune system that I can recommend. Probably

available in your library...

>

> It goes into great length about IgE and allergic reactions

>

> How the Immune System Works

> By Sompayrac

>

> ~chris

>

>

> >

> > I read a long time ago that cllers just do not get allergies. I seem to

> > have acquired an allergy to ragweed and pollen. It has something to do

> > with mast cells being activated. Has anyone else on this list acquired

> > an allergy years after dx.?

> > Thanks,

> > Ellen

> >

>

> ------------------------------------

>

>

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I looked up the book on amazon.com. I was set to buy it, but then I came

across the book " Immunology

Made Ridiculously Simple. " So I ordered that one first, to solidify the basic

principles...............I know

some stuff already, but would like more basic knowledge before I buy the book

you recommended.

Thanks,

Ellen

cllcanada wrote:

> Certainly, many CLL patients are hyper sensitive both to food and things like

insect stings etc.

>

> There is an excellent book on the immune system that I can recommend. Probably

available in your library...

>

> It goes into great length about IgE and allergic reactions

>

> How the Immune System Works

> By Sompayrac

>

> ~chris

>

>

> >

> > I read a long time ago that cllers just do not get allergies. I seem to

> > have acquired an allergy to ragweed and pollen. It has something to do

> > with mast cells being activated. Has anyone else on this list acquired

> > an allergy years after dx.?

> > Thanks,

> > Ellen

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If you want something a bit more interactive try this link...

http://immunology.medicine.dal.ca/bookcase/

It is for first year med students but it is excellent in explaining many

things related to the immune system

~chris

> > >

> > > I read a long time ago that cllers just do not get allergies. I seem to

> > > have acquired an allergy to ragweed and pollen. It has something to do

> > > with mast cells being activated. Has anyone else on this list acquired

> > > an allergy years after dx.?

> > > Thanks,

> > > Ellen

>

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Also, I apologize for not introducing myself or being very active on this

site. I've been busy studying for the tech exam but I read all the emails!

I am from California and have a Bachelor's degree in Biology. I have been

volunteering at a private retail pharmacy since last October. I absolutely

love it, which is why I would like to become certified and have more hands

on experience.

I found out about this group after purchasing the Tech Lectures manual. I

just joined the group about a month or two ago. The group has been very

helpful and has many great resources that I have spent time looking at and

am very appreciative about. Thank you for putting in all this time for us to

work towards becoming certified.

Thanks again :)

Asmarah

On Sun, Oct 3, 2010 at 1:37 PM, Asmarah Amin <asmarah.a@...> wrote:

> Hi,

>

> I'm taking the national exam in 3 weeks. I've been studying with the Tech

> Lectures manual and Mosby's Pharmacy Technician Certification Exam book. Of

> both books, Mosby's is very detailed and comprehensive. I've been using the

> Tech Lectures to guide me on what areas I should focus on, but I'm still a

> bit nervous about whether I am completely prepared or not, since I didn't go

> through a pharm tech program. Sometimes it seems like any question about

> anything related to pharmacy can be on the exam and I won't be ready to

> answer it! But realistically, you can't memorize everything right?!

> I've looked at the study materials on the group and it's helped,

> thanks!

>

> But, Jeanetta and for those who have taken the exam, I am worried most

> about how much detail I should focus on memorizing medications, their trade,

> generic, and classifications.

>

> Any advice would be appreciated. Looking forward to the help!

>

> Thank you!

>

> Asmarah Amin

>

--

" ...for what else is there for us in this world except to make a good

intention to work hard and to struggle and to prepare for our meeting with

Allah (SWT)? "

-Imam Zaid Shakir

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Dear Asmarah Amin,

Congratulations for taking the right step in acquiring TWO books plus using this

site to study for the PTCB exam! You just proved WHY you should have two

different exams study guides. The perspectives and emphasis are different among

the authors. I can tell you that Mr Medina of Techlectures has been in the past

of the opinion that you should not waste time studying for the Trade and

generics because he believes that there are 'relatively' few Trade/generic

questions on the exam to warrent it when you could be studying other things. Yet

he does have the Top 200 drugs listed in his book. I am not sure if his opinion

has changed in the last 2 years or not.

That being said I have always maintained my opinion that the test does ask

pharmacology questions as well, not just plain Trade/generic questions. So while

it is true that there are few questions that are straight forward Trade/generic

questions such as " which of the following is the generic name for XYZ? " there

are also test questions that encompass:

1. Classifications

2. Use and Indications (UAD's for specific disease states)

3. Storage and Handling (Safety Precautions)

4. Availability (Possible drug dosage forms and strengths)

5. Site of Action

6. Mechanism of Action

7. Site of Metabolism

8. Adverse Reactions (SE an TE)

9. Drug Interactions

10. Precautions

11. Contraindications

12. Allergies most common with specific drugs

13. Common Idiocycratic responses with specific drugs

14. Auxiliary labels that should be applied

15. Anything peculiuar to the drug (that which is not usual to other drugs)

16. Look-alike and Sound-alike drugs in an answer to confuse you

17. Packaging for the patient vs packaging from the manufacturer.

The above is what is known as pharmacology. It is in brief compared to what the

pharmacist must know. You have no clue which questions you will be asked about

which drugs on the exam - NO ONE KNOWS! (except for PTCB). And you have no clue

how much WEIGHT will be put upon each type of question. Some weigh more others

less, this is called 'scaled' weighted questions. So the minimum score of 650

points out of 900 points are scaled points, meaning that the questions do not

all count 1 point each. This by the way is a 72% of scaled points.

To answer ANYONE of the above types of questions you would have to have studied

the full pharmacology of the drug (yes that would mean each of the 200 drugs).

That means all of the drus you can since you don't know which ones will be on

the exam. That TRANSCENDS into you don't know which drugs you are going to fill

on a given day in the pharmacy. You can bet on a specific group of drugs, IF

you have experience as a tech, which ones you will fill because they are called

fast movers.

Given the fact that there are 90 questions which will count towards the exam, I

don't think that if there were only 1 type of the above question for 17

different drugs on the exam that you would want to ignore pharmacology, nor

ignore the Trade and generic list. PLEASE remember that the goal of taking the

PTCB exam is not merely the passing of it, but to PREPARE you to BE the BEST

Technician you can be, so that you do not end up taking the life of a little

baby girl or boy because you did not or do not know:

1. The tonicity of blood, and therefore the problem with using 23.4% NaCl vs

0.9% NaCl in an IV.

2. The difference between diphenhydramine and dimenhydrinate

3. The difference between 10 USP Units of Heparin, 100 USP Units of Heparin,

1000 USP Units of Heparin, 10,000 USP Units of Heparin

4. The difference between digoxin 0.125 mg and 125 mcg or digoxin 0.125 mg vs

0.25 mg

5. The significance of a prescription that reads Halcion 0.5 mg MRx1, what is

wrong with this order.

6. The significance of Calcium Chloride and Potassium Phosphate being placed one

after the other in an intravenous admixture.

The list is endless. So anyone out there reading, if you think you will learn

all of the above (and so much more) on the job 'in time' - " quick enough " to save

a life and prevent a medication error, please know that once you are hired or in

training on the job you will be too busy answering phones, retrieving drugs from

the shelf, shelving/stocking and unpacking drug orders, ordering drugs,

selecting, counting, pouring, mixing drugs, computer generating labels and

labeling prescription drug containers, entering Rx orders into the computer,

adjudicating/processing orders, calling paitients/doctors offices/nurses/various

departments, greeting varous people not just patients at the window, delivering

meds, dispensing meds to patients/nurses/floor stock, prepackaging unit dose or

prepackaging containers of commonly prescribed drugs, filling cassettes/robots,

making IVPB's/LVP's/TPN's, compounding various other dosage forms, billing and

insurance, patient advocacy, examining results for significant clinical lab

values (advanced tech duty) etc, etc etc This list, too is endless. And ALL the

TIME you are doing the above you don't have time to learn the pharmaology that

you should have known before you even stepped foot in the pharmacy in order NOT

to make any of the outlined mistakes! AND dont' forget you will still NEED to be

learning the pharmacology of NEW drugs that your pharmacy just got in on the

shelves because they are new on the market. And ALL the time using the

pharmacology that you should have known to prevent a medication error, report

one, find one before it is given to the patient (intervnetion of a near miss).

Formal education does give a bit of a jump on this or a head start. The program

taht I teach has over 800 drugs that the student must learn the pharmacology,

not merely the trade and generic. Even that however can not totally prepare the

tech/you for what is in store for them/you on the job. Oh yeah one more thing

you will be very busy...er too busy, learning the computer system and the

mneuonics in order to perform order entry and produce labels, to be learning

pharmacology on the job. Many find the job learning experience very overwhelming

and stressful. But those who do the best and find it the easiest or less

stressful are those are the most prepared and have learned the most before

entering a pharmacy.

I do not mean to scare you! There are way more drugs on the market now than

there was 10, 15 or 20 years ago. More delivery systems and drug dosage forms

exist, more tests that can aid diagnostics. I only wish to make a point.

Preparing for the PTCB should not be just to pass, but rather to perform as a

tech learning on the job at your optimum, and with as much knowledge as possible

to prevent an error or at least recognize that you do not know enough about what

you are supposed to know to fill an order and to STOP and ask a PHARMACIST.

Sounds easy! But you would be surprised how many " think that they know " what

they are supposed to or should know, and therefore do not ask.

In some defense of the technician who has been blamed for the medication error

that caused the death of little in the state of Ohio, she did say that she

felt that something was off, something was wrong with the order or how she

filled it. She did report it to the pharmacist. But she just did not know about

tonicity because she never studied for the PTCB exam or went to a formal school

program, not to mention her lack of time on the job/experience.

Litle from Ohio, about tougher Ohio laws

How cute she was!

http://www.usatoday.com/money/industries/health/2008-02-24-emily_N.htm

's Story

" Jerry died at the age of two as the result of a medication error caused

by a pharmacy technician. On the day that was to have her final chemo

treatment and received an excellent prognosis from physicians, she was given a

fatal dosage of chemotherapy. The pharmacy technician who prepared 's

chemotherapy had opted to compound her own normal saline base solution, as

opposed to using a commercially manufactured (prepacked) IV solution bag.

Standard IV bags contain a base solution of 0.9% NaCL (sodium chloride); the

base solution prepared for contained approximately 20x the standard

concentration of sodium chloride. Prior to entering a coma, grabbed her

head, screamed and cried as she experienced a fatal overdose of sodium chloride.

Although pharmacy technicians practice under the supervision of a licensed

pharmacist, the public assumes that these individuals are still required to be

properly trained and demonstrate competency to work within a pharmacy setting.

While controversy still remains over the specific circumstances of what occurred

that day in the pharmacy, the fact remains that a major medication error

occurred, went uncaught and ultimately cost Jerry her life. In the

aftermath, local and national media attention exposed the gross inadequacies of

pharmacy technician standards and regulations in Ohio (as well as across most of

the United States). "

Please re-read:

" Prior to entering a coma, grabbed her head, screamed and cried as she

experienced a fatal overdose of sodium chloride. "

Even if she/the Ohio technician had studied for the exam, if she had been the

type of person to say to herself " Oh I don't need to study that because there

will only be 17 questions out of 90 (19%) questions like that on the exam " , then

studying for the exam would be meaningless and the death of a patient (no matter

the age) would be PURE MEANINGLESS.

Okay if you have not figured it out yet, I do not agree with studyng just the

minimum! Go for it! The life you save may be your friend's,relative's or even

your own! What I mean by that is saving yourself from the agony of maming or

killing someone (a true life sentence) or paying a high fine or being sued for

all you have except for your house and car or paying the price with your

reputation and career (your home life will be destroyed)! And possibly from time

in prison, like the pharmacist who failed to get up off his rear end and check

out the IV and what the tech was talking about.

I pray that the technician got some counseling.

YES we can all make mistakes and we will! Studies have proven that that about

" 195,000 people die from preventable medical mistakes each year. " (HealthGrades)

BUT if WE, YOU or I can avoid them by our ACTIONS or shall I say if we can CAUSE

them by our ACTIONS, as well as INACTIONS, then we can only say we are the root

cause of the specific medication error. Choosing not to study, no to learn as

much as we can is an INACTION and it is deliberate!

" A total of 391 patients with 420 unit admissions were studied during 1490

patient-days. We found 120 adverse events in 79 patients (20.2%), including 66

(55%) nonpreventable and 54 (45%) preventable adverse events as well as 223

serious errors. The rates per 1000 patient-days for all adverse events,

preventable adverse events, and serious errors were 80.5, 36.2, and 149.7,

respectively.

Conclusions: Adverse events and serious errors involving critically ill

patients were common and often potentially life-threatening. Although many types

of errors were identified, failure to carry out intended treatment correctly was

the leading category. " The Critical Care Safety Study: The incidence and nature

of adverse events and serious medical errors in intensive care

*http://journals.lww.com/ccmjournal/Abstract/2005/08000/The_Critical_Care_Safety\

_Study__The_incidence_and.3.aspx

" In a study by the FDA that evaluated reports of fatal medication errors from

1993 to 1998, the most common error involving medications was related to

administration of an improper dose of medicine, accounting for 41% of fatal

medication errors. Giving the wrong drug and using the wrong route of

administration each accounted for 16% of the errors. Almost half of the fatal

medication errors occurred in people over the age of 60. Older people may be at

greatest risk for medication errors because they often take multiple

prescription medications. " The Most Common Medication Errors

http://www.medicinenet.com/script/main/art.asp?articlekey=55234

" To err is human " , but to err due to a purposeful decision NOT to prevent is

inhumane!

A decision NOT to study a specific topic that would prevent medication errors ,

such as pharmacology or simply the Trade and generic names of 200 drugs (when

there are over 4000 on the market), is inhumane.

That is my opinion only and these are MY WORDS. Except for the quoations with

references all of this post as are all of my posts copyrightes. This in

particular is Copyrighted by Jeanetta Mastron October 3, 2010

Thank you Asmarah for your question. I hope that you now see WHY you must study

all that you can NOW before you become a technician.

I have recommended the Techlectures study guide over the years because it has a

great simple way of teaching math. It highlights the main laws. The overall

approach is non-threatening to the student and in an easy to learn format. But I

also recommend a second book from a different author, as I know most other

books/study guides are in greater detail of other aspects of pharmacy which

prepare the student to become a pharmacy technician. And of course I recommend

asking questions and using the tutorials on this site for difficult to

understand topics and to have someone to ask questions when you just don't get

it. By the way I believe there is a site for Techlecture book owners to visit

to ask questions of the author: Joe Medina.

The book will have that site listed. Try http://www.techlectures.com/

To Err is Human 2000

http://www.iom.edu/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20\

is%20Human%201999%20%20report%20brief.pdf

Five Years After " To Err Is Human " : What Have We Learned?2005

" The single most important step, however, is to set and adhere to " strict,

ambitious, quantitative, and well-tracked national goals, " say Leape and

Berwick. They urge AHRQ to bring together organizations, including JCAHO, CMS,

and the American Medical Association, to agree to a set of patient safety goals

to be reached by 2010. The most important lesson of the past five years, the

authors argue, is that " we will not become safe until we choose to become safe. "

"

http://www.commonwealthfund.org/Content/Publications/In-the-Literature/2005/May/\

Five-Years-After--To-Err-Is-Human---What-Have-We-Learned.aspx

http://jama.ama-assn.org/cgi/content/short/293/19/2384

Asmarah and ALL, I hope you will CHOOSE to become safe by choosing to embrace

learning of as much as you can before you step foot in a pharmacy. But remember

learning should never STOP!

Respectfully,

Jeanetta Mastron CPhT BS

Pharmacy Technician Educator

Founder/Owner of this site

Hi,

I'm taking the national exam in 3 weeks. I've been studying with the Tech

Lectures manual and Mosby's Pharmacy Technician Certification Exam book. Of

both books, Mosby's is very detailed and comprehensive. I've been using the Tech

Lectures to guide me on what areas I should focus on, but I'm still a bit

nervous about whether I am completely prepared or not, since I didn't go

through a pharm tech program. Sometimes it seems like any question about

anything related to pharmacy can be on the exam and I won't be ready to

answer it! But realistically, you can't memorize everything right?!

I've looked at the study materials on the group and it's helped,

thanks!

But, Jeanetta and for those who have taken the exam, I am worried most about

how much detail I should focus on memorizing medications, their trade, generic,

and classifications.

Any advice would be appreciated. Looking forward to the help!

Thank you!

Asmarah Amin

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Dear Asmarah Amin,

No apology necessary!

Where in CA are you? I am in CA as well,not far from Disneyland.

Glad you have two good books to work from and using this site.

Please feel free to ask more questions, not all of my answers to questions are

as lengthy as the last one! :)

Respectfully,

Jeanetta Mastron CPhT BS

Founder/Owner

>

> > Hi,

> >

> > I'm taking the national exam in 3 weeks. I've been studying with the Tech

> > Lectures manual and Mosby's Pharmacy Technician Certification Exam book. Of

> > both books, Mosby's is very detailed and comprehensive. I've been using the

> > Tech Lectures to guide me on what areas I should focus on, but I'm still a

> > bit nervous about whether I am completely prepared or not, since I didn't go

> > through a pharm tech program. Sometimes it seems like any question about

> > anything related to pharmacy can be on the exam and I won't be ready to

> > answer it! But realistically, you can't memorize everything right?!

> > I've looked at the study materials on the group and it's helped,

> > thanks!

> >

> > But, Jeanetta and for those who have taken the exam, I am worried most

> > about how much detail I should focus on memorizing medications, their trade,

> > generic, and classifications.

> >

> > Any advice would be appreciated. Looking forward to the help!

> >

> > Thank you!

> >

> > Asmarah Amin

> >

>

>

>

> --

> " ...for what else is there for us in this world except to make a good

> intention to work hard and to struggle and to prepare for our meeting with

> Allah (SWT)? "

> -Imam Zaid Shakir

>

>

>

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I, too, am studying for the exam using Mosby's Review book and the interactive

CD. It's quite a learning experience, I must say. I will never memorize

everything; no one does; but I think the trick is to practice it. Challenge

yourself and make up questions. I've found some errors (I think) on the disc

that made me think about the answer. I guess that's part of the learning

process.

Good luck.

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Since humans write books, CD's and Flash learning online, errors are inherrent

to the process. Just as making an error on the job. But writers have editors and

editors do try to find the problems before hand and they too are human. Likewise

pharmacists try to find the error that a tech does not find or makes. But

sometimes they can not. But we try and we put in systems to avoid those errors.

 

Studying to pass the PTCB exam is a system we put in place to prevent as many

errors on the job as possible. I am glad that you are making good use of your

time with good resources and finding ways to learn.  That is half the battle.

 

In my classroom students write summaries after lecture and also develop q and a

to help study. Making tests empowers the learner, and the student begins to

outsmart the test or the teacher who made the test! :) One learns to expect or

HOW to expect what will be on the exam. Likewise asking your self questions NOT

in the book or anticipating what should be asked is one way to study and to

learn!

 

Bravo !

 

Respectfully,

Jeanetta Mastron CPhT BS

Pharm Tech Educator

F/O

 

 

 

From: <yoh765@...>

Subject: Re: question

Date: Monday, October 4, 2010, 2:42 PM

I, too, am studying for the exam using Mosby's Review book and the interactive

CD. It's quite a learning experience, I must say. I will never memorize

everything; no one does; but I think the trick is to practice it. Challenge

yourself and make up questions. I've found some errors (I think) on the disc

that made me think about the answer. I guess that's part of the learning

process.

Good luck.

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I have a quick question maybe two. First, has anyone in the history of this

group ever passed the ExCPT exam? I am a state licensed Pharmacy Technician, and

I have been a member of this group for a while. I am currently studying for the

PTCB test, but I found that having it and not having it can work against you on

both ends-let me explain. I went to a interview for at a chain pharmacy for a

full-time Pharmacy Technician position. I don't have my national certification,

but have all the other crudentials. The first interview was just the basic one.

They called me back for a second interview, and this interview was conducted by

the Pharmacist. I thought everything went well. A week went by, and I didn't

hear anything from them. I called the store back and talked to the store

manager, and she advised me that she wanted to offer the position to me, but the

pharmacist said no. Long story-long, the manager told me in the first interview,

that they had a training program where after you complete it, they will pay for

you to take your national certification test. After talking to the manager

again, the pharmacist didn't want to hire me because I didn't have my national

certification. The other question I wanted to know if the PTCB test is better to

have or the ExCPT. The reason I ask is that within the last few days I found out

the ExCPT is accepted in the state I live in.

________________________________

From: Jeanetta Mastron <rxjm2002@...>

Sent: Tue, October 5, 2010 6:26:20 AM

Subject: Re: Re: question

Since humans write books, CD's and Flash learning online, errors are inherrent

to the process. Just as making an error on the job. But writers have editors and

editors do try to find the problems before hand and they too are human. Likewise

pharmacists try to find the error that a tech does not find or makes. But

sometimes they can not. But we try and we put in systems to avoid those errors.

Studying to pass the PTCB exam is a system we put in place to prevent as many

errors on the job as possible. I am glad that you are making good use of your

time with good resources and finding ways to learn. That is half the battle.

In my classroom students write summaries after lecture and also develop q and a

to help study. Making tests empowers the learner, and the student begins to

outsmart the test or the teacher who made the test! :) One learns to expect or

HOW to expect what will be on the exam. Likewise asking your self questions NOT

in the book or anticipating what should be asked is one way to study and to

learn!

Bravo !

Respectfully,

Jeanetta Mastron CPhT BS

Pharm Tech Educator

F/O

From: <yoh765@...>

Subject: Re: question

Date: Monday, October 4, 2010, 2:42 PM

I, too, am studying for the exam using Mosby's Review book and the interactive

CD. It's quite a learning experience, I must say. I will never memorize

everything; no one does; but I think the trick is to practice it. Challenge

yourself and make up questions. I've found some errors (I think) on the disc

that made me think about the answer. I guess that's part of the learning

process.

Good luck.

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Dear Randall,

 

Sometimes the personnel or human resources dept do not know what the other hand

is doing! If your STATE requires PTCB or ExCPT in order to be hired or employed

as a tech or tech in training then you must be certified first.

IF your employer requires it, but your state does not then you must have it.

Now some employer personnell departments have not been updated on the newer

state laws! that may mean  your state has required or  your pharmacy requires

national certification, but non one has told that to the personnel department.  

That being said you may have a rogue pharmacist who wants to do things his or

her own way by hiring only certified techs even if the state or policy does not

require it. While I may agree with this as a good policy, if the company does

not adopt it the pharmacist has no right to require it. Requesting it is

acceptable but he or she can not make it a condition of hire on his or her own,

unless the pharmacist owns the pharmacy. However this does not stop it happening

in practice! Why? because personnel can not hire someone that the pharmacist in

charge does not okay (no matter the reason).

 

AS for PTCB vs ExCPT, many people (not my members) have successfully passed that

exam!  As for my members I recall only 1 who posted that he/she was studying for

it and passed it. Most people on this site are studying for PTCB, BUT this site

will help those studying for EITHER exam. All study guide books for PTCB will

help those for ExCPT as well. 2 yrs ago the COURTS deemed these two exams as

equivalent to allow the person who passes to use the initials of CPhT after

their name.

 

STATES decide whether or not to require a national exam and CPhT to practice as

a pharmacy technician. Oregon is one state that accepts EITHER exam.

However, employers can specify which exam they prefer. That would be policy,

unless the state says that they can not and that they must accept either.

 

Please let me/us know which state you are in  to help you further. 

 

Since PTCB has been around longer most pharmacists recognize it over ExCPT.

However ExCPT is accepted by over 14 states (last count given to me LAST year by

ExCPT representative and is probably higher than that now!!!!).

 

I hope this has helped you and that you will continue to ask your pertinent

questions.

 

Respectfully,

 

Jeanetta Mastron CPhT BS

Founder/Owner 

 

From: <yoh765@...>

Subject: Re: question

Date: Monday, October 4, 2010, 2:42 PM

I, too, am studying for the exam using Mosby's Review book and the interactive

CD. It's quite a learning experience, I must say. I will never memorize

everything; no one does; but I think the trick is to practice it. Challenge

yourself and make up questions. I've found some errors (I think) on the disc

that made me think about the answer. I guess that's part of the learning

process.

Good luck.

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Thank you for answering me back so soon. I have been a member of your site for

quite a while, and I was trying to find out a little more information, thinking

that there might be new changes that I wasn't aware of. As, I mentioned before I

am trained by a board approved program, through the State of Indiana, and I

currently hold my state license as to such. After doing some research on my own,

I indeed find out that the Except exam is board approved in my state. Up until

that I had never heard of the Excpt exam, and when I mentioned it to a

Pharmacist here in Indiana, he acted like I had the plague and told me he had

never heard of the Excpt test. Not only that, as you were mentioning of Oregon

that will accept either, from the info that I just gathered in the last two

weeks, Indiana will accept either as well. I asked about this because I did not

have the money to pay for the National Certification or PTCB test, but I got a

letter in the mail from the school they are paying for my national certification

exam, which I found out is the ExCPT test. Thank you.

________________________________

From: Jeanetta Mastron <rxjm2002@...>

Sent: Thu, October 7, 2010 11:23:34 AM

Subject: Re: Re: question

Dear Randall,

Sometimes the personnel or human resources dept do not know what the other hand

is doing! If your STATE requires PTCB or ExCPT in order to be hired or employed

as a tech or tech in training then you must be certified first.

IF your employer requires it, but your state does not then you must have it.

Now some employer personnell departments have not been updated on the newer

state laws! that may mean your state has required or your pharmacy requires

national certification, but non one has told that to the personnel department.

That being said you may have a rogue pharmacist who wants to do things his or

her own way by hiring only certified techs even if the state or policy does not

require it. While I may agree with this as a good policy, if the company does

not adopt it the pharmacist has no right to require it. Requesting it is

acceptable but he or she can not make it a condition of hire on his or her own,

unless the pharmacist owns the pharmacy. However this does not stop it happening

in practice! Why? because personnel can not hire someone that the pharmacist in

charge does not okay (no matter the reason).

AS for PTCB vs ExCPT, many people (not my members) have successfully passed that

exam! As for my members I recall only 1 who posted that he/she was studying for

it and passed it. Most people on this site are studying for PTCB, BUT this site

will help those studying for EITHER exam. All study guide books for PTCB will

help those for ExCPT as well. 2 yrs ago the COURTS deemed these two exams as

equivalent to allow the person who passes to use the initials of CPhT after

their name.

STATES decide whether or not to require a national exam and CPhT to practice as

a pharmacy technician. Oregon is one state that accepts EITHER exam.

However, employers can specify which exam they prefer. That would be policy,

unless the state says that they can not and that they must accept either.

Please let me/us know which state you are in to help you further.

Since PTCB has been around longer most pharmacists recognize it over ExCPT.

However ExCPT is accepted by over 14 states (last count given to me LAST year by

ExCPT representative and is probably higher than that now!!!!).

I hope this has helped you and that you will continue to ask your pertinent

questions.

Respectfully,

Jeanetta Mastron CPhT BS

Founder/Owner

From: <yoh765@...>

Subject: Re: question

Date: Monday, October 4, 2010, 2:42 PM

I, too, am studying for the exam using Mosby's Review book and the interactive

CD. It's quite a learning experience, I must say. I will never memorize

everything; no one does; but I think the trick is to practice it. Challenge

yourself and make up questions. I've found some errors (I think) on the disc

that made me think about the answer. I guess that's part of the learning

process.

Good luck.

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Dear Randall,

Thank you for getting back to me! I see that you have found the same things to

be true as I stated/outlined.

Once they pay for that exam, you WILL find that some pharmacists or pharmacies

will not accept it. What you NEED to do is show proof to the pharmacists of the

INDIANA law!!! IF they can show you proof of POLICY not be hired or they do not

accept ExCPT then that will be a different story!!! But without that in writing

they can not discriminate against you because you took ExCPT instead of PTCB.

Your state says they accept both. As long as the employer does not have it in

writing that they do not accept ExCPT you should be okay.

I wish you well and I hope you will keep us posted on your job hunt after you

take the exam and what pharmacists say and how you are treated.

Thank you for your input and future posts on this topic,

Respectfully,

Jeaneetta Mastron CPhT BS

Pharmacy Technician Educator/Director

Founder/Owner

>

> From: <yoh765@...>

> Subject: Re: question

>

> Date: Monday, October 4, 2010, 2:42 PM

>

> I, too, am studying for the exam using Mosby's Review book and the interactive

> CD. It's quite a learning experience, I must say. I will never memorize

> everything; no one does; but I think the trick is to practice it. Challenge

> yourself and make up questions. I've found some errors (I think) on the disc

> that made me think about the answer. I guess that's part of the learning

> process.

>

> Good luck.

>

>

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Thanks for the answer Jeanetta and your input . I also found some

errors on Mosby's CD, it is a load of information that I'm enjoying

studying. My nervousness and main concern comes from the fact that I did not

go to a program to prepare for the PTCE because I didn't have the money or

time at the moment, but I do have a Bachelor's degree in Biology.

To answer your question, Jeannetta, currently, I am in Chicago and will be

taking the PTCE here, however I live in Fullerton, which as you probably

know is close to Disneyland (Anaheim)! I also volunteer at a private retail

pharmacy in Anaheim and would like to further my career in Pharmacy.

Thanks for all your help and the time you put in to answer our questions!

Asmarah

On Mon, Oct 4, 2010 at 4:42 PM, <yoh765@...> wrote:

>

>

> I, too, am studying for the exam using Mosby's Review book and the

> interactive CD. It's quite a learning experience, I must say. I will never

> memorize everything; no one does; but I think the trick is to practice it.

> Challenge yourself and make up questions. I've found some errors (I think)

> on the disc that made me think about the answer. I guess that's part of the

> learning process.

> Good luck.

>

>

>

--

" ...for what else is there for us in this world except to make a good

intention to work hard and to struggle and to prepare for our meeting with

Allah (SWT)? "

-Imam Zaid Shakir

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Dear Asmarah,

I am so very glad to meet you and perhaps when you get back to CA we can 'do'

lunch!

Please be sure your ID matches the name and address on your " ATT " letter when

you take your exam in Chicago.

Keep us posted on your progress. Do not worry about the math. To have a degree

in Biology I am sure your math skills will be all you need to self study and

more. MOST of the members of this site who have self studied did not have formal

classes nor the degree you have or the many math classes you have had. Basic

math is all that is needed. Tuorials on this site and study guide books will

teach you all that is required in the math " department " .

You will do well. Feel free to post any of your math questions.

Jeanetta Mastron CPhT BS

Pharm Tech Educator/Program Director

Founder/Owner

>

> >

> >

> > I, too, am studying for the exam using Mosby's Review book and the

> > interactive CD. It's quite a learning experience, I must say. I will never

> > memorize everything; no one does; but I think the trick is to practice it.

> > Challenge yourself and make up questions. I've found some errors (I think)

> > on the disc that made me think about the answer. I guess that's part of the

> > learning process.

> > Good luck.

> >

> >

> >

>

>

>

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Hi Jeanetta,

Thanks for your support. It would definitely be nice to meet you and have

lunch when I get back.

I have a few questions regarding some laws since I've been reading a few

different opinions through different sources.

1. How many times can a Schedule 3-5 prescription be transferred? Schedule

3-5 controlled substances, is there any difference? How many times can a

Schedule II drug prescription be transferred?

2. All pharmacy records/prescriptions must be kept for 2 years *or* is it

5-7 years depending on state law?

3. DAW= dispense as written, do not substitute for generic/brand, whatever

is written on the prescription must be dispensed, right? That was my

understanding, but in Mosby's book, I'm reading DAW, DAW 1, 2, and 5 meaning

different things. I researched this and couldn't find anything concrete so

can you clarify this for me, please.

Thank you for your time!

Asmarah

On Thu, Oct 7, 2010 at 6:05 PM, Jeanetta Mastron <rxjm2002@...> wrote:

>

>

> Dear Asmarah,

>

> I am so very glad to meet you and perhaps when you get back to CA we can

> 'do' lunch!

>

> Please be sure your ID matches the name and address on your " ATT " letter

> when you take your exam in Chicago.

>

> Keep us posted on your progress. Do not worry about the math. To have a

> degree in Biology I am sure your math skills will be all you need to self

> study and more. MOST of the members of this site who have self studied did

> not have formal classes nor the degree you have or the many math classes you

> have had. Basic math is all that is needed. Tuorials on this site and study

> guide books will teach you all that is required in the math " department " .

>

> You will do well. Feel free to post any of your math questions.

>

> Jeanetta Mastron CPhT BS

> Pharm Tech Educator/Program Director

> Founder/Owner

>

>

> >

> > >

> > >

> > > I, too, am studying for the exam using Mosby's Review book and the

> > > interactive CD. It's quite a learning experience, I must say. I will

> never

> > > memorize everything; no one does; but I think the trick is to practice

> it.

> > > Challenge yourself and make up questions. I've found some errors (I

> think)

> > > on the disc that made me think about the answer. I guess that's part of

> the

> > > learning process.

> > > Good luck.

> > >

> > >

> > >

> >

> >

> >

>

>

>

--

" ...for what else is there for us in this world except to make a good

intention to work hard and to struggle and to prepare for our meeting with

Allah (SWT)? "

-Imam Zaid Shakir

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Dear Asmarah,

 

Your questions are not so easily answered by me. Most pharm tech books and

programs will not teach this because it is considered the duty of a pharmacist.

I call upon my resident pharmacists to take a look at this question.

 

But I will tell you that Remingtons 2006 edition 

 

" Partial filling – Schedule III and IV

Partial filling  of prescriptions for controlled substances in Schedules

III and IV is permitted if the pharmacist filing or refilling. The prescription

sets forth the quantity dispensed and his initials on the back of the

prescription.

In addition, the partial fillings may not exceed the total amount authorized

in the prescription and the dispensing of all refills must be within the 6-month

limit. "

And this:

" Transfers – Rx for Schedule III, IV and V drugs may be transferred

Between pharmacies for refill purposes. The transfer of originnal Rx’s

Information for a controlled substance listed in Schedule III IV or V

for the purpose of refill dispensing is permissible between differently

owned pharmacies on a one time basis only. However pharmacies

Electronically sharing a real-time, online database may transfer up

 to the maximum refills permitted by law and the prescriber’s

authorization. "

 

I hope I copied /typed them correctly. :)

 

 

I found the following which may help you as well:  

" CAN PRESCRIPTIONS BE TRANSFERRED MORE THAN ONCE IN MINNESOTA?

Prescriptions for non-controlled drugs can be transferred from one pharmacy to

another indefinitely providing that refill authorizations do exist and the

transfers are properly recorded. However, there are restrictions on controlled

substances.  Minnesota Rule 6800.3120 Subp. 2. states:   A pharmacy may

transfer prescription information for the purpose of refilling a prescription if

the information is communicated directly by one licensed pharmacist to another.

Schedule II prescriptions may not be transferred. Schedules III-V prescriptions

may only be transferred in accordance with the limitations placed on such

transfers by the Drug Enforcement Administration (DEA). Federal regulation 21

CFR1306.25(a) permits multiple transfers of controlled substances, providing

authorization exists, only for those pharmacies that share a real time on-line

electronic database. Other pharmacies are limited to only one transfer under

federal rules. "  

 

In general:

Refilling of a prescription:

No Rx for CIII-IV medications shall be filled or refilled more than 6 months

after the written date or refilled more than five times. Schedule V controlled

substances may be refilled as authorized. CFR § 1306.22(a-B)

 

But the original Rx storage is a different story:

Hard-copy printouts of the day’s controlled substance Rx orders and refills

shall be verified, dated, and signed by the pharmacist who filled these orders.

This document must be maintained in the pharmacy for three years from the

dispensing date. CFR §1306.22(3)

 

Your question: 2. All pharmacy records/prescriptions must be kept for 2 years

*or* is it

5-7 years depending on state law?

The states can increase the time but not make it less than the required time

for storage as stated by the Federal Law. Which ever is more stringent shall

apply.

 

I will get back to you on DAW as I am in class off break now! 

 

California has " Do not substitute " . I am not aware fo a 1,2, 3 or??? in CA. I

have seen what you are speaking of in Mosby's book. I would have to research

that.

 

Again one of the resident pharmacists may know and  get back to us on the site

before I do.

 

Thanks so much for your questions,

 

Respectfully,

 

Jeanetta Mastron CPhT BS

Founder/Owner

 

 

 

>

>

> Dear Asmarah,

>

> I am so very glad to meet you and perhaps when you get back to CA we can

> 'do' lunch!

>

> Please be sure your ID matches the name and address on your " ATT " letter

> when you take your exam in Chicago.

>

> Keep us posted on your progress. Do not worry about the math. To have a

> degree in Biology I am sure your math skills will be all you need to self

> study and more. MOST of the members of this site who have self studied did

> not have formal classes nor the degree you have or the many math classes you

> have had. Basic math is all that is needed. Tuorials on this site and study

> guide books will teach you all that is required in the math " department " .

>

> You will do well. Feel free to post any of your math questions.

>

> Jeanetta Mastron CPhT BS

> Pharm Tech Educator/Program Director

> Founder/Owner

>

>

> >

> > >

> > >

> > > I, too, am studying for the exam using Mosby's Review book and the

> > > interactive CD. It's quite a learning experience, I must say. I will

> never

> > > memorize everything; no one does; but I think the trick is to practice

> it.

> > > Challenge yourself and make up questions. I've found some errors (I

> think)

> > > on the disc that made me think about the answer. I guess that's part of

> the

> > > learning process.

> > > Good luck.

> > >

> > >

> > >

> >

> >

> >

>

> 

>

--

" ...for what else is there for us in this world except to make a good

intention to work hard and to struggle and to prepare for our meeting with

Allah (SWT)? "

-Imam Zaid Shakir

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  • 3 weeks later...

Yes

Natural Thyroid Hormones on (just like this group). My friend Janie owns it.

Steph

question

Hi anyone know of any other group for thyroids as this is advance and is not what I need at this time , I need one like for beginners or even one for people with half thyroid

Bobbi

Bandit & Foxy

Bonnie & Clyde

Sylvett & Bella

Brutus

*AKA*

Old Timer

& n! bsp; And always remember

TALK

IS CHEAP TILL YA HIRE A LAWYER !!!!

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YES Kendruha, these types of questions should be on the exam. Technicians should

be able to recognize which drugs should be given together and which ones should

not be. By knowing drug interactions and usual drug combination regimens the

technician can help to avoid medication errors.

If you were taking the test right now and these thoughts ran through your mind

before you answsered the question this is what you should do:

Ask youself:

1. Which one do you (I) KNOW more details about?

2. WHICH one answer did you (I) actually READ about in association with each

other?

3. Then THAT is your answer.

In THIS case the answer is C loss of electrolyte Potassium =K+

On the test: Go by your knowledge first and second your gut instinct. AND Do

not change answers.

Notice you said 'from my understanding' that is what you KNOW.

Diuretics are not associated with a loss of sugar they are however associated

with a loss of electrolytes, specifically potassium.

Hope this helps!

Jeanetta Mastron CPhT BS

Founder/Owner

>

> Hi Jeanetta :)

>

> I'm not sure what the answer to this question is:

>

> A major concern while using a diuretic on a patient is the drug's ability to:

a. slow the heartbeat

b. cause irreversible liver damage

c. cause hypoglycemia

d. cause hypokalemia

>

>

> If this was on the test, I would have to guess " C " or " D " . I know that it has

nothing to do with slowing the heartbeat or causing liver damage.

>

> I'm torn between hypoglycemia and hypokalemia.

>

> From my understanding, if we add a diuretic into our systems, we would lose

water. Our body will try to compensate for the water loss by keeping the

electrolytes/solutes (like potassium) inside our body - to try to keep our blood

volume & blood pressure constant.

>

> Also, if our urinary system is working properly - for example, the filtration

system - should not lose glucose.

>

> As you can see, I'm not too entirely sure what the correct answer is. I just

understand different things but can't put two and two together. Please help!

>

> Thank you!

>

> - Kendra

>

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Thank you! :) & I think you meant " D " for hypokalemia... just in case

anybody is reading your message :)

So these type of questions, are not going to be on the test?

But at least I know for future reference! :)

- Kendra

On Sat, Nov 6, 2010 at 11:42 AM, Jeanetta Mastron <rxjm2002@...>wrote:

>

>

> YES Kendruha, these types of questions should be on the exam. Technicians

> should be able to recognize which drugs should be given together and which

> ones should not be. By knowing drug interactions and usual drug combination

> regimens the technician can help to avoid medication errors.

>

> If you were taking the test right now and these thoughts ran through your

> mind before you answsered the question this is what you should do:

>

> Ask youself:

> 1. Which one do you (I) KNOW more details about?

> 2. WHICH one answer did you (I) actually READ about in association with

> each other?

> 3. Then THAT is your answer.

> In THIS case the answer is C loss of electrolyte Potassium =K+

>

> On the test: Go by your knowledge first and second your gut instinct. AND

> Do not change answers.

>

> Notice you said 'from my understanding' that is what you KNOW.

>

> Diuretics are not associated with a loss of sugar they are however

> associated with a loss of electrolytes, specifically potassium.

>

> Hope this helps!

>

> Jeanetta Mastron CPhT BS

> Founder/Owner

>

>

>

> >

> > Hi Jeanetta :)

> >

> > I'm not sure what the answer to this question is:

> >

> > A major concern while using a diuretic on a patient is the drug's ability

> to:

> a. slow the heartbeat

> b. cause irreversible liver damage

> c. cause hypoglycemia

> d. cause hypokalemia

> >

> >

> > If this was on the test, I would have to guess " C " or " D " . I know that it

> has nothing to do with slowing the heartbeat or causing liver damage.

> >

> > I'm torn between hypoglycemia and hypokalemia.

> >

> > From my understanding, if we add a diuretic into our systems, we would

> lose water. Our body will try to compensate for the water loss by keeping

> the electrolytes/solutes (like potassium) inside our body - to try to keep

> our blood volume & blood pressure constant.

> >

> > Also, if our urinary system is working properly - for example, the

> filtration system - should not lose glucose.

> >

> > As you can see, I'm not too entirely sure what the correct answer is. I

> just understand different things but can't put two and two together. Please

> help!

> >

> > Thank you!

> >

> > - Kendra

> >

>

>

>

--

Kendra Ednacot

kendra.ednacot@...

(619) 395-5784; AIM: kendruha

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Oops!

YEP I meant " C " for hypokalemia.

Thank you Kendra.

Jeanetta

> > >

> > > Hi Jeanetta :)

> > >

> > > I'm not sure what the answer to this question is:

> > >

> > > A major concern while using a diuretic on a patient is the drug's ability

> > to:

> > a. slow the heartbeat

> > b. cause irreversible liver damage

> > c. cause hypoglycemia

> > d. cause hypokalemia

> > >

> > >

> > > If this was on the test, I would have to guess " C " or " D " . I know that it

> > has nothing to do with slowing the heartbeat or causing liver damage.

> > >

> > > I'm torn between hypoglycemia and hypokalemia.

> > >

> > > From my understanding, if we add a diuretic into our systems, we would

> > lose water. Our body will try to compensate for the water loss by keeping

> > the electrolytes/solutes (like potassium) inside our body - to try to keep

> > our blood volume & blood pressure constant.

> > >

> > > Also, if our urinary system is working properly - for example, the

> > filtration system - should not lose glucose.

> > >

> > > As you can see, I'm not too entirely sure what the correct answer is. I

> > just understand different things but can't put two and two together. Please

> > help!

> > >

> > > Thank you!

> > >

> > > - Kendra

> > >

> >

> >

> >

>

>

>

> --

> Kendra Ednacot

> kendra.ednacot@...

> (619) 395-5784; AIM: kendruha

>

>

>

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Dear All

I am reprinting this with the Correct letter: D as the answer.

Jeanetta Mastron CPhT BS

Founder/Owner

YES Kendruha, these types of questions should be on the exam. Technicians should

be able to recognize which drugs should be given together and which ones should

not be. By knowing drug interactions and usual drug combination regimens the

technician can help to avoid medication errors.

If you were taking the test right now and these thoughts ran through your mind

before you answsered the question this is what you should do:

Ask youself:

1. Which one do you (I) KNOW more details about?

2. WHICH one answer did you (I) actually READ about in association with each

other?

3. Then THAT is your answer.

In THIS case the answer is D. Hypokalemia = loss of electrolyte Potassium =K+

On the test: Go by your knowledge first and second your gut instinct. AND Do

not change answers.

Notice you said 'from my understanding' that is what you KNOW.

Diuretics are not associated with a loss of sugar they are however associated

with a loss of electrolytes, specifically potassium.

Hope this helps!

Jeanetta Mastron CPhT BS

Founder/Owner

> > >

> > > Hi Jeanetta :)

> > >

> > > I'm not sure what the answer to this question is:

> > >

> > > A major concern while using a diuretic on a patient is the drug's ability

> > to:

> > a. slow the heartbeat

> > b. cause irreversible liver damage

> > c. cause hypoglycemia

> > d. cause hypokalemia

> > >

> > >

> > > If this was on the test, I would have to guess " C " or " D " . I know that it

> > has nothing to do with slowing the heartbeat or causing liver damage.

> > >

> > > I'm torn between hypoglycemia and hypokalemia.

> > >

> > > From my understanding, if we add a diuretic into our systems, we would

> > lose water. Our body will try to compensate for the water loss by keeping

> > the electrolytes/solutes (like potassium) inside our body - to try to keep

> > our blood volume & blood pressure constant.

> > >

> > > Also, if our urinary system is working properly - for example, the

> > filtration system - should not lose glucose.

> > >

> > > As you can see, I'm not too entirely sure what the correct answer is. I

> > just understand different things but can't put two and two together. Please

> > help!

> > >

> > > Thank you!

> > >

> > > - Kendra

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The general rule is a gdn is not liable for the ward's actions. An exception to

that would be if the gdn failed to use reasonable judgment and by failing to do

so, contributed to the harm. Some extreme cases which have led to a suit

against a gdn (not always successful) was buying a ward a car when the gdn knew

the ward has a history of drunk driving, letting the ward have access to a gun

when the gdn knew of his propensity for violent outbursts, etc. As long as the

gdn uses good common sense s/he should be free of suits. Having said that, no

one can stop someone from suing you. It is just not likely the suit will be

successful if filed.

I assisted a family once whose son had inappropriate touching behaviors. He

wasn't a dangerous predator. He just liked to touch people which sometimes was

misinterpreted as a sexual advance. For years the parents/gdns had sought help

from DHS for a behavior managment program and structured 24 hour residential

placement so that the son would be closely monitored and less likely to get

himself in trouble. When an incident did occur, the court responded in a more

sensitive manner and ordered the state to provide services for the man. If a

gdn knows a child has destructive or harmful tendencies, a gdn may want to

advice the ward's case manager and request heightened supervision as an

indication that the gdn was attempting to seek the help the ward needed but the

state was failing to provide.

Terrie Varnet

________________________________

From: Liz Youhana <eliz1156@...>

IPADDUnite

Sent: Thu, November 11, 2010 6:12:15 PM

Subject: question

Does anyone know if we are liable for our children's actions if they hurt

someone and are sued? We are legal guardians for our son. He is 21 years

old. Any info would be appreciated.

Thanks,

Liz

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  • 1 month later...

It is the weight you are the day you take your last dose. So if you take

your last dose today, it's today's weight. Which is why it's called;

LIW/LDW, Last injection Weight/Last Dose Weight. It's obviously best to take

your last dose in the morning as that's the time of day you weigh yourself.

Terri Randall

Creature Comforts

Sheridan, WY.

www.GotPaws.net

APS List Owner

Question

If my last day of Drops is today, do I use my weight tomorrow morning as my

last weight or today??

Thanks

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