Pages

Is your question regarding Externships or a Module in the Pharmacy Technician course?

What question do you have about the externship opportunity?

The externship isn’t a paid opportunity, but it is highly recommended. It has helped many of our graduates find employment directly (the manager at the pharmacy offers a paid position at the conclusion of the externship hours because they’re hiring and they find that your work ethic, personality, and skills are a good fit) or indirectly. You get hands on experience you can add to your resume which can help make you more marketable in a job search. You make contacts with individuals who could be references or refer you to positions later on. A letter of recommendation or referral from another pharmacy manager is a strong addition to any application, and can help you write a more effective cover letter for future positions. You’d also have industry-specific experience you can talk about in an interview and thus make a stronger impression as you apply for positions.

If this does not resolve your question or problem please contact Student Support directly for further assistance with your question/problem.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

We are able to place about 95% of our students who would like to participate in an externship. We do not use the word ‘guarantee’ because placing a student will depend upon the availability in a student’s area. In larger cities, the placement is more likely. In smaller cities, it depends on if other schools are using Walgreens or CVS for their student externs. A pharmacy manager won’t take on more than one extern at a time, so if someone is already placed there, a student may have to wait for the pharmacy to open up.

If for some reason we are unable to place you in an externship, and you still want to participate in an externship, we can help you potentially set up one on your own with another pharmacy.

If this does not resolve your question or problem please contact Student Support directly for further assistance with your question/problem.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Externships are not required in order to graduate. In fact, in some states, because of the state requirements students aren’t able to do an externship before they graduate and pass the PTCB exam. It is for that reason that all of our students have the option to participate in an externship within the first 6 months after their graduation if they didn’t (or couldn’t) as a student. If you have already passed the final exam, your program access doesn’t have to be current in order to do an externship—you just have to be already graduated within the last 6 months. For our students that complete the externship as students though, their program access must be active for the duration of the externship.

If this does not resolve your question or problem please contact Student Support directly for further assistance with your question/problem.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

The externship is for 180 hours, and we require that you do at least 12 hours per week. The externship can take 2 to 3 months, depending on how many hours you can do per week. Most pharmacy managers are flexible and will set up a schedule that works well for both of you.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Pharmacy Tech students or graduates can do externships. If you’re a graduate, you need to be within the first 6 months of your graduation. If you are a student, you need to meet the requirements of 85% on all your unit tests and module exams, be current in your program access (not expired), and have completed up through Pharmaceutical Calculations in your program. When you reach that point in the program, there is a prompt in your program telling you that you are eligible to start the process, and who to email to express your interest.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Which module in the course are you working with?

Thank you for using the Pharmacy Technician Support Tool! At this time, please contact Student Support directly for further assistance by using the contact information below:

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

What page do you have questions or problems with in the Pharmaceutical Calculations module?

If the Retail Pharmacy Practice is freezing, not allowing you to move forward or enter a correct answer, or having any other problems please first check to make sure you are using the Mozilla Firefox web browser.

If you are not currently using this browser and do not have it installed, we recommend installing it from here: www.mozilla.org

Please switch to Mozilla Firefox and attempt the practice again. If this does not resolve the problem, please contact Student Support directly for further assistance by using the contact information below:

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Significant Figures Practice Challenge

The first thing to do is to line up the digits, and because the accuracy of the scale is known to the hundredth gram, we have to modify 2.2 and 1.784 to the hundredths place.

2.20

1.78

1.46

4.07

9.51

1. 1.784 is the amount that needed to be rounded.

2. 3.2 is the amount that’s not as accurate as it should be.

3. Adding the grams together you get a total of 9.51 grams. Each capsule will contain 0.075 g of a drug so you divide 9.51/0.075 = 126.8 for 126 full capsules. The remainder that’s left is 0.8 of a capsule, so you need to multiply that by 0.075 to see how many grams that turns out to be. The answer is 0.06 grams.

If this does not resolve the problem, or you have further questions about this please contact Student Support directly for further assistance by using the contact information below:

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Stacking

Stacking is a very confusing process to estimate sums, however, once you have all the steps mastered it comes a lot easier. Let me write out steps for you that seem to help understand the process in a different order than the book has written. Note that this has nothing to do with estimating to the highest number; all we are doing is working place values. I will work Example 3 since there are so many numbers and place values we are dealing with.

Example 3: estimate the sum of 623, 1493, 1631, 794, and 86

1.Let’s understand what place value means. So the chart above lists each place value before and after the decimal.

2.Place values in this example include ones, tens, hundreds, thousands.

3.Stack each number aligning the decimal point (we aren’t dealing with decimals so pretend it is behind each number from the far right.

4.

623

1493

1631

794

86

5.Add the numbers in the far left (We know there are 2 numbers that are in the highest place value being the thousands place).

6.1493 and 1631 are both in the thousands place and are both one-thousand so 1000 + 1000 = 2000 (this sum is important in the final step)

7.Now divide the place values place number by 2 (or ½ the amount of the furthest left columns place value being the thousands place).

8. 1000 ÷ 2 = 500

9. Now we multiply this by the total number of numbers that have place values in the SECOND FROM THE LEFT COLUMN. So we look at each number and determine how many of those numbers have place values in the second from the left column; meaning in this particular example the hundreds place (thousands is the furthest left column, hundreds is the 2nd from the left, and tens is 3rd from the left)

10.So looking at the numbers that are stacked we see 1493 and 1631 both have second from the left columns, 623 and 794 are also considered to have second from the left columns meaning the hundreds place value. Number 86 however starts in the tens column which is 3rd from the left so this one we don’t count.

11. The total number of numbers that have place values in the second from the left column are a total of 4 numbers.

12.So back to step 9 we multiply; 500 x 4 = 2000

13.Now we add the sum we got in step 6 and the sum we got in step 12; 2000 + 2000 = 4000

If this does not resolve the problem, or you have further questions about this please contact Student Support directly for further assistance by using the contact information below:

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Conversions in the Apothecary System – Section I #2

If this does not resolve the problem, or you have further questions about this please contact Student Support directly for further assistance by using the contact information below:

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Conversions in the Apothecary System – Section III #2

The best way to solve these types of problems is to work with no more than 2 units. What units are there currently and how do we get to only 2? We have weight units and we have volume units. The weight units listed is the gr (grains) and mg. The volume units listed is L and tbsp.

To get to 2 units we need to do some converting, but how do we know what to convert and to what? What is the problem asking the answer to be in-- mg right-- and that is in 1 tbsp. We need to convert the grains to mg. If there are 60 grains total, how many mg is that? 1 grain is equal to 65 mg, so 60 grains would be 3900 mg.

Now the volume units. You can do this 1 of 2 ways. The way I find easiest is to automatically convert each volume unit to mL. We have 2 L; so convert that to mL. There are 1000 mL in 1 L so there would be 2000 mL in 2 L. Now for the tbsp. There are 15 mL in 1 tbsp. Now we can set up a ratio-proportion with the information we have to solve for how many mg are in 1 tbsp.

__X mg__ = __3900 mg__

15 mL 2000 mL

And solve for X.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

What course do you have questions about or problems with?

Concentrations and Dilutions – Exercises 1-2*1-2. Prepare 3 mL of a 10 mg/mL phenobarbital solution from a 65 mg/mL stock solution that comes in a 1 mL vial.*

• How much concentrate is needed to obtain the final desired volume?

• How much diluent is needed to obtain the final desired volume?

So how much concentrate do we need?

We first need to find how many total mg will be in the total volume of 3 mL.

We know that we want the solution to have 10 mg/mL (10 mg are in every 1 mL) so how many total mg are we going to have in the 3 mL? If there are 10 mg in 1 mL how many are in 3 mL?

Take 10 x 3 = 30 mg

Or you can set up a ratio- proportion if that helps you visualize it better.

__X mg__ = __10 mg__

3 mL 1 mL

X=30 mg

How much diluent do we need?

So we look on the shelf and see that the only medication we have in stock is 65 mg/mL, but you only need 30 mg, so if there are 65 mg in 1 mL, how many mL are in 30 mg?

Now we can figure how many mL we need from the 65 mg/mL since we know the mg needed is 30 mg

__X mL__ = __ 1 ml __30 mg 65 mg

X = 0.46 mL

So by taking 0.46 mL from the 65mg/mL vial, we are going to have a total strength of 30 mg. But we need a 3 mL total volume. So by subtracting the concentrate from the total volume will give us the diluent amount.

Total volume – concentrate = diluent

3 mL – 0.46 mL = 2.54 mL

Check your work. Does 2.54 + 0.46 = 3?

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Concentrations and Dilutions – Exercises 3-4

So problems 3 and 4 are just like problems 1 and 2 except they are reversing the way they word the question.*3-4. A drug is supplied as a 40 mg/mL solution in a 50 mL vial. You need to make 10 mL of a 10 mg/mL solution.*

• How much concentrate is needed to obtain the final desired volume?

• How much diluent is needed to obtain the final desired volume?

So how much concentrate do we need?

We first need to find how many total mg will be in the total volume of 10 mL.

We know that we want the solution to have 10 mg/mL (10 mg are in every 1 mL) so how many total mg we are going to have in the 10 mL? If there are 10 mg in 1 mL how many are in 10 mL?

Take 10 x 10 = 100 mg

Or you can set up a ratio- proportion if that helps you visualize it better.

__ x mg __ = __10 mg__10 mL 1 mL

X=100 mg

How much diluent do we need?

So we look on the shelf and see that the only medication we have in stock is 40 mg/mL, but you need 100 mg. So if there are 40 mg in 1 mL, how many mL are in 100 mg

__x mL__ = __1 mL __

100 mg 40 mg

X = 2.5 ml

So by using 2.5 mL from the 40 mg/mL vial, we are going to have a total strength of 100 mg. But we need a 10 mL total volume. So by subtracting the concentrate from the total volume will give us the diluent amount.

Total volume – concentrate = diluent

10 mL – 2.5 mL = 7.5 mL

Check your work. Does 7.5 + 2.5 = 10?

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Concentrations and Dilutions – Exercises 5-6

5-6. Folic acid is commonly available as a 5 mg/mL injection. You are to make a preparation that contains 50 mcg/mL in a total volume of 30 mL.

• How much concentrate is needed to obtain the final desired volume?

• How much diluent is needed to obtain the final desired volume?

We first need to find how many total mcg will be in the total volume of 30 mL.

We know that we want 50 mcg/mL so how many total mcg is in 30 ml?

__x mcg __ = __50 mcg__30 mL 1 mL

X = 1500 mcg

The solution only comes in 5 mg/mL so now we need to convert the 1500 mcg to mg. We know there are 1000 mcg/mg or use the conversion chart

__ x mg __ = __ 1 mg __

1500 mcg 1000 mcg

X = 1.5 mg

Now we can figure how many mL we need from the 5 mg/ml since we know the mg needed is 1.5 mg.

__x mL __ = __1 mL__1.5 mg 5 mg

X = 0.3 mL

So 0.3 mL is the answer for #5. (How much folic acid must be used)

Now to figure how much diluent must be used. We know the total volume is 30 mL.

We take the total volume – concentration amount = diluent needed

30 mL – 0.3 mL = 29.7 mL

So 29.7 mL is the answer for #6. (How much diluent must be used)

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Dilution of Stock Preparations – Exercises 1-4

With this problem it gives you a recipe of a compounded medication. For 1-4, they want to know how much of each ingredient you are going to need to make 30 grams. If you look at the prescription it states that this is for 120 g. You can solve this 2 different ways, so look at both ways and see which one makes more sense to you.

The first way is that you can see you need to make ¼ of the amount (30 grams opposed to 120 grams), so you will only need to mix ¼ of each of these ingredients.

So ¼ of the coal tar is 1 gram, ¼ of the salicylic acid is 0.25 grams, etc.

The second way you can solve this is to set up a ratio proportion, if it isn’t as clean cut as this one is with it being exactly ¼. So if we know that there are 4 grams in 120 grams, how many will be in 30 grams?

__X g__ = __4 g__

30g 120g

Same with every ingredient listed; salicylic acid 1 g/120 g; triamcinolone 15 g/120 g; aqua-base ointment 100 g/120 g. Set up each solving for x g/30 g to find the amount of each ingredient for 30 grams.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Dilution of Stock Preparations – Exercises 5-8*5-8. You have a prescription for 12 fl oz of Magic Mixture Number 7, and the pharmacy's formula follows. Determine how much of each ingredient you should measure out.*

Your first step is to convert the 12 fl oz to mL because each of the ingredients listed are given in mL, and because that is the total amount of the medication you are going to make.

This one is a little tricky because it isn’t giving you the Mylanta suspension amount like it does with the other ingredients. All it is telling you is the Mylanta amount is going to be the remainder of the quantity that is going to total 240 mL. How much is that?

The tetracycline capsules aren’t going to factor into the volume of the medication so you don’t need to worry about that. You are given the hydrocortisone and lidocaine amounts of 15 mL and 30 mL, which totals 45 mL, so the Mylanta is going to be a quantity of the 240 mL (total volume) – 45 mL (amount of other ingredients). So the Mylanta suspension’s quantity is going to be 195 mL. Adding all 3 of the volume ingredients together gives you that 240 mL total quantity.

You can solve this problem in 2 ways. The first way is to see how much more the amount you are making is over the actual recipe amount. You are making 12 ounces, which is 360 mL. The recipe is for 240 mL. That is 1.5 times the amount (360 ÷ 240 = 1.5). You can multiply each ingredient by 1.5 to give you the amount you need to make the 360 mL. Or, if it wasn’t as clear of a number as this one is, you can set up a ratio proportion for each ingredient amount. For the hydrocortisone there are 15 mL in the total volume of 240 mL, so how many mL do you need for 360 mL?

__X mL __ = __15 mL__

360 mL 240 mL

Do that with the lidocaine amount and the Mylanta amount. Leave the ratio proportion set up the same as above, except you will be replacing the 15 mL with 30 mL for lidocaine and 195 mL for the Mylanta.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Alligations – Exercise #2

We start by using the Alligation alternate method. We put the strength we need, which is 3%, in the middle and the 2 creams we have on the top and bottom. We then subtract each one diagonally; the 10 – 3 = 7, and the 3 – 1 = 2. Then the strength of each just goes straight across. We add those together which gives us a total of 9 ounces. Now we can set up each ratio proportion to figure the amount of each. We need to convert the 60 grams into ounces since the question wants the answer in ounces. 30 grams = 1 ounce so 60 grams = 2 ounces

__X oz 10% __ = __2 oz parts10%__ 2 oz 9 oz total 3%

Then you cross multiply and divide to solve for X . 2 x 2 = 4 ÷ 9 = 0.44 ounces of the 10%. We then do the same for the 1%. (Notice the denominator section of the problems stays the same and only the numerator parts are changed.)

__X oz 1% __ = __7 oz parts10%__ 2 oz 9 oz total 3%

7 x 2 = 14 ÷ 9 = 1.56 ounces of the 1%

You add the total together and you should get the total volume of 2 ounces

1.56 + 0.44 = 2 ounces

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Alligations – Exercise #3

The calculation used in this particular problem is called the “alligation medial method”. We first need to determine what the total weight of the active ingredient is as well as the total weight. One thing to remember is that anytime it gives you the % of an active ingredient, it is automatically known that it is in 100 g (weight), or if you are working with volume, it is 100 mL (volume), as well as the percentage being converted into grams. If it says 3% in 200 g, it is automatically known that 3%=3 g in 100 g. So how many grams would be in 200 g. So that’s what we first need to figure.

So we know that 3 g is in 100 g

__X g __ = __ 3 g __

200 g 100 g

200 x 3 ÷ 100

X = 6 g

The 100 g of 8% is already a given answer since 8 g is in 100 g.

6 g + 8 g = 14 g total weight of active ingredient

100 g + 200 g = 300 g total weight

Now we can find the resulting concentration:

14 g ÷ 300 g x 100 (we multiply by 100 to give us the percentage; if you weren’t multiplying by 100 you would still get the answer you would just need to figure it by looking at it as a decimal since 14 ÷300 = 0.047 or 4.7%)

So the resulting concentration is 4.7%

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Aliquot Measurements – Exercises 1-5*1-5. 20 mg Drug A; 3.5% margin of error allowed; torsion balance with a sensitivity of 4 mg. Use the factor 6 for diluent. Round to the nearest ones place.*

• least weighable quantity: This 3.5% margin of error allowed is going to affect how small a quantity of substance you can weigh. You need to make sure the potential inaccuracy of the sensitivity requirement is incorporated into your 3.5% potential for error. So our torsion balance has a sensitivity of 4 mg. If we were to try and weigh 4 mg, you would have a possibility of having a 100% potential of error. If you tried to weigh 10 mg you could have an error of 50%, etc. So we are only allowed 3.5%. So the least weighable quantity is the sensitivity amount, 4 mg, multiplied by 100 and dividing that by the percentage of error allowed (not in decimal form).

(4 x 100) ÷3.5 = 114.2. We can round up and that will still keep us in that allowed 3.5%; 114 mg

• amount of drug: So the factor for the drug is 6. Do you know why it is 6? If you weren’t given that information you would take the 20 mg and multiply it by some number that will allow you to weigh 114 mg or more of drug. And that number is 6.

6 x 20 = 120 mg

• amount of mixture: This is taking the amount of drug and multiplying it by the factor for the diluent, in this case 6.

120 x 6 = 720 mg

• amount of diluent: The amount of diluent is the amount of mixture – amount of drug

720 mg –120 mg = 600 mg

• amount of aliquot: Now to find the aliquot, we are basically figuring the mixture amount for 20 mg. We know that the mixture amount we made is 720 mg and the drug amount is 120 mg. We can use the ratio-proportion method to figure it for the 20 mg

__ x mg __ = __720 mg__

20 mg 120 mg

X = 120 mg

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Aliquot Measurements – Exercises 1-5*1-5. 12 mg Drug C; 5.5% margin of error allowed; torsion balance with a sensitivity of 5 mg. Use the factor 8 for the amount of drug and the factor 15 for the diluent.*

• least weighable quantity: This 5.5% margin of error allowed is going to affect how small a quantity of substance you can weigh. You need to make sure the potential inaccuracy of the sensitivity requirement is incorporated into your 5.5% potential for error. So our torsion balance has a sensitivity of 5 mg. If we were to try and weigh 5 mg, you would have a possibility of having a 100% potential of error. If you tried to weigh 10 mg you could have an error of 50%, etc. So we are only allowed 5.5%. So the least weighable quantity is the sensitivity amount 5 mg multiplied by 100 and dividing that by the percentage of error allowed (not in decimal form).

(5 x 100) ÷5.5 = 90.90, we can round up and that will still keep us in that allowed 5.5%; 91 mg

• amount of drug: So the factor for the drug is 8. Do you know why it is 8? If you weren’t given that information you would take the 12 mg and multiply it by some number that will allow you to weigh 91 mg or more of drug. And that number is 8.

8 x 12 = 96 mg

• amount of mixture: This is taking the amount of drug and multiplying it by the factor for the diluent, in this case 15.

96 x 15 = 1440 mg

• amount of diluent: The amount of diluent is the amount of mixture – amount of drug

1440 mg – 96 mg = 1344 mg

• amount of aliquot: Now to find the aliquot, we are basically figuring the mixture amount for 12 mg. We know that the mixture amount we made is 1440 mg and the drug amount is 96 mg. We can use the ratio-proportion method to figure it for the 12 mg

__1440 mg__ = __ x mg__

96 mg 12 mg

X = 180 mg

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Compounding Calculations #3 & 4

3. How much concentrate will you need?

Remember that when you see a percentage like 35% and 70%, all that means is there are 35 grams of active ingredient in every 100 mL and 70 grams of active ingredient in every 100 mL. So if we have 500 mL, how many grams of active ingredient are there going to be if there are 35 grams in every 100 mL?

__ X g __ = __35 g__

500 mL 100 mLIf this does not resolve the problem, or you have further questions about this please contact Student Support directly for further assistance by using the contact information below:

3. How much concentrate will you need?

Remember that when you see a percentage like 35% and 70%, all that means is there are 35 grams of active ingredient in every 100 mL and 70 grams of active ingredient in every 100 mL. So if we have 500 mL, how many grams of active ingredient are there going to be if there are 35 grams in every 100 mL?

500 mL 100 mL

X = 175 g

Our final product is going to have a total of 175 grams of active ingredient, so we need to determine how much of the concentrated solution will be required to provide the desired number of grams.

__X mL__ = __100 mL__

175 g 70 g

X = 250 mL

So the amount of concentrate you will need is 250 mL.

4. How much diluent will you need?

500 mL total volume – 250 mL concentrate = 250 mL diluent

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Compounding Calculations #6

__X g 15% __ = __2.5 g __ 30 g 10 g total parts

X = 7.5 g

__X g 5% __ = __ 7.5 g __

30 g 10 g total parts

X = 22.5 g

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Percentage Strengths – Exercises 1-6

Depending on if you are working with a w/w, v/v, or a w/v medication will determine your units. The weight unit is always grams and the volume unit is always mL. When you see a percentage, it means that amount in either grams or mL, depending on the drug, over 100 grams or mL, depending on the drug.

Example: Lidocaine 2%. This simply means there are 2 grams of drug in every 100 mL of product. If it were 5%, there would be 5 grams in 100 mL. (The second part is always 100, and the percentage is always just that number: 2%=2, 5%=5.

So look at the clindamycin prescription. It is in mg/mL. We already know just by looking at the label that we are working with a w/v medication; so grams/mL. You want to remember to always get the units you’re working with down to 2. We are working with 3--mg, grams, mL--so we have 2 weight units that need to be converted to the same unit. We already know that it’s going to be grams/mL, so we want to convert the mg to grams: 75 mg=0.075 grams and over 5 mL. Now you can set up a ratio-proportion to solve for the %. Remember that the % is just the number over 100, that’s what we are trying to figure out, so it will be X.

__X mL __ = __5 mL__100 g 0.075 g

Solve for X.

*1-2. Calculate the percentage strength of drug in the following drug formulations.*

• 2.5% w/v

• 1% w/v

• 2% w/v

• 1.5% w/v

Number 3:

When we see a percentage such as this, stating the strength as 0.8%, it means that there are 0.8 grams/100 grams. Depending on if we are working with a % that is a liquid or a solid will determine if we are going to use grams or mL. Because we are given the amount in a tube, which is 20 grams, we are working with a solid. That means we are going to use the grams unit, not the mL unit, to conclude that in fact the 0.8% means 0.8 grams/100 grams.

If we solve for how many grams, or "active ingredient," are in 20 grams of the total volume, then we can convert it to mg. Now we can set up a ratio-proportion since we have 3 pieces of information and are missing that 4th piece.

__X g __ = __ 0.8 g __20 g 100 g

X = 0.16 g

Now you can convert it to mg.

Numbers 5 & 6:

Remember to work with only 2 units. If your answer needs to be in mg, then you can either convert the grams to mg right away, or convert it at the end. And teaspoon is volume, so you need to convert that to mL, same with tablespoon. Always use a ratio-proportion to solve the problem.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Critical Care IV Medications- Exercises1-3

You receive following order and are directed to mix a 24 hour supply for the CCU. The doctor wants it mixed in 500 mL of dextrose. You have amiodarone 50 mg/mL vials in stock.

First we need to find out how many mg are going to be given within the 24 hour period. Let’s figure the 1 mg/min for 6 hours first:

1 mg/min is equal to 60 mg/hour SO 60 mg x 6 hours is equal to 360 mg.

Now let’s figure the next amount

0.5 mg/min is equal to 30 mg/hour SO 30 mg x18 hours is equal to 540 mg.

360 mg + 540 mg = 900 mg for 24 hours total.

In stock we have amiodarone 50mg/mL and we need a total of 900 mg. How many mL do we need from the 50 mg/mL to satisfy the 900mg? Set up the problem as a ratio proportion.

__X mL__ = __1 mL __900 mg 50 mg

Cross multiply and divide any time you are solving for something. Make sure you have the same measurements aligned (mL together and mg together).

900 x 1 = 900 ÷ 50

X = 18 mL

We now know that 900 mg are being given to the patient in a 24 hour period. We are adding the 18 mL to the 500 mL bag, so the total volume is 518 mL. Now we need to figure the amount of mL given to the patient in 1 hour. Back to the table it says 1 mg/min for 6 hours. So, 1 mg x 60 (60 minutes in 1 hour) = 60mg. Now we can figure how many mL are given from the 518 mL in the first hour.

__X mL __ = __518 mL__

60 mg 900 mg

Cross multiply 60 x 518 = 31080 ÷ 900 = 34.5 mL

X= 34.5 mL/1 hour

For question #3, I am going to have you read the table and see how to come up with this answer. Remember that for the last 18 hours, the patient is given a lower dose.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Pediatric Parenterals Exercises 1-2

This is the prescription the doctor wrote, and we need to figure out if this is safe or not.

This is the Loading dose that is safe, and we need to figure out if what the doctor wrote is within this recommended dose.

This is the maintenance dose that is safe, and we need to figure out if what the doctor wrote is within this recommended dose

The first thing to do is figure the patient’s weight in kilograms since the chart shows the dose in kilograms.

2 lbs/2.2 = 0.9 kg

Now look under the Loading Dose part of the table. You'll notice that there are two options for the age of the patient. Since the patient is less than 1 month, take the minimum and maximum dose allowed and multiply both by the patient’s weight in kg.

0.9 kg × 50 mcg/kg = 45 mcg is the minimum dose allowed

0.9 kg × 100 mcg/kg = 90 mcg is the maximum dose allowed

Now read the order again. The doctor is prescribing a loading dose of 0.15 mg. Convert this to micrograms since the chart shows the recommended dose in micrograms.

0.15 mg = 150 mcg

The prescribed loading dose is well above the maximum amount for the patient’s age and weight. Therefore, it is not safe.

We can do the same steps to determine the safety of a maintenance dose of 0.025 mg.

0.9 kg × 10 mcg/kg = 9 mcg is the minimum dose allowed

0.9 kg × 40 mcg/kg = 36 mcg is the maximum dose allowed

0.025 mg = 25 mcg

The maintenance dose is safe.

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Gross Profit Exercise #1

The first step is to find out how much 50 tablets cost when the price for 100 is $3.96. You can just divide it by 2 since 50 is half of 100 or you can divide the $3.96 by 100 and that gives you the price per tablet, then multiply by 50 to give you the price for 50.

$3.96 ÷ 2 = $1.98/50 tablets or $3.96 ÷100=0.0396 x 50=$1.98

Now add the dispensing fee to the cost of the prescription

$1.98 + $4.25 = $6.23 overall cost

The pharmacy charged $8.59, so subtracting the overall cost about from the amount charged gives you the net profit.

$8.59 - $6.23 =$2.36 net profit

Now to figure the amount as a percentage you take the net profit amount and divide the overall cost. Multiply by 100 to get the percent.

($2.36 ÷ $6.23) x 100 = 37.9%, rounded to 38%

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

Average Wholesale Price (AWP) Applications – Exercises 1-4

1. First we need to find what the discount is by finding 13% of the AWP.

$48.90 x 13/100 = $6.36.

We then subtract that from the AWP to find the amount the pharmacy pays.

$48.90 - $6.36 = $42.54

Remember that this is for 60 tablets. The pharmacy only needs 20, so we divide the amount by 60 to get the price of 1 tablet then multiply that by 20

$42.54/60 = 0.709 x 20 = $14.18

2. In this one, I’ve found the price per tablet first.

$120.68/500 = 0.24 cents per tablet

The pharmacy needs to dispense 30 so we multiply.

0.24 x 30 = $7.24 is AWP for 30 tabs

Now we find the AWP plus 4%

$7.24 x 4/100 = 0.29 cents

We add the 0.29 to the AWP

$7.24 + 0.29 = $7.53

Now we remember to add the $6.25 prescription dispensing fee.

$7.53 + $6.25 = $13.78

3. I’m going to just outline the steps below for #3 then you can use the steps to do #4.

1) $71.35 divided by100 times 50 = $35.68 AWP for 50 tablets

2) $35.68 x 11.5% = $4.10

3) $35.68 - $4.10 = $31.58 price pharmacy pays for the 50 tablets

4) $35.68 x 3.5% = $1.25

5) $35.68 + $1.25 = $36.93 price insurance will pay

6) $36.93 + $4.50 (prescription dispensing fee) = $41.43 total billed to insurance

7) $41.43 (billed to insurance) - $31.58 (what pharmacy paid) = $9.85 is profit

Phone Number: 1-888-657-5752

Email: pharmtechsupport@careerstep.com

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

What question do you have regarding the Medical Transcription/Medical Transcription Editor course?

Please contact Student Support directly using the contact information below:

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: maasupport@careerstep.com

Phone: 1-888-657-5752

Please contact Student Support directly using the contact information below:

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: comptechsupport@careerstep.com

Phone: 1-888-657-5752

Please contact Student Support directly using the contact information below:

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: adminassistsupport@careerstep.com

Phone: 1-888-657-5752

Please contact Student Support directly using the contact information below:

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: ehrsupport@careerstep.com

Phone: 1-888-657-5752

Please contact Student Support directly using the contact information below:

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: studentsupport@careerstep.com

Phone: 1-888-657-5752

Please contact Student Support directly using the contact information below:

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: mossupport@careerstep.com

Phone: 1-888-657-5752

You can download the Evaluation and Management worksheets from pages 115, 153 and 176 in the CPT/HCPCS module or Medical Procedural Block 1 module.

If this does not resolve your question please contact Student Support directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

To access the Merck Manual, locate Tools found on the left side of each page of the program, click Launch 3M Reference and select The Merck Manual located towards the bottom right side of the listed references.

* Can't see the Tools on the left side of the course? Please click here or go to http://careerstep.com/techsupport and choose 'Tools or Program Modules not showing'

If this does not resolve your question please contact Student Support directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

What question do you have regarding the Final Exam?

The program prepares you to take the CPC Certified Professional Coder through AAPC (www.aapc.com ) and/or the CCA Certified Coding Associate through AHIMA (www.ahima.org ).

If this does not resolve your question please contact Student Support directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

For the matching exercise at the bottom of the page, make sure to enter the multiple choice letter that corresponds to the correct POA indicator rather than the POA indicator itself.

If this does not resolve your question please contact Student Support directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

You do not need a workbook to complete the Medical Terminology module.

If this does not resolve your question please contact Student Support directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

The Program Modules navigation tool is on the left side of each page in the program. Click the plus sign to view the list of modules in the program. Click the module name to navigate to the first page of that module. Use this menu each time you navigate from one module to the next. Refer to the Program Navigation unit of the Program Orientation module for more detailed navigation information.

* Can't see the Tools on the left side of the course? Please click here or go to http://careerstep.com/techsupport and choose 'Tools or Program Modules not showing'

If this does not resolve your question please contact Student Support directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Phone: 1-888-657-5752

AAPC and AHIMA make yearly updates to their certification exams due to the annual coding changes. Below are the dates when these organizations have traditionally updated their exams and what year's coding books they have traditionally allowed for use on the exams. Please visit these organizations' websites for definitive information in regard to certification exams.**Jan. 1** – AAPC updates their certification exams to reflect annual ICD changes (released on October 1st of the previous year) and CPT and HCPCS changes (released on January 1st of the current year).

Although AAPC strongly encourages the use of current year's books on their certification exams, they will allow students to use the previous year's books.**Oct. 1–March of the following year **– AHIMA allows use of the previous year's books, as their exam content has not yet been updated. **March** - AHIMA updates their exams in March each year but no set date is given in advance. Once updated versions of their exams are released, the current year's codebooks are required to take the exam.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

Students are eligible to take the final exam once they have met the following requirements:

• Every unit test and module exam in the course must be completed; we require that you score at least an 85% or higher on each of these tests and exams.

• Completion of 100 % of the practicum.

• Enrollment status is current or has been kept current with extensions. If your enrollment has expired, you need to purchase an extension prior to requesting access to the final examination.

• Account is paid in full or current with your payment plan.

Once you meet all of the final exam requirements, you may schedule your final exam by proceeding to the end of the Final Exam Preparation module and completing a final exam request form. Please visit the Final Exam Preparation Module for additional information surrounding the policies, procedures and time frames surrounding the scheduling of your final exam.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

What question do you have regarding the Medical Coding and Billing courses?

When assigning an E/M code and evaluating the documented levels of key components in relation to required key components listed in the code, it is common for students to try to work this concept backwards. This sentence on page 188 of the CPT/HCPCS Block 1 module outlines this relationship:

" It is important to remember that each **code description contains the minimum levels that must be documented in the report** for each of the three key components in order to assign that particular code.”

In other words, the key components listed in the code are the standard against which the key components documented in the report are measured.

You must evaluate the level of the key components present in the documentation against the key component levels required by the code to see if **the documentation** meets or exceeds the documentation levels required by the code to assign that particular code. The reason we review documentation to determine key component levels is because this is a way to translate the physician’s cognitive labor into something concrete and measurable. The key component levels let us compare the mental work the physician performed with the amount of mental work represented by the code. If you evaluate the documentation to determine the key component levels and they do not meet or exceed those **required by the code**, the physician did not do enough work to “earn” the reimbursement associated with the assignment of that particular E&M code.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

The examination of the lymph nodes, often documented by reference to adenopathy or lymhadenopathy, falls under examination of the lymphatic organ system.

In order to get credit for examining the lymphatic system the physician must document examination of the lymph nodes in at least two anatomic sites. One of the most common sites to assess the lymph nodes for any abnormalities is the neck and often providers will dictate the findings of their examination of the lymph nodes found in the neck under the heading of, "neck" in the physical exam portion of the report. What the coder needs to understand is that although the provider is looking at the anatomic site of the neck, the neck is just the site where the lymph nodes happen to be found. Refer to the “Extent of Examination Performed” reference sheet to find the exam elements for the body area of neck.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

The grader is programmed with only one specific sequence of codes. Although this may not be the only acceptable sequence for billing, the grader will not recognize your answer as correct if it does not match how the grader is programmed. If you get the same codes as the grader but in another sequence your answer is essentially correct but, just different from the grader.

In order to assist you in getting credit for a correct answer when coding secondary diagnosis or secondary procedure codes, these codes are sequenced within the answer key in a specified format based on the guidelines found on page 5 of the Coding Practicum module.

If this does not resolve your question please contact Student Support directly for further assistance-

In order to assist you in getting credit for a correct answer when coding secondary diagnosis or secondary procedure codes, these codes are sequenced within the answer key in a specified format based on the guidelines found on page 5 of the Coding Practicum module.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

Your answers to exercises and tests are evaluated and scored by an automatic grader. The automatic grader will give you the additional correct answers once you have achieved a score of 50% or better.

*Note: The 50% threshold may be different for students that are enrolled with an Academic Partner, or through a partner college or institution.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Phone: 1-888-657-5752

The automatic grader is very sensitive. Any variation in your answer from what is programmed into the grader will cause the grader to mark your answer as incorrect. This includes things like punctuation, capitalization and formatting. If your answer is essentially correct with some small variation you can go back and re-enter the answer as provided in the answer key to get credit for a correct response.

Additionally, the word, "OR" is used to let the students know that either of the answers, written in red, will be accepted as a correct answer by the automatic grader. The word, "OR" is capitalized and written in grey text to distinguish it from the actual answers.

If neither of these situations are causing the answers to mark incorrect, we will need to see a copy of the graded page to further troubleshoot. While you are still on the page with the grades and answers showing, look on the left side of the page for your Tools menu.

*Can't see your Tools menu? Click here or go to http://careerstep.com/techsupport and choose 'Tools or Program Modules not showing'.

Click the + next to Email this Page.

Type any notes or subject line you would like to include, then click Support Services under Also Send To. Click Send Email and we will be able to use the information sent to further troubleshoot the problem.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Phone: 1-888-657-5752

At this time, please contact Student Support directly for further assistance by using the contact information below:

Phone Number: 1-888-657-5752

Office Hours: 9 AM- 7 PM Eastern Standard Time

Monday - Friday

You are required to have active enrollment to each other your final exams. If you course is expired please contact our Extensions department at 888-657-5752 opt # 2 then opt # 1

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: operations@careerstep.com

Phone: 1-888-657-5752

Option 2, then 1

Please contact Skills Assessment by calling 888-657-5752 opt # 3 If you do not reach anyone please leave a message and we will return the call as soon as possible

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: finals@careerstep.com

Phone: 1-888-657-5752

Option #3

If you are Coding or Medical Transcription you will receive an email with your final exam results. All other courses you will receive an email letting you know your scores are ready to be viewed in your final exam gradebook.

If this does not resolve your question please contact Skill Assessment directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: finals@careerstep.com

Phone: 1-888-657-5752

Option #3

If you are Coding or Medical Transcription/Medical Transcription Editor your will receive your score up to two weeks. All other courses you will receive your final exam in 1-2 business days.

If this does not resolve your question please contact Skill Assessment directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: finals@careerstep.com

Phone: 1-888-657-5752

Option #3

Review your check list from the Final exam preparation module and also look into your Gradebook and Completion report. If you have a Practicum(s) all pages must be completed. Please keep in mind some Practicum modules are listed only in the Completion report. If you are unsure of your exam requirements please contact Skills Assessment: 888-657 5752 opt # 3

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: finals@careerstep.com

Phone: 1-888-657-5752

Option #3

If you’re coding or Medical Transcription you will need submit the request form, found on the last page on the final exam preparation module. Please keep in mind that request will need to be submitted 2 business days prior of when you would like to take your final. For all other programs, you will be able to start your own final exam, once you have met your requirements. This is found on the last page of your final exam preparation module.

If this does not resolve your question please contact Skill Assessment directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: finals@careerstep.com

Phone: 1-888-657-5752

Option #3

Please contact the Skills Assessment department at 888-657-5752 opt # 3

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: finals@careerstep.com

Phone: 1-888-657-5752

Option #3

At this time, please contact Skill Assessment directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: finals@careerstep.com

Phone: 1-888-657-5752

Option #3

In your program under the Launch 3M Reference tool you have access to the Clinical Pharmacology Drug Reference.

To use this reference click on the letter that corresponds to the letter that the drug begins with. You can also use the search feature to look up a drug. The search icon is the binoculars

If this does not resolve your question please contact Student Support directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

The reason that you would not add a RT or LT modifier onto the CPT codes is that in the code description, the laterality is already built into the code.

Body site modifiers that indicate laterality, such as –LT/-RT, are for use when procedures are performed on a paired organ or body site. If a procedure is performed on the skin overlying a paired body site (e.g., foot/arm) a body site modifier is not appropriate as the skin is not a paired organ or site; it does not have a right or left side.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

If you need additional time to complete your training, please contact the operations dept. to discuss your options. Operations can be reached at 1-888-657-5752, Option #2 or operations@careerstep.com.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: operations@careerstep.com

Phone: 1-888-657-5752

Option 2, then 1

AHIMA has stated that they will migrate their certification exams to an ICD-10 based version, once the ICD-10 code set has been implemented. Currently, it is anticipated that the implementation will take place on Oct 1, 2015.

AAPC has indicated that once the implementation takes place, they will migrate their exams on January 1 of the following year. Coders who obtain certification, in ICD-9 coding, from AAPC must pass an ICD-10 proficiency exam before the exams are migrated to ICD-10, in order to maintain their credentialed status.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: codingsupport@careerstep.com

Phone: 1-888-657-5752

The program is designed to be completed primarily online. We frequently make adjustments, corrections, and additions to the online program as part of an ongoing and dynamic effort to provide the most correct and up-to-date information possible. Necessary changes are easily done in an online format. It is much more important to give correct information at every opportunity, than to continue to give incorrect information for fear of creating an inconsistency between formats, especially when the difference is easily compared and noted. The texts are a snapshot of the course at the time of the last printing, and we have made changes since then. These changes will become part of the text snapshot at the next printing. It is an ongoing effort. Please consider the online material as your main source of information, and as the correction guide for the printed material. Whenever you find a discrepancy between the online and text format, you should defer to the online information because it is more correct, current, and up-to-date.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: support@careerstep.com

Phone: 1-888-657-5752

Career Step is not eligible to process the 1098-T form because we are a post secondary proprietary school, not a federally funded college or university. However, we are happy to email you a copy of your receipt showing the payments you have made to Career Step for your records. If you would like a copy of your receipt, please email your request to billing@careerstep.com. If you have any further questions regarding the tax treatment on your program, please contact your personal tax consultant.

Absolutely! We have a built in pronunciation tool on every page in your course. You can find it in the left sidebar of the course. Just type the word you’d like to hear in the Enter Term to Pronounce box. If the word is in our databases, it will appear in blue below the box. Click on the blue word to hear it pronounced. In addition to our pronunciation tool, you can find additional pronunciation helps at www.onelook.com and www.howjsay.com.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: support@careerstep.com

Phone: 1-888-657-5752

“Remainder” is a grammatical oddity. It can be either singular or plural, depending on what it is the remainder of. If the reference is to a plural quantity that is left over, it takes a plural verb. If the reference is to a singular entity, it takes a singular verb.

Thus:

The remainder of the visualized aspects are unremarkable.

The remainder of the skin incisions were closed with 4-0 Vicryl.

The remainder of the cookies were thrown away.

The remainder of the physical examination was normal.

The remainder of the pudding was eaten.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: support@careerstep.com

Phone: 1-888-657-5752

The instructions on this page are a bit different than other similar exercises. They ask for just the individual name of the nerve. Therefore, your answers should look like this:

1. olfactory nerve

2. optic nerve

3. oculomotor nerve

and so on. You should get the questions correct if you follow these directions.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: support@careerstep.com

Phone: 1-888-657-5752

We just require 30 words per minute or faster to pass the speed tests and exercises in Keyboard Kinetics. When you look in the gradebook, as long as you have a yellow or green box behind the scores in that module, you’ve passed.

If this does not resolve your question please contact Student Support directly for further assistance-

If this does not resolve your question please contact Student Support directly for further assistance-

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: support@careerstep.com

Phone: 1-888-657-5752

As of October 10th of 2014, we no longer offer Benchmark with enrollment; rather, we built these resources directly into the program, and you can access them by utilizing the Search features in the Tools Box. We have also provided a link to epocrates.com as a drug resource when you get to the Pharmacology module, and the AHDI Book of Style is provided as an e-book. When you need to use it in your training, you will be prompted to request it.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: support@careerstep.com

Phone: 1-888-657-5752

Rule #13. The acronym is capitalized, GERD, but the expansion is not unless it’s a proper noun.

The patient was diagnosed with GERD (dictated as “gurd.”)

The patient was diagnosed with gastroesophageal reflux disease.

If this does not resolve your question please contact Student Support directly for further assistance-

The patient was diagnosed with GERD (dictated as “gurd.”)

The patient was diagnosed with gastroesophageal reflux disease.

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: support@careerstep.com

Phone: 1-888-657-5752

From student/graduate recommendations, the following 4 brands are most commonly recommended:

Sennheiser

Audio Technica

Spectra

Beyerdynamic

I would suggest doing a bit of research on those brands to see if there is one that fits what you are looking for more than others. Sennheiser, Audio Technica, and Beyerdynamic are all studio-quality headsets with excellent sound quality. Because they are more commercial grade, the price can be a bit steeper for them, but they tend to last longer than other brands. You can find these brands at your local Best Buy, Target, Wal-Mart, etc. You can also purchase them online.

Spectra headphones are designed for MTs and they have a stethoscope style architecture. A lot of MTs use them and they are very reasonably price with good sound quality. You can find Spectra headphones at www.transcriptiongear.com .

Hours: 9:00 AM - 7: 00 PM EST Mon-Fri

Email: support@careerstep.com

Phone: 1-888-657-5752

Session Summary