Study sets, textbooks, questions
Upgrade to remove ads
Terms in this set (102)
the initial medications ordered when a patient is admitted to the hospital
Adverse drug event
injury or harm due to medication use that may be preventable in some cases but may be unpredictable and unavoidable in other cases
automated dispensing cabinet
a system in which medications are dispensed from an automated unit at point of use
advance preparation of large quantities of unit-dose oral solutions/suspensions or small volume parenterals for future use.
bulk compounding log
a record of medications compounded in the pharmacy
the main in-patient pharmacy in a hospital that has pharmacy satellites it is the place where most of the hospitals medications are prepared and stored
area designed for the preparation of sterile products
something extremely serious that almost happens
a type of formulary that requires physicians to order only the medications on the formulary list.
A locked cart of medications and other medical equipment designed for emergency use only
a system in which the physician or agent of the physician enters orders directly into the hospital computer system
a process in which the pharmacy technician goes to specific nursing units to find out what IV drips will be needed later that day.
voluntary or involuntary removal of a drug product by the manufacturer, usually pertaining to a particular shipment or lot number.
Electronic Medical Record (EMR)
a computerized patient medical record; also known as an electronic health record (EHR)
emergency drug procurement
the process of quickly obtaining an out-of stock medication in an urgent situation.
A sterile, preserveative free medication administered into the patients epidural space
medications which must e prepared following a specific recipe or formula usually because they are not available commercially
A device used to remove particular matter. The deivce should be placed at the endpoint of an IV line just before it enters the patients vein
Supplies, over the counter medications, and IV fluids available for immediate use on a nursing unit or ancillary area; these items are not labeled for individual patients
a list of drugs stocked at the hospital that have been selected based on therapeutic factors as well as cost
a broad term that pertains to proper hand-washing or use of antiseptic hand gel/rub
a statement of facts surrounding a medical error or incident
infection control committee
A hospital committee in charge of the surveillance, prevention and control of infection within the hospital.
a pharmacy located in a hospital that services only those patients in the hospital and its ancillary areas
Institutional Review Board (IRB)
A committee at each institution where research is conducted to review every experiment for ethics and methodology.
Intravenous Piggyback (IVPB)
a small volume parenteral added into or "piggybacked" on to a large volume parenteral (LVP)
Medication Administration Record (MAR)
a form that tracks the medications administered to a patient
any error occurring in the medication use process
non formulary drugs
drugs not on the formulary list which a physician can special order; a physician may have a fill out a form stating why that specific medication is required.
work station for medical personnel located on a nursing unit
a pharmacy that service patients who have left the hospital or who are visiting doctors in a hospital outpatient clinic
The amount of a drug product that should be kept on the pharmacy shelf
A branch of the main pharmacy that services a specific area of the hospital i.e. Children's, chemotherapeutic, etc...
a system that shuttles objects through a tube using compressed air as the force
an order written to administer a drug to a patient as needed
making a solution or suspension by adding water or other diluent to a pre-made powder form of a drug in a drug bottle or vial.s
a patient safety event that results in death , permanent harm, or severe temporary harm
A medication that will expire soon after preparation
An infection control designed to prevent direct contact with blood and other body fluids and tissues by using barrier protection and work control practices
an order to give medication to at scheduled intervals
single order carried out immediately
A program that allows a specially trained pharmacy technician to check medications prepared by another technician
a policy approved by the hospital P&T Committee that allows the pharmacist to change a medication order to a therapeutically equivalent formulary medication
total parenteral nutrition (TPN)
Protein, carbohydrates, and essential nutrients to be given to the patient through and IV line
A package containing the amount of drug for one dose
a review of a nursing unit to ensure compliance with hospital medication policies
in a hospital , patients are admitted to different nursing units based on similar
the main responsibility of. a pharmacy technician may be
preparing medication orders, conducting unit inspections, and monitoring patient's drug therapy
satellite pharmacies are responsible for
preparing medications for a specific patient population such as pediatric patients, preparing the first doses of a new medication that is ordered, and providing emergency medications for the units serviced
may not be in supply and could take several days before they can be stocked in the pharmacy
pneumatic tube system
allows for quick transfer of drug from the pharmacy to a nursing unit
a pharmacy technician needs to check when the last dose of an antibiotic was given to a patient. What section of a chart contains this information/
medication administration record
a (n) ______________ order is an order for a medication to be administered immediately
A medication order reads: Ciprofloxacin 400mg q 12 hours for 7 days. What essential information is missing from this order?
a drug recall
may take place by the manufacturer for unknown reasons
Bulk bottles used for extemporaneous oral compounding must be labeled with the drugs name, exp date, and ......
concentration, lot number specific to the hospital, and the pharmacist initials
a single-dose vial
Contains no preservatives
the simplest and most important way of preventing infections in the healthcare setting is
proper hand hygeine
all of the following may cause a medication error
medication ordered with a trailing zero, verbal order taken by a nurse, and unclear directions for a fluid order
what can you do to prevent errors in a hospital
display a list of look-alike and sound-alike medications,
all of the following are true regarding Safety Dada Sheets (SDS)
they contain information regarding safe handling procedures for chemicals, contain signs and symptoms of exposure limits, and are accessible in the hospital.
a code cart
Locked cart filled w/ emergency medications. All pt care areas are required to have code carts.
if a patient's current rate of NACL 0.9% is 125ml/hr how many 1 liter IV bags will be necessary to fill a 24 hour supply/\
a medication order reads gentamicin 120mg IV 8 hours. The last dose was given at 16:00. when is the next dose?
what reference when a hazardous spill occurs in the hospital?
HIPPA is a federal law that protects a patients phi when it is
spoken, written or electronically transferred
USP <797> is a set of regulations that must be followed by any pharmacy that compounds___________products
Personal Protective Equipment (PPE) I used to protect healthcare workers from infections. It includes all of the following
gloves, face shield, goggles
Medications that are considered "high alert" include all of the following
insulin, fentanyl, chemotherapy and more
how many mls of fluconazole 40mg/ml are needed to prepare a dose of 250mg
The DEA is a federal regulatory agency responsible for
ensuring controlled substance laws are followed
a physician writes an admitting order for acid reflux called nizatidine (acid) because it is a medicine that the patient takes at home.This medication is non-formulary at your pharmacy but is a part of therapeutic interchange .this means...
the pharmacist can automatically change an order to a similar drug that is on the hospital formulary without calling the dr
a label prints in the pediatric pharmacy satellite for 500ml of dextrose 15% solution. This concentration is not available commercially and needs to be compounded. Available in your pharmacy, you have 1 liter bag of sterile water and 1 liter bag of 70% dextrose available to compound the solution. How many ml's of each are needed to make the requested solution?
107ml of dextrose 70% and 393 ml of sterile water
you are working the cart filling shift at your hospital and you must prepare a 24 hour supply of medications for each patient. One of the patients is on cyclosporine 100mg bid and the pharmacy only has 25mg capsules. how many 25mg capsules should be sent in the patient's bin?
A patient's dopamine drip is running 7.5ml/hour. how many hours will a 100ml bag last?
What is Central Supply?
an area in the hospital that may carry supplies not provided by the pharmacy.
What are the two types of physicians?
MD, DO (medical doctor and Doctor of Osteopathy)
What is a PA?
physician's assistant- mid level practitioner . works under the supervision of a physician.
What is a NP or ANP?
nurse practitioner or advanced nurse practitioner.
What would a technician do in an investigational drug service?
assist the pharmacist by preparing and delivering study medications and helping with the paperwork.
how would a technician help the pharmacist in monitoring drug therapy?
retrieving drug levels from the patient chart or computer system, run reports of medication, such as vancomycin (narrow therapeutic drug).
what would be the duties of the inventory control technician?
ordering medications, checking pharmacy invoices, drug recalls, shortages and emergency drug procurement. May also be responsible for filling automated dispensing cabinets.
what would a controlled substance/narcotic technician be in charge of?
reviews inventory reports, completes audits, reviews discrepancy reports, confirms hospital compliance with state and federal controlled substance laws. Coordinates controlled substance distribution?
In a hospital with cart fill, what would normally be the amount that the technician would fill?
12- 24 hour supply...depending upon hospital policy
What would the automation technician be in charge of?
operating the pharmacy robot, assist with automated dispensing machines, assigning new user names and passwords, Expert in automation systems.
What would be an IV/Clean room technicians responsibility?
prepare sterile intravenous medications. Would require special and documented training. May prepare chemotherapy and parenteral nutrition
What would be a chemotherapy technicians responsibility?
receives additional training on handling and preparing chemotherapeutic agents and hazardous drugs. Must have knowledge of decontamination and management of spills. Must pass a skills test and training needs to be documented.
What would a quality assurance technician do?
conduct inspection of nursing units and other areas of the hospital that store medications, makes sure drug storage is per hospital policy. may serve on hospital committees. ( medication safety, quality committee)
what would a pharmacy technician supervisor do?
leadership role in the pharmacy, work to improve workflow. May be responsible for training, creating work schedules and completing evaluations of technicians.
What is a carousel?
In the pharmacy, it is a storage system that holds drugs and/or supplies. You rotate it until you get what you need.
What is the medication administration record?
document listing medications prescribed and time to be given; the nurse initials it when she or he gives the dose to the patient.
what is an automatic stop order?
certain medications, as per hospital protocol) will be automatically stopped after a certain period.. Example- controlled pain medicines may be automatically stopped in 3 days. This allows for continuous scrutiny if the medication is needed or not.
how are medications normally organized in a hospital pharmacy?
Usually by route of administration. Tablets would have a section, liquids would have a section, eyedrops a section SVPs would have a section and LVPs would have a section.
when checking a C_ii order it is recommended to have:
2 different people check it in.
What are some high-alert medications in the hospital?
chemotherapy agents, fentanyl, heparin, insulin U-500, potassium chloride, sodium chloride 3%
what goes in a yellow cytotoxic bin?
items with trace amounts of chemotherapy or cytotoxic meds?
What goes in red sharps container?
What goes in the black hazardous bin?
partial or full IV bags with chemotherapy or cytotoxic meds.
what is a Code blue?
Code Blue refers to a patient requiring emergency medical care, typically for cardiac or respiratory arrest. The overhead announcement will provide the patient's location. The code team will rush to the room and begin immediate resuscitative efforts.
What does the Joint Commission do?
Provides accreditation programs for various healthcare facilities (ambulatory, behavioral health, acute care, critical care hospitals, labs, etc). inspects every 24-39 months,laying out guidelines for each department. CMS and several insurances require certification for reimbursement.
What do the centers for Medicare and Medicaid do?
surveys and approves hospitals to provide for Medicare and Medicaid patients. CMS approval is required to receive reimbursement for these patients.
What does the Department of Public Health do?
A state organization overseeing hospitals, including the pharmacy department, to assure compliance with hospital practice standards.
Sets found in the same folder
Sets with similar terms
Chapter 17 hospital pharmacy
chapter 16 review
Chapter 9 Quiz
Chapter 5 - Medication Therapy
Other sets by this creator
Imz post assessment
Medical Asepsis: Hand washing
PTCB | Sig Codes 2