Hospital Pharmacy - CH 17
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Questions and Answers

Match the terms

nurses' station = work station for medical personnel located on a nursing unit Institutional Review Board (IRU) = a committee that assures hospital research complies with federal, hospital and ethical standards outpatient pharmacy = a pharmacy attached to a hospital that services patients who have left the hospital or who are visiting doctors in a hospital outpatient clinic pharmacy satellite = a branch of the inpatient pharmacy responsible for preparing, dispensing, and monitoring medications for specific patient areas

Match the terms

unit inspection = a review of a nursing unit to ensure compliance with hospital medication policies batching = preparation of large quantities of unit dose oral solutions/suspensions or small volume parenteral for future use central pharmacy = the main inpatient pharmacy in a hospital that has pharmacy satellites. It is the place where most of the hospital's medications are prepared and stored clean room = area designed for the preparation of sterile products

Match the terms

inpatient pharmacy = a pharmacy located in a hospital that services only those patients in the hospital and its ancillary areas closed formulary = a type of formulary that requires physicians to order only those medications on the formulary list (some exceptions may apply) formulary = a list of drugs stocked at the hospital that have been selected based on therapeutic factors as well as cost non-formulary = drugs not on the formulary list and not regularly stocked in pharmacy

Match the terms

<p>therapeutic interchange = a policy approved by the hospital P&amp;T Committee that allows the pharmacist to change a medication order to a therapeutically equivalent formulary medication pneumatic tube = a system that shuttles objects through a tube using compressed air as the force; commonly used in hospitals for delivery of medication electronic medical or health record = a computerized patient medical record admission orders = the initial medications ordered when a patient is admitted to the hospital</p> Signup and view all the answers

Match the terms

<p>CPOE = a system in which the physician or agent of the physician enters orders directly into the hospital computer system medication administration record (MAR) = a form that tracks the medications administered to a patient PRN order = an order for medication to be administered only on an as-needed basis standing order = a standard medication order for patients to receive medication at scheduled intervals</p> Signup and view all the answers

Match the terms

<p>STAT order = an order for medication to be administered immediately tech-to-tech = a program that allows a specially trained pharmacy technician to check medications prepared by another technician drug recall = the voluntary or involuntary removal of a drug product by the manufacturer emergency drug procurement = to quickly obtain a medication not currently in stock in the pharmacy in situations where the drug is urgently needed</p> Signup and view all the answers

Match the terms

<p>floor stock = supplies, OTC medication, and IV fluids available for immediate use on the nursing unit or ancillary area; these items are not labeled for individual patients bulk compounding log = a record of medications that are compounded in the pharmacy for non-specific patients. Information must include a list of all the ingredients, amounts used, manufacturer, lot numbers, and expiration dates of each specific ingredient extemporaneous compounding = medications that must be prepared following a specific recipe or formula, usually because they are not available commerically reconstitute = addition of water or other dilute to commercially made drug bottles or vials in order to make a solution or suspension from a premade powder form of the drug. This may include oral or parenteral products</p> Signup and view all the answers

Match the terms

<p>short stability = medication that will expire soon after preparation (within 1-6 hours after preparation) hand hygiene = a board term that pertains to proper handwashing or use of antiseptic hand gel/rub Infection Control Committee = a hospital committee in charge of the surveillance, prevention, and control of infection within the hospital standard precautions = an infection control practice where health-care providers avoid direct contact with blood, mucous membranes, body fluids, and non-intact skin by use of barriers such as gloves, goggles, gowns, and face shields</p> Signup and view all the answers

Match the terms

<p>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 medication error = any error occurring during the medication-use process close call = a medication safety event that had the potential to cause harm but did not reach the patient incident report = a statement of facts surrounding medical error of incident</p> Signup and view all the answers

Match the terms

<p>sentinel event = a patient safety event that results in death, permanent harm, or severe temporary harm code carts = a locked cart of medications and other medical equipment designed for emergency use only A = B C = D</p> Signup and view all the answers

USP 797 is a set of regulations that must be followed by any pharmacy that compounds ____ products

<p>sterile</p> Signup and view all the answers

Personal Protective Equipment (PPE) is used to protect health-care workers from infections. It includes all the following EXCEPT

<p>jump suit</p> Signup and view all the answers

Medications that are considered "high-alert" include all the following EXCEPT

<p>famotidine</p> Signup and view all the answers

How many mLs of fluconazole 40 mg/mL are needed to prepare a dose of 250 mg

<p>6.25 mL</p> Signup and view all the answers

The DEA is a federal regulatory agency responsible for

<p>ensuring controlled substances laws are followed</p> Signup and view all the answers

A physician writes an admitting order for acid reflux called nixatidine (Axid) because that is a medication the patient takes at home. This medication is non-formulary at your hospital but is part of a therapeutic interchange program. This means

<p>the pharmacist can automatically change the order to a similar drug that is on the hospital formulary without calling the doctor</p> Signup and view all the answers

A label prints in the pediatric pharmacy satellite for 500 mL od dextrose 17.5% solution. This concentration is not available commercially and needs to be compounded. Available in your pharmacy you have a 1L bag of sterile water and 1L bag of dextrose 70% available to compound the solution. How many mLs of each are needed to make the requested solution?

<p>125 mL of dextrose 70% and 375 mL of sterile water</p> Signup and view all the answers

You are working the cart filling shift at your hospital and must prepare a 24 hour supply of medications for each patient. One of the patients is on cyclosporine 100 mg bid and the pharmacy only has 25 mg capsules in stock. How many 25 mg capsules should be sent in the patient's bin?

<p>8</p> Signup and view all the answers

A patient's dobutamine drip is running at 7.5 mL/hr. How many hours will a 100 mL bag last?

<p>13.3</p> Signup and view all the answers

Hospitals often use a _____ to remove outdated medications

<p>reverse distributor</p> Signup and view all the answers

USP 800was developed to protect patients, workers, and the environment from

<p>hazardous medications</p> Signup and view all the answers

ENFit syringes are used in many hospitals because

<p>the syringe will NOT attach to any tubing other than enteral tubing, removing the chance of accidentally administering an oral solution intravenously</p> Signup and view all the answers

If a patient's current rate of NaCl 0.9% is 125 mL/hr, how many 1 liter IV bags will be necessary to fill a 24 hour supply?

<p>3</p> Signup and view all the answers

In a hospital, patients are admitted to different nursing units based on similar

<p>medical problems</p> Signup and view all the answers

The main responsibilities of a pharmacy technician may include all of the following EXCEPT

<p>administering medication to patients</p> Signup and view all the answers

A hospital pharmacy technician may be asked to complete which of the following quality assurance activities?

<p>all of the above</p> Signup and view all the answers

Formulary medications

<p>are added, removed, and periodically evaluated by the pharmacy and therapeutics committee</p> Signup and view all the answers

The pneumatic tube system

<p>allows for quick transfer of drugs from the pharmacy to a nursing unit</p> Signup and view all the answers

A pharmacy technician needs to check when the last dose of an antibiotic was given to a patient. What section of the patient's chart contains this information?

<p>medication administration record</p> Signup and view all the answers

A medication order reads: Ciprofloxacin 400 mg q 12 hours for 17 days. What essential information is missing from this order?

<p>route</p> Signup and view all the answers

A drug recall

<p>may take place by the manufacturer for unknown reasons</p> Signup and view all the answers

Bulk bottles used for extemporaneous oral compounding MUST be labeled with the name of the drug, expiration date, and

<p>concentration, lot number specific to the hospital, and the pharmacist's initials</p> Signup and view all the answers

A single-dose vial

<p>contains no preservative</p> Signup and view all the answers

The simplest and most important way of preventing infections in the healthcare setting is

<p>proper hand hygiene</p> Signup and view all the answers

All of the following may cause a medication error EXCEPT

<p>allergies well documented in the computer system</p> Signup and view all the answers

All of the following can help prevent medication errors in a hospital EXCEPT

<p>requiring nurses to take verbal orders for admission medications</p> Signup and view all the answers

All of the following are true regarding the Safety Data Sheet (SDS) EXCEPT

<p>SDS are not available for use in hospitals</p> Signup and view all the answers

A code cart

<p>contains different medications and equipment commonly used in emergency situations</p> Signup and view all the answers

Technicians working the front counter do not handle phone calls

<p>False</p> Signup and view all the answers

Medications carts in hospitals contain a 72 hour supply of medications

<p>False</p> Signup and view all the answers

Technicians often prepare IV admixtures in hospitals

<p>True</p> Signup and view all the answers

The pharmacy technician supervisor is often responsible for training technicians

<p>True</p> Signup and view all the answers

Lot numbers and expiration dates are not needed in bulk compounding logs

<p>False</p> Signup and view all the answers

All departments within a hospital are required to maintain a policy and procedure manual

<p>True</p> Signup and view all the answers

The pharmacy inventory staff is often responsible for removal of drug recalls from the pharmacy inventory

<p>True</p> Signup and view all the answers

An area of the hospital that may carry supplies not provided by the pharmacy

<p>central supply</p> Signup and view all the answers

A committee that assures any hospital research complies with federal, hospital, and ethical standards

<p>IRB</p> Signup and view all the answers

The main inpatient pharmacy in the hospital

<p>central pharmacy</p> Signup and view all the answers

Includes preparing and delivering medications for drug studies

<p>Investigational drug service</p> Signup and view all the answers

A pharmacy attached to a hospital that serves patients who have left the hospital or who are visiting doctors in a hospital outpatient clinic is a(an)

<p>outpatient pharmacy</p> Signup and view all the answers

Pharmacy technicians working in this satellite require special training and chemotherapy certification from the pharmacy department

<p>oncology</p> Signup and view all the answers

Initial orders when a patient is admitted to a hospital

<p>admission orders</p> Signup and view all the answers

The unit dose package type used for ointments and creams is a(an)

<p>tube</p> Signup and view all the answers

Orders for medications that are needed right away are called

<p>STAT orders</p> Signup and view all the answers

A locked cart of medications designed for emergency use is called a

<p>code cart</p> Signup and view all the answers

Room designed for the preparation of sterile products are called

<p>clean rooms</p> Signup and view all the answers

A medication safety event that had the potential to cause harm but did not reach the patient

<p>close call</p> Signup and view all the answers

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