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Pharmaceutical Services in Hospitals
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Pharmaceutical Services in Hospitals

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Questions and Answers

What is the primary responsibility of the pharmacy in ensuring patient health and safety?

  • Providing pharmaceutical services in accordance with generally accepted professional principles (correct)
  • Conducting medical research
  • Maintaining hospital records
  • Managing hospital finances

    • What type of units must be used to measure patient weight?

  • English units
  • Metric units (correct)
  • Customary units
  • Imperial units

    • What is a requirement for pediatric dosing resources?

  • Excluding fluid and medication administration and dosing based on patient size
  • Excluding medication administration and dosing based on patient age
  • Including fluid and medication administration and dosing based on patient age and size (correct)
  • Including medication administration and dosing based on patient age only

    • Who is responsible for ensuring that up-to-date drug information reference systems are available to the professional staff?

    <p>The director of the pharmacy</p> Signup and view all the answers

    What is a requirement for the director of the pharmacy?

    <p>Employment on a full-time or part-time basis based on the needs of the hospital</p> Signup and view all the answers

    What is a responsibility of the pharmacy in conjunction with the medical staff?

    <p>Ensuring the health and safety of patients</p> Signup and view all the answers

    Who is responsible for compounding, preparing, labeling, or dispensing drugs in a hospital?

    <p>Licensed pharmacist or pharmacy intern</p> Signup and view all the answers

    What is the purpose of maintaining repacking and inventory records in the pharmacy?

    <p>To identify the lot number or reference code and manufacturer's or distributor's name</p> Signup and view all the answers

    What is the maximum supply of prescribed medications that can be delivered to or available in the patient care area at any time?

    <p>72-hour supply</p> Signup and view all the answers

    What is the purpose of developing and implementing policies and procedures for emergency kits and emergency carts?

    <p>To ensure that emergency kits are secure and accessible</p> Signup and view all the answers

    What is required for the storage of controlled substances?

    <p>Locked storage areas</p> Signup and view all the answers

    Who is responsible for checking floor stock medications at least monthly?

    <p>Licensed pharmacist or pharmacy intern</p> Signup and view all the answers

    What is the purpose of developing and implementing policies and procedures for documenting, reviewing, and reporting dispensing errors?

    <p>To document dispensing errors for quality improvement</p> Signup and view all the answers

    What is required for the labeling of single unit packages of medication in the unit-dose drug distribution system?

    <p>Labeling in accordance with article 137 of the State Education Law</p> Signup and view all the answers

    What is the purpose of developing and implementing policies and procedures for procuring drugs on a routine basis?

    <p>To ensure a steady supply of medications</p> Signup and view all the answers

    What is required for the physical facilities of the hospital pharmacy?

    <p>Facilities for the storage, safeguarding, preparation, and dispensing of drugs</p> Signup and view all the answers

    What should pediatric dosing be based on?

    <p>Weight and body surface area</p> Signup and view all the answers

    How often should a formulary be reviewed and updated?

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

    What is the purpose of evaluating clinical data concerning new drugs or preparations?

    <p>To meet the needs of patients in the hospital</p> Signup and view all the answers

    What should be monitored for adherence to hospital policies and procedures?

    <p>Drug storage, preparation, and dispensing</p> Signup and view all the answers

    What should be kept accurate and current records of?

    <p>Transactions of the pharmacy, including inventory and dispensing of controlled substances, and labeling of medications</p> Signup and view all the answers

    What is the purpose of a medication record or drug profile for each inpatient?

    <p>To maintain a record of available drug history and current therapy</p> Signup and view all the answers

    What should the quality assurance program monitor and improve?

    <p>Personnel qualifications, training, performance, equipment, and facilities, as well as adverse drug events and reactions</p> Signup and view all the answers

    What is the director's role in the hospital's overall quality assurance program?

    <p>To participate in aspects related to drug utilization and effectiveness</p> Signup and view all the answers

    What should drugs and biologicals be controlled and distributed in accordance with?

    <p>Written policies and procedures</p> Signup and view all the answers

    What is the purpose of the pharmaceutical service?

    <p>To provide quality pharmaceuticals at reasonable costs</p> Signup and view all the answers

    What is the primary role of the pharmacy director in conjunction with the medical staff?

    <p>Ensuring the health and safety of patients through proper selection and distribution of drugs</p> Signup and view all the answers

    What is a requirement for the storage of pharmaceuticals in a hospital?

    <p>Proper selection, storage, preparation, distribution, use, control, disposal and accountability of drugs</p> Signup and view all the answers

    What is a key aspect of pediatric dosing resources?

    <p>Age and size appropriate fluid and medication administration and dosing</p> Signup and view all the answers

    What is the purpose of having up-to-date drug information reference systems available to the professional staff?

    <p>To provide accurate information on drug interactions and side effects</p> Signup and view all the answers

    What is a key responsibility of the pharmacy in ensuring patient health and safety?

    <p>Selecting, storing, preparing, distributing, using, controlling, disposing of, and accounting for drugs</p> Signup and view all the answers

    What is a requirement for the pharmacy director's employment?

    <p>Part-time employment based on the needs of the hospital</p> Signup and view all the answers

    What is the primary consideration for pediatric dosing?

    <p>Weight-based</p> Signup and view all the answers

    What is the frequency for reviewing and updating the formulary?

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

    What is the purpose of evaluating clinical data concerning new drugs or preparations?

    <p>To determine the effectiveness of new drugs</p> Signup and view all the answers

    What is the primary responsibility of the pharmaceutical service?

    <p>To ensure quality pharmaceuticals at reasonable costs</p> Signup and view all the answers

    What is the purpose of maintaining accurate records of transactions in the pharmacy?

    <p>To maintain adequate control over requisitioning and dispensing of drugs</p> Signup and view all the answers

    What is the role of the director in the hospital's quality assurance program?

    <p>To participate in aspects related to drug utilization and effectiveness</p> Signup and view all the answers

    What is the purpose of the quality assurance program in the pharmaceutical service?

    <p>To monitor personnel qualifications, training, and performance</p> Signup and view all the answers

    What is the purpose of maintaining a medication record or drug profile for each inpatient?

    <p>To provide a record of medication history</p> Signup and view all the answers

    What is the primary consideration for the distribution of drugs in the hospital?

    <p>Patient safety and quality of care</p> Signup and view all the answers

    What is the role of the pharmaceutical service in monitoring and evaluating patient services?

    <p>To monitor and evaluate the quality and appropriateness of patient services</p> Signup and view all the answers

    Who is responsible for ensuring that all packing and repacking of medications are performed in the pharmacy?

    <p>A licensed pharmacist or pharmacy intern</p> Signup and view all the answers

    What is the maximum supply of prescribed medications that can be delivered to or available in the patient care area at any time?

    <p>72-hour supply</p> Signup and view all the answers

    What is the purpose of developing and implementing policies and procedures for emergency kits and emergency carts?

    <p>To identify locations and contents of emergency kits and emergency carts</p> Signup and view all the answers

    What should be reported to the director and the medical staff, as appropriate, in accordance with applicable Federal and State laws?

    <p>Abuses and losses of controlled substances</p> Signup and view all the answers

    What is required for the storage of drugs and biologicals?

    <p>Locked storage areas</p> Signup and view all the answers

    What is the purpose of maintaining repacking and inventory records in the pharmacy?

    <p>To monitor inventory levels and track repackaging activities</p> Signup and view all the answers

    Who is responsible for developing and implementing policies and procedures for the unit-dose drug distribution system?

    <p>The pharmaceutical service or pharmacist</p> Signup and view all the answers

    What is required for the labeling of single unit packages of medication in the unit-dose drug distribution system?

    <p>Labeling in accordance with requirements set forth in article 137 of the State Education Law</p> Signup and view all the answers

    What is the purpose of developing and implementing policies and procedures for procuring drugs on a routine basis?

    <p>To identify methods for procuring drugs on a routine basis</p> Signup and view all the answers

    What should be developed and implemented to provide for the availability of drugs and biologicals during periods of time when a pharmacist may not be immediately available?

    <p>A procedure for the availability of drugs and biologicals</p> Signup and view all the answers

    Study Notes

    Pharmaceutical Services

    • Pharmaceutical services must be available at all times on hospital premises to meet patient needs.
    • A registered pharmacist must direct the pharmacy, which must be registered and operated according to article 137 of the New York State Education Law.

    Organization and Direction

    • The pharmacy director is responsible for ensuring patient health and safety through the organization, management, and operation of the service.
    • The director ensures the proper selection, storage, preparation, distribution, use, control, disposal, and accountability of drugs and pharmaceuticals.
    • The director must employ a full-time or part-time basis based on hospital needs.

    Pharmaceutical Service Responsibilities

    • Ensure patient weight is measured in metric units.
    • Provide up-to-date drug information reference systems and pediatric dosing resources.
    • Establish and review a formulary at least annually to ensure quality pharmaceuticals at reasonable costs.
    • Establish standards for investigational drugs and research, evaluate new drugs, and review floor stock medication.

    Pharmacy Operations

    • Implement a unit-dose distribution system by October 1, 1990.
    • Ensure adequate numbers of registered pharmacists and qualified personnel for 24/7 services.
    • Supervise drug storage, preparation, and dispensing, and monitor adherence to hospital policies and procedures.

    Record Keeping and Quality Assurance

    • Maintain accurate records of pharmacy transactions, including drug control, patient charging, and controlled substance inventory.
    • Provide drug monitoring services, including medication records and drug profiles, for inpatients.
    • Establish a quality assurance program to monitor personnel qualifications, training, and performance.

    Operation and Service Delivery

    • Control and distribute drugs according to written policies and procedures to maximize patient safety and quality of care.
    • Perform compounding, preparation, labeling, or dispensing of drugs by licensed pharmacists or pharmacy interns.
    • Repack and label medications according to State and Federal laws, rules, and regulations.

    Unit-Dose Drug Distribution System

    • Develop and implement policies and procedures for unit-dose distribution.
    • Ensure each patient has their own receptacle with labeled medications.
    • Limit medication supply to 72 hours in patient care areas.
    • Identify methods for procuring drugs in routine, emergency, and disaster situations.

    Emergency Kits and Carts

    • Develop and implement policies and procedures for emergency kits and carts.
    • Ensure emergency kits are secure, accessible, and specific to service locations.
    • Specify locations, contents, and checking frequencies for emergency kits.

    Drug Availability and Control

    • Provide for drug availability during periods when a pharmacist is not immediately available.
    • Automatically stop drugs not specifically prescribed after a specified time.
    • Document, review, and report dispensing errors, adverse drug reactions, and drug defects.

    Physical Facilities

    • Provide facilities for storage, safeguarding, preparation, and dispensing of drugs.
    • Store floor stock medications in locked storage areas and check them at least monthly.
    • Store controlled substances according to article 33 of the Public Health Law and Part 80 of this Title.

    Pharmaceutical Services

    • Pharmaceutical services must be available at all times on hospital premises to meet patient needs.
    • A registered pharmacist must direct the pharmacy, which must be registered and operated according to article 137 of the New York State Education Law.

    Organization and Direction

    • The pharmacy director is responsible for ensuring patient health and safety through the organization, management, and operation of the service.
    • The director ensures the proper selection, storage, preparation, distribution, use, control, disposal, and accountability of drugs and pharmaceuticals.
    • The director must employ a full-time or part-time basis based on hospital needs.

    Pharmaceutical Service Responsibilities

    • Ensure patient weight is measured in metric units.
    • Provide up-to-date drug information reference systems and pediatric dosing resources.
    • Establish and review a formulary at least annually to ensure quality pharmaceuticals at reasonable costs.
    • Establish standards for investigational drugs and research, evaluate new drugs, and review floor stock medication.

    Pharmacy Operations

    • Implement a unit-dose distribution system by October 1, 1990.
    • Ensure adequate numbers of registered pharmacists and qualified personnel for 24/7 services.
    • Supervise drug storage, preparation, and dispensing, and monitor adherence to hospital policies and procedures.

    Record Keeping and Quality Assurance

    • Maintain accurate records of pharmacy transactions, including drug control, patient charging, and controlled substance inventory.
    • Provide drug monitoring services, including medication records and drug profiles, for inpatients.
    • Establish a quality assurance program to monitor personnel qualifications, training, and performance.

    Operation and Service Delivery

    • Control and distribute drugs according to written policies and procedures to maximize patient safety and quality of care.
    • Perform compounding, preparation, labeling, or dispensing of drugs by licensed pharmacists or pharmacy interns.
    • Repack and label medications according to State and Federal laws, rules, and regulations.

    Unit-Dose Drug Distribution System

    • Develop and implement policies and procedures for unit-dose distribution.
    • Ensure each patient has their own receptacle with labeled medications.
    • Limit medication supply to 72 hours in patient care areas.
    • Identify methods for procuring drugs in routine, emergency, and disaster situations.

    Emergency Kits and Carts

    • Develop and implement policies and procedures for emergency kits and carts.
    • Ensure emergency kits are secure, accessible, and specific to service locations.
    • Specify locations, contents, and checking frequencies for emergency kits.

    Drug Availability and Control

    • Provide for drug availability during periods when a pharmacist is not immediately available.
    • Automatically stop drugs not specifically prescribed after a specified time.
    • Document, review, and report dispensing errors, adverse drug reactions, and drug defects.

    Physical Facilities

    • Provide facilities for storage, safeguarding, preparation, and dispensing of drugs.
    • Store floor stock medications in locked storage areas and check them at least monthly.
    • Store controlled substances according to article 33 of the Public Health Law and Part 80 of this Title.

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    Description

    This quiz covers the pharmaceutical services provided in hospitals, including the requirements for pharmacy operation and direction. It also discusses the role of a registered pharmacist in hospital pharmacy.

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