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Questions and Answers
Why is it important to have information readily available for treating patients with accidental overdose symptoms?
Why is it important to have information readily available for treating patients with accidental overdose symptoms?
What is necessary to maintain an uninterrupted dosage schedule for investigational drugs?
What is necessary to maintain an uninterrupted dosage schedule for investigational drugs?
What practice is commonly followed regarding the use of investigational drugs?
What practice is commonly followed regarding the use of investigational drugs?
Which of the following is NOT listed as a defect regarding drug reporting?
Which of the following is NOT listed as a defect regarding drug reporting?
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What role does the Pharmacy and Therapeutic Committee have in emergency preparedness?
What role does the Pharmacy and Therapeutic Committee have in emergency preparedness?
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What is the main advisory role of the Pharmacy and Therapeutics Committee (PC)?
What is the main advisory role of the Pharmacy and Therapeutics Committee (PC)?
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Which of the following professionals is NOT included in the composition of the Pharmacy and Therapeutics Committee?
Which of the following professionals is NOT included in the composition of the Pharmacy and Therapeutics Committee?
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How often should the Pharmacy and Therapeutics Committee meet, at minimum?
How often should the Pharmacy and Therapeutics Committee meet, at minimum?
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Who normally acts as the secretary of the Pharmacy and Therapeutics Committee?
Who normally acts as the secretary of the Pharmacy and Therapeutics Committee?
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What is one of the educational purposes of the Pharmacy and Therapeutics Committee?
What is one of the educational purposes of the Pharmacy and Therapeutics Committee?
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Who appoints the members of the Pharmacy and Therapeutics Committee?
Who appoints the members of the Pharmacy and Therapeutics Committee?
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What documentation is necessary for the committee meetings?
What documentation is necessary for the committee meetings?
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What is the responsibility of the committee secretary regarding meeting minutes?
What is the responsibility of the committee secretary regarding meeting minutes?
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Which information must be included in an intravenous medication order?
Which information must be included in an intravenous medication order?
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What is the maximum quantity of nitroglycerin tablets that can be left at a patient's bedside?
What is the maximum quantity of nitroglycerin tablets that can be left at a patient's bedside?
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What is the purpose of automatic stop orders?
What is the purpose of automatic stop orders?
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Which item is NOT included in the list of syringes to be maintained in the Emergency Box?
Which item is NOT included in the list of syringes to be maintained in the Emergency Box?
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For how long do automatic stop orders apply to controlled drugs?
For how long do automatic stop orders apply to controlled drugs?
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What is the concentration of Epinephrine HCl included in the Emergency Box?
What is the concentration of Epinephrine HCl included in the Emergency Box?
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What must be done if a physician wants to change the route of administration of a medication?
What must be done if a physician wants to change the route of administration of a medication?
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Which of the following drugs in the Emergency Box is used primarily for its anticoagulant properties?
Which of the following drugs in the Emergency Box is used primarily for its anticoagulant properties?
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What is Total Parenteral Nutrition (TPN) primarily used for?
What is Total Parenteral Nutrition (TPN) primarily used for?
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Which of the following medications may be left for self-administration at a patient's bedside?
Which of the following medications may be left for self-administration at a patient's bedside?
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How much Mannitol Injection is specified in the Emergency Box?
How much Mannitol Injection is specified in the Emergency Box?
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What is required for discharge prescriptions?
What is required for discharge prescriptions?
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What is the volume of Saline for Injection to be stored in the Emergency Box?
What is the volume of Saline for Injection to be stored in the Emergency Box?
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Which of the following needle sizes is included in the Emergency Box?
Which of the following needle sizes is included in the Emergency Box?
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What is the purpose of using Atropine Sulfate as listed in the Emergency Box?
What is the purpose of using Atropine Sulfate as listed in the Emergency Box?
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Which drug in the Emergency Box is used as a muscle relaxant?
Which drug in the Emergency Box is used as a muscle relaxant?
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What is a drug approved for a trial period by the FDA referred to?
What is a drug approved for a trial period by the FDA referred to?
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Which category of drug requires a protocol to be submitted for hospital use?
Which category of drug requires a protocol to be submitted for hospital use?
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What does the formulary system dictate regarding drug dispensing?
What does the formulary system dictate regarding drug dispensing?
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Which of the following drugs is not stocked in the pharmacy?
Which of the following drugs is not stocked in the pharmacy?
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What is the procedure if a drug recall notice is received?
What is the procedure if a drug recall notice is received?
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What does a physician's medication order written on a patient order form represent?
What does a physician's medication order written on a patient order form represent?
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Which of the following is true regarding orders written by medical students?
Which of the following is true regarding orders written by medical students?
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What type of drug may consist of an approved drug for a new use or new combinations of old drugs?
What type of drug may consist of an approved drug for a new use or new combinations of old drugs?
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Study Notes
Pharmacy and Therapeutics Committee (PTC)
- The PTC is a communication bridge between the hospital's medical staff and pharmacy department.
- Composed of doctors, pharmacists, and other healthcare professionals.
- Main functions are advisory and educational.
- Aims to create policies related to drug use, selection, and evaluation.
- Provides education to healthcare professionals on the latest drug-related information.
PTC Organizational Structure and Operations
- Minimum of 3 doctors, a pharmacist, a nurse, and an administrator are required for membership.
- A physician acts as the chairperson, with a pharmacist usually serving as the secretary.
- The committee meets at least 6 times a year or more often depending on the need.
- The Secretary prepares meeting agendas, supplementary materials, and minutes.
- Minutes of the meetings are maintained as permanent records.
Drug Classifications
- Conditional, Trial Period: FDA-approved drugs that the PTC evaluates for 6-12 months before final approval.
- Specialized Formulary Drug: FDA-approved drugs recommended for specific patient care needs. Prescribing is restricted to authorized personnel.
- Investigational Drug: FDA-approved for specific research use by the principal investigator and designated associates.
- Non-Formulary Drugs: Drugs not included in the four categories and will not be stocked. Prescriptions require the pharmacy to obtain a limited quantity from external sources.
- Generic Names: The Formulary system uses generic drug names for dispensing.
Drug Recall
- Recalls are initiated by manufacturers, regulatory agencies, or the Pharmacy Department.
- Recalls might be general or specific to certain lot numbers.
- Recalled drugs are removed and replaced.
- Information is shared with staff and relevant departments.
Inpatient Prescribing
- Routine Drug Orders: Written by physicians on patient order forms, and a copy is sent to the pharmacy.
- Intravenous (IV) Orders: Include details of drug quantity, infusate solution, administration method (IV drip, IV bolus, etc.), infusion time, drip rate, and continuation/discontinuation instructions.
- Total Parenteral Nutrition (TPN): Nutritional infusions prepared extemporaneously by the pharmacy department.
- Self-Medication: Only Nitroglycerin and Antacids are allowed for patient self-administration as directed by a physician.
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Automatic Stop Orders: Designed to prevent indefinite open-ended drug orders.
- Controlled drugs: 24-hour automatic stop
- Other drugs: 7-day automatic stop
- New Medication Orders: Required for dosage or administration route changes.
- Discharge Prescription: Separate prescriptions are needed for each medication the patient will take home. Prescriptions must be processed by the pharmacy before patient discharge.
- Emergency (STAT) Orders: Used sparingly; medications are usually obtained from the nursing station's emergency drug supplies.
Investigational Drug Use
- Maintaining uninterrupted dosage schedules is essential during nights, weekends, and when the principal investigator is absent.
- Written patient consent is typically obtained by physicians before the use of investigational drugs.
- The hospital pharmacist keeps dispensing records for investigational drugs.
Drug Defect Reporting
- Includes issues like faulty packaging, confusing labels, deteriorated drug forms, incorrect drug quantities, and faulty drug delivery devices.
Emergency Drug Listing
- The PTC creates a list of emergency drugs and supplies for emergency boxes.
- Boxes are maintained in various locations like pavilions, clinics, emergency wards, and special procedures rooms.
- The emergency drug supplies include syringes, needles, airways, tourniquets, and a range of medications.
- Medications in emergency boxes are for immediate interventions in critical situations.
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Description
Explore the roles, structure, and operations of the Pharmacy and Therapeutics Committee (PTC). This quiz covers the committee's purpose in bridging communication between medical staff and pharmacy departments, its organizational structure, and its drug classification responsibilities. Test your knowledge about the PTC's functions and importance in healthcare.