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Pharmacy Practice > Exam 2 Powerpoints > Flashcards

Exam 2 Powerpoints Flashcards

1
Q

Importance of communication

A

ineffective communication ID as root cause for nearly 66% of all reported sentinel events

2010-2013: communication among top 3 root causes of sentinel events reported

Data from Join commission continue to show importance of communication in patient safety

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2
Q

Communication considerations

A

Audience

Mode of communication

Standards associated with specific mode of communication

Power of nonverbal communication

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3
Q

Characteristics of Effective communication

A

Complete

Clear

Brief

Timely

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4
Q

SBAR

A

Framework for team members to effectively communicate info to one another

Situation - what is going on w/ patient

Background - What is clinical background or context

Assessment - what do you think problem is

Recommendation/request - What would I recommend? what do I need from you?

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5
Q

handoff

A

Transfer of info during transitions in patient care

include an opportunity to ask questions, clarify and confirm

Both authority and responsibility are transferred

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6
Q

Components of handoff

A

Responsibility: person aware of assuming responsibility

Accountability: you are accountable until both partiers aware of transfer

uncertainty: clear up all ambiguity before transfer complete

Communicate verbally

Acknowledged: ensure handoff is understood and accepted

Opportunity: evaluate the situation for both safety and quality

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7
Q

Check - Back

A

Closed-loop communication strategy used to verify and validate info exchanged

asked: “Administer the influenza vaccine to Mrs.Green who is in Room 6.”

respond “ So you want me to give Mrs.Green, who is in room 6, an influenza vaccine?”

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8
Q

consequences of conflit

A

2008, employees spent 2.8 hrs per week dealing with conflict

equal ro ~ $359 bil in paid hrs, or 385 mil working days

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9
Q

Sources of conflict

A

Personal differences

Informational Deficiencies

Role Ambiguity or Incompatibility

Environmental Stressors

Disagreement over methods rather than outcomes

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10
Q

Steps for Conflict Resolution

A

ID source of conflict

Look beyond the incident

Request solutions

ID solutions everyone can support

Find agreement

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11
Q

Ineffective approaches to conflict resolution

A

Compromise

Avoidance

Accommodation

Dominance

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12
Q

Change from brand to generic

A

Interchange is mandated unless the practitioner indicates “ no substitution” in accordance with the law.

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13
Q

Flow of prescription

A 
Drop off - receive prescription
Prescription entry - enter into computer
Scan Rx
File Hard copy
Execute Rx production
Preform pre-quality check
Prepare for RPh final check
Put away stock bottles
Pick up
Offer patient counseling
Register transaction
Patient counseling
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14
Q

OU

A

Both eyes

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15
Q

OD

A

right eye

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16
Q

OS

A

left eye

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17
Q

AU

A

Both ears

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18
Q

AD

A

Right ear

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19
Q

AS

A

Left ear

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20
Q

aa

A

of each

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21
Q

HA

A

Headache

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22
Q

WA

A

While awake

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23
Q

HS

A

at bedtime

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24
Q

AC

A

Before meals

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25
PC
after meals
26
1 KG
2.2 lbs
27
1 Fluid oz
30 ml
28
1 lb
454 gram
29
1 ounce
28.35 (use 30 gram)
30
1 ml
20 drops
31
1 tsp
5 ml
32
1 tbsp
15 ml
33
1 liquid ounce
30 ml
34
1 pint
480 ml
35
1 gallon
128 oz
36
Mass Board of Pharmacy
Responsible for.... public safety in the drug procurement and dispensing process Licensing pharmacists, interns, techs and tech trainee licensing community, long-term-care, home infusion, nuclear and compounding pharmacy. Hospital pharmacies will be added to BOP licensing drug distributors/wholesalers PSUD
37
Pharmacy intern law
complete 2 years of academic curriculum or standing beyond 2nd year registered by the board under direction of a preceptor practical experience prerequisite for pharmacist licensure exam can engage in full range of activities conducted by pharmacist provided that they are under direct supervision by preceptor, name tag has to say intern
38
Pharm tech law
have name tag that says name and pharm tech can really the pharmacists "offer to counsel" request and accept refill auth as long as no changes cannot perform DUR, provide clinical conflict resolution, contact prescribers to clarify an order or modify therapy, provide patient counseling, validate dispensing, receive new drug orders or transfer prescription
39
Pharmacist to support staff rations
1:4 - pharmacist to support 1 of 4 is certified pharm tech, 1 is intern, or 2 certified tech 1:3 ratio - 1 of three is intern or certified tech clerks, secretaries, messengers and other non pharmacy personal don't count
40
Pharm tech trainee
at least 16 yr old in HS or equivalent no prior convictions have name tag as trainee work up to 1000 hrs if 18 or older before tech registration is required
41
tech check regulation
CPhT can verify inventory management functions using non-patient specific C-6 meds from pharmacy to patient care without verification of pharmacist ex. transferring med from carousel or tallest to Pyxis or omnicell automated dispensing device license healthcare professional must use an electronic device with bar code scanning or other validation at time of admin
42
Preceptors and APPE students
up to 4 interns as long as they aren't processing, verifying or dispensing medications if APPE students are split between multiple medical teams, there needs to be a license pharmacist directly supervising the student on each team
43
Pharmacy manager of record
Make sure pharmacy preceptor are adherent to all ratios ensure all students licensed as interns prior to start of internship ensure interns under direct supervision at all times in event of sick calls or absences, staff schedules must be adjusted accordingly
44
CI
Illegal drugs
45
CII
highly addictive, including narcotics and stimulants no refills, expire 30 day after written In MA, only up to 7 day supply can be dispensed for short term treatment, exceptions for cancer or other long term needs must be documented partial filing of CIIs is allowed, but balance is not allowed to be filled and MD must be notified
46
Handling CII
accountability and security direct responsibility of the pharmacist pharm tech and intern can assist in transporting CII
47
CII inventory requirements
keep perpetual inventory of each controlled substance in schedule II which has been received, dispensed or disposed inventory must be reconciled at least once every 10 days inventory is a written record of the amount of all schedule II which are physically present
48
Expired CIIs
must be inventoried and be separate from in date stock but kept in secure location
49
Filing of prescriptions
CIIs in 1 file CIII-CV in second file Syringed no prescription needed but if one provided, filed separately CVI in third file
50
sale of hypodermic syringes and needle
no limit on number and type of requested syringes and needles no record keeping requirements or limitations pharmacies strongly recommended to stock single unit-of-use syringes for individual sale
51
Collaborative Drug Therapy Management
CDTM passed 2009 agreement between pharmacist and supervising physician allows for extension of current therapy up to 30 days modify drug therapy for certain indications cant diagnose, or prescribe II-V
52
Pharmacist CE requirements
20 hours every year 5 contact hours in sterile compounding 3 hours in complex non-sterile compounding IF pharmacist oversees, prepares products or verify orders that require sterile compounding then.... 5 law hours, 15 hours CE which can include sterile/non-sterile compounding Vaccinators - 5 hours every 2 years
53
Graduate pharmacists
year they graduate, don't have to get CE credit year after, its required graduate from other state must be registered as an intern in MA until they take the MA license exam
54
Naloxone-Opioid OD treatment
All retail pharmacies required to have standing order for naloxone dispensing pharmacies must stock product pharmacist can dispense either based on a prescription or standing order
55
Immunizations
persons 3 years of age or older can get if doctor order and take the training course
56
Pharmacist admin of medications for mental illness or substance abuse disorder
pharmacist or intern can admin to people over 18 need a valid prescription first dose should be admin by or under physicians supervision
57
Drug loss
must be reported to DEA within 1 business day Copy of DEA form 106 must be submitted to BOP MA board report within 7 days Within 30 days, report with investigation results, police reports and other related documentation
58
Drug loss causes
Employee pilferage/diversion break-in lost in transit customer theft Armed robbery Other known or unknown loss
59
MA prescription awareness Tool
prescribers and pharmacists must log into stewed database to determine if patient is filling multiple prescriptions from multiple providers at multiple pharmacies for all C-II,III and benzo
60
Substance Use disorder
pharmacists and other health professionals can be up to 25% rate, general public is 10%
61
MA pharmacy SUD program
For Pharmacists, interns, techs voluntary, confidential 5 year program
62
E prescribing
allowed for CII-CVI sent electronically by physician to a pharmacy selected by the patient
63
Telepharmacy
pharmacy done remote
64
central fill pharmacies
# fill for one or more other pharmacies CII-CV delivered to pharmacy where prescription originated for final dispensing CVI can be shipped to patient

Pharmacy Practice (13 decks)

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