Lecture 21 Flashcards
(13 cards)
Cabinet Access in the absence of a pharmacist
All drugs must be properly labeled and repackaged in amounts for a maximum of 24 hour use
When removed from cabinet they must be tied to a physician order
Must be reviewed by a pharmacist upon return to duty, not more than 24 hours later
Policies and procedures must be established to implement this section
What must a supervisory nurse record when removing a drug without a pharmacist?
Name and strength
Amount
Date and time
Signature of nurse
A copy of the order
For any emergency drugs, pharmacy policy and procedures must assure the:
Availability
Control
Security
Of emergency drug carts, kits, or boxes in the pharmacy and patient care areas
Procedures must include at minimum:
Determination of drugs and quantities
Labeling and expiration date
Process for restocking
Security measures to prevent unauthorized access
What must a LTCF emergency drug kits label contain?
Drug name
Drug strength or size
Quantity included
Expiration date of the kit
Institutional drug labeling requirements
all drugs besides unit dose packages
patient name
drug name
strength
route of administration
quantity
pharmacist initials
location of patient
Unit-of use packages
drug name
strength
control number and/or expiration date
Sterile Pharmaceuticals: supply requirements
Needles, syringes, and supplies needed for aseptic admixture
disinfectant cleaning tools
antibacterial hand washing agent
disposable towels or wipes
filters and filtration equipment
hazardous drug spill kit
disposable gowns and gloves
Sterile product labeling requirements
date of preparation
pt name and bed number
name of each drug in preparation
expiration date of preparation
who is dispensing preparation
storage requiremtns
Sterile product labeling if patient resides at home MUST ALSO CONTAIN
Prescription number
Prescribers full name
name, address, phone # of pharmacy
directions for use
Facsimile Machines
The receiving fax machine must be located in a nonpublic area of licensed pharmacy
Appropriate offers to counsel
The pharmacist counseling the patient
Pharmacist intern/extern counseling, then making a bona fide offer to pharmacist to counsel
If patient is not present and did not authorize another individual to receive information, a written notice containing pharmacy phone # and bona fide offer
Any person in pharmacy making an offer for pharmacist to counsel
Inappropriate offers to counsel
Making an offer for the patient to ask questions
Shifting responsibility to patient for initiating counseling
Relaying info through an intermediary, unless related to appropriate communication
Using signs or written notice/info given to patient
