lesson 8

Question 1

Authority within the hospital pharmacy will be designated to the following personnel:

Answer 1

 Chief Pharmacist
 Assistant Pharmacist
 Supervising Pharmacist (at dispensing area)
 Pharmacist in charge of supplies

Question 2

Depending on the time and circumstances of the disaster, they shall decide whether additional personnel
shall be called in.

Answer 2

Head of the Pharmacy Service or his/her representative

Question 3

They may be required to come in, however, no personnel should come in unless specifically notified by telephone or other communications that they are
needed.

Answer 3

Off-duty personnel

Question 4

 A strong possibility of a military operation, e.g. a coup attempt;

Answer 4

DISASTER CODE WHITE

Question 5

 Any planned mass action or demonstration within the area;

Answer 5

DISASTER CODE WHITE

Question 6

 National or local elections plebiscites;

Answer 6

DISASTER CODE WHITE

Question 7

 National holidays or celebration like Christmas, New Year’s Eve, Labor Day, Independence Day, All Saint’s Day, Holy Week. Etc.,

Answer 7

DISASTER CODE WHITE

Question 8

 Other conditions which may be declared as disaster.

Answer 8

DISASTER CODE WHITE

Question 9

When the pharmacy is notified of this alert, the pharmacy disaster plan is implemented only as notification of
proper personnel on standby and on the preparation of supplies.

Answer 9

Code White

Question 10

 Is proclaimed when 20-50 casualties (red tag) are expected or suddenly brought to the hospital.

Answer 10

DISASTER CODE BLUE

Question 11

Once this has been announced, all notified personnel should return to the pharmacy immediately.

Answer 11

Code Blue

Question 12

The supervisor of the dispensing area shall immediately assemble supplies for transport of the designated Disaster
Holding and Evaluation Area (DHEA) in the hospital.

Answer 12

DISASTER CODE BLUE

Question 13

The pharmacist shall take supplies on a cart and stay to dispense supplies, maintain records and secure additional
supplies as needed.

Answer 13

DISASTER CODE BLUE

Question 14

During disaster code BLUE, to replenish the supplies on the cart (if needed) and to maintain contact between the acute care and the pharmacy, one pharmacy staff shall be designated as “___”

Answer 14

runner

Question 15

• Is proclaimed when more than 50 (red flag) casualties are momentarily anticipated or expected or suddenly brought to the hospital.

Answer 15

DISASTER CODE RED

Question 16

• At this point, additional pharmacy personnel shall be called-in to help.

Answer 16

DISASTER CODE RED

Question 17

• Additional drug carts may be taken to the Disaster Holding and Evaluation Area (DHEA).

Answer 17

DISASTER CODE RED

Question 18

 The pharmacist shall take care of dispensing the necessary drugs and medical supplies. While the clerks or other pharmacy support personnel shall take care of the recording requirements.

Answer 18

DISASTER CODE RED

Question 19

 The pharmacist in charge of supplies shall assess the current stock balance and may decide to procure more or acquire additional stock through net-working.

Answer 19

DISASTER CODE RED

Question 20

They are the most common institutions that use color codes to designate emergencies.

Answer 20

HOSPITALS

Question 21

Law enforcement agencies like: ___
may also use variations on these emergency codes.

Answer 21

schools, and other types of
healthcare facilities (such as skilled nursing homes)

Question 22

Hospitals often use ___ to alert their staff to an emergency or other event. These codes can be communicated through an intercom in the hospital or directly to staff using communication devices.

Answer 22

code names

Question 23

These are coded messages often
announced over a public address system of a hospital to alert staff to various classes of on-site emergencies.

Answer 23

Hospital emergency codes

Question 24

The use of codes is intended to ___ and with minimal misunderstanding to staff while preventing stress and panic among visitors to the hospital.

Answer 24

convey essential information quickly

Question 25

 Such codes are sometimes posted on placards throughout the hospital or are printed on employee identification badges for ready reference.  Codes allow trained hospital personnel to respond quickly and appropriately to various events. The use of codes can also help prevent concern or panic by visitors and people being treated at the hospital.

Question 26

The most common hospital codes are though use of these codes isn’t standardized in the United States.

Answer 26

code blue, code red, and code black

Question 27

A hospital emergency code that indicates a medical emergency such as cardiac or respiratory arrest.

Answer 27

Code blue

Question 28

A hospital emergency code that indicates fire or smoke in the hospital.

Answer 28

Code red

Question 29

A hospital emergency code that typically means there is a bomb threat to the facility.

Answer 29

Code black

Question 30

Hospital Emergency Code Purple

Answer 30

Hostage Taking

Question 31

Hospital Emergency Code White

Answer 31

Actual or Potential Violent Behavior

Question 32

Hospital Emergency Code Yellow

Answer 32

Missing Patient

Question 33

Hospital Emergency Code Green

Answer 33

Evacuation

Question 34

Hospital Emergency Code Orange

Answer 34

External Disaster

Question 35

Hospital Emergency Code Grey

Answer 35

Infrastructure Loss / Air Exclusion

Question 36

Hospital Emergency Code Brown

Answer 36

Hazardous Material Spill / Leak

Question 37

Healthcare Emergency Color Blue

Answer 37

Medical Emergency

Question 38

Healthcare Emergency Color Red

Answer 38

Smoke/Fire

Question 39

Healthcare Emergency Color Orange

Answer 39

Evacuation

Question 40

Healthcare Emergency Color Yellow

Answer 40

Internal Emergency

Question 41

Healthcare Emergency Color Brown

Answer 41

External Emergency

Question 42

Healthcare Emergency Color Purple

Answer 42

Bomb Threat

Question 43

Healthcare Emergency Color Black

Answer 43

Personal Threat

Question 44

It is the most universally recognized emergency code. It means there is a medical emergency occurring within the hospital.

Answer 44

Code Blue

Question 45

Healthcare providers can choose to activate a code blue, typically by pushing an emergency alert button or dialing a specific phone number, if they feel the life of the person they are treating is in immediate danger. Many hospitals have a code blue team who will respond to the code blue within minutes. The team is comprised of:

Answer 45

• Doctors • Nurses • Respiratory therapist • Pharmacist

Question 46

 There are a number of other codes hospitals may use to indicate emergency situations.  These codes can vary more widely from facility to facility, so one color may have differing or conflicting meanings at different hospitals.

Question 47

Critical Medical Emergency Code Blue

Answer 47

Medical Emergency (Adult)

Question 48

Critical Medical Emergency Code White

Answer 48

Medical Emergency (Pediatric)

Question 49

Critical Medical Emergency Code Red

Answer 49

Smoke/Fire

Question 50

Critical Medical Emergency Code Pink

Answer 50

Infant Abduction

Question 51

Critical Medical Emergency Code Purple

Answer 51

Child Abduction

Question 52

Critical Medical Emergency Code Yellow

Answer 52

Bomb Threat

Question 53

Critical Medical Emergency Code Gray

Answer 53

Violent or Combative Individual

Question 54

Critical Medical Emergency Code Silver

Answer 54

Weapon/Hostage

Question 55

Critical Medical Emergency Code Orange

Answer 55

Hazardous Material Spill

Question 56

Critical Medical Emergency Code Green

Answer 56

Patient Elopement

Question 57

The role of the pharmacist as a member of the Emergency Department Team involved in all areas of “normal” clinical pharmacy practice, plus other areas specific to the ___.

Answer 57

Emergency Department

Question 58

 The role of the pharmacist as a member of the Emergency Department Team involved in all areas of “normal” clinical pharmacy practice, plus other areas specific to the Emergency Department.  These include advice and support in:

Answer 58

emergency toxicology reporting adverse drug reactions preparation of drugs during an arrest

Question 59

It is also a high priority and the pharmacist is often requested to provide presentations, help write protocols, and assist with professional development programs.

Answer 59

Education

Question 60

Firstly, because the large majority of medication errors occur in the prescribing and administration phases of the medication-use process. Moreover, it is critical for pharmacists to be involved in direct patient care activities.

Answer 60

Direct Patient Care Rounds

Question 61

____ in the emergency department must comply with federal, state, and local regulations and accreditation requirements.

Answer 61

Medication order review

Question 62

Medication order review in the emergency department must comply with ___,___,___ regulations and accreditation requirements.

Answer 62

federal, state, and local

Question 63

The development and assessment of monitoring parameters related to medication therapy are essential steps in the medication-use process.

Answer 63

Medication Therapy Monitoring

Question 64

A number of high-risk medications and procedures are utilized in the emergency department.

Answer 64

Patient Care Involving High-Risk Medications and Procedures

Question 65

Pharmacists should be present during all resuscitations in the emergency department.

Answer 65

Resuscitation

Question 66

Medication procurement in the emergency department presents challenges that differ significantly from those in other areas of the hospital.

Answer 66

Medication Procurement and Preparation

Question 67

The most common cause of medication errors is a lack of information related to medication therapy.

Answer 67

Medication Information

Question 68

Research on pharmacist interventions in the inpatient setting has demonstrated improvement in patient outcomes through optimized pharmacotherapy regimens, improved monitoring of medication therapy. In addition to, avoidance of adverse medication events.

Answer 68

Documentation

Question 69

Essential Role of Pharmacists

Answer 69

• Direct Patient Care Rounds • Medication Order Review • Medication Therapy Monitoring • Patient Care Involving High-Risk Medications and Procedures • Resuscitation • Medication Procurement and Preparation • Medication Information • Documentation

Question 70

 Hospitals have traditionally acknowledge their responsibility to have developed plans for handling mass casualty emergencies in accordance with their responsibility to provide the best possible care and treatment to the communities they serve.

Answer 70

 Each type of disaster, natural, accidental, or nuclear, requires specific personnel and material resources and facilities different from one another.

Question 71

Drugs to be stored in the Refrigerator

Answer 71

Regular Insulin Anti Tetanus Serum Tetanus Toxoid

Question 72

Drugs to be stored in Locked Cabinets

Answer 72

Diazepam Morphine Sulfate Pethidine Hydrochloride Phenobarbital Sodium