PTCB Book Ch 3 Flashcards
(34 cards)
What are LASA Drugs?
Look Alike and Sound Alike Drugs
What are high alert medications?
Medications that have the potential to cause significant harm if an error is made.
Some examples of high alert meds include?
a.) IV Adrenergic Agonists
b.) IV Adrenergic Antagonists
c.) Anesthetics
d.) IV Antiarrhythmics
e.) Antithrombotic Agents
f.) Chemo
g.) Dextrose Solutions > 20%
h.) Dialysis
What are the three types of balances used in a pharmacy?
1.) Class III Torsion Balances
2.) Electronic Balances
3.) Analytical Balances
What do INFUSION Pumps do?
Deliver Large Volumes of bagged fluids to a patient
What do Syringe Drivers/Pumps do?
Deliver small volumes of fluid to a patient directly from a compatible disposable syringe.
What are Infusion Pumps used for?
Administer set volumes of IV fluids to patients
How do manufacturers help patients with low economic status?
By offering copay assistance cards for patients with private insurance.
Manufacturer Copay Cards are not allowed to be used by patients who?
Have Government Insurance (Medicare, Medicaid, Tricare)
Repackaging bulk medications can help pharmacies by?
Reducing Errors
What must the repackaging log contain?
a.) Date of repackaging
b.) Drug name, strength, and dosage form
c.) Quantity of drug repackaged
d.) Manufacturer’s name
e.) Lot number and Manufacturers expiration date
f.) Beyond-use date
g.) Initials of pharm tech who repackaged it
h.) Initials of pharmacist who checked the repackaged meds
The repackaged medications must be labeled with?
a.) Generic name of drug
b.) drug strength and dosage form
c.) manufacturer’s name and lot number
d.) expiration date of repackaged product
e.) Special Handling Instructions
What is a medication error?
Any preventable med event that has the potential to lead to med misuse or patient harm
Common causes of med errors include?
a.) LASA drugs
b.) error-prone abbreviations
c.) alert fatigue
d.) human error
e.) distractions
f.) multitasking
g.) not using barcodes
What is alert fatigue?
The computer bugs you with alerts to the point that you ignore all alerts
What are some strategies to prevent common med errors?
a.) Verify patient ID by using 2 forms of ID
b.) Maintain up-to-date records of patient info
c.) If prescription makes no sense, alert pharmacist
d.) Verify prescription info with patient
e.) Only work on one patient’s prescription at a time
f.) Use baskets to keep folks crap separate
g.) Keep shelves tidy
h.) Keep LASA drugs apart from each other
I.) Check NDCs of prescription match the bottle
j.) Avoid error-prone abbreviations
k.) use tall man lettering
What technology helps reduce med errors?
a.) take notice of computerized alerts
b.) Use barcode scanning tech
c.) prefill prescription info
d.) Use Dispensing Robots
e.) patient Electronic Profile
f.) Use the linking of pyxis machines
What abbreviations should you not use?
a.) U
b.) IU
c.) QD, QOD
d.) chemical Abbreviations
e.) Drug name abbreviations
f.) Trailing Zeros
g.) Lack of leading zeros
How many times should you read labels?
3 times
How do you prevent future med errors?
Collect and analyze med error data to review later and come up with a solution
How do you measure productivity in pharmacies?
Prescription counts and time spent on receiving orders
How do you measure customer satisfaction in pharmacies?
By having annual customer, prescriber, and healthcare providers satisfaction surveys
What are pharmacy techs not allowed to do?
a.) NO medical advice
b.) No receiving verbal or telephone prescription orders
c.) No preforming clinical reviews of prescription orders
d.) No discussing Clinical interventions with the prescriber
e.) No drug utilization reviews
f.) No patient counseling
g.) No accuracy checks
h.) No administering immunizations
I.) No transferring prescriptions to another pharmacy
What is an automatic stop order?
when a prescriber doesn’t specify a duration of therapy on the med order so the order is stopped after a specified time, # of days, or number of doses
