test 3 Flashcards

(56 cards)

1
Q

5 parts of medication use process

A

Medication prescribing, transcribing/verifying the order, medication dispensing, medication administration, medication monitoring

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2
Q

mediation reconciliation

A

identifying most accurate list of medications the patient is taking, name, dosage, frequency, route
current vs list of prescribed meds

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3
Q

nurses station

A

communication center for patient care - medications stored

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4
Q

LPN/LVN

A

Licensed practical/vocational nurse

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5
Q

MSW

A

master of social work

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6
Q

central pharmacy

A

bulk hospital inventory, open 24/7

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7
Q

satellite pharmacy

A

smaller pharmacy, located in patient care units, provides first doses of meds, limited hours

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8
Q

outpatient pharmacy

A

processes prescriptions for patients leaving or visiting the doctor, like retail

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9
Q

formulary

A

selected by healthcare professionals based on therapeutic factors and cost - committee maintains it

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10
Q

closed formulary

A

hospital carries only formulary meds

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11
Q

non-formulary meds

A

not on the formulary - not regularly stocked

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12
Q

P & T committee

A

doctors, pharmacists, nurses, review medications for the hospital formulary, evaluate medication use, provide guidelines and protocols for medications

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13
Q

therapeutic interchange

A

allows the pharmacist to change a medication to therapeutically equivalent formulary medication

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14
Q

CPOE

A

computerized physician order entry

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15
Q

MAR

A

medication administration record: tracks meds administered to a patient

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16
Q

STAT order

A

takes priority over standing and PRN

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17
Q

manual order processing

A

slower, taken by multiple people before pharmacy

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18
Q

automated order processing

A

computer to send orders to the pharmacy computer system

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19
Q

Organization of medications in a hospital

A

usually by ROA then dosage form

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20
Q

unit dose system

A

packaged oral medications for the nursing unit in medication carts- 24 hour supply of drugs for each patient

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21
Q

automated dispensing cabinet

A

most common unit dose medications in that area - nurses can get meds quickly but only after pharmacist reviews and verifies order

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22
Q

TPN

A

total parenteral nutrition - essentials given to patient through IV

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23
Q

TJC

A

The Joint Commission

24
Q

CMC

A

Centers for Medicare and Medicaid

25
DPH
Department of Public Health
26
BOP
State Board of Pharmacy
27
USP
US pharmacopeia
28
DEA
Drug Enforcement Administration
29
OSHA
Occupational Safety and Health Administration
30
code chart
different meds and equipment commonly used in emergency situations each code has a lock to be broken when needed to be used, medication drawer must be replaced, techs fill the med trays and charge the missing medications to the appropriate patients
31
main drivers for home health care services
DRG and hospital reimbursement - pt quality of life better at home - high-tech infusion devices
32
drugs in home infusion therapy
antibiotics, nutrition, chemo, iontropic therapy (inc heart), pain management, other: hydration, steroids, aniemetics
33
pharmacists role in home health care pharmacy
patient admin , care coordination and planning, sterile product prep, clinical monitoring, patient edu, documentation of activities, on-call responsibilities
34
process in home health care pharmacy
Plan, implement, follow-up: monitor and evaluate
35
appropriate therapy and patient selection for home infusion
professional issues: know what drugs are for home admin and how to monitor patients at home, confidentiality and HIPPA social issues: edu level, candidate suitability economic issues cost-effective or alternative treatments for physicians
36
strategic objectives for providing home health care
improve safety and qulity, profitable and charitable relationship, patient and employee satisfaction
37
ambulatory care definition
medical services in outpatient basis without admin to a hospital or other facility
38
settings of ambulatory care
surgical centers, hospital outpatient, offices of physicians
39
role ambulatory care pharmacist
direct patient care and medication management, long-term relationship with patients, coordinate patient care, advocate for patients, promote patient health and wellness, educate patients and train the to self-manage, perform triage and referral services
40
prescriptive authority
limited authority to prescribe certain medications for pharmacists
41
collaborative practice/collaborative drug therapy management (CDTM)
relationship between pharmacists and prescribers to manage drug therapy within a defined protocol
42
requirement of ambulatory care
PGY-1 residency, PGY-2, Board of Pharmacy Specialties (BPS) certification preferred (BPS)
43
MSL responsibilities
form relationships with Key Opinion Leaders (physicians or others with influence) - unbiased exchange of information concentrate on a specific therapeutic area and disease state work through product's lifecycle to ensure products utilized effectively MSL can talk about off-label use and research outside approved FDA indications
44
nuclear pharmacy
prepares and dispenses radioactive material tagged to a pharmaceutical drug - used to diagnose and treat specific diseases
45
CT
computerized tomography detailed picture of body tissues - 3D image
46
MRI
Magnetic Resonance Imaging- structural image created - healthy and diseased tissue- cant use if pt has metal in body - pulse of radio waves cause water molecules in the body to align
47
PET
Positron Emission Tomography, shows actual function of the body, requires radiopharmaceutical: releases two gamma particles at exactly 180 degrees
48
Gamma Imaging
Mo-99 to Tc-99 m, useful for stress test (heart), bone, gall bladder, lung, kidneys
49
where most nuclear pharmacies located
large medical centers, most outside of a hospital or clinic - 14 in AL
50
ALARA
As low as reasonably achievable - special equipment to work
51
training for this area
200 classroom ( contact hours), 500 hours supervised learning
52
LTC facilities
nursing homes, assisted living facilities, intermediate care facilities, group homes, psychiatric, rehabilitation, juvenile detention centers
53
consultant pharmacists
maintain quality assurance, medication distruction, maintain individualized plan for every resident
54
certification of LTC nursing homes and assisted living facilities
every year- every 3 years,
55
beers list
inappropriate for the elderly- undesirable side effects, increased conc on the geriatric patients
56
STOPP
Screeing Tool of Older Person's Potentially inappropriate prescriptions, considers diagnosis, psych status, activities of daily living of the patient to gauge appropriateness of a medication, not the one-size-fits-all approach of the beers list