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Chapter 9
Institutional Pharmacy Practice
| Question | Answer |
|---|---|
| ASAP order | As soon as possible but not an emergency |
| Aseptic technique | Procedures used in the sterile compounding of hazardous and nonhazardous materials to minimize the introduction of microbes or unwanted debris that could contaminate the preparation |
| Automated dispensing system (ADS) | Computerized cabinets and integrated systems that control inventory on nursing floors, in emergency departments, and in surgical suites and other patient care areas |
| Computerized physician order entry (CPOE) | Computerized order entry |
| Crash carts | Moveable carts containing trays of medications, administration sets, oxygen, and other materials used in life-threatening situations such as cardiac arrest; also known as code carts |
| Electronic medication administration record (E-MAR) | A computer program that automatically documents the administration of medication into certified (EHR) systems; the report serves as a legal record of medications administered to a patient at a facility by a health care professional |
| Floor stock | Drugs not labeled for a specific patient and maintained at a nursing station or other department of the institution (excluding the pharmacy) for the purpose of administration to a patient of the facility |
| Formulary | A list of drugs approved for use in hospitals by the pharmacy and therapeutics committee of the institution that have become the standard stock carried by the pharmacy and other departments |
| Institutional pharmacy | A pharmacy in facilities where patients receive care on site (eg, hospitals, extended-living homes, long term-care, and hospice facilities); institutional pharmacies are also found in government-supported hospitals run by the VA, IHS, and the BOP |
| Investigational drug | A drug that has not been approved by the US Food and Drug Administration (FDA) for marketing but is in clinical trials; also, an FDA-approved drug seeking a new indication for use |
| Medication order | A prescription written for administration in a hospital or institution |
| NKA | No known allergies |
| NKDA | No known drug allergy |
| Nonformulary medications | Drugs that are not approved for use within an institution unless specific exceptions are filed and accepted by institutional protocols |
| Parenteral medication | Medication that bypasses the digestive system but is intended for systemic action; the term parenteral most commonly describes medications given by injection such as intravenously or intramuscularly |
| Periodic automatic replenishment (PAR) | A set level of certain medications kept on hospital floors |
| PRN | From the Latin term pro re nata, meaning "as needed" |
| Protocol | A set of standards and guidelines by which a facility operates |
| Pyxis | An automated dispensing system often used in hospitals |
| Satellite pharmacy | A specialty pharmacy located away from the central pharmacy, such as an operating room (OR), emergency department (ED), or a neonatal pharmacy; satellite pharmacies typically are staffed by a pharmacist and a pharmacy technician |
| Standing order | Written procedure for drug or treatment that is to be used in a specific situation |
| Stat order | A medication order that must be filled immediately, as quickly as is safely possible to prepare the dose, usually within 10 to 15 minutes |
| SureMed | An automated dispensing system often used in hospitals |
| The Joint Commission | An independent, nonprofit organization that accredits hospitals and other health care facilities in the United States; the facility must be accredited to receive Medicare and Medicaid payment |
| Unit dose (UD) | Individualized packaged doses used in institutional practice settings |
| United States Pharmacopeia (USP) | A compendium of drug information, published annually, comprising enforceable guidelines for the safe preparation of sterile products |
Created by:
Alomdra