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Cengage Ch. 11
Study Guide PhT 4 Week 3
| Question | Answer |
|---|---|
| What is the title of the hospital pharmacy's leadership position? | Pharmacy Director |
| How often is a PRN medication administered? | Given only in response to a specific parameter |
| What must a medication order in a hospital contain? | A patient's known drug allergies. |
| In a hospital setting, how are medications ordered by the physician? | Through medication orders. |
| What are 2 types of medication orders that may be encountered in a hospital? | Scheduled medication orders, and PRN (as needed) medication orders. |
| What is a disadvantage of the floor stock system? | Potential for medication errors. |
| What dosage form of medication is not required to be sterile prior to administration? | Sublingual tablets |
| What is not a common feature of the unit dose system of drug distribution? | bulk bottles can be used for more than one patient. |
| What system of purchasing medications would a large hospital probably use? | Independent purchasing |
| What is an advantage of the unit dose drug distribution? | improved medication control. |
| What is the target for inventory turnover rate? | 10 to 12 times per year. |
| What are the results of the automated processing of medication orders? | generation of patient profiles, medication labels being produced, medication administration records being produced. |
| The scope of pharmaceutical services provided by hospitals is limited largely by what issue? | personnel shortages. |
| What is a role for a pharmacy technician in a hospital setting? | Setting up unit doses. |
| Where should the preparation and mixing of sterile drug products in the pharmacy be done? | in a laminar airflow hood. |
| How often are Policies and Procedure Manuals revised? | At least every year. |
| What is the name of the organization that requires policies and procedures to guide the pharmacy department in providing safe, effective, and cost-effective drug therapy? | The Joint Commission on Accreditation of Healthcare Organizations (JCAHO). |
| What is the name of the agency that inspects and approves hospitals to provide care for Medicaid patients? | The Centers for Medicare and Medicaid (CMS). |
| What type of policies and procedures are related to the control of human resources and with relationships with other departments and the administration? | Administrative policies and procedures. |
| The practice of hospital pharmacy begins with what aspect? | The medication order. |
| What statement is false about the advantages of using the unit dose drug distribution system? | Increased drug discounts. |
| What type of purchasing are large institutions more likely to use? | independent purchasing. |
| The sterile product is usually associated with drugs that are administered by which two routes? | Injection or via the the ophthalmic route. |
| What statement is false about automation? | It issues recertification. |
| The pharmacy technician recertification requires 1 hour being focused on what subject? | Pharmacy law |
| Which kind of drug distribution has become the preeminent method used by hospital pharmacies? | The Unit Dose System |
| What is the term that is defined as medications given under the direction of a research protocol? | Investigational medication orders |
| What is a Group purchasing (GPO)? | When multiple negotiate volume purchases |
| In the hospital pharmacy, who determines which medications will be purchased and maintained in stock? | Pharmacy and Therapeutics Committee (P&T) |
| What is the name of the organization that inspects and approves institutions to provide Medicaid and Medicare services? | Centers for Medicare and Medicaid |
| Which term is best described as creating the ability to process large volumes of medication orders accurately and quickly? | Automation |
| Failure to understand how the billing process works will cause what problems? | Coverage, reimbursements, and payment |
| What is the term defined as a system in which the physician enters the medication order into the hospital information system? | Computerized Physician Order Entry System (CPOE) |
| What is the typical route of administration for hospital patients? | injection |
| What is the name of the document that outlines the guidelines for operation of a hospital pharmacy? | Policy and Procedure Manual |
| What type of order is- Dextrose 5% and 0.45% NaCl IV at 82 mL per hour? | A scheduled IV solution order |
| What type of order is- Levaquin 500 mg PO Q24h | A scheduled oral medication order |
| What type of order is- Tylenol 650 mg PO Q8h as needed | oral PRN medication order |
| What type of order is- Epinephrine 1 mg IV now for asystole | emergency medication order |
| What type of order is- Enalapril 5 mg IV Q6h | scheduled IV medication order |
| What type of order is- Morphine 5 mg IV as needed for pain | intravenous PRN medication order |
| Which term is defined as a system in which the physician enters the medication order into the hospital information system? | Computerized Physician Order Entry System |
| What is the leadership position in hospital pharmacies titled? | Director of Pharmacy |
| Which federal act prompted widespread use of computerized physician order entry system (CPOE)? | 2009 federal HITECH Act |
| What penalties were instituted for noncompliance when it comes to the CPOE systems? | Up to $1.5 million |
| What are 10 items that should be on a prescription label for a medication dispensed in a hospital? | patient name, patient's medical record number, patient's room number, name of prescriber, date of dispensing, name of drug, drug strength, quantity of the drug dispensed, dosage directions, and expiration date. |