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chapter 9
Institutional Pharmacy Practice
| Question | Answer |
|---|---|
| ASAP order | as soon as possible not an emergency |
| Aseptic techniques | 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 | 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 |
| Computerized Physician Order Entry (CPOE) | Computerized order entry Electronic systems that can quickly and clearly transfer patient orders and information to and from the pharmacy |
| 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 electronic health record (EHR) systems; |
| 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 |
| Investigational Drug | A drug that has not been approved by the U.S. 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 know drug allergies |
| 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 intramuscular |
| Periodic Automatic Replenishment (PAR) | A set level of certain medications kept on hospital floors |
| PRN | as needed |
| protocol | standards and guidelines by which a facility operates |
| Pyxis | automes 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 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 (TJC) OR (JACO) | an independent, nonprofit organization that accredits hospitals and other health facilities in the United States; the facility must be accredited to receive Medicare and Medicaid payment |
| Unit Dose | Individualized packaged doses used in institutional practice settings |
| United States Pharmacopeia (USP) | A compendium of drug information, published annually, compromising enforceable guidelines for the safe preparation of sterile products |
| P&P's | Policies and Procedures |
| SOPs | Standard Operating Procedures |
| HEPA | High-Efficiency Particulate Air |
| CACI | Compounding Aseptic Containment Isolator |
| Pneumatic Tube System | Allows a person to send orders and other small items by way or an air-propelled tube. |
| UD | Unit dose |
| The Joint Commission (TJC) | Provides accreditation and inspection for hospitals and healthcare organizations. |
| Centers for Medicare and Medicaid Services (CMS) | Oversees the administration of Medicare and Medicaid programs. |
| Department of Public Health (DPH) | Sets standards for safe operation of hospitals and healthcare facilities. |
| State Board of Pharmacy (BOP) | Inspects pharmacy facilities and ensures compliance with state regulations. |
| ccu | coronary care unit |
| ED or ER | emergency department or emergency room |
| icu | intensive care unit |
| l and d | labor and delivery |
| NICU | neonatal intensive care unit |
| NSY | nursery |
| OB/GYN | obstetrics and gynecology |
| ONCOLOGY | takes care of cancer patients |
| OR | Operating room |
| ORTHO | orthopedics unit, bones or joints |
| PED | pediatrics younger than 14 |
| post op | unit were paitents are kept after surgery |
| PRE OP | before an operation or procedure |
| code red | fire |
| code blue | medical emergency adult |
| code white | medical emergency pediatric |
| code pink | infant abduction |
| code yellow | bomb threat |
| code gray | combative person |
| code silver | person with weapon and or hostage situation |
| code orange | hazardous materials spill/ release |
| code triage internal | an internal disaster |
| code triage external | an external disaaster |
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