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INSTITUTIONAL PHARM.
Institutional Pharmacy Practice Final Exam Review
| Term | Definition |
|---|---|
| standing order | Order is a written protocol for drugs to be administered or treatments to be provided in a specific situation. |
| medication order | Prescription written for administration in a hospital or institutional setting. |
| Stat order | Is a medication order that must be immediately filled, it must be filled as quickly as possible to prepare the dose, usually within 5 to 15 minutes. |
| eMAR | Electronic medication administration record |
| What are the steps when performing Medication Reconciliation ? | (1) Developing a list of current medications. (2) Developing a list of medications to be ordered/prescribed. (3) Comparing the information on the two lists. (4) Making clinical decisions. (5) Communicating the new list to appropriate individuals. |
| Solvent | The greater portion of a solution that dissolves a solute. |
| Compounding | Is the act of mixing, reconstituting, and packaging a drug. |
| CPS | Compounded sterile preparations |
| MDV | Multidose vial |
| PCA | Patient-controlled analgesia |
| What is the other term for Health care - associated infections ? | Nasocomial infections |
| USP <797> regulations state that compounding should take place within an ____________clean room ? | An ISO Class 8 or better |
| Critical Site | Is an area exposed to air or touch, such as a vial, needle, or ampule. |
| Examples of hazardous products | Radioactive compounds |
| anteroom | Is the room adjacent to the clean or buffer room . |
| HEPA | High-efficiency particulate air Used in IV preparation hoods. Traps all particles larger than 0.2 micron. |
| Formulation Record | Includes a list of ingredients, preparation methods, safety requirements, BUD information, and references for the preparer. |
| Compounding record | Is a record of finished compounds and includes all ingredients in the mix, BUD date assigned, the preparer, and assigned lot numbers. |
| What is the sequence in donning PPEs? | Shoe covers, head and facial hair covers, face masks/eye shields, gloves |
| How to handle Controlled Substance is an institutional Setting ? | After the technician has confirmed the pharmacy-controlled substances' count for the day, he or she must sign out each drug onto a dispensing sheet that is used to deliver the controlled substances. A pharmacist must check all narcotics before they leave |
| What percent isopropyl alcohol should be used when cleaning a horizontal laminar airflow hood? | 70% |
| What special consideration(s) must be addressed when preparing a nitroglycerin (NTG) IV? | Must be placed in a glass container. |
| Coring | When a needle bevel shear off a small piece of medication vials rubber stopper, causing the fragment to float into the liquid. |
| What are the reasons to compound medications? | The medication is no longer manufactured by the drug company; the patient is allergic to a preservative, dye, or other additive in the normal drug; a specialized dosage or strength is needed for a patient with unique needs; combining several medications |
| What type of IV hoods can be used to prepare chemotherapy medications? | Vertical flow hood Biological safety cabinet |
| Sharp containers | They are required for the disposal of needles and syringes. They should be replaced when two-thirds full. They must be picked up or delivered to an approved red bag or medical waste treatment site. |
| How long does a horizontal flow hood need to run before performing any IV preparations? | 30 minutes |
| Bore | Term means the opening of a needle. |
| According to USP <797>, how often must media-fill tests be performed? | At the time of hire Annually for low- and medium-risk compounding levels Twice a year for high-risk compounding levels |
| USP <797> | Contains guidelines that apply to Pharmacists and pharmacy technicians, nurses and physicians. |
| Which type of hood provides the most protection for the preparer? | Glove Box |