Question | Answer |
each patient on each care unit has | a designated removable med. drawer |
med. drawers are delivered to each patient care unit in a | unit dose cart |
a unit dose cart is a movable storage unit with | individual patient drawers of med.s on a nursing unit |
the only time unit doses can be returned to stock is if they're | unopened |
packaging costs more but unit doses | save time and money |
unit doses provide increased med. security, reduce errors, reduce nursing staff time, | makes administration, charging, and crediting easier |
unit dose orders are filled by | an automated robotic system in large hospitals |
a robotic arm pulls meds. | transfering it to collection area |
the robots are stocked by | techs |
pharm. staff sometimes must repackage meds to | achieve unit dose |
not all manufacturers prepare | unit dose drugs |
nonstandard doses are sometimes | ordered |
med. specials are also single dose prepared for | a specific patient |
single doses are labor intensive to | prepare |
preparing single doses are usually done | by techs |
a single dose prep that's not commercially available but made for patients are | medication special |
all repackages must have | expiration dates and lot numbers |
all repackages must be | carfully labeled |
the pharm] must legally record/document info on | repackages in a repackaging control log |
a repackage control log is a pharm] for repackages of unit doses containing the | drug name, dose, quantity, manufacturer lot number, expiration dates, & pharmacists/techs initials |
med. orders are regularly filled | every 24 hrs. or less |
the orders go in the | database |
in the database are created | patient-specific unit dose profiles |
a cart fill list has | printouts of all unit dose profiles |
a unit dose profile documents info needed to prepare | unit doses |
the unit dose profile has | patient name and location, med. stength and frequency or administration schedule, quantity, manufacturer lot number, & quantity for order |
a floor stock is | med.s stocked in a secured area on each patient care unit. |
floor stock is an inventory of | frequently prescribed drugs store in patient care unit |
floor stock uses | automated delivery systems |
the automated delivery system allows | secure locked storage, frees nursing time, catches charges for dispensed med.s, & tracks med.s by typing drug, patient, and caregiver |
floor stock is kept up by | the pharm] |
patient care units send reports requesting | replacement inventory |
techs inspect floor stock for | expiration dates, excess inventory, & proper storage |
med. storage fridges must not | keep food |
must lock all | CII drugs |
an audit trial is kept | for each CII drug |
in a CII drug administration records | complete info is kept |
a CII drug administration record is | a manuel/electronic form on the patient care unit to account for each dose of each CII drug that a patient gets |