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chapter 9 part 2

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