Administration and Management of the pharmacy Flashcards
what is FOCUS-PDCA used for? what does it stand for?
used to improve quality and reduce errors for continuous quality improvement
orange book - what is it
approved drug topics with therapeutic equivalence evaluations (generic drugs)
red book - also called? what is it?
pharmacy’s fundamental reference - drug pricing
united states pharmacopeial convention’s pharmacopeia (USP) - what is it? (3) when was it made a legal standard?
standards of strength, purity, and quality of drugs
1907
drug classes are grouped by
chemical structure
what are indications of a drug
purpose of the drug
what is the most common tertiary source?
package inserts
what are tertiary sources
secondary sources
primary sources
3 = general sources like textbooks, database, review articles
2 = publications that require subscriptions
1 = publications in original form (ex peer reviews) accessed by pharmacists and clinical research experts
What is OSHA? what do they do? what are standards set for PTs (9)
occupational safety and health administration - establishes safety regulations & training
What does MSDS stand for? What is it? What do the symbols stand for?
material safety data sheet - an inventory list of hazardous materials found in pharmacy setting
a ____ must be established to keeping and maintaining MSDS. What is included? (5)
hazard communication plan
-identification and location of the hazard
-location MSDS & hazard-related info
-how to read chemical labels/hazard signs
-PPE use and location
-management of spills/decontamination procedure
what does the bloodborne pathogens standard do?
reduce HIV/hepatitis cases
what is the exposure control plan
outlines how pharmacy handle exposure to blood, bodily fluids, other infectious agents
exposure controls defined by OSHA include engineering and work practice controls. what are they?
engineering - devices such as eyewash stations, needleless systems biohazard symbols, etc
work - universal precautions, disinfection procedures, handling of spills
what does universal precautions include? (8)
aseptic technique/handwashing
use of PPE
barrier precautions
standards for handling sharps
spill clean up
equipment disinfection
disposal biohazards
housekeeping
what are the cytotoxic disposal guidelines? (10)
-waste indicated by a C with cytotoxic underneath
-leak-proof container
-lids remain closed
-automatic locks for bins
-storage area also secured
-sharps disposed in sharps container
-waste incinerated between 800 and 1200C
-diposal spill kit ready at all times
-those transporting cytotoxic waste must be trained
-separated from biohazardous waste
what are some (3) workplace controls to keep cytotoxic waste off?
skin surfaces covereed by tucking cuff into glove
safety glasses
chemotherapy respiratory masks
READ
in case of spills, PT should
what is a ergonomic hazard
hazard due to workplace design & computer use
what is ALARA? what are its 3 major factors?
practice of keeping exposure to radioactive materials As Low As Reasonably Achieveable
time, distance, shields
what does inventory management consist of? (5)
maintaining stock, inventory storage, repackaging, disposal, distribution
what is a PAR level? what are some examples of systems that maintain PAR?
periodic automatic replenishment - consists o keeping track min and max level of drug to be available at all times
barcode tech, pareto ABC systems, just-in-time inventory system
what are possible reasons of a recall? (5)
defective product, contaminations, incorrect labeling, FDA interference, improper production
recalled drugs must be ___ (4)
pulled from shelves
documented
returned
notify manufacturer & FDA of compliance
true or false
out of stock recalled products still have to fill out recall form
true
if a recalled product has been dispensed to a patient, pharmacy must ___ (2)
contact patient, have them return in to the pharmacy
what are the 3 recall levels?
class 1 - product can cause adverse events
class 2 - product can cause temporary health problems with a remote possibility of a adverse health event
class 3 - product not likely to cause adverse event but still violated FDA regulations
when there is a minor product violation that does not require legal action, ___ must be enacted to correct the violation
FDA market withdrawls
some reasons for drug shortages include (6)
natural disasters, lack of raw materials, manufacturing difficulties, regulatory issues, recalls, changes in formulation
what are counterfeit drugs
any drug made by non-manufacturer by imitating the drug without permission
what is a want book (3)
keeps tracks of drugs running low/run out, uncommon drugs not stocked, special orders
what is special ordering for? (4)
specific drugs (investigational, controlled, cytotoxic, hazardous drugs)
system of purchasing in which the pharmacy and wholesaler establish a relationship
prime vendor purchasing
once received drugs are verified (quantity, NDC, order number), PT signs the ___
wholesaler’s recorded invoices
what are some reasons to return drugs (5)
expired, recalled, unneeded, defective, damaged
what should be on the return form for drugs (4)
purchase Number, item number, quantity, reason for return
when stocking/sorting drugs
- drugs are stocked by ___ name in pharmacies and ___ in hospitals
- ___ (4) must be separated
- drugs must be rotated: ___
pharmacies = brand; hospital = generic
separated based on the route of administration, controlled substance locked away, SALAD drugs separated cytotoxic in safety cabinet
rotated so old in front new in back
pharmacies use stock bottles because
hospitals use blisters because
bottles because higher quantities of meds
blisters because prepare meds for individual patients
Which pharmacy automation helps maintain an accurate accounting of controlled substances?
centralized narcotic dispensing and tracking devices
the five rights for medication administration
: the right patient, the right drug, the right dose, the right route, and the right time.
enforce laws and regulations under the Controlled Substances Act (CSA
.Department of Health and Human Services, DEA, FDA (not EPA)
