Hosphar

Question 1

The provision of distributional and clinical pharmacy services at a broad range of institutional settings: hospital, long-term care, hospice, correctional facilities Etc.
At one time, it was referred exclusively to service in hospital pharmacies

Answer 1

Institutional Pharmacy practice

Question 2

A critical phase where pharmacists play a vital role. Includes reviewing laboratory values that are correlated with the expected medication therapy outcomes, as well as other objective and subjective factors that indicate whether the therapy is effective, or may be having a toxic effect

Answer 2

Monitoring

Question 3

The operational structure that defines who an where pharmacists practice, including the type of drug distribution system used, the layout and design of the departments, how pharmacists spend their time, practice functions, and practice priorities.

Most important factor in determining the role and effectiveness of pharmacy department

Sets stage and defines the roles

Answer 3

Practice models

Question 4

Are chiefly involved in clinical activities associated with medical teams.

Answer 4

Clinical pharmacists

Question 5

Spend most of their time in drug distribution, reviewing orders and verifying the accuracy of medication preparation by technician

Answer 5

Distributive pharmacists

Question 6

In this model, clinical pharmacists accept little or no responsibility for the medication use or delivery system.

Primary responsibility is to assist physicians and other health professionals in avoiding and solving clinical problems

The latter are selectively accountable term-18for the medication use process (Clinical and Distributive pharmacists)

Answer 6

Clinical-Pharmacists-Centered Model

Question 7

In this model, all pharmacists in the department accept responsibility for all elements of the medication use process and therefore spend their time on both clinical and distributive functions.

Most distribution tasks are delegated to well-trained pharmacy technicians .

Pharmacists are able to expand their clinical toles.

pharmacists exhibit a High degree of ownership and accountability

Answer 7

Patient centered integrated model

Question 8

Three major types of Pharmacy practice models

Answer 8

Drug distribution centered, Clinical pharmacist centered, Patient centered integrated

Question 9

Responsible for the preparation of medications, either directly or through supervising the preparatory work of pharmacy technicians

Answer 9

Pharmacists

Question 10

most traditional role; Play an important role in verifying that medications are prepared correctly and are dispensed accurately

Answer 10

Dispensing pharmacists

Question 11

Usually serve as the supervisor for pharmacy activities or as the director for the pharmacy department

Answer 11

Pharmacists in management

Question 12

Other roles of pharmacists

Answer 12

Informatics, investigational drug services, research, sterile compounding, emergency care

Question 13

Integral in the purchasing, stocking, preparation, and compounding of medication which are all under the direct supervision of the pharmacists

Answer 13

Pharmacy technicians

Question 14

It is intended to serve as a basic guide for the provision of pharmacy serves in hospitals by outlining a minimum level of services that most hospital pharmacy departments should consistently provide

Answer 14

Minimum Standards of Practice ASHP Guidelines: Minimum standards for pharmacies in hospitals

Question 15

These are critical to safe, effective, and cost conscious medication use in a hospital.

Answer 15

Elements of care

Question 16

Elements of care (9)

Answer 16

Practice management
Medication-use policy development
Optimizing medication therapy
Drug Product procurement and Inventory management
Preparing, packaging, and labeling medications
Medication delivery
Monitoring medication use
Evaluating the effectiveness of medication use system
Research

Question 17

Ensure that quality pharmaceutical care is provided through application standards and methods of which the patients are the prime beneficiary.

Answer 17

Minimum standards of practice DOH hospital pharmacy management manual

Question 18

States that the traditional role of pharmacists in drug product preparation and dispensing broadens to patient care approach

Answer 18

Sec 4. RA 10918

Question 19

Services of hospital pharmacy (7)

Answer 19

Dispensing, clinical pharmacy, drug information service, compounding, training, research, administrative

Question 20

Integrate all care under the umbrella of a central organization.
Includes inpatient/acute care, primary//outpatient care, long-term care and home care

Answer 20

Integrated health systems

Question 21

Are collection of organizations and institutions whose mission is to positively impact health outcomes.
Made up of independent entities that are unified

Answer 21

Health systems

Question 22

Pharmacist Roles in the medication use process

Answer 22

Prescribing, Transcribing, dispensing, administration monitoring

Question 23

Often viewed as something that only physicians are authorized to do. Pharmacist duty is to influence this part of medical practice of other health professionals. They act as information resources about medications in this role in the medication process.

Answer 23

Prescribing

Question 24

It is the process by which a prescriber’s written order is copied and either manually or electronically entered into pharmacy records. They must understand potential breakdowns in this process and help find ways to minimize errors

Answer 24

Transcribing

Question 25

Act of physically transferring the drug product following review and approval of the prescription to the area responsible for administering the medication to the patient. Errors in this process are not limited to wrong drug, wrong dose, or wrong dosage forms

Answer 25

Dispensing

Question 26

It is typically managed by nurses. The last step before patients are given their medications, and errors at this point cannot be corrected.

Answer 26

Administration

Question 27

Pharmacists help improve of medication administration by? (3)

Answer 27

Clearly labeling medications, using bare code systems, unit dose packaging

Question 28

usually serve as the final check in the medication use process

Answer 28

Nurses

Question 29

In this practice model, pharmacists primarily distribute drugs and process new medication orders Have reactive role where they respond to request of physicians and nurses but rarely initiates major changes in the therapy They are nor actively involved with the health care team or in the development of therapeutic plans for the patient They are not accountable for the health outcomes of the patient Exerts little leadership influence

Answer 29

Drug-distribution-centered model

Question 30

Are likely to serve on interdisciplinary patientcare teams, and interact directly with patients. They usually have clinical pharmacy training and often have completed a pharmacy residency

Answer 30

Clinical pharmacists

Question 31

Provide clinical pharmacy services to a wide range of patients

Answer 31

Generalist

Question 32

Have defined expertise in one or more areas

Answer 32

Specialists

Question 33

The pharmacist has both dispensing and clinical roles. Most prevalent role in institutional practice

Answer 33

Integrated practice

Question 34

Are about providing high quality patient care by bringing expertise on medicines to the healthcare team. It is about ensuring safe and effective use of medicines, and ensuring that resources are widely used- cost-effective use of medicines Includes talking to patient about their drug regimen, checking their understanding in the use of their medicines, involving them in the decision making process regarding their medicine

Answer 34

Hospital Pharmacy Practice

Question 35

Vital role of Hospital Pharmacists in Practice

Answer 35

Provision of safe, effective, and quality pharmaceutical products, Pharmaceutical care Patient medication counseling Health promotion