Hospital Pharmacy Powerpoint Flashcards
Model A
Operations
__________
Compounding
Management
Clinical
Model B
_____________
Decentralized
Management
Centralized
Operations/Staff Pharmacist (Centralized)
Responsibilities
_______medication orders
Prepare/check IV __________
________ inpatient pharmacy technicians and interns
Check medications prior to distribution to the floors
Verify
admixtures
Supervise
Clinical Pharmacist (Decentralized)
Responsibilities
Verify medication orders
__________ with medical teams
Direct bedside care such as counseling or _______ response
Drug information questions
Drug consults
Therapeutic ____________
round medical teams
code
monitoring
Med Order entered by provider–>Enters RPh verification queue
Three ways it can go
1) Problem with medication order and pharmacist clarifies with provider or suggests alternative
2)RPh verifies order—> Order goes to technician queue–>Technician prepares medication–>pharmacist checks medication–>technician delivers medication to the floor—>RN administers medication to pt
3)RPh verifies order–>medication available from ADM—>RN pulls med and administers to patient
Enteral—>Through the GI tract
Oral
Sublingual
Buccal
Rectal
With an NG Tube Medications are typically _________ in order to
be administered
crushed
Things to watch out for with an NG Tube
Interactions between enteral __________ and medications
Interactions between ___________ & tubing
enteral feedings
medications
Oral PO (by mouth)
Tablets
Capsules
Oral granules
Suspensions
Solutions
Nasogastric NG
__________ tablets
Open ________
Suspension or Solution
Crushed
capsules
Parenteral
Intravascular/Intravenous (IV)
Subcutaneous (SC or SQ)
Intrathecal (IT)
Intramuscular (IM)
Intradermal
Epidural
Intraosseous
Intrapleural
Intraperitoneal
_______________
Administered via a needle through your veins
Types of IV lines include:
Peripheral
Central
Midline
Intravenous IV
Transdermal & Topical
What’s the difference?
Topicals:
Cream
Lotion
Gel
Aerosol
Powder
Patch
Solution
Paste
Foam
Otic & Ophthalmic
Ophthalmic order of administration:
_________
Suspension
Ointment
Solution
Inhalation & Intranasal
Inhalation
Inhalers
____________
Nebulizers
Intranasal
Naloxone
Midazolam
____________
Fentanyl
Compatibility
Frequent drug information question
Can I _____-…?
Can X & Y IV medications be hung together?
Can ____ be administer via ng tube?
Can these medications be mixed and _________ together?
Crush
medication
nebulized
Compatibility
Trissel’s IV Compatibility
Do NOT Crush list
Meds That Should Not Be Crushed
(therapeuticresearch.com)
Previously ISMP Do Not Crush List
Hospital Packaging
____________ Use preferred
Bar Code
Unit Dose
Single patient use
Cart/Cassette Fills
______________drawers filled with medication
Each drawer is patient specific
Contains ________ H worth of meds
Kept in cart on nursing unit, or individual draws placed in med room
Must be kept secured according to laws & regulations
patient specific drawers
24 hr worth of meds
ADMs (Automated Dispensing machines)
__________drug storage device that allows medication to be kept at the Point of Care
Typically within a medication room
Controls & _______distribution
computerized
tracks
Advantages of Carts
No __________ in line
May allow RN more time with ________
no waiting
patient
Disadvantages of Carts
New meds aren’t available _________
Increase __________ on pharmacy
immediately
workload
Advantages of ADMS
Meds available ____________
Control of med __________ & billing
Decrease drug ____________
Decrease medication errors
immediately
inventory
decrease drug diversion
Disadvantages of ADMS
____________ in line
Costly
System __________
Requires internet & electricity
waiting
system malfunction
