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Pharmacy INTRO > Institutional > Flashcards

Institutional Flashcards

1
Q

What is Canada’s national health insurance system?

A

Medicare

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2
Q

What are the criteria that a province must meet in order to receive its full federal payments?

A 
CUPPA
comprehensiveness
universality
public administration
portability
accessibility
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3
Q

What is an EMR?

A

Electronic Medical Records -
A system typically used at a physicians office by doctors and clinicians to document appointments, book checkups, and store patient medical information

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4
Q

What is an EHR?

A

Electronic Health Record -
Also known as Netcare - used to store all patient information and is accessible for pharmacy’s, doctors, and other health care professionals

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5
Q

What is CPOE

A

Computerized Physician Oder Entry -

Method of entering orders for medications to the laboratory, radiology, and nursing directly into the computer.

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6
Q

What is CSHP?

A

Canadian Society of Hospital Pharmacists

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7
Q

What is CAPT?

A

Canadian Association of Pharmacy Technicians

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8
Q

What is CPhA?

A

The Canadian Pharmacists Association

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9
Q

What is CAPSI?

A

Canadian Association of Pharmacy Students and Interns

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10
Q

What is NAPRA?

A

National Association of Pharmacy Regulatory Authorities

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11
Q

What is a policy?

A

A general statement or guidline

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12
Q

What is a procedure?

A

Describes in detail how the policy will be carried out

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13
Q

What is the P & T Committee?

A

Pharmacy and Therapeutics Committee -
Is an advisory group of medical staff that serves the need for a formal organizational line of communication between medical staff and pharmacy department. Non formulary drugs must be approved by them before they go onto the formulary

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14
Q

A set of certain drugs that are stocked in a hospital pharmacy, usually the cheaper alternatives to more expensive drugs.

A

Formulary

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15
Q

What are the three rights to WHMIS?

A

Right to know
Right to participate
Right to refuse

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16
Q

Respiratory/Cardiac Arrest

A

Code Blue

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17
Q

Chemical Spill

A

Code Brown

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18
Q

Community Disaster

A

Code Orange

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19
Q

Evacuation

A

Code Green

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20
Q

Bomb Threat

A

Code Black

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21
Q

New born respiratory/cardiac arrest

A

Code Pink

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22
Q

Fire

A

Code Red

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23
Q

Missing Patient

A

Code Yellow

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24
Q

Has a weapon

A

Code Silver

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25
Q

Hostage taking

A

Code Purple

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26
Q

shelter in place/air exclusion

A

Code Gray

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27
Q

What is PHIPA?

A

The Personal Health Information Protection Act (2000)

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28
Q

What two federal privacy laws does Canada have?

A

PHIPA (2000) and The Privacy Act (1990)

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29
Q

What is Q.C?

A

Quality Control - is a method used as the day-to-day control of quality within a company

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30
Q

What is Q.A?

A

Quality Assurance - The organization is responsible for ensuring that all systems and written procedures are adequate and followed

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31
Q

Abusive behavior

A

Code White

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32
Q

What are the two types of hospitals?

A

Auxiliary - long term

General - short term

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33
Q

What are the twelve categories of medication error?

A

PRESCRIBING ERROR
OMITION ERROR – NOT ADMINISTERING A DRUG
UNAUTHORIZATION OF ADMINITRATION OF DRUG - WRONG PATIENT OR THE DOCTOR HAS NOT GIVEN THE OKAY TO GIVE MEDICATION TO PATIENT.
WRONG ADMINISTRATION TIME – DRUG GIVEN AT THE WRONG TIME
IMPROPER DOSE ERROR – GREATER OR LESS THAN THE PRESCRIBED DRUG
WRONG DOSAGE FORM ERROR – CAPSULE, INJECTION, SUSPENSION
WRONG DRUG PREPARATION ERRORS
WRONG ADMINISTRATION Technique
DETERIORATED DRUG ERROR – EXPIRED DRUG
MONITORING ERROR
COMPLIANCE ERROR
OTHER ERROR

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34
Q

What is quality control?

A

Manufacturing side/catching manufacturing error

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35
Q

What is quality assurance?

A

Providing the medication without errors, the same product every time

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36
Q

What is SDS?

A

Safety Data Sheet

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37
Q

What is WHMIS? In what year was WHMIS last updated and when did the update come into effect?

A

WORKPLACE HAZARDOUS MATERIALS AND INFORMATION SYSTEM – FEB 2015 UPDATED – DID NOT TAKE PLACE UNTIL DECEMBER 2018

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38
Q

What is a special procurement drug?

A

NON-FORMULARY DRUG, FOR A SPECIFIC PATIENT FOR A SPECIFIC REASON, BY A SPECIFIC SPECIALIST AND FOR A CERTAIN PERIOD OF TIME. USUALLY A TRIAL DRUG

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39
Q

What are the 5 rights of a drug distribution system?

A 
Right drug
Right dosage form
Right strength
Right patient
Right time
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40
Q

What are the two main kinds of drug distribution systems in Canada?

A

Unit dose

Traditional

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41
Q

Why is Drug Distribution important?

A

Reduction in error rates
Reduction in drug wastage
Better inventory control
More efficient use of personnel

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42
Q

What should unit dose drugs should be labeled with?

A 
Generic name of drug
Dosage form of drug
Strength of drug
Lot number
Expiration date of drug
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43
Q

The process of dispensing medications available in single use packages is referred to as ________

A

Picking

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44
Q

__________________is a selection of medications that are on each nursing unit that are not labeled for a specific patient

A

Wardstock

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45
Q

What does IPO mean?

A

Individual Prescription Order System

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46
Q

Individual Prescription Orders are apart of what?

A

traditional and MOSAIC (ward stock) drug distribution systems

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47
Q

What does MOSAIC stand for?

A 
Medication
Order
Supply
And
Inventory
Control
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48
Q

Where is MOSAIC most commonly used?

A

Eastern Provinces

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49
Q

What does ASO stand for?

A

Automatic Stop Orders

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50
Q

_____________are designed to help avoid prolonged administration of potent drug classifications.

A

ASO

51
Q

Who developed the ASO (Automatic Stop Orders)

A

P & T Committee

52
Q

___________is a number of days a drug is supplied for IF a doctor does not specify a number on his/her order.

A

ASO

53
Q

For a unit dose drug distribution system, the ordered medications are administered by a nurse from a unit dose cassette filled for an individual patient for __________ hour supply

A

24

54
Q

____________orders are usually for a non recurring medication that is required immediately

A

STAT

55
Q

How long is the turn around time for a STAT order?

A

Usually 15 minutes

56
Q

Census is a report of all patients:

A 
Admission
Discharge
Scheduled Surgery
Day Passes
Deaths
57
Q

Long term patients who are admitted to a hospital may occasionally be allowed to leave the hospital. To ensure the patient still has medication ___________ is given to them

A

Pass Meds

58
Q

How can Pass Meds be packaged?

A

Envelope
Blister pack
Pacmed strips

59
Q

If the actual NARCOTIC count does NOT match on the inventory record, an investigation is conducted and a report would be sent to:

A

The Director of Pharmacy

The Director of Nursing

60
Q

What must be listed on the Daily Administration Sheet that the nurse must fill out?

A

Date, time
Physician name
Patient name
Drug, strength, quantity dispensed

61
Q

A nurse must record the administration of the narcotic or controlled drug on a ____________

A

Daily Administration Sheet

62
Q

___________________is maintained to provide after hours pharmacy service

A

Night Cupboards

63
Q

Where are Night Cupboards kept?

A

Central location, close to the pharmacy

64
Q

Do Night Cupboards need to be locked?

A

YES

65
Q

What is not stored in Night Cupboards?

A

Narcotics and Controlled Drugs

66
Q

__________________are sealed with a one time use

A

Emergency drug boxes

67
Q

Why is the Emergency Drug Boxes sealed?

A

security for its contents and,

an indication to the pharmacy that it has been opened and needs to be replaced

68
Q

Contents of the Emergency drug box is approved by the __________

A

P & T Committee

69
Q

All the drugs in the emergency box are ________ because it is the fastest route of administration.

A

injectable

70
Q

What is included in the emergency drug box?

A

inventory list

71
Q

Pharmacy Technician Role with Emergency Drug Box includes:

A

Issues and exchanges emergency drug boxes
Replenishes used inventory
Checks inventory and expiry dates and completes all documentation
Completes an annual drug recall
Keeps box clean and tidy
Pharmacy technicians double check contents.

72
Q

Emergency Drug Boxes are similar to ___________

A

Crash Carts

73
Q

Responsibility for crash carts are shared between ___________ and _________

A

Pharmacy and Supply Processing Distribution (SPD)

74
Q

___________are drugs that are available on the market in other countries but not in Canada.

A

Emergency Release Drugs

75
Q

Emergency release drugs are available through Health Canada’s _____________

A

Special Access Programme (SAP)

76
Q

What does SAP stand for?

A

Special Access Programme

77
Q

____________________are drugs that are provided by manufacturers for patients who need the drug but are unable to pay for it.

A

Compassionate Release Drugs

78
Q

What does DUE stand for?

A

Drug Use Evaluation

79
Q

DUE It is a structured ongoing quality assurance process designed to ensure drugs used are _______, _________, ___________, __________

A

appropriate, safe, effective and economical.

80
Q

What does DUR stand for?

A

Drug Utilization Review

81
Q

What does ADR stand for?

A

Adverse Drug Reaction

82
Q

What does ASO stand for?

A

Automatic Stop Orders

83
Q

___________________are designed to help avoid prolonged administration of potent drug classification

A

Automatic Stop Orders

84
Q

When does ASO not apply?

A

When a doctor has written a specific stop date

85
Q

What is perpetual inventory?

A

The balance on hand of all narcotics and controlled drugs

86
Q

How often is narcotic inventory maintained?

A

once per week all narcotics and controlled drugs are counted

87
Q

What happens if the actual count does not match the inventory record?

A

investigation is conducted and a report would be sent to:
The Director of Pharmacy
The Director of Nursing

88
Q

What tasks cannot be performed by a technician in regards to narcotics?

A

Pharmacy technicians cannot sign narcotic purchase orders

89
Q

What dosage form does an emergency box contain?

A

injectables

90
Q

Who approves the inventory content of the emergency drug box?

A

Contents of the emergency box is approved by the P & T Committee

91
Q

What does the expiry sticker on the emergency box state?

A

indicating the EARLIEST item to expire

92
Q

Who is responsible for the Crash cart?

A

Pharmacy and Supply Processing Distribution

93
Q

What are the two types of investigational drugs?

A

Clinical Investigational Drugs

Emergency Status Drugs

94
Q

What is an emergency release drug?

A

Emergency release drugs are ones that are available on the market in other countries but not in Canada

95
Q

What is a compassionate release drug?

A

drugs that are provided by manufacturers for patients who need the drug but are unable to pay for it

96
Q

What is TPN

A

Total Parenteral Nutrition

97
Q

What is composed of in TPN?

A 
Protein
Lipids
Vitamins
Minerals
Electrolytes
Carbohydrates
98
Q

How is TPN given?

A

Through IV

99
Q

chemotherapy medications are prepared in a ___________vertical hood

A

Class II BSC (Biological Safety Cabinet)

100
Q

What do you have to wear when preparing chemotherapy drugs?

A

bouffant, face mask and shoe covers are worn, 2 pairs of gloves and a disposable gown

101
Q

Pareto’s Principle A

A

80% of the budget is spent on 20% of items

102
Q

Pareto’s Principle B

A

15% of the budget is spent on 15% of items

103
Q

Pareto’s Principle C

A

5% of the budget is spent on 65% of items

104
Q

How many turn overs does a hospital typically have per year?

A

8-10

105
Q

What is the CPDN?

A

The Canadian Pharmaceutical Distribution Network

106
Q

Another method of purchasing is through________where hospital pharmacies get a quote from companies on a minimum amount of supplies needed

A

Tenders

107
Q

How long is the LAF hood supposed to be on before it is used?

A

30 min

108
Q

What does LAF stand for?

A

Laminar Air Flow Hood

109
Q

What are the two methods that an automated TPN machine will use to prepare TPN solutions?

A

Volumetric system and Gravimetric system

110
Q

____________are those substances that are toxic not only to cancer cells but to all cells.

A

Cyotoxic

111
Q

________can cause changes or alteration in genetic material

A

Mutagen

112
Q

can cause cancer

A

Carcinogen

113
Q

________are substances that can cause birth defects

A

Teratogen

114
Q

Something that can cause blistering of the skin

A

Vesicant

115
Q

How far should chemotherapeutic procedures be performed in the BSC?

A

Right in the middle of the hood

116
Q

What is lead time?

A

the length of time between placing an order and having it ready for dispensing

117
Q

Keep from excessive heat

A

49C

118
Q

Keep in a cold place

A

8-15 Celsius

119
Q

Keep in a freezer

A

–15 or lower

120
Q

Keep in a refrigerator

A

2-8 Celsius

121
Q

What sizes of IV bags are availible?

A

25ml, 50ml, 100ml, 250ml, 1000ml, 2000ml

122
Q

How long must the LAF hood be turned on before use?

A

30 min

123
Q

How often are LAF hoods inspected?

A

Every 6 months

Pharmacy INTRO (34 decks)

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