Lec 2

Question 1

T/F: Institutional pharmacy is organized under a corporate structure, following
specific rules and regulations for accreditation

Answer 1

True

Question 2

T/F: Institutional pharmacy is a pharmacy associated with any organized
healthcare delivery system.

Answer 2

True

Question 3

T/F: Hospital pharmacy is the most common example of
institutional pharmacy

Answer 3

True

Question 4

More recent examples of places where institutional
pharmacies can be found include

Answer 4

Home Healthcare System
Long-term Care Facilities
Managed-Care Organizations
Nuclear Pharmacies

Question 5

America’s first hospital pharmacist was ____________, hired in _______ at the ___________

Answer 5

Jonathan Roberts; 1752; Pennsylvania Hospital

Question 6

pioneered the hospital pharmacy practice

Answer 6

Charles Rice at the Bellevue Hospital in New York
City

Question 7

also headed three revisions of the
United States Pharmacopeia (USP)

Answer 7

Charles Rice

Question 8

What year did Charles Rice pioneered hospital pharmacy and headed the three revisions of USP

Answer 8

1841-1901

Question 9

Generation wherein few hospitals are considered places of
dreaded impurity and exiled human wreckage.

Answer 9

1800s

Question 10

In 1800s, Drug therapy consists of

Answer 10

strong cathartics,
emetics, and diaphoretics.

Question 11

In 1800s, Clean air and good food were treatments together
with the newer alkaloidal drugs such as

Answer 11

morphine, strychine, and quinine

Question 12

caused the development of
extemporaneous manufacturing and in purchasing
medical goods

Answer 12

Civil war

Question 13

what year does Catholic hospitals are charging patients a small fee
and they are willing to train, or obtain training for,
nuns in pharmacy

Answer 13

1870 and 1880s

Question 14

More specialization in medical practice

Answer 14

Early 1900s

Question 15

Because of pharmacy-related issues in hospitals, the
______________ created the
Committee of Pharmacy to develop minimum
standards for hospital pharmacy departments and to
prepare a manual of pharmacy operations

Answer 15

AHA (American Hospital Association)

Question 16

Because of pharmacy-related issues in hospitals, the
AHA (American Hospital Association) created the
_________________to develop minimum
standards for hospital pharmacy departments and to
prepare a manual of pharmacy operations.

Answer 16

Committee of Pharmacy

Question 17

is the current organization that
provides guidelines for hospital pharmacy practice in
the US

Answer 17

American Society of Health-System
Pharmacists (ASHP)

Question 18

In the 1930s, Hospitals with _________ beds - required to employ a
registered pharmacist

Answer 18

> 100

Question 19

Year when pharmacy department was perceived as a
complementary service department, not an
essential service

Answer 19

1950s-1960s

Question 20

is the determinant of the
availability of the pharmacist

Answer 20

hospital size

Question 21

In 1950s-1960s, Hospital with _________ beds = a full-time (FTE)
pharmacist is necessary

Answer 21

≥ 300

Question 22

Today, hospitals with 100 occupied beds must
have _______ full-time (FTE) pharmacists.

Answer 22

13

Question 23

Maintaining drug treatment records

Answer 23

Services Similar to Community Pharmacy Services

Question 24

Ordering and stocking medications and medical
supplies

Answer 24

Services Similar to Community Pharmacy Services

Question 25

Repackaging medications

Answer 25

Services Similar to Community Pharmacy Services

Question 26

Dispensing medication

Answer 26

Services Similar to Community Pharmacy Services

Question 27

Providing information about the proper use of medication

Answer 27

Services Similar to Community Pharmacy Services

Question 28

Collecting and evaluating information about adverse drug reactions and interactions

Answer 28

Services Similar to Community Pharmacy Services

Question 29

Preparing medications in various dose forms for dispensing

Answer 29

Services Similar to Community Pharmacy Services

Question 30

Educating and counseling patients about their drug therapies

Answer 30

Services Similar to Community Pharmacy Services

Question 31

Preventing, identifying, and resolving medication-related problems

Answer 31

Services Similar to Community Pharmacy Services

Question 32

Preparing and maintaining a formulary

Answer 32

Provided by a Hospital Pharmacy

Question 33

Conducting drug use evaluations

Answer 33

Provided by a Hospital Pharmacy

Question 34

Following universal precautions

Answer 34

Provided by a Hospital Pharmacy

Question 35

Preparing products using aseptic techniques

Answer 35

Provided by a Hospital Pharmacy

Question 36

Ensuring that hazardous agents are handled and disposed of properly

Answer 36

Provided by a Hospital Pharmacy

Question 37

Filling medication orders (as opposed to prescriptions

Answer 37

Provided by a Hospital Pharmacy

Question 38

Routinely preparing 24-hour supplies of patient medications in a form appropriate for a single administration to a patient (as opposed to a 30- or 90-day supply)

Answer 38

Provided by a Hospital Pharmacy

Question 39

Stocking nursing stations with medications and supplies

Answer 39

Provided by a Hospital Pharmacy

Question 40

Delivering medications to patients’ room

Answer 40

Provided by a Hospital Pharmacy

Question 41

Maintaining a drug information service, and providing drug information to the other healthcare professionals in the institution

Answer 41

Provided by a Hospital Pharmacy

Question 42

Educating and counseling inpatients and outpatients about their drug therapies

Answer 42

Provided by a Hospital Pharmacy

Question 43

Monitoring patient outcomes

Answer 43

Provided by a Hospital Pharmacy

Question 44

Preventing, identifying, and resolving medication-related problems

Answer 44

Provided by a Hospital Pharmacy

Question 45

Participating in clinical drug investigations and research

Answer 45

Provided by a Hospital Pharmacy

Question 46

Providing in-service drug-related education

Answer 46

Provided by a Hospital Pharmacy

Question 47

Reviewing or auditing prescription services for evaluation of service accuracy and quality

Answer 47

Provided by a Hospital Pharmacy

Question 48

Providing expert consultations in such areas as pediatric pharmacology, nutritional support, and pharmacokinetics

Answer 48

Provided by a Hospital Pharmacy

Question 49

Many hospitals offer clinical and consultative services such as nutrition support, pharmacokinetics, critical care, and other specialties

Answer 49

CLINICAL SERVICES

Question 50

Most hospitals have a drug information service that is primarily responsible for making recommendations on a drug formulary

Answer 50

DRUG INFORMATION SERVICES

Question 51

Many large hospitals operate an outpatient pharmacy to serve the medication needs of patients discharged from the hospital, as well as for those patients who are seen in the emergency room or other ambulatory clinics adjoining the hospita

Answer 51

OUTPATIENT PHARMACY SERVICES

Question 52

refers to the reduction and mitigation of unsafe acts within the healthcare system, as well as through the use of best practices shown to lead to optimal patient outcomes

Answer 52

PATIENT SAFETY

Question 53

T/F: Prescribing remains at the patient care area

Answer 53

True

Question 54

It is essential that some means used to transmit the prescription order from the patient area to the pharmacy

Answer 54

Transcribing

Question 55

Physically transfer of the drug product following review and approval of the prescription to the person responsible for administering the medication to the patient

Answer 55

Dispensing

Question 56

24hr dose of the patient's medications are given to the nurses. Discontinued medications are returned to the pharmacy.

Answer 56

Unit-dose Drug Distribution System