Lec 2 Flashcards

1
Q

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

A

True

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2
Q

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

A

True

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3
Q

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

A

True

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4
Q

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

A

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

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5
Q

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

A

Jonathan Roberts; 1752; Pennsylvania Hospital

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6
Q

pioneered the hospital pharmacy practice

A

Charles Rice at the Bellevue Hospital in New York
City

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7
Q

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

A

Charles Rice

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8
Q

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

A

1841-1901

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9
Q

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

A

1800s

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10
Q

In 1800s, Drug therapy consists of

A

strong cathartics,
emetics, and diaphoretics.

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11
Q

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

A

morphine, strychine, and quinine

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12
Q

caused the development of
extemporaneous manufacturing and in purchasing
medical goods

A

Civil war

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13
Q

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

A

1870 and 1880s

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14
Q

More specialization in medical practice

A

Early 1900s

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15
Q

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

A

AHA (American Hospital Association)

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16
Q

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.

A

Committee of Pharmacy

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17
Q

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

A

American Society of Health-System
Pharmacists (ASHP)

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18
Q

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

A

> 100

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19
Q

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

A

1950s-1960s

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20
Q

is the determinant of the
availability of the pharmacist

A

hospital size

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21
Q

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

A

≥ 300

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22
Q

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

A

13

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23
Q

Maintaining drug treatment records

A

Services Similar to Community Pharmacy Services

24
Q

Ordering and stocking medications and medical
supplies

A

Services Similar to Community Pharmacy Services

25
Q

Repackaging medications

A

Services Similar to Community Pharmacy Services

26
Q

Dispensing medication

A

Services Similar to Community Pharmacy Services

27
Q

Providing information about the proper use of
medication

A

Services Similar to Community Pharmacy Services

28
Q

Collecting and evaluating information about
adverse drug reactions and interactions

A

Services Similar to Community Pharmacy Services

29
Q

Preparing medications in various dose forms for
dispensing

A

Services Similar to Community Pharmacy Services

30
Q

Educating and counseling patients about their
drug therapies

A

Services Similar to Community Pharmacy Services

31
Q

Preventing, identifying, and resolving
medication-related problems

A

Services Similar to Community Pharmacy Services

32
Q

Preparing and maintaining a formulary

A

Provided by a Hospital Pharmacy

33
Q

Conducting drug use evaluations

A

Provided by a Hospital Pharmacy

34
Q

Following universal precautions

A

Provided by a Hospital Pharmacy

35
Q

Preparing products using aseptic techniques

A

Provided by a Hospital Pharmacy

36
Q

Ensuring that hazardous agents are handled
and disposed of properly

A

Provided by a Hospital Pharmacy

37
Q

Filling medication orders (as opposed to
prescriptions

A

Provided by a Hospital Pharmacy

38
Q

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)

A

Provided by a Hospital Pharmacy

39
Q

Stocking nursing stations with medications and
supplies

A

Provided by a Hospital Pharmacy

40
Q

Delivering medications to patients’ room

A

Provided by a Hospital Pharmacy

41
Q

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

A

Provided by a Hospital Pharmacy

42
Q

Educating and counseling inpatients and
outpatients about their drug therapies

A

Provided by a Hospital Pharmacy

43
Q

Monitoring patient outcomes

A

Provided by a Hospital Pharmacy

44
Q

Preventing, identifying, and resolving
medication-related problems

A

Provided by a Hospital Pharmacy

45
Q

Participating in clinical drug investigations and
research

A

Provided by a Hospital Pharmacy

46
Q

Providing in-service drug-related education

A

Provided by a Hospital Pharmacy

47
Q

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

A

Provided by a Hospital Pharmacy

48
Q

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

A

Provided by a Hospital Pharmacy

49
Q

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

A

CLINICAL SERVICES

50
Q

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

A

DRUG INFORMATION SERVICES

51
Q

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

A

OUTPATIENT PHARMACY SERVICES

52
Q

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

A

PATIENT SAFETY

53
Q

T/F: Prescribing remains at the patient care area

A

True

54
Q

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

A

Transcribing

55
Q

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

A

Dispensing

56
Q

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

A

Unit-dose Drug Distribution System

57
Q
A