Lecture 21 - Indiana Administrative Code 2 Flashcards
What is a cabinet?
A mechanical storage device for dispensing drugs
What is a consultant pharmacist?
A pharmacist who practices pharmacy at a LTCF or other residence other than as a supplying pharmacist
What is a consulting?
Provision of nonsupply related cognitive services
What are emergency drugs?
Drugs that are required to meet intermediate patient needs, and are not available from another source in sufficient time to prevent risk of harm to patients
What is a pharmacist in charge?
Pharmacist who directs the activities of the institutional pharmacy
What are quality-related event?
Inappropriate provision of pharmaceutical services which may result in an adverse health incident
What is a reversible condition?
Condition that requires intervention to resolve in a reasonable time
What is a sentinel event?
Unexpected occurrence involving a serious adverse effect
What is a temporary condition?
Condition that resolves un a reasonable time without intervention
What must a pharmacist in charge do?
-Establish and carry out performance improvement program
-Develop policies and procedures manual of sufficient scope and detail to allow safe and effective pharmacy practice
-Develop policies and procedures that specify duties to be performed by pharmacy technicians
What requirements must be met for drugs in a cabinet?
-All drugs in the cabinet must be properly labeled and repackaged, in amounts sufficient for a maximum of 24 hours of use
-When drugs are used from the cabinet, they must be tied to a physician’s order or accountability record
-Drugs in cabinets must be reviewed by a pharmacist upon return to duty, not more than 24 hours later
-Policies and procedures must be established to implement this section
What can a nurse do when there is no pharmacist available and the drug they need is not in the cabinet?
One supervisory licensed nurse in any shift may have access to the pharmacy and may remove drugs, but must record on a suitable form:
-Name and strength of the drug
-Amount
-Date and time
-Signature of the nurse
-A copy of the order
What must pharmacy policy and procedure assure for any emergency drugs?
-Availability, Control and Security of emergency drug carts, kits, or boxes in the pharmacy and patient care areas
-Determination of drugs and quantities of drugs to be included
-Labeling for expiration date
-Process for restocking
-Security measures to prevent unauthorized access
What must drug kits be labeled with?
-Drug name
-Drug strength or size
-Quantity included
-Expiration date of the kit (earliest expiration of any of the drugs in the kit)
What must drugs in a drug kit for an LTCF be labeled with?
-Drug name
-Drug strength or size, if applicable
-Name of the manufacturer, packer, or distributor
-Lot number
-Expiration date
What must a nurse document when removing drugs from an emergency kit?
-Name of the patient
-Name of the drug
-Strength of the drug
-Quantity removed
-Date and time of removal
How long should records of processes, analysis, and consecutive measures related to quality related events be kept?
Records must be maintained for at least 2 years
What must be required in documentation of quality related events?
-Each quality related or sentinel event is documented by the pharmacist to whom it is first described on the same day as it is described
-A description of the event sufficient to permit analysis
-Pharmacist in charge shall summarize efforts to improve processes
-No patient or employee names shall names shall be included in the reporting
-A member of the board may review this documentation to assure compliance
What must all drugs besides unit-dose packages be labeled with?
-Patient identification
-Drug name
-Strength if applicable
-Route of administration
-Quantity
-Pharmacists initials
-Location of patient within the institution (room number)
What must be included on drug labeling of unit-dose packages?
-Drug name
-Strength if applicable
-Control number and/or expiration date
When may a patient self-administer drugs in an institutional facility?
-If specifically authorized by the treating or ordering physician and the patient’s knowledge of self-administration has been evaluated or if the patient has received training in the proper manner of self-administration by a pharmacist according to hospital policy
-There is no risk of harm to the patient
What should an institutional pharmacy do with drugs that are brought into the institution by the patient?
Institutional pharmacy may not touch drugs that are brought into the institution by the patient
When is use of a patient’s own medication permitted in an institutional pharmacy?
-The patient can maintain their own medication at the bedside or under control of nursing personnel if special storage requirements apply; and
-The nurses in charge of that patient’s care witness the administration and maintain records of medication use
What is a biological safety cabinet?
Specialized, enclosed, ventilated workspace suitable for preparation of low to moderate risk agents
