Lecture 5 - Inpatient pharmacy practice and medical records Flashcards
what is the purpose of the joint commission?
to maintain the standards of healthcare. they “check up” on facilities and accredit them
differentiate between a centralized and decentralized hospital
centralized —- one pharmacy serves the entire hospital
decentralized —- one central pharmacy and many “satellite” pharmacies
the pharmacy and therapeutics committee is chaired by ____ and usually cochaired by _____
chaired by a physician and cochaired by the pharamcy director
what is the duty of the pharmacy and therapeutics committee
to make important decisions/changes for the hospital formularies, policies, and procedures
besides the pharmacy and therapeutics committee, name some other committees
infection control
quality improvement
falls prevention
antibiotic stewardhsip
anticoagulation
what are some things that a hospital pharmacist can do
IV TO PO conversion
renal dosing conversion
therapeutic interchange or formulary interchange
anticoagulation monitoring (warfarin)
antibiotic surveillance
consult
vancomycin and aminoglycoside dosing
what is med rec? (medication reconciliation)
comparing the patient’s current list of medications against the physician’s orders
who administers medication to patients in the hospital
nurses
what are the 4 steps of the medication order process (include the 5th step if the script was paper)
order
transcribe (not in e systems)
verify
dispense
administration
what is the “indication” of a medication
why the person is taking it
what does CPOE stand for
computerized physician order entry
is there anything wrong with
“apply to the affected area”
YES
the nurse needs to know where to put it. prescriber must be contacted
medications in hospitals are dispensed as….
unit dosing
What are the 3 ways in which a medication can be delivered to a patient
-by hand (by the technician)
-robot
-pneumatic tube system
who ADMINISTERS medication
the nurse
what is used by nurses to verify that they are giving the correct medication to the correct patient?
bar coding
what is a medication error?
any PREVENTABLE event that may lead to innapropriate med use or patient harm
where do most errors occur in the medication cycle?
(choices: ordering, transcribing, dispensing, administration)
ordering
category A-I medication errors
which is the an error that may have contributed or resulted in the patient’s death?
category I
categery A =
category B-D =
categriy E-H =
A = no error
B-D = error, no harm
E-H = error, harm
I = error, death
if a presciber wants to order a 5 mg tablet of acetaminophen, how should he write it?
5.0
5
5
NO TRAILING ZEROS
A prescriber wants to write for 0.5 mg. how should he write it
.5
0.5
0.5mg
is QD and QOD allowed in writing inpatient medication orders?
NO
what is the purpose of the medical record
-tool for cimmunication btwn healthcare providers
-billing and reimbursement of claims
-legal proceedings
–eduation
-quality assurace
