lesson 8 Flashcards

1
Q

Authority within the hospital pharmacy will be designated to the following personnel:

A

 Chief Pharmacist
 Assistant Pharmacist
 Supervising Pharmacist (at dispensing area)
 Pharmacist in charge of supplies

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2
Q

Depending on the time and circumstances of the disaster, they shall decide whether additional personnel
shall be called in.

A

Head of the Pharmacy Service or his/her representative

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3
Q

They may be required to come in, however, no personnel should come in unless specifically notified by telephone or other communications that they are
needed.

A

Off-duty personnel

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4
Q

 A strong possibility of a military operation, e.g. a coup attempt;

A

DISASTER CODE WHITE

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5
Q

 Any planned mass action or demonstration within the area;

A

DISASTER CODE WHITE

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6
Q

 National or local elections plebiscites;

A

DISASTER CODE WHITE

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7
Q

 National holidays or celebration like Christmas, New Year’s Eve, Labor Day, Independence Day, All Saint’s Day, Holy Week. Etc.,

A

DISASTER CODE WHITE

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8
Q

 Other conditions which may be declared as disaster.

A

DISASTER CODE WHITE

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9
Q

When the pharmacy is notified of this alert, the pharmacy disaster plan is implemented only as notification of
proper personnel on standby and on the preparation of supplies.

A

Code White

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10
Q

 Is proclaimed when 20-50 casualties (red tag) are expected or suddenly brought to the hospital.

A

DISASTER CODE BLUE

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11
Q

Once this has been announced, all notified personnel should return to the pharmacy immediately.

A

Code Blue

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12
Q

The supervisor of the dispensing area shall immediately assemble supplies for transport of the designated Disaster
Holding and Evaluation Area (DHEA) in the hospital.

A

DISASTER CODE BLUE

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13
Q

The pharmacist shall take supplies on a cart and stay to dispense supplies, maintain records and secure additional
supplies as needed.

A

DISASTER CODE BLUE

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14
Q

During disaster code BLUE, to replenish the supplies on the cart (if needed) and to maintain contact between the acute care and the pharmacy, one pharmacy staff shall be designated as “___”

A

runner

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15
Q

• Is proclaimed when more than 50 (red flag) casualties are momentarily anticipated or expected or suddenly brought to the hospital.

A

DISASTER CODE RED

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16
Q

• At this point, additional pharmacy personnel shall be called-in to help.

A

DISASTER CODE RED

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17
Q

• Additional drug carts may be taken to the Disaster Holding and Evaluation Area (DHEA).

A

DISASTER CODE RED

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18
Q

 The pharmacist shall take care of dispensing the necessary drugs and medical supplies. While the clerks or other pharmacy support personnel shall take care of the recording requirements.

A

DISASTER CODE RED

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19
Q

 The pharmacist in charge of supplies shall assess the current stock balance and may decide to procure more or acquire additional stock through net-working.

A

DISASTER CODE RED

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20
Q

They are the most common institutions that use color codes to designate emergencies.

A

HOSPITALS

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21
Q

Law enforcement agencies like: ___
may also use variations on these emergency codes.

A

schools, and other types of
healthcare facilities (such as skilled nursing homes)

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22
Q

Hospitals often use ___ to alert their staff to an emergency or other event. These codes can be communicated through an intercom in the hospital or directly to staff using communication devices.

A

code names

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23
Q

These are coded messages often
announced over a public address system of a hospital to alert staff to various classes of on-site emergencies.

A

Hospital emergency codes

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24
Q

The use of codes is intended to ___ and with minimal misunderstanding to staff while preventing stress and panic among visitors to the hospital.

A

convey essential information quickly

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25
Q

 Such codes are sometimes posted on placards throughout the hospital or are printed on employee identification badges for ready reference.

 Codes allow trained hospital personnel to respond quickly and appropriately to various events. The use
of codes can also help prevent concern or panic by visitors and people being treated at the hospital.

A
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26
Q

The most common hospital codes are though use of these codes isn’t standardized in the United States.

A

code blue, code red, and code black

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27
Q

A hospital emergency code that indicates a medical emergency such as cardiac or respiratory arrest.

A

Code blue

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28
Q

A hospital emergency code that indicates fire or smoke in the hospital.

A

Code red

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29
Q

A hospital emergency code that typically means there is a bomb threat to the facility.

A

Code black

30
Q

Hospital Emergency Code Purple

A

Hostage Taking

31
Q

Hospital Emergency Code White

A

Actual or Potential Violent Behavior

32
Q

Hospital Emergency Code Yellow

A

Missing Patient

33
Q

Hospital Emergency Code Green

A

Evacuation

34
Q

Hospital Emergency Code Orange

A

External Disaster

35
Q

Hospital Emergency Code Grey

A

Infrastructure Loss / Air Exclusion

36
Q

Hospital Emergency Code Brown

A

Hazardous Material Spill / Leak

37
Q

Healthcare Emergency Color Blue

A

Medical Emergency

38
Q

Healthcare Emergency Color Red

A

Smoke/Fire

39
Q

Healthcare Emergency Color Orange

A

Evacuation

40
Q

Healthcare Emergency Color Yellow

A

Internal Emergency

41
Q

Healthcare Emergency Color Brown

A

External Emergency

42
Q

Healthcare Emergency Color Purple

A

Bomb Threat

43
Q

Healthcare Emergency Color Black

A

Personal Threat

44
Q

It is the most universally recognized emergency code.

It means there is a medical emergency occurring within the hospital.

A

Code Blue

45
Q

Healthcare providers can choose to activate a code blue, typically by
pushing an emergency alert button or dialing a specific phone number, if they feel the life of the person they are treating is in immediate danger.

Many hospitals have a code blue team who will respond to the code blue within minutes. The team is comprised of:

A

• Doctors
• Nurses
• Respiratory therapist
• Pharmacist

46
Q

 There are a number of other codes hospitals may use to indicate emergency situations.

 These codes can vary more widely from facility to facility, so one color may have differing or conflicting meanings at different hospitals.

A
47
Q

Critical Medical Emergency Code Blue

A

Medical Emergency (Adult)

48
Q

Critical Medical Emergency Code White

A

Medical Emergency (Pediatric)

49
Q

Critical Medical Emergency Code Red

A

Smoke/Fire

50
Q

Critical Medical Emergency Code Pink

A

Infant Abduction

51
Q

Critical Medical Emergency Code Purple

A

Child Abduction

52
Q

Critical Medical Emergency Code Yellow

A

Bomb Threat

53
Q

Critical Medical Emergency Code Gray

A

Violent or Combative Individual

54
Q

Critical Medical Emergency Code Silver

A

Weapon/Hostage

55
Q

Critical Medical Emergency Code Orange

A

Hazardous Material Spill

56
Q

Critical Medical Emergency Code Green

A

Patient Elopement

57
Q

The role of the pharmacist as a member of the Emergency Department Team involved in all areas of “normal” clinical pharmacy practice, plus other areas
specific to the ___.

A

Emergency Department

58
Q

 The role of the pharmacist as a member of the Emergency Department Team involved in all areas of “normal” clinical pharmacy practice, plus other areas specific to the Emergency Department.

 These include advice and support in:

A

emergency toxicology
reporting adverse drug reactions preparation of drugs during an arrest

59
Q

It is also a high priority and the pharmacist is often requested to provide presentations, help write protocols, and assist with professional development
programs.

A

Education

60
Q

Firstly, because the large majority of medication errors occur in the prescribing and administration phases of the medication-use process.

Moreover, it is critical for pharmacists to be involved in direct patient care activities.

A

Direct Patient Care Rounds

61
Q

____ in the emergency department
must comply with federal, state, and local regulations and accreditation requirements.

A

Medication order review

62
Q

Medication order review in the emergency department must comply with ___,___,___ regulations and accreditation requirements.

A

federal, state, and local

63
Q

The development and assessment of monitoring parameters related to medication therapy are essential
steps in the medication-use process.

A

Medication Therapy Monitoring

64
Q

A number of high-risk medications and procedures are utilized in the emergency department.

A

Patient Care Involving High-Risk Medications and Procedures

65
Q

Pharmacists should be present during all resuscitations in the emergency department.

A

Resuscitation

66
Q

Medication procurement in the emergency department presents challenges that differ significantly from those in other areas of the hospital.

A

Medication Procurement and Preparation

67
Q

The most common cause of medication errors is a lack of information related to medication therapy.

A

Medication Information

68
Q

Research on pharmacist interventions in the inpatient setting has demonstrated improvement in patient outcomes through optimized pharmacotherapy
regimens, improved monitoring of medication therapy.

In addition to, avoidance of adverse medication events.

A

Documentation

69
Q

Essential Role of Pharmacists

A

• Direct Patient Care Rounds
• Medication Order Review
• Medication Therapy Monitoring
• Patient Care Involving High-Risk Medications and Procedures
• Resuscitation
• Medication Procurement and Preparation
• Medication Information
• Documentation

70
Q

 Hospitals have traditionally acknowledge their responsibility to have developed plans for handling mass casualty emergencies in accordance with their responsibility to provide the best possible care and treatment to the communities they serve.

A

 Each type of disaster, natural, accidental, or nuclear, requires specific personnel and material resources
and facilities different from one another.

71
Q

Drugs to be stored in the Refrigerator

A

Regular Insulin
Anti Tetanus Serum
Tetanus Toxoid

72
Q

Drugs to be stored in Locked Cabinets

A

Diazepam
Morphine Sulfate
Pethidine Hydrochloride
Phenobarbital Sodium