Part 11 Institutional/Infusion pharmacies Flashcards
The ___ SHALL be responsible for the dispensing, distribution, compounding, storage and the procurement of prescription and nonprescription drugs used throughout the institutional facility
PIC
What is the size requirements for an institutional or alternative infusion pharmacy practice site?
A. 150 Sq ft
B. 180 Sq ft
C. 320 sq ft
D. Sufficient floor space
D. Sufficient floor space
does NOT have the 180 square feet minimum.
A drug dispensed from the pharmacy for subsequent administration to a patient SHALL be appropriately identified with ?
1.
2.
- Name and location of the patient
2. Name and Strength of the drug
The ___ is responsible for the development and maintenance of an audit trail on drugs dispensed
PIC
Prescription orders should be maintained for how long?
A. During the patient’s treatment
B. 2 years
C. 5 years
D. 10 years
B. 2 years
The patients medication profile shall be maintained for long?
A. During the patient’s treatment
B. 2 years
C. 5 years
D. 10 years
A. During the patient’s treatment
BUT have to keep the prescription order for 2 years
The ___, in conjunction with appropriate committees, SHALL be responsible for approving policies and procedures for floorstock at the institutional facility
PIC OR designee
CS and drugs that have potential for abuse, which are issued as floorstock SHALL be accounted for proving documentation of ?
A. Drug name B. Date of administration C. identification of the pharmacist D. Strength of the drug E. Lot number of the drug F. Identification of the patient G. Dosage form of the drug H. the quantity/dose of administered I. identification of the prescriber J. time of administration K. Identification of the authorized personnel administering the controlled substance
A. Drug name B. Date of administration D. Strength of the drug F. Identification of the patient G. Dosage form of the drug H. the quantity/dose of administered I. identification of the prescriber J. time of administration K. Identification of the authorized personnel administering the controlled substance
A record of the destruction of CS previously dispensed to or for pts SHALL be maintained for
A. During the patient’s treatment
B. 2 years
C. 5 years
D. 10 years
B. 2 years
A record of the destruction of CS SHALL include
A. Drug name B. Lot number of the drug C. Dosage form of the drug D. Strength of the drug E. Expiration date of the drug F. Identification of the patient G. date of destruction H. the quantity of the drug I. Identification of the authorized personnel witnessing the destruction and its record J. Method of destruction
A. Drug name C. Dosage form of the drug D. Strength of the drug F. Identification of the patient G. date of destruction H. the quantity of the drug I. Identification of the authorized personnel witnessing the destruction and its record J. Method of destruction
Such drugs shall be destroyed by a board approved agent or vendor
How must C-2’s be kept within a institutional pharmacy practice site?
A. Dispersed through the other medications
B. Safe
C. structure which provides a double locked secured system
C. structure which provides a double locked secured system
Drugs in this kit are to be used only for emergency orders
A. Emergency kit
B. Home Care kits
A. Emergency kit
B. Home Care kits
Where is the expiration date of an emergency kit located?
The expiration date of the kit SHALL be clearly marked on the Exterior
Where is the expiration date of an emergency kit located?
The expiration date of the kit SHALL be clearly marked on the Exterior
Emergency kits may only be used by?
A. Prescribers
B. Nurses
C. Pharmacist
D. Authorized individuals
D. Authorized individuals
A list of the emergency kit contents shall be readily accessible and SHALL include the drugs
1.
2.
3.
- Name
- Strength
- Quantity
Removal of any drug from an Emergency kit SHALL be ___ and must be documented
Shall be pursuant to a valid medical or prescription order and Must be documented
This kit is to be kept in the home of the patient for use by a healthcare professional engaged in home healthcare and are to be used for emergencies ONLY
A. Emergency kit
B. Home Care kits
B. Home Care kits
Home care kits MAY contain
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
- Sodium chloride for injection
- Sodium chloride for Irrigation
- Sterile water for injection
- Sterile water for Irrigation
- Dextrose 50%
- Epinephrine injection 1mg
- Heparin Flush
- Urokinase 5000units
- Diphenhydramine
- Naloxone
- Any other legend drug as approved by the board
Removal of any drug from an Home care kit SHALL be ___ and must be documented
Shall be pursuant to a valid medical or prescription order and Must be documented
Drugs Brought into the Facility
- Administration:
- Identification:
- Storage:
PIC shall establish policies
- Administration: SHALL be pursuant to a prescription order
- Identification: SHALL NOT be administered until properly identified
- Storage: Packaged, sealed, and returned to an ADULT member of pts family (for removal) OR be securely stored and returned to pt at discharge.
Must a pharmacist be on call for institutional pharmacy practice?
A pharmacist MUST be on call 24 hours per day, seven days per week
Drugs in locked cabinets, automated dispensing machines or other enclosures located OUTSIDE the pharmacy should NOT exceed amounts to treat a pt for
A. 24 hours B. 48 hours C. 72 hours D. Amount needed plus 1 dose unit E. 7 day supply
C. 72 hours
Drugs in locked cabinets, automated dispensing machines or other enclosures located OUTSIDE the pharmacy should be inventoried how often?
A. every 30 days B. every 90 days C. every 180 days D. Annually E. Biennially
A. every 30 days
In the Absence of a pharmacist only __ accompanied by ___ may have access to the pharmacy practice site and may remove the required drug.
Only Authorized personnel accompanied by a SECURITY GUARD or other Authorized employees
SUCH persons SHALL be designated through policies of the facility
What is the amount that can be removed by Authorized personnel accompanied by a SECURITY GUARD or other Authorized employees when a pharmacist is not present?
A. 24 hours B. 48 hours C. 72 hours D. Amount needed plus 1 dose unit E. 7 day supply
D. Amount needed plus 1 dose unit
record must kept with the signatures of the authorized personnel and the accompanying witness
IF the physician in an EMERGENCY room does Not personally dispense, for outpatient, then must not exceed amounts greater than?
12 hour period
“If the physician in an emergency
room does not personally dispense, then prescription drugs, devices and related materials for
outpatient use must be packaged in containers from the pharmacy practice site in amounts
not to exceed a twelve (12) hour period or with products commercially prepared for multiple
dose therapy (e.g., ophthalmic products, topical products, otic drops) in the smallest available
package.”
Who can dispense prescription drugs in the emergency room?
A. Physician
B. Emergency room nurse
C. Certified physician assistant
A. Physician
B. Emergency room nurse
C. Certified physician assistant at the direction of a physician
How often must inspections be done of all drugs, device sand related materials kept at nursing stations, surgery, delivery room, emergency rooms, clinics, and any other area of the facility?
A. daily
B. weekly
C. monthly
D. annually
C. monthly
Records should be kept for 2 years
