Regulatory

Question 0

State operational manual F329

Unnecessary drugs

Answer 0

Unnecessary drugs
- excessive dose, duration, inadequate monitoring , without adequate indication, with adverse consequences, duplicate therapy (or any combo of these reasons)
- results in GDR requirements- specifically for antipsychotic drugs
Intent: promote or maintain the residents highest practicable mental physical and psychosocial well being
Only meds necessary used, for minimal duration and dose
Minimized adverse consequences
Monitor regimen and modify as appropriate

Question 1

National coordinating council for med error reporting and prevention (NCC MERP) index for categorizing med errors

Answer 1

A- no error but circumstances there
B- error didnt reach pt
C- error reached pt w No harm
D- error reached pt and required monitoring
E- may have contributed to temporary harm to pt
F- temporarily harme pt and required or prolonged hospital stay
G- permanent pt harm
H- required interventik to save life
I- death

Question 2

Medication management

As it relates to state req F329 unnecessary meds

Answer 2

Medication management means consideration  of 
Indication for use
Duration 
Dose
Tapering antipsychotics
Preventing ADR 
- looking for other causes of sx treated
Monitor for efficacy and adverse events
Eg changes in function in previous quarter

Question 3

State operations manual f tag F428

Drug regimen review

Answer 3

Once a month by license rph or more frequent due to resident condition or medication

Question 4

Focus pdca

Answer 4

Find process
Organize it
Clarify current process
Understand it's problems
Select what you want to improve
Then do plan do check act

Question 5

Fade

Answer 5

Focus on a process to improve
Analyze
Develop an implementation plan and solution
Execute plan

Question 6

ADR are Not

Answer 6

Side effect
Drug withdrawal
Drug abuse
Accidental poisoning
Drug overdose complications

Question 7

ADR are per ashp

Answer 7

Require modify dose discontinue change supportive tx, admission, negatively affects prognosis, temporary or permanent harm disability or death

Question 8

RCA process when error Occurs

Answer 8

How it happened
What normally happens
Why it happened 
At Risk behaviors
How to prevent it

Question 9

Just cultures

Answer 9

Clear an transparent process for evaluating error ad separating system events or inadvertent human error from those causes by reckless error

Question 10

Medication mgmt behavioral health component

Answer 10

Use of multiple psych agents per class
Use of high dose pharmacotherapy 
Prevention ID mgmt of side effects including tardive dyskinesia