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Patient Care > test 3 > Flashcards

test 3 Flashcards

1
Q

5 parts of medication use process

A

Medication prescribing, transcribing/verifying the order, medication dispensing, medication administration, medication monitoring

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2
Q

mediation reconciliation

A

identifying most accurate list of medications the patient is taking, name, dosage, frequency, route
current vs list of prescribed meds

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3
Q

nurses station

A

communication center for patient care - medications stored

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4
Q

LPN/LVN

A

Licensed practical/vocational nurse

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5
Q

MSW

A

master of social work

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6
Q

central pharmacy

A

bulk hospital inventory, open 24/7

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7
Q

satellite pharmacy

A

smaller pharmacy, located in patient care units, provides first doses of meds, limited hours

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8
Q

outpatient pharmacy

A

processes prescriptions for patients leaving or visiting the doctor, like retail

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9
Q

formulary

A

selected by healthcare professionals based on therapeutic factors and cost - committee maintains it

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10
Q

closed formulary

A

hospital carries only formulary meds

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11
Q

non-formulary meds

A

not on the formulary - not regularly stocked

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12
Q

P & T committee

A

doctors, pharmacists, nurses, review medications for the hospital formulary, evaluate medication use, provide guidelines and protocols for medications

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13
Q

therapeutic interchange

A

allows the pharmacist to change a medication to therapeutically equivalent formulary medication

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14
Q

CPOE

A

computerized physician order entry

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15
Q

MAR

A

medication administration record: tracks meds administered to a patient

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16
Q

STAT order

A

takes priority over standing and PRN

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17
Q

manual order processing

A

slower, taken by multiple people before pharmacy

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18
Q

automated order processing

A

computer to send orders to the pharmacy computer system

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19
Q

Organization of medications in a hospital

A

usually by ROA then dosage form

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20
Q

unit dose system

A

packaged oral medications for the nursing unit in medication carts- 24 hour supply of drugs for each patient

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21
Q

automated dispensing cabinet

A

most common unit dose medications in that area - nurses can get meds quickly but only after pharmacist reviews and verifies order

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22
Q

TPN

A

total parenteral nutrition - essentials given to patient through IV

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23
Q

TJC

A

The Joint Commission

24
Q

CMC

A

Centers for Medicare and Medicaid

25
Q

DPH

A

Department of Public Health

26
Q

BOP

A

State Board of Pharmacy

27
Q

USP

A

US pharmacopeia

28
Q

DEA

A

Drug Enforcement Administration

29
Q

OSHA

A

Occupational Safety and Health Administration

30
Q

code chart

A

different meds and equipment commonly used in emergency situations
each code has a lock to be broken when needed to be used, medication drawer must be replaced, techs fill the med trays and charge the missing medications to the appropriate patients

31
Q

main drivers for home health care services

A

DRG and hospital reimbursement - pt quality of life better at home - high-tech infusion devices

32
Q

drugs in home infusion therapy

A

antibiotics, nutrition, chemo, iontropic therapy (inc heart), pain management, other: hydration, steroids, aniemetics

33
Q

pharmacists role in home health care pharmacy

A

patient admin , care coordination and planning, sterile product prep, clinical monitoring, patient edu, documentation of activities, on-call responsibilities

34
Q

process in home health care pharmacy

A

Plan, implement, follow-up: monitor and evaluate

35
Q

appropriate therapy and patient selection for home infusion

A

professional issues: know what drugs are for home admin and how to monitor patients at home, confidentiality and HIPPA

social issues: edu level, candidate suitability

economic issues
cost-effective or alternative treatments for physicians

36
Q

strategic objectives for providing home health care

A

improve safety and qulity, profitable and charitable relationship, patient and employee satisfaction

37
Q

ambulatory care definition

A

medical services in outpatient basis without admin to a hospital or other facility

38
Q

settings of ambulatory care

A

surgical centers, hospital outpatient, offices of physicians

39
Q

role ambulatory care pharmacist

A

direct patient care and medication management, long-term relationship with patients, coordinate patient care, advocate for patients, promote patient health and wellness, educate patients and train the to self-manage, perform triage and referral services

40
Q

prescriptive authority

A

limited authority to prescribe certain medications for pharmacists

41
Q

collaborative practice/collaborative drug therapy management (CDTM)

A

relationship between pharmacists and prescribers to manage drug therapy within a defined protocol

42
Q

requirement of ambulatory care

A

PGY-1 residency, PGY-2, Board of Pharmacy Specialties (BPS) certification preferred (BPS)

43
Q

MSL responsibilities

A

form relationships with Key Opinion Leaders (physicians or others with influence) - unbiased exchange of information
concentrate on a specific therapeutic area and disease state
work through product’s lifecycle to ensure products utilized effectively
MSL can talk about off-label use and research outside approved FDA indications

44
Q

nuclear pharmacy

A

prepares and dispenses radioactive material tagged to a pharmaceutical drug - used to diagnose and treat specific diseases

45
Q

CT

A

computerized tomography detailed picture of body tissues - 3D image

46
Q

MRI

A

Magnetic Resonance Imaging- structural image created - healthy and diseased tissue- cant use if pt has metal in body - pulse of radio waves cause water molecules in the body to align

47
Q

PET

A

Positron Emission Tomography, shows actual function of the body, requires radiopharmaceutical: releases two gamma particles at exactly 180 degrees

48
Q

Gamma Imaging

A

Mo-99 to Tc-99 m, useful for stress test (heart), bone, gall bladder, lung, kidneys

49
Q

where most nuclear pharmacies located

A

large medical centers, most outside of a hospital or clinic - 14 in AL

50
Q

ALARA

A

As low as reasonably achievable - special equipment to work

51
Q

training for this area

A

200 classroom ( contact hours), 500 hours supervised learning

52
Q

LTC facilities

A

nursing homes, assisted living facilities, intermediate care facilities, group homes, psychiatric, rehabilitation, juvenile detention centers

53
Q

consultant pharmacists

A

maintain quality assurance, medication distruction, maintain individualized plan for every resident

54
Q

certification of LTC nursing homes and assisted living facilities

A

every year- every 3 years,

55
Q

beers list

A

inappropriate for the elderly- undesirable side effects, increased conc on the geriatric patients

56
Q

STOPP

A

Screeing Tool of Older Person’s Potentially inappropriate prescriptions, considers diagnosis, psych status, activities of daily living of the patient to gauge appropriateness of a medication, not the one-size-fits-all approach of the beers list

Patient Care (7 decks)

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