Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

HOSPI > The Hospital Formulary > Flashcards

The Hospital Formulary Flashcards

1
Q

A continually revised compilation of pharmaceuticals, which reflects the current clinical judgment of the medical staff and the relevant policies on medication.

A

Hospital Formulary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The hospital formulary is tailored to fit the particular requirements of the hospital and reflects departmental consensus on first choice treatment from the national list essential drugs. It should be ___ , ___ , ___ and ___ .

A

handy, complete, concise, easy to use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The process in which the list of drug products or formulary of the hospital is developed. It is the method whereby the medical staff of an institution, working through the Pharmacy and Therapeutics Committee, ___ , ___ , and ___ from among the numerous available medicinal agents and dosage forms those that are considered most useful in patient care.

A

evaluates, appraises, selects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

It is multidisciplinary process that is based on ___ and ___ to guide organizations on providing medications to patients.

A

research, evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The system provides the hospital pharmacist time to work with:

The medical staff in the ___ , ___, and in the ___

A

selection, evaluation of new drug products and critical use of therapeutic agents, promotion of rational drug therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The system provides the hospital pharmacist time to work with:

The nursing staff to ___ which may lead to medication errors

A

avoid practices and procedures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The system provides the hospital pharmacist time to work with:

The medical and nursing staff in the ___ concerning the use of the drug products in the hospital.

A

implementation of policies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

OBJECTIVES

It serves to ___ concerning the relative merits of the multitude of available medicines to provide rational therapeutics and promote quality patient care

A

educate the physicians

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

OBJECTIVES

It serves as a teaching aid to ___ , and ___ by providing essential information on a well-classified arrangement of therapeutically known medicines, which have been chosen after careful consideration by the medical staff.

A

the interns and other medical staff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

OBJECTIVES

It prevents ___ , ___ , and ___ thus promote savings both to the hospital and to the patient.

A

unnecessary duplication, wastage and confusion on prescribed medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

OBJECTIVES

It promotes ___ , ___ , and ___ therapy in a hospital.

A

safe, intelligent, and effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Potential Benefits of the Hospital Formulary

A
  • Therapeutics
  • Economic
  • Educational
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

POTENTIAL BENEFITS

It provides the greatest benefit to the patient and physician in that only the most efficient products are listed and available.

A

Therapeutics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

POTENTIAL BENEFITS

Merit a double benefit in that the formulary eliminates the duplication thus reducing inventory duplication and the opportunity for volume purchasing means lower charges to the patient.

A

Economic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

POTENTIAL BENEFITS

Significant for the resident staff, nurses and medical students because many good formulates contain various prescribing tips and additional drug information of educational value.

A

Educational

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CRITERIA

Up to how many Guiding Principles for the selection of drugs

A

1-5 (5)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

CRITERIA

As Guiding Principles for the selection of drugs

Whether or not the local general and specialty staff considered the drugs to be proven clinical value based upon their experience with it.

A

FIRST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

CRITERIA

As Guiding Principles for the selection of drugs

May be that the drug must be recognized by the USP, NF, or their supplements.

A

SECOND

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

CRITERIA

As Guiding Principles for the selection of drugs

May be that the manufacturer of the drug must be one of proven integrity and dependability as well as having the reputation of initiating and supporting research activities of merit.

A

THIRD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

CRITERIA

As Guiding Principles for the selection of drugs

May be that no preparation of secret composition will be considered or admitted to the formulary.

A

FORTH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

CRITERIA

As Guiding Principles for the selection of drugs

May be deal with products of multiple composition.

A

FIFTH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

FACTORS TO CONSIDER IN PREPARING A HOSPITAL FORMULARY

A formulary list should be ___

A

limited to conserve resources

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

FACTORS TO CONSIDER IN PREPARING A HOSPITAL FORMULARY

It is necessary to stock ___ , generic duplication should be eliminated

A

Medicines listed in the Philippine National Drug Formulary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

FACTORS TO CONSIDER IN PREPARING A HOSPITAL FORMULARY

___ should be selected based on disease and conditions treated at the health facility

A

Medicines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

FACTORS TO CONSIDER IN PREPARING A HOSPITAL FORMULARY

Medicines of choice should be selected comparing ___ , ___ , ___ , ___ , ___ , ___ and ___ .

A

efficacy, safety, toxicity, pharmacokinetic properties, bioequivalence, pharmaceutical and therapeutic equivalence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

FACTORS TO CONSIDER IN PREPARING A HOSPITAL FORMULARY

___ should be a primary consideration

A

Cost equivalence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

FACTORS TO CONSIDER IN PREPARING A HOSPITAL FORMULARY

Once medicines of choice are selected, they form the ___ .

A

basis for standard treatment guideline and for therapeutic substitution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

FACTORS TO CONSIDER IN PREPARING A HOSPITAL FORMULARY

___ may be included when necessary.

A

Second line alternatives to medicines of choice

29
Q

FACTORS TO CONSIDER IN PREPARING A HOSPITAL FORMULARY

The hospital formulary should correspond with the ___ and to the ___ .

A

current edition of the PNDF, approved standard treatment guidelines

30
Q

CONTENT AND ORGANIZATION

The Pharmacy and Therapeutics Committee of a hospital is responsible for ___ , ___ , and ___ its formulary.

A

compiling, maintaining, updating

31
Q

CONTENT AND ORGANIZATION

The committee consists of ___ , ___ , ___ and other healthcare providers, as well as ___ . The committee chooses medications based on their effectiveness, their cost and the need for them at each particular hospital.

A

staff physicians, pharmacist, nurses; hospital administrators

32
Q

CONTENT AND ORGANIZATION

The primary objectives of the formulary is to provide the hospital staff with following:

___ of what drug products have been approved for use by the Pharmacy and Therapeutics Committee.

A

Information

33
Q

CONTENT AND ORGANIZATION

The primary objectives of the formulary is to provide the hospital staff with following:

___ about each approved item.

A

Basic therapeutic information

34
Q

CONTENT AND ORGANIZATION

The primary objectives of the formulary is to provide the hospital staff with following:

___ and ___ governing the use of drugs.

A

Information on hospital policies, procedures

35
Q

CONTENT AND ORGANIZATION

The primary objectives of the formulary is to provide the hospital staff with following:

___ about drugs such as dosing rules and nomograms, hospital-approved abbreviations, sodium content of various formulary items, etc.

A

Special information

36
Q

DETAILED PARTS

In accordance with these objectives, the formulary should consist of three (3) main parts;

A
  1. Information on Hospital Policies and Procedures concerning drugs
  2. Drug Product Listing
  3. Special Information
37
Q

DETAILED PARTS

  1. Information on Hospital Policies and Procedures concerning drugs (5)
A
  • Categories of drugs
  • Brief Description of the PTC
  • Hospital Policies governing the Prescribing, Dispensing and Administration of drugs
  • Pharmacy Operating Procedures
  • Information on using formulary
38
Q

DETAILED PARTS

  1. Information on Hospital Policies and Procedures concerning drugs

Categories of drugs, including:

A
  • Formulary drugs
  • Investigational drugs
39
Q

DETAILED PARTS

  1. Information on Hospital Policies and Procedures concerning drugs

Brief Description of the PTC, including its:

A
  • Membership
  • Responsibilities
  • Operation
40
Q

DETAILED PARTS

  1. Information on Hospital Policies and Procedures concerning drugs

Hospital Policies governing the Prescribing, Dispensing and Administration of drugs, including:

A
  • Policies to be followed by pharmaceutical company/supplier representatives
  • Standard drug administration times
  • Reporting of adverse drug reactions
  • Medication errors
41
Q

DETAILED PARTS

  1. Information on Hospital Policies and Procedures concerning drugs

Pharmacy Operating Procedures, such as:

A
  • Hours of service
  • Out-patient prescription policies
  • Pharmacy charging system
  • Prescription labelling and packaging practice
  • In-patient drug distillation procedures
  • Handling of drug information requests and other services
  • Patient education programs
  • Pharmacy bulletins
42
Q

DETAILED PARTS

  1. Information on Hospital Policies and Procedures concerning drugs

Information on using formulary:

A
  • How the formulary entries are arranged
  • Information contained in each entry and the procedures for looking up the drug product
  • Reference to sources of detailed information on formulary drugs
43
Q

DETAILED PARTS

  1. Drug Product Listing

*Formulary Item Entries

A
  • Alphabetically, by generic name
  • Alphabetically, within the generic class
  • Combination of the two systems whereby the bulk of the drugs are contained alphabetically in a general selection which is supplemented by several special sections such as ophthalmic/otic drugs, dermatological and diagnostic agents
  • Dosage forms, as oral tablets and capsules, oral liquid/syrups/suspension, parenteral injectables as ampules/vials, etc.
44
Q

DETAILED PARTS

  1. Drug Product Listing

*The type of information to be included in each entry will vary. At a minimum, each entry must indicate the following:

A
  • Generic name of the basic drug entity or product/combination products
  • Common synonyms and Brand name
  • Dosage form/s, strength/s, packaging/s, and size/s stocked by Pharmacy
  • Formulation (active ingredients) of a combined product
45
Q

DETAILED PARTS

  1. Drug Product Listing

*Additional Information which may be part of the drug entries include:

A
  • Usual adult dose/pediatric range, or both
  • Special caution and notes such as “do not administer IV” or “refrigerated”
  • Controlled substances symbol
  • Cost information: this generally will be most useful where the therapeutic classification system is used or, alternatively, list of similar drugs (oral steroids) may be represented showing relative cost data.
46
Q

DETAILED PARTS

This is a listing of all drug items withing each therapeutic category. It is useful in ascertaining what therapeutic alternatives exist for a given situation such as patient allergy to a particular drug.

A

Indexes to the Drug Listing

47
Q

DETAILED PARTS

  1. Drug Product Listing

Two Types of Indexes to the Drug Listing

There are two indexes which can be included at the beginning or end this section which will facilitate the use of the formulary

A
  • Generic Name-Brand/Synonym Cross Index
  • Therapeutic/Pharmacologic Index
48
Q

DETAILED PARTS

  1. Special Information

The material to be included should be of general interest to the hospital staff not readily available in other sources such as:

A
  • List of Hospitals - approved abbreviations
  • Metric conversion scales and tables
  • Table of sodium content of antacids
  • Rule for calculating pediatric dosages
  • Dosage guides for patients with impaired renal functions
  • Table of drug interaction
  • Poison antidote charts
  • List of content of emergency cart/boxes/cabinets
  • Examples of formulary request forms and pediatric banks
  • Important provisions of the Generics Act on prescribing and dispensing especially through erroneous, violative, and impossible prescriptions.
49
Q

FORMAT AND APPEARANCE

The ___ and ___ is an appearance which would exert an influence on its users although elaborate, expensive artwork and materials are unnecessary.

A

physical appearance and structure of a formulary

50
Q

FORMAT AND APPEARANCE

The formulary should be visually pleasing, understandable, and must appear ___ .

A

professional

51
Q

FORMAT AND APPEARANCE

The need for proper grammar, punctuation, correct spelling and neatness is obvious. There is no ___ which all formularies must follow.

A

one single format or arrangement

52
Q

FORMAT AND APPEARANCE

A Typical Appearance might have the Composition (6)

A
  1. Title page
  2. Names and Titles on the members of the PTC
  3. Table of Contents
  4. Information on hospital policies and procedures concerning drugs
  5. Products accepted for use at the hospital
  6. Appendix
53
Q

FORMAT AND APPEARANCE

A Typical Appearance might have the Composition

  1. Information on hospital policies and procedures concerning drugs
A
  • Objectives and operation of the formulary system
  • Hospital regulations and procedures for prescribing and dispensing drugs
  • Hospital services and procedures
  • Directions on how to use the formulary
54
Q

FORMAT AND APPEARANCE

  1. Product accepted for use at the hospital
A
  • Items added, deleted and requested for inclusion to PNDF consistent with the revision made by the NDC
  • Pharmacologic/therapeutic index
  • Description of formulary drug products by pharmacologic/therapeutic class.
55
Q

FORMAT AND APPEARANCE

Appendix

A
  • Rules for calculating pediatric doses
  • Schedule of standard drug administration times
  • Forms for addition to/deletion from formulary and other important forms
56
Q

FORMAT AND APPEARANCE

Several techniques/Suggestions that can be used to improve the appearance and ease of use of the formulary are:

A
  • Making use of different colors of paper for each section of the formulary
  • Making use of an edge index
  • Developing a pocket-size formulary that can fit laboratory coat/uniform pockets. A small-sized book formulary is also recommended since it can be carried in the physician’s bag along with prescription blanks
  • Printing the generic name of each drug entry in boldface type using some other method for making it stand out from the rest of the entries.
57
Q

FORMAT AND SIZE

The format is extremely important since it will determine the ___ of the formulary as well as its publishing costs.

A

practicality of daily use

58
Q

FORMAT AND SIZE

There is ___ size can be recommended at the present time, experience has shown that a formulary which is a sufficient ___ in size to permit it is being carried in a uniform/laboratory coat pocket or a small pocket book that can be carried int the doctor’s bag along with his prescription blanks.

A

no specific; small

59
Q

PUBLICATION AND DISTRIBUTION

A ___ is obviously more esthetic in appearance, easier to read, and imparts to the user the impression that the hospital considers the formulary as an extremely important document and therefore worthy of the cost of printing.

A

printed formulary

60
Q

PUBLICATION AND DISTRIBUTION

Copies of the formulary should be placed at each patient care unit including:

A
  • Clinics and other out-patient care areas such as the emergency room
  • Each division of the pharmacy service
  • Heads of the departments providing patient care
  • Hospital administration
  • Each member of the medical staff
61
Q

KEEPING THE FORMULARY CURRENT

Generally, the formulary will need to be revised ___ . Additions and deletions to the formulary, changes of drug products, removal from/addition to PNDF of current edition and changes in DOH policies, laws, rules, and regulations related to drugs, hospital policies and procedures will necessitate periodic revision of the hospital formulary

A

annually

62
Q

KEEPING THE FORMULARY CURRENT

Any changes in the current edition of the hospital formulary and formulary supplement sheet can be attached to the ___ of the formulary book

A

inside back covers

63
Q

KEEPING THE FORMULARY CURRENT

For ease of the information regarding brand names, the pharmacist can put up a list of brand name drugs ___ with that of the generic index of the hospital formulary.

A

cross-indexed; generic index

64
Q

KEEPING THE FORMULARY CURRENT

Another means of keeping the formulary current is through an ___ in the formulary from the medical staff

A

organized system of soliciting changes

65
Q

USE OF NON-FORMULARY DRUGS

In many institutions, a non-formulary drugs will not be dispensed from the out-patient pharmacy. The patients are instructed to obtain the medication from their local pharmacy. With respect to in-patients, a physician is allowed to order a non-formulary drug for a specific patient by the use of a ___ .

A

special non-formulary drug request form

66
Q

A ___ usually consists of listing of therapeutic agents by their: Generic names, strength, form, posology, toxicology use, recommended quantity to be dispensed

A

formulary

67
Q

___ usually consists of listing therapeutic agents by their: Generic names, strength, form, recommended quantity to be dispensed.

A

Drug list

68
Q

___ can be kept current and can be revised at will simple by printing, distributing and inserting the necessary page or pages

A

Loose-leaf Formulary

69
Q

___ is difficult to keep up-to-date and therefore requires more frequent revisions

A

Bound volume

HOSPI (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions