PSL 4

The PYXIS machine in the video would be an appropriate method to distribute the following medications:

Controlled substances. The necessary security and documentation can be provided by an ADC.

What dose the acronym HIPAA stand for?

Health Insurance Portability and Accountability Act of 1996

Who is responsible for approving the addition of a drug to the formulary list?

P&T Committee

Which of the following are required for complete medication order review

Patient Identification Drug Dose, Route, Frequency Patient Identification

Medication reconciliation is

Promoted as a method of resolving confusion about medication regimens. An opportunity for pharmcists to use their skills an knowledge to enhance patient safety.

EHR systems are tools that:

Provide secure patient information. Provide real-time, point-of-care information for use by health care providers. Make patient information available wherever it is needed by health care providers.

Which of the following in required on an outpateint prescription but not on a inpatient physician order.

Quantity

Which of the following statements are true regarding effective communication?

Reading back a verbal order is necessary regardless of whether the order was given face to face or over the phone.

Which of the following are steps that can be taken when giving or receiving a verbal order to ensure accurate communication?

Repeating information to the prescriber to confirm accuracy. Reading the complete order back to the prescriber. Spelling out drug names and including the diagnosis in the order.

Some of the benefits of ADC (automatic dispensing cabinet) include

The potential to manage medication from an off-site location.

Which type of communication method is used between healthcare professionals?

Verbal communication. Written communication. Non-verbal communication.

The medication reconciliation process consists of the following steps:

Verification of most up to date medication list, clarification of appropriate dosing, reconciliation of medication list and transmission of information to those who need to know.

Which of the following practitioners would NOT have prescribing privileges at an institution?

Veterinarian

Which of the following medications would likely have a stop order associated with it?

Amoxicillin

The medication reconciliation process should be completed:

At each transition in patient care. As the patient is admitted, moves to different locations and is discharged from the hospital.

Which agency certifies pharmacies so that they may participate in and be reimbursed by Medicare and Medicaid?

CMS

Select the statement most accurate regarding CPOE.

CPOE has the potential to improve patient safety, increase the timeliness of patient care and facilitate the use of current medical knowledge via clinical decision support.

Which agency is responsible for protecting public health by securing the safety and efficacy of drugs?

FDA

A closed formulary system allows prescribers more freedom when ordering medications compared to an open formulary system.

False

A patient/caregiver interview could easily be eliminated from medication reconciliation at hospital admission. The information can easily be obtained from the previous discharge information.

False

Alert fatigue is a phenomenon related to pharmacist's intake of coffee

False

The UD distribution system is present in most hospitals today and is the best method of distribution for all types of medications.

False

The formulary system is a list of drugs approved for use within an institution

False

The formulary system is simply a list of the medications available at the institution.

False

You will always use Federal law when making decisions within the practice of pharmacy even when State law is more stringent.

False

The institutional inventory system for controlled substances must allow for an audit trail of complete and accurate documentation:

From procurement of medication through patient administration. Some records must be maintained for years and readily retrievable on demand by state of federal inspectors.

Which of the statements describe a benefit of effective communication between healthcare professionals.

It is critical for providing quality patient care. It can reduce patient deaths due to medical errors. It can improve patient adherence to chronic medication regimens.

Which of the following most closely matches this definition. The pharmacist compares and evaluates a patient's medication order against certain guidelines to ensure that the order meets the standards of medical practice and therapeutic goals for the patient.

Mediation Order Review

Which of the following should be included in an institution's formulary policy?

Method for drug addition A process for non-formulary drug use Information on how drugs will be stocked

The fundamental steps of medication order review are:

Patient and physician identification Drug selection Dose, route, frequency and duration Monitoring and evaluation

According to the excerpt of the ACPHS Policy and Procedure for medication reconciliation (in the pre lab slides), who will conduct medication reconciliation at ACPHS Hospital?

Pharmacists or Pharmacy Interns should complete this process.

ASHP is more likely to impose more stringent guidelines for hospital pharmacy practice than is TJC.

True

Practice settings using a collaborative, open communication approach are more productive than ones where direction is given from the top down.

True

The medication order review process should include a mental checklist of questions that the pharmacist asks him or herself before dispensing a drug.

True

The notation 'RB&V' indicates

You have 'read back and verified' the verbal order you received.