Term
| Traditional Drug Distribution system |
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Definition
| All drugs that are ward stock are a mini-pharmacy on each of the floors. Drugs not in the ward dispensed from pharmacy for individual patient orders. Labelled with patient's name, strength, room #. Stored in the patient's medication cupboard in the ward. |
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Term
| What 'rights' of hospital pharmacy. Administering the right drug, to the right patient, in the right dose, with the right dosage form, at the right time |
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Definition
1 RIGHT DRUG
2 RIGHT PT
3 RIGHT DOSE
4 RIGHT DOSAGE FORM
5 RIGHT TIME |
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Term
| Can medications remaining after patient is discharged from a hospital be returned to the hospital pharmacy? |
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Definition
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Term
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Definition
Pyxis. Patient bins, which are filled every 24 hours that a nurse can access instead of going to pharmacy.
Expensive, but very safe. |
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Term
Temperature of Narcotic/Controlled substances in nursing units?
Locked? |
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Definition
Temperature of Narcotic/Controlled substances in nursing units - LOWER than room temperature
Locked - YES! |
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Term
AUTOMATIC STOP ORDERS:
Injectables |
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Definition
AUTOMATIC STOP ORDERS:
Injectables - 5 days |
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Term
AUTOMATIC STOP ORDERS:
Oral antibiotics |
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Definition
AUTOMATIC STOP ORDERS:
Oral antibiotics - 5 days |
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Term
AUTOMATIC STOP ORDERS:
Antipsychotics, antidepressants, hypnotics, non-barbiturate sedatives (anything psych basically) |
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Definition
AUTOMATIC STOP ORDERS:
Antipsychotics, antidepressants, hypnotics, non-barbiturate sedatives (anything psych basically)
10 days |
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Term
Automatic Stop Orders
Narcotics and controlled drugs |
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Definition
Automatic Stop Orders
Narcotics and controlled drugs - 3 days |
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Term
Automatic Stop Orders
Anticoagulants |
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Definition
Automatic Stop Orders
Anticoagulants - 1 day |
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Term
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Definition
In charge of:
- standards
- safe use
- effective use
- develop formulary based on therapy, merit & cost
- Make recommendations to medical advisory committee |
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Term
P & T Committee
made up of who ?
How often do they meet ? |
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Definition
P & T Committee
made up of who - at least 5 people (3 MDs, 1 RPh, 1 RN)
How often do they meet - at least 6 times per year |
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Term
| Benefits of a Hospital formulary |
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Definition
therapeutic
cost effective
educational - prescribing & use info |
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Term
Who does P & T recommend changes to?
do they make the changes ? |
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Definition
| P & T recommend to MAC (Medical Advisory Committee), who make the changes |
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Term
Automatic therapeutic Equivalent Substitution
Is it brand to generic?
What is it ?
What is its purpose ?
Who approves a substitution policy? |
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Definition
Automatic therapeutic Equivalent Substitution
Is it brand to generic - NO!!!
What is it - To keep fewer drugs on formulary, substitute therapeutically equivalent drugs using pre-determined list.
Purpose is to avoid contacting prescriber for non-formulary orders.
MAC approves substitution |
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Term
Non-formulary drugs
How can they made available? |
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Definition
Non-formulary drugs
Using a non-formulary drug use form.
Non-formulary are drugs that are in the market, but not on the hospital's formulary. |
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Term
Narcotic, C/T substances -
Perpetual inventory ?
Where are they kept in central pharmacy?
How many nurses can access them on the floors?
explain ? |
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Definition
Narcotic, C/T substances - Perpetual inventory
Inventory taken everyday to keep track of every pill etc.
Kept in a safe in the central pharmacy
One nurse has access to the stock on the floor. |
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