| Term 
 
        | The MAR or medical administration record allows the nurse to   |  | Definition 
 
        | administer the drug at exactly the prescribed time for which it was intended. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | the accurate administration of mediation to patients. |  | 
        |  | 
        
        | Term 
 
        | ·        It is the responsibility of the technician who receives a written prescription order to  |  | Definition 
 
        | prepare the medication for dispensing, confirm that all necessary information pertaining to the patient’s identification is available, and enter the order and validate it. |  | 
        |  | 
        
        | Term 
 
        | ·        The metric system rather than any other system should be  |  | Definition 
 
        | utilized to calculate dosages. |  | 
        |  | 
        
        | Term 
 
        | In a unit-dose exchange system, a technician uses a mobile cart to  |  | Definition 
 
        | deliver medications in cassettes to the patient care area. Technicians will exchange full cassettes for those used during the previous 24-hour period. |  | 
        |  | 
        
        | Term 
 
        | The pneumatic tube system utilizes carrier cartridges that are sent from the pharmacy department to the terminal at the designated patient care area. This system is similar to  |  | Definition 
 
        | what banks use to handle drive-thru transactions, by creating a vacuum to pull the carrier to its destination. |  | 
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        | Term 
 
        | ·        It is the legal and ethical responsibility of the pharmacist to  |  | Definition 
 
        | review and interpret every medication order prior to dispensing the medication. |  | 
        |  | 
        
        | Term 
 
        | In every organization, rules or policies are developed to accomplish the objectives of the organization. A policy is  |  | Definition 
 
        | an overall plan embracing general goals and objectives of what is to be done. |  | 
        |  | 
        
        | Term 
 
        |                     specific ways in which policies are carried out is called procedures. A procedure is  |  | Definition 
 
        | a particular way of accomplishing the objectives set forth in the policy; a series of steps and ways of doing things. |  | 
        |  | 
        
        | Term 
 
        | By reading a manual in which policies and procedures are described, new employees should be able to learn a considerable amount about their respective jobs. Policies and procedures are used  |  | Definition 
 
        | to train new employees, to prevent errors from verbal communication, and for consistency. |  | 
        |  | 
        
        | Term 
 
        | Policy and procedure manuals exist for the following reasons:   |  | Definition 
 
        | o   - to train new employees or retrain existing employees o   - to prevent errors that occur due to verbal communication o   - to ensure consistency of policy and job performance o   - to minimize the waste of human resources and materials o   - to evaluate job performance o   - to serve as legal documents in the event of a lawsuit o   - to comply with regulatory and accreditation agencies’ requirements |  | 
        |  | 
        
        | Term 
 
        | Every policy and procedure manual should have a title. This tells the reader |  | Definition 
 
        | what subject is covered in the policy and procedure manual. |  | 
        |  | 
        
        | Term 
 
        | Every policy and procedure should be dated. A date of implementation indicates  |  | Definition 
 
        | when the policy and procedure went into effect. |  | 
        |  | 
        
        | Term 
 
        | ·        The organization section contains information on  |  | Definition 
 
        | the hospital and pharmacy department itself, organizational charts for both the hospital and the department, services offered, pharmacy department participation on hospital committees, security/confidentiality, and so forth. |  | 
        |  | 
        
        | Term 
 
        | ·        Administrative policies section contains policies and procedures on  |  | Definition 
 
        | the department’s hours of operation, purchasing policies and procedures, inventory control MSDS, annual reports and so forth. |  | 
        |  | 
        
        | Term 
 
        | ·        Distribution services involve the  |  | Definition 
 
        | compounding, labeling, packaging, dispensing, and control of medications. It also involves formulary operation and automatic stop orders. |  | 
        |  | 
        
        | Term 
 
        | ·        The procurement of medications is the responsibility of  |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | ·        A prime vendor relationship is with a distributor of pharmaceuticals who warehouses all drugs from various drug manufacturers. The hospital procures the drugs from their prime vendor at  |  | Definition 
 
        | the contract price negotiated with the drug manufacturers. |  | 
        |  | 
        
        | Term 
 
        | ·        There are many factors that influence the production of drug products. Some of these factors include  |  | Definition 
 
        | industry consolidation, complex manufacturing processes, raw material shortages, FDA certification problems, profitability, and obligation to shareholders. |  | 
        |  | 
        
        | Term 
 
        | ·        The reason for a just-in-time (JIT) inventory strategy is to minimize tying up large sums of money for long periods of time and, in addition, to reduce the cost associated with inventory management. ____________________________________ all implement a JIT strategy that leaves very little room for error. |  | Definition 
 
        | Hospitals, distributors, and manufacturers |  | 
        |  | 
        
        | Term 
 
        | ·        Environmental considerations include  |  | Definition 
 
        | proper temperature, ventilation, humidity, light, and sanitation. |  | 
        |  | 
        
        | Term 
 
        | ·        The inventory turnover rate is calculated by  |  | Definition 
 
        | dividing the total dollars spent to purchase drugs for one year by the actual value of the pharmacy inventory at any point in time. The larger the number of inventory turnovers, the stronger the indication that the inventory control program is efficient. |  | 
        |  | 
        
        | Term 
 
        | ·        A light-resistant container protects the contents from the effects of light by  |  | Definition 
 
        | virtue of the specific properties of the material of which it is composed, including any coating applied to it. |  | 
        |  | 
        
        | Term 
 
        | ·        In March 2003, the FDA announced that it would require bar codes on all medications in an effort to reduce the high rate of medical errors. This is an important step in  |  | Definition 
 
        | automating the medication use process and reducing the amount of human interpretation in the ordering, dispensing, and administration of drugs. |  | 
        |  | 
        
        | Term 
 
        | ·        Records of destruction or returned drugs must be kept for _________. All controlled drugs returned or destroyed must be removed from perpetual inventory. |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | ·        The most revered formulary in the United States is the  |  | Definition 
 
        | National Formulary. The National Formulary has since been incorporated into the United States Pharmacopeia as the official compendium of drug standards in the United States. |  | 
        |  | 
        
        | Term 
 
        | ·        Formularies are considered open or closed.  |  | Definition 
 
        | A closed formulary excludes drugs from various therapeutic classes. An open formulary includes all drugs, placing them on various benefit tiers. |  | 
        |  | 
        
        | Term 
 
        | ·        A formulary is developed through the consensus of the Pharmacy and Therapeutics Committee. The committee reviews  |  | Definition 
 
        | each therapeutic class looking for any superiority within a class, placing emphasis on the most effective therapeutic agents to be used in the practice. |  | 
        |  | 
        
        | Term 
 
        | ·        Medicare Part D includes  |  | Definition 
 
        | the prescription drug plan. |  | 
        |  | 
        
        | Term 
 
        | Formularies are usually published yearly, even though they may be revised after |  | Definition 
 
        | each P&T Committee action. |  | 
        |  | 
        
        | Term 
 
        | ·        The pharmacist is responsible for  |  | Definition 
 
        | interpreting the prescription, filling them accurately, and providing important information to patients. |  | 
        |  | 
        
        | Term 
 
        | ·        Including the purpose of the medication as part of the prescription or medication order can  |  | Definition 
 
        | help readers distinguish the drug names when legibility of handwriting is less than ideal. Many medications have similar names, but very few name pairs that are spelled similarly are used for similar purpose. |  | 
        |  | 
        
        | Term 
 
        | ·        Health care facilities and community pharmacies should seriously  |  | Definition 
 
        | discourage verbal orders to decrease the opportunity for misunderstanding. |  | 
        |  | 
        
        | Term 
 
        | ·        To prevent sound-alike and look-alike errors, physicians must  |  | Definition 
 
        | be encouraged to include complete directions, strengths, route of administration, and purpose for use on prescriptions. |  | 
        |  | 
        
        | Term 
 
        | ·        When listing drug doses on labels or in other communications,  |  | Definition 
 
        | never follow a whole number with a decimal plus a zero. |  | 
        |  | 
        
        | Term 
 
        | ·        The abbreviation “U” for units is an example of what can go wrong. Errors have occurred when the letter “U”  |  | Definition 
 
        | was mistaken for the numerals 0, 4, 6, and 7. |  | 
        |  | 
        
        | Term 
 
        | ·        During drug preparation and dispensing, the label should be  |  | Definition 
 
        | read three times: when the product is selected, when the medication is prepared, and when either the partially used medication is disposed of (or restocked) or product preparation is complete. |  | 
        |  | 
        
        | Term 
 
        | ·        Auxiliary labels should be applied to medications to help prevent errors. Examples include:  |  | Definition 
 
        | “For Oral Use Only,” “For the Ear,” and “For the Eye.” |  | 
        |  | 
        
        | Term 
 
        | ·        Health care professionals acknowledge that medication errors are a growing concern because of the |  | Definition 
 
        | increased number of critically ill, the development of more potent and potentially dangerous drugs and methods of administration, and more emphasis on fiscal constraints that affect hospital staffing and workloads in all sectors. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | all medications are stocked on the nursing unit, with the possible exception of some rarely used or very expensive medications |  | 
        |  | 
        
        | Term 
 
        | ·        Individual prescription system:  |  | Definition 
 
        | a multiple-day supply of each medication is dispensed for the patient upon receipt of prescriptions or medication orders |  | 
        |  | 
        
        | Term 
 
        | ·        Unit-dose distribution system:  |  | Definition 
 
        | represents a significant refinement of the individual prescription order system and is considered to be the safest, most economical method of distributing drugs in health care institutions |  | 
        |  | 
        
        | Term 
 
        | ·        Centralized dispensing system:  |  | Definition 
 
        | all activities in the preparation and distribution of medications take place within the main pharmacy area |  | 
        |  | 
        
        | Term 
 
        | ·        Decentralized dispensing system:  |  | Definition 
 
        | the doses are prepared in a satellite pharmacy located in or near the nursing unit |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | any temperature between 8 degrees Celsius and 15 degrees Celsius or 46 degrees Fahrenheit and 59 degrees Fahrenheit |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | any temperature between 30 degrees Celsius and 40 degrees Celsius or 86 degrees Fahrenheit and 104 degrees Fahrenheit |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | the temperature prevailing in the work area. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | any temperature not exceeding 8 degrees Celsius or 45 degrees Fahrenheit |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | any temperature above 40 degrees Celsius or 104 degrees Fahrenheit |  | 
        |  | 
        
        | Term 
 
        | o   Controlled room temperature:     |  | Definition 
 
        | temperature maintained thermostatically between 15 degrees Celsius and 30 degrees Celsius or 59 degrees Fahrenheit and 86 degrees Fahrenheit |  | 
        |  |