What's up DOC?
It's a "Constellation"?
Home Again!
Going OUT?
Going OUT Again?
100
See PowerPoint: The information that is absolutely requiredto be handwritten on this document every time by Wake Med policy.
What is signature and date?
100
The steps for removing a key from the KEY PYXIS in the Pharmacy and returning.
What is DESTOCK and then REFILL?
100
See PowerPoint: The information that is absolutely required with final disposition.
What is signature for pharmacy rep AND nurse/patient?
100
See PowerPoint: See Line #1 on Verification of Valid ID for Picking up Controlled Substance Rx
What is INCORRECT documentation for Validation of ID for picking up controlled substance?
100
Family member picking up a controlled substance Rx has a license that expired last week. He is going to renew it today.
What is an example of "Prescription can't be picked up today."
200
See PowerPoint: The information that is absolutely required to be entered in the comment section of CIISafe when processing this transaction. (Hint: prints on this document).
What is "WASTED in SINK?"
200
The appropriate time to use a CDAR.
What is NEVER if you can help it? IV infusions would be one exception. STAT first doses would be another exception. Try to load all doses that you can. CDARs are easily lost!
200
See PowerPoint: The consequence to department for missing documentation for signatures at final disposition.
What is situation being treated as a discrepancy? If signatures missing for nurse and/or pharmacy representative when given back to floor, in the mind of the DEA, the medication is missing!
200
WakeMed Badge presented as identification for picking up controlled drug prescription.
What is an INVALID form of ID?
200
Patient arrives to pick up her controlled substance RX but doesn't have her photo ID. Technician knows the patient who comes in frequently. The technician offers to show her license # and "pick up the Rx" as an "authorized pick up person".
What is an example of an ACCEPTABLE PRACTICE? While this is allowed per law, staff are cautioned against this practice.
300
See PowerPoint: The information that is absolutely required to be handwritten on this document.
What is signature and date?
300
Proper process when a cubie unloads from pyxis.
What is replace with new cubie or send e-mail to Charlene/Wendy?
300
See PowerPoint: The consequence if the DEA audits us and there is missing signatures at final disposition.
What is $10,000 fine for each signature?
300
Technician checking the photo ID and writing documentation on Verification Log.
What is an ACCEPTABLE process?
300
Sally Jo is a hospital employee at the window to pick up her oxycontin prescription. She states that she was told she wouldn't have to show an ID but she has her WakeMed badge.
What is an example of INCORRECT PRACTICE? She must show her photo ID or have someone pick up for her that does have a photo ID.
400
See PowerPoint: The technician receives the wrong drug in CII safe. The manager corrects the transaction. On the Transaction Correction Receipt shown on this slide, the technician signature goes here AND the manager's signature goes here.
What is CORRECTED BY for manager? What is WITNESSED BY for technician? On other records, when the technician is the person entering information, the technician signs at "Sig of user" and the pharmacist on the Witnessed by line. It is important that the signatures go on separate lines.
400
DOUBLE DOUBLE JEOPARDY: PP: 1. Proper process for handling a Pyxis/CII Safe Compare Report when it is NOT 'clean'. 2. If you write MIA anywhere on documentation, this is required.
What is 1. Pharmacist to investigate and not just accept explanation. Run reports and watch. 2. If MIA is used anywhere, the document must be kept out for the appropriate Mgr on-call so they can review and sign. Please don't just file. Telling us on phone is not enough, we need to see in a timely manner and slide to verify that we have seen it.
400
See PowerPoint: Documentation is complete and can be filed because there is no discrepancy.
What is "false"? The discrepancy is the missing RN/Pharmacy with ending balance.
400
Nurses picking up Rainbow Fund Prescriptions must present a photo ID.
What is NOT REQUIRED in process? If the patient has NOT been discharged, no photo ID is required.
400
Length of time the Verification logs must be kept on file in Director's office.
What is three years?
500
See PowerPoint: Correct order to staple the documents shown on slide.
What is the order in which processed. ie. Invoice on top and pink receipt underneath.
500
DOUBLE JEOPARDY: PP: The proper process for handling the item in the picture. (Hint: be sure to include the most important process to protect staff).
What is Maintain chain of custody. Get Rn to seal with you and put under camera in pharmacy.
500
See PowerPoint: The incorrect process or documentation on this form.
What is wasting of patient's home med? We can NEVER waste a patient's home med. It is their property. If physician writes an order, we can store the meds and handle for dispostion after 3 months per policy.
500
DOUBLE JEOPARDY - Only flour different correct forms of photo ID acceptable per the NC General Assembly law during 2011.
What is driver's license, passport, military ID, special ID card issued by NC DMV?
500
DOUBLE JEOPARDY: Controlled substances that law applies to for verification of photo ID.
What is ALL CII and certain CIII meds (combo products)? However, at WAKEMED, we treat ALL CONTROLLED SUBSTANCES AS NEEDING PHOTO ID.
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