Process & Workflow
Amount of days nursing inspections for hospital use of medications should be done
30 days nursing inspection
Ratio of technician to pharmacist in inpatient
2:1 (2 technicians to 1 pharmacist)
The list of ingredients, procedures for compounding sterile products that is kept.
Master Formula
An well-known organization working continuously to improve health care for the public, by evaluating health care organizations in providing safe and effective care of the highest quality and value
Joint Commission (JC)
This category of drugs identified as causing serious health problems if not taken the right way, or taken with another drug or food item that it may interact with (i.e., have a heightened risk of causing significant patient harm when they are used in error)
High-alert medications
The name, which is part of the computer system/program software, that nurses use to record & document drugs/items given?
eMAR (electronic medication administration record)
Should ADDS used solely for medication dispensing from authorized personnel for inpatient use be licensed from BOP?
No
A method that means using practices and procedures to prevent contamination from pathogens & involves applying the strictest rules to minimize the risk of infection when compounding
Aseptic Technique
The agency which updates List of Hazardous Drugs in Healthcare Setting
National Institute for Occupational Safety & Health (NIOSH)
Emergency equipment containing emergency contents which comply with advanced cardiac life support (ACLS) protocols
Crash carts (emergency drug cart/kit)
Consists of pharmacists, physicians, nursing, and other ancillary staff and/or administration to approve formulary & protocols
Pharmacy & Therapeutics Committee
Duration of time to keep inpatient orders, nonscheduled
For 3 years
Equipment or materials worn to minimize exposure to hazards that cause serious workplace injuries and illnesses
Personal Protective Equipment (PPE)
Global leader in patient safety as the first non-profit organization dedicated to the promotion of safe medication practices
Institute for Safe Medication Practices (ISMP)
May perform patient assessments, refer patients to other providers and operate as a collaborative drug therapy management pharmacist outside of hospital
Advanced Practice Pharmacist (APh)
Medication reconciliation needs to be done if hospitals have more than this
Medication reconciliation done for high-risk patients for hospital > 100 beds
Reconciliation of CS II drugs should be done
Every 3 months
Training, Competency or Evaluation
It ensures safe and healthful working conditions for workers by setting and enforcing standards and by providing training, outreach, education and assistance
Occupational Safety & Health Administration (OSHA)
Defined as any drug used to reverse the effects of anaesthetics, narcotics or potentially toxic agents; part of emergency medication protocol
Reversal agents (e.g., vitamin K for warfarin; dextrose for hypoglycemia)
This can be done for technician workflow if a clinical pharmacy program is available
Tech check tech program
Amount of supply if ER physician uses ADDS to dispense medications for patients going home
72 hours supply
How often should validation testing be done with staff involved in compounding sterile products?
12 months period
Works to protect the public's health in the Golden State and helps shape positive health outcomes for individuals, families and communities
CA Department of Public Health (CDPH)
Program that can help clinicians improve clinical outcomes and minimize harms by improving antibiotic prescribing. “Optimize the treatment of infections while reducing the adverse events associated with antibiotic use.”
Antibiotic stewardship