Injections
P&P and Processes
Labs
Medications
What to do
100

The Invega Sustenna is given how often

monthly

100

We do reminder calls for injections how often

What is weekly?

100

Annual lab orders

What is CBC, CMP, A1c, TSH, Lipid, ekg, uds and pregnancy if applicable.

100

Lamictal can cause what type of serious rash

 What is Steven-Johnson Syndrome

100

The CSSRS is positive during check in

What is notify crisis channel or talk to a CM?

200

The only 6 month LAI injection

What is Invega Hafyera

200
The nurse calls 911, after emergency is resolved what is the next steps

What is complete incident report, notify supervisor and clinic manager?

200

The lavendar tube is used for these test

What is CBC and A1c

200

The black box warning for all antipsychotics 

What is death in elderly patients with dementia-related psychosis
200

A patient is starting a new LAI, nurse is unable to confirm oral sensitivity test.

What is hold the injection and consult with provider

300

The is the only sub Q LAI we use in our clinics

Uzedy

300

A patient with a blood pressure 200/120 is in the lobby, patient denies any other symptoms, blood pressure is taken manually again with reading 185/102, and patient doesn't want you to call EMS. what are the next steps

What is call 911?

300

Lithium trough levels should be drawn how many hours after last dose

What is 12 hours?

300

The antidepressant with the longest half life

What is prozac?


Why is this important:

This is important because withdrawal symptoms typically begin when a drug is about 90% out of your body. Prozac is unique among antidepressants because its withdrawal symptoms typically don’t appear for several weeks. Unfortunately, this is a bit of a double-edged sword because Prozac withdrawal symptoms also tend to last longer—about two months. 


300

A patient is suspected to have an opioid overdose

What is administer Narcan?

400

Vivitrol is used for

What is alcohol dependence and prevent relapse to opioid dependence
400

Once a medication error has been determined, how long do staff have to notify the provider

What is 1 hour?

400

Clozaril CBC draw schedule if labs are normal

What is weekly for 6 months, then biweekly for 6 months, then monthly thereafter for the duration of the medication

400
Relprevv requires what monitoring program and how long for patient observation after receiving

What is REMs program and 3 hours. Patient may not drive after injection.


Why wait 3 hours because this is when Post-injection Delirium Sedation Syndrome (PDSS) should occur. This is when the injection enters the blood stream to quickly


Relprevv is an extended release injection of zyprexa

Providers have to be registered for this REMS program specifically. If an order comes through for this medication, please notify supervisor. 

400

A patient arrives late for a provider appointment and can not see the provider how do we still help the patient

What is do a nursing assessment and consult with provider?

500

The Aristada loading dosing

What is Aristada Initio 675mg plus Aristada injection plus abilify 30mg x1 tablet

500

You get hurt at work, what is the process

What is seek medical attention if applicable, notify supervisor, complete incident report, and injury care packet

500

A critical lab is received, and you are unable to get ahold of the patient, what would be the next steps

What is include treatment team to help get ahold of patient? 

This may include the CM, clinic managers and completing a welfare check on patient.

500

The medication that has samidorphan in it and the major contraindication for the use of this medication

What is lybalvi and if you are taking opioids or experiencing acute opioid withdraw?


Remember this is important to educate patients, families and caregivers especially if they have a surgery or dental work.

500

A patient that has never been seen or has been over a year calls needing meds, what do you do?

What is email centralized scheduling?

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