Right patient, drug, dose, route, time…also rationale, documentation
What are the 5 Patient Rights for medication administration
100
Coumadin screening and leaving intervention notes and PE/DVT screening in patients discharged home with coumadin
What is the pharmacy’s role in Anticoagulation Safety?
100
Eliminate or substantially reduce medication related errors i.e., medication-related errors causing patient harm)
What are the goals for MERP?
100
Any harm, expected or unexpected, resulting from the use of a medication. This may result from omission of a medication.
What is the definition of an adverse drug event (ADE)?
100
28 days
What is expiration time frame for open multi-dose vials?
200
chemo, insulin, heparin, PCA
What are drugs that require independent verification by 2 nurses
200
Pharmacist reviews patient’s opioid history to determine if criteria for patch is met. This is required even though physician may check “opioid tolerance.” If criteria is met, pharmacist documents review done in Fentanyl patch order comments. If criteria is not met, pharmacist will contact physician for alternative therapy.
What is the Fentanyl patch review process
200
Alaris Smart pumps, Pyxis, Cerner CPOE
What are some technologies that Sharp has implemented to improve patient safety?
200
Medications in emergent situations ONLY
What is When is it appropriate to override a medication in pyxis?
What are examples of look-alike, sound-alike (LASA) medications
300
Your friendly hospital pharmacist
MicroMedex; Available on the Sharp Intranet
Excellent Web site: Black Box Warnings provided by the Kansas University Hospital Drug Information Center
http://www.formularyproductions.com/blackbox/
What are places to get more information on Blackbox warnings?
400
Process in which a patient’s medication history is obtained and reviewed upon admit and with transfer of level of care
What is the process for RoMACC (reconciliation of medication across the continuum of care
400
Find and pull affected medications and return to buyer. RASMAS
What is how you would handle a medication recall?
400
CPOE, independent verification, 5 patient rights, proper use of pyxis
overrides, reporting medication errors, following P&P for care area
What are some examples of processes that help to reduce medication errors?
ECG monitoring required prior and during IV administration for risk of sudden death due to potential for QTc elongation/ Torsades dePointes.
What is example of Blackbox warning recommendations for Halperidol use?
500
Based upon the patient’s BG and review of insulin MAR, the 2nd RN
independently calculates the correct types(s) and dose(s) and amounts drawn up by the 1st RN. If correct, the 2nd RN documents “double check” in MAR
What is how you would perform an insulin independent verification
500
Epogen, Fentanyl patch, glycemic control
What are some examples of pharmacy’s performance improvement projects
What are the 11 stages of medication use as addressed by the MERP plan?
500
A notice on the packaging of a prescription drug which warns patients/prescribers that the drug has potentially dangerous safety concerns, such as side effects or life-threatening risks.
What is the definition of a blackbox warning?
500
Patient tracers and Observation of:
Independent verification of high risk medications
Medication Pass Audit
Anticoagulation Safety
Fentanyl patch screening
Look-Alike, Sound-Alike Medications
Blackbox Warning drugs
Sedation, Pain, Restraint documentation
What can I expect CDPH to assess during a MERP Survey