provide safe drug storage for medications required in emergencies or after hours.: (Omnicell & medDISPENSE)
Automated Dispensing Systems
When patient is to receive a specific medication at specific intervals throughout the day
Standing or scheduled order
(20-100 people, when testing safety begins- may take several months);A handful of volunteers selected for drug testing and levels of toxicity
Investigational Drugs Phase I
a distribution system in which each medication order is filled in the pharmacy in a way that provides each dose in a package ready to administer; usually dispensed for 24 hours at a time
Unit Dose System
When patient is to receive a medication only as necessary, as with pain medication
PRN order
(100-500 people, emphasis on efficacy- takes months to years)
Several doses are used in order to determine which dosage works best with the fewest side effects
Investigational Drugs Phase II
form that is used to track when medications are administered
MAR (Medication Administration Record)
When patient requires a medication immediately; urgent order that takes priority over other orders and requests
STAT Order
(several thousand people- focuses on dosing- may take several years); Double-blind and controlled placebo studies to see how well the drug works
Investigational Drugs Phase III
Computer Physician Order Entry
CPOE
For a medication required for a physician to respond to a medical emergency
Emergency Medication Order
(performed after product is on the market- looking for long-term side effects)
Investigational Drugs Phase IV
meet several times a year to review medications on the formulary and make changes as needed; usually comprised of Physicians from various specialties, pharmacist, and other health care workers with experience in clinical decision making
P & T Committee
Used in facilities that participate in research programs; ordered, prepared, and administered according to stringent protocols specific to the research program
Investigational Medication Order
LOT and NDC number
Used to determine discontinued, expired, or recalled medications