Health System Pharmacy
These pharmacies provide services on-site 24 hours a day 365 days a year
institutional pharmacies
Operated out of one location: the inpatient pharmacy (IP)
Medications delivered to various patient care units throughout the facility from one central location
Centralized Pharmacy
Registers and regulates pharmacists and pharmacy technicians
SBOP (State Board of Pharmacy)
When patient is to receive a specific medication at specific intervals throughout the day
Standing or Scheduled Order
most common type of prescription filling robots
Medication Cassettes
These provide safe drug storage for medications required in emergencies or after hours.
They are cost-effective, reduces errors, and help reduce diversion
PYXIS and medDISPENSE are common names
Automated dispensing systems
For patients who are being discharged from the hospital or treated by a physician in the hospital but do not require overnight admission; Retail-style pharmacy within the hospital facility
Outpatient pharmacy
This unique identifier must be used for all transactions involving controlled substances.
DEA number
When patient is to receive a medication only as necessary, as with pain medication
PRN order
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
Unit dose
These are ndividually packed blister packs
unit-dose packages
Receiving, processing, and dispensing medication orders for individual patients
Often for specific patient care areas, such as operating rooms, oncology, or pediatrics
satellite pharmacy
Surveys, inspects, and accredits health systems, such as hospitals (including the pharmacies), every three years
Joint Commission
When patient requires a medication immediately; urgent order that takes priority over other orders and requests
STAT order
These CANNOT be unit dosed
Eye Drops
Nurses record and track medication administration on one of these
Medication Administration Record (MAR)
These types of pharmacies require duplication of staff, inventory and equipment
decentralized pharmacy
Administers Medicare, Medicaid, SCHIP, HIPAA, CLIA, and several other health-related programs
CMS (Centers for Medicare and Medicaid Services)
For a medication required for a physician to respond to a medical emergency
Emergency Medication Order
How do you inspect for expired, discontinued, and recalled meds
Compare lot numbers and NDC numbers
All needles and items that may puncture the skin must me disposed of in one of these
sharps container
Regulates hospitals, including the hospital pharmacy department(s)
(DPH)State Department of Public Health
Becoming more prevalent in health-systems settings
Physician electronically orders patient's medication directly via computer.
(CPOE)Computerized physician order entry
Preparing custom-ordered medications
Compounding