Pretty Princess Med Use Process
Med Use Slaves
Med Use Slaves Part II
Inform Me My Good Man!
The Digital Age
100
Phase 1: I'm typically a physician function but pharmacists can be involved via drug selection and individualization of the therapeutic regimen. My, my pharmacists aren't you special?
What is prescribing?
100
'Bring me my goods!' shouts the pretty princess - 'bring me the services, the best pricing! Oh, and don't forget to inspect the goods upon receipt and keep good records in case of recalls.
Important for in/outpatient
What is Procurement?
100
This is the stock on hand, the goods and products needed to produce them - name me and get the points, name the level in which automation will reorder product to get 100 bonus points!
What is Inventory/Storage?
Bonus: What is par level?
100
Do you know what I stand for?
-EHR/EMR, MAR, HIT, FDB, ADS, ISMP
100 Bonus points if you can get this acronym!
-HITECH
What is Electronic Health Record, Electronic Medical Record, Medication Administration Record, First Data Bank, Automated Dispensing System, and Institute for Safe Medication Practices
Bonus:
Health Information Technology for Economic and Clinical Health
100
SaMD is a cool acronym, but it is not a Sad MD or a Sassy Midi dress.
What is Software as a Medical Device?
200
Phase 2: is transcribing and documenting but I've got two names for that thing - usually a piece of paper but now I'm electronic. The two names depending on whether your patient is in or out.
What is medication order for inpatient and prescription for outpatient?
200
When you were a kid they taught you that copying was a naughty thing - well, turns out they lied! You need to accurately copy medication details when handwritten, faxed, or oral scripts come thru the system. (In/Outpatient)
What is Transcribing?
200
All good things must come to an end. You either end up in the trash, the ground, or both. But if you're a hazardous drug you need to dispose of in a very special and lawful way.
What is Drug Disposal?
200
An informatics pharmacist - that's just a robot with Elon Musk's microchip inside right? Not so, and they play a huge role in what?
What is Medication & Patient Safety?
200
Software processing images for cancer detection or diagnosis a condition on a smartphone is an example of what?
What is an SaMD?
300
Phase 3: The know-it-all part of the process, checking and catching prescriber mistakes inflates the hell out of my ego. Oh yeah, I also prep medicine and distribute it during this phase too.
What is dispensing?
300
I ROA will be different per setting - patient/caregiver will normally self-administer but inpatient you see nurses using feeding tubes, epidurals, intrathecal, central IV lines, intraosseous oh my! What am I?
What is Medication Administration?
300
Prescribing and Ordering is for both in/out, pharmacists can consult on orders and even prescribe under a site protocol, but what state forbid doctors from ever taking pen to paper?
What is New York?
300
It's like my mother used to say - if you didn't write it down on the list - it isn't getting bought. So if it's not documented...
What is ... it didn't happen?
300
Ah, the benefit of the digital age - pt's now have the right to view their own medical records, in this app - and see the filth their doctor writes about them in the SOAP notes.
What is MyChart?
400
Phase 4: The scariest of all - don't kill your patient, check allergies, warnings, and interactions be quick! They're waiting and ahem, not getting any deader!
What is administration or administering?
400
Click, click, click - mostly digital now but in days of old the record used to be paper - but keep on clicking, you need to record every detail of medical treatment, trial or clinical test. Leave nothing out and make sure to CYA.
What is documentation?
400
This one is like a puzzle, you gotta watch for therapeutic & adverse effects, mind lab results, and interpret stories from patients and caregivers. All part of that diligence nonsense - just don't be too lazy to report effects and the errors (you didn't make ;)
What is Monitoring?
400
'I made you and I can break you anytime I want.' Is what an informatics RPH can do when they 'build' the physician order entry and consolidate medication lists. So, what goes into an Order Set Build?
Hint: there's four of them!
What is Nursing Orders, Consults, Procedures, Labs, Medication Orders?
400
The importance of HIPPA and an increase in hackings has inspired the increased of this dual factor authorization.
What Multi-Factor Authentication?
500
Phase 5 - similar to phase 4 in the FDA's post marketing process, it's a time to observe, report & document.
What is Monitoring?
500
Ah, what is a process without some kind of control? Our pretty princess & her healthcare team needs tools & resources at their disposal and at the physical/organizational setting in which they work.
What is Systems/Management Control?
500
This one here is the primary goal - did you do it? Is your system safe and efficient? There's so much that could go wrong - look alike, sound alike - no pressure though, you as the pharmacist only have oversight and legal accountability - that's right, the keeper of the laws & rules unique to your practice setting.
What is Dispensing & Distribution?
500
A nuisance I am and will cause pop-up fatigue but alas I really am quite important - an informatics RPh made me - what am I?
What is a Drug Warning?
500
What is the one piece of incoming technology that a pharmacist will need to know in order to stay marketable?
What is AI?