Show:
Nursing Roles
Pharmacy Roles
Readiness
Med Safety
Med Essentials
100
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?
200
DOBUTamine – DOPamine ePHEDrine – EPInephrine predniSONE – prednisoLONE fentaNYL – SUFentanil sulfADIAZINE – sulfiSOXAZOLE glipiZIDE – glyBURIDE THEOphylline – AMINOphylline hydrALAZINE – hydrOXYzine TOLAZamide – TOLBUTamide
What is TaLLman Lettering, a method to help staff to select the correct medication?
300
hand hygiene, allergy verification, 2 patient identifiers, explaining purpose
What are practices that a nurse should be doing during a medication pass
300
Separate meds, put auxillary sticker, report to SMP pharmacist, LASA signage, etc
What is How you handle a Look-Alike, Sound-Alike Medication?
300
Med-Prep Rooms, SharpNet  Medication Safety, Pharmacy Dept
What is Where can you find the Look-Alike, Sound-Alike (LASA) tracker and High-risk medications tracker?
300
Dopamine & Dobutamine, Celexa & Celebrex, Insulins, hydromorphone & morphine, metformin and metronidazole
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?
400
Insulin, chemo, anticoagulants, Fentanyl patch, opioids, oral methotrexate, concentrated electrolytes, neuromuscular blockers, promethazine, hypotonic saline,
What are examples of high-risk medications
400
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
500
Storage, prescribing, communication, packaging, compounding, dispensing, distribution, administration, education, monitoring
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