Orientation Jeopardy

Compounding

Consults

Patient Floors

Main Skills

ACLS/BLS

100

A technician has just drawn up an IV daptomycin syringe. After the pharmacist checks the medication and it is ready for the patient, what is the next appropriate step by the pharmacist.

A. Tube the medication to the floor

B. Put in "protect from light" bag

C. Throw away

D. Call the floor to have RN pick up medication

100

Which of the following is NOT a pharmacy consult that can be ordered by provider?

A. Warfarin

B. Total Parenteral Nutrition

C. Electrolytes on Med Surg (no other indication)

D. Vancomycin

C. Electrolytes on Med Surg (no other indication)

**Electrolyte consult can only be placed for Heme/Onc (P3) or Med Surg on Amphotericin B

100

You are on N4, which type of floor are you on?

A. Med Surg

B. Endoscopy

C. Telemetry

D. Critical Care

C. Telemetry

100

What is the password for Ocra?

A. orca

B. okra

C. ocra

D. UPH2026

C. ocra

100

A patient presents with symptomatic bradycardia to the ER? Current vitals are BP 95/60 mmHg, HR 32 bpm. What is NOT an appropriate therapy?

A. Transcutaneous pacing

B. Atropine 1 mg IVP

C. Adenosine 12 mg rapid IVP

D. Dopamine infusion at 5 mcg/kg/min

C. Adenosine 12 mg rapid IVP

200

What type of water must be used for rinsing equipment prior to compounding?

A. Purified water

B. Distilled water

C. Sterile water

D. All of the above

200

A provider placed an order for pharmacy to dose warfarin. The indication the provider selected was mechanical aortic valve.

What is the target INR for this indication?

A. 1.5-2.5

B. 2-3

C. 2.5-3.5

D. 3-4

B. 2-3

**Goal INR 2-3 for mechanical AVR or atrial fibrillation

200

You are on P3, which type of floor are you on?

A. Telemetry

B. Nephrology

C. Med Surg

D. Oncology

200

A technician has a phone call for you? They parked the call on line 34, how do you answer?

A. 77734

B. #34

C. 65034

D. 33334

C. 65034

200

You arrive to a CPR in progress on Y5, the medical student is administering CPR. CPR coach notes depth of 2.5" and rate of 85 bpm. How do you provide feedback to the compressor to help achieve high-quality CPR?

A. "Pick it up, you're killing them"

B. "Rate is a little slow, try and target rate of 100-120 bpm"

C. "Must be their first code.......Rookie"

D. "Change compressors this girl looks pooped"

B. "Rate is a little slow, try and target rate of 100-120 bpm"

300

A technician has compounded a non-sterile oral syringe. The date is 8/25 at 1400, according to USP <795> what is the beyond-use-date for this compounded syringe?

A. 8/27 at 0200

B. 8/26 at 1400

C. 8/26 at 0200

D. 8/27 at 1400

A. 8/27 at 0200

**USP <795> recommends a BUD of 36 hours for non-sterile compounded medications

300

After a vancomycin consult is placed by a provider which of the following steps would be appropriate for the pharmacist to take next. (select all that apply)

A. Place ID consult

B. Update Ancillary tab

C. Open I-vent to continue to monitor

D. Write initial vancomycin note with plan

E. Order MRSA PCR

F. Order PO vancomycin for C.diff prophylaxis

B. Update Ancillary tab

C. Open I-vent to continue to monitor

D. Write initial vancomycin note with plan

E. Order MRSA PCR (if indicated)

300

What floor handles the UnityPoint Hospital Care at Home phone call?

A. Younker 8

B. North 4

C. Admit Pharmacist (N2)

D. Main Pharmacist

A. Younker 8

300

What is the inpatient pharmacy extension?

A. 1-6355

B. 1-6565

C. 1-7777

D. 1-3411

A. 1-6355

300

You arrive to CPR in progress, on pulse-check patient rhythm is asystole. No medications have been given, which medication do you recommend?

A. Amiodarone 300 IVP

B. Lidocaine 1.5 mg/kg IVP

C. Norepinephrine infusion 1 mcg/kg/min

D. Epinephrine 1 mg IVP

400

What volume of Gentamicin 40 mg/mL would be needed to prepare a dose of 525 mg?

A. 11.87 mL

B. 13.13 mL

C. 12.5 mL

D. 13.47 mL

B. 13.13 mL

**Gentamicin 40 mg/mL = 525 mg/ X mL

525/40 = 13.13 mL

400

A provider enters a consult for TPN at 1700 during your evening n456 shift. What do you do?

A. Panic because you aren't TPN trained yet

B. Utilize TPN order set and order labs for next morning (BMP, Mg, Phos, triglycerides)

C. Call your PM preceptor and compound 1/2 bag of TPN for tonight

D. Call provider and recommend starting tube feeds

B. Utilize TPN order set and order labs for next morning (BMP, Mg, Phos, triglycerides)

400

You are running to a medical emergency on Y5. You are on the second floor of the north tower and are crossing over on the Younker Crossover. Which Younker floor are you now on?

A. Younker 7

B. Younker 8

C. Younker 5

D. Maternity (Y6)

400

A TPN needs to be transported to Lutheran, what phone number will you call for a courier?

A. 867-5309

B. 1-7777

C. 1-1234

D. 1-7000

400

You have a patient who presents to the ER as Vfib cardiac arrest. EMS shared they administered epinephrine 1 mg IVP and shocked the patient without achieving ROSC. The provider wants to give a dose of amiodarone IVP, what is the initial dose of amiodarone during ACLS?

A. 150 mg infusion over 10 minutes

B. 300 mg IVP

C. 1 mg/kg IVP

D. 150 mg IVP

B. 300 mg IVP

500

What volume of potassium phosphate injection containing (4.4 mEq/mL of potassium and 3 mmol/mL of phosphate) would be needed to prepare a dose containing 25 mmol of phosphate?

A. 5.58 mL

B. 6.25 mL

C. 7.57 mL

D. 8.33 mL

**3 mmol/mL = 25 mmol/ X mL

25/3 = 8.33 mL

500

New order for rifaximin is placed. A consult for pharmacy to evaluate cost is placed at same time. What is the appropriate next step?

A. Leave for day shift to assess

B. Message provider to determine if therapy is appropriate

C. Call inventory supply to determine 340B pricing for rifaximin

D. Message IHDM RX DISCHARGE PLANNING to have outpatient pharmacy complete test claim/cost-eval

500

You are about to start rounds with TIC Cardiology, which floor are you responsible for covering consults on?

A. North 3

B. North 4

C. Younker 7

D. Emergency Department

B. North 4

500

You answer the phone and need to transfer to another floor. What are the correct steps to accomplish this?

A. Transfer > # Extension > Transfer > Hang up

B. Transfer > Hang up

C. Transfer > 650- # Extension > Hang up

D. Hang up this is too hard

A. Transfer > # Extension > Transfer > Hang up

500

Patient arrives to ER as CPR in progress. Per EMS the patient has been in Vfib the whole time with multiple does of epinephrine given, doses of 300 mg and 150 mg of amiodarone have been given and shocked multiple times. What is medication could you try next to help achieve ROSC?

A. Epinephrine 1 mg IVP

B. Procainamide 1000 mg IV bolus over 10 minutes

C. Amiodarone 150 mg IVP

D. Lidocaine 1.5 mg/kg IVP