PT110
What drug information is contained in the barcode? pg 329
National Drug Code
Lot Number
Expiration Date
During the process of filling a prescription, how many times should a technician check to ensure they have the correct drug and strength? pg 334
Book says several but I have stated at least 3 times
What does Coumadin (warfarin) interact with? pg 323
Highlight the entire Table 14.4
These are the focuses of ISMP. pg 327
The type of error, how the error occurred, and how to prevent similar errors from happening
Which changes to the labeling can drug companies incorporate to reduce errors? pg 322
Color Coding
Boldface Lettering
Tall Man Lettering
What does USP Chapter 797 address? pg 331
It addresses the problem of contamination of any type of sterile product
Why are individuals over 80 years old considered to be the fastest growing segment of population for the next 40 years? pg 324
Increased activity
Improved healthcare
Better diet
What category is given when an error occurred but did not reach the patient? pg 318
Category B
What are the types of noise distractions that cannot be avoided on the job? pg 320
Telephones, machines, intercoms, cell phones and voices are considered normal
What are the Five Safety Standards outlined by The Joint Commission? pg 328 - 329
Leadership Process and Accountability
Competent and Capable Workforce
Safe Environment for Staff and Patients
Clinical Care of Patients
Improving Quality and Safety
What is the error type if a physician orders an IV to run at 175 mL/hr instead of 100 mL/hr? pg 318
It is a Prescribing Error because the physician has written the order for the incorrect rate of infusion
What is Medication Reconciliation? pg 332
The process of identifying the most up-to-date list of all of the medications a patient is currently taking
What does a MERP Category I error include? pg 318
An error that may have contributed to or resulted in a patient's death.
Name the ASHP common causes of medications errors. pg 320
#1-12 in Box 14.2
What is an ADR? pg 317
Adverse Drug Reaction
What is the purpose of the National Vaccine Error Reporting Program (ISMP VERP) of 2012? pg 328
To collect information on vaccine errors
List the examples of Automated Dispensing Systems used in Retail Pharmacy. pg 330
Baker Cell
Kirby Lester KL20
Script Pro SP200
How does a technician identify a medication that requires a MedGuide? pg 321
By looking for the indication in bold lettering on the stock bottle or box or by finding a red or yellow symbol
The technician prepared the IV medication with the incorrect diluent and it was given to the patient. What type of error has occurred? pg 318
It is a Wrong Drug Preparation Error
Through which organization can errors be reported to the U.S. Food and Drug Administration? pg 327/328
MedWatch
What are the most common types of healthcare associated infections? pg 324
Urinary tract infections
Bloodstream and Surgical site infections
Pneumonia
What are the High Alert IV Medications according to ISMP? pg 317
Box 14.1 - remember Insulin, Magnesium, Potassium Chloride and Phosphate, Heparin and Methotrexate
If a pharmacist fails to adjust the amount of KCL being added to a TPN after reviewing the most updated labs, what type of error has occurred? pg 318
It is a Monitoring Error because the pharmacist has received the most current lab results and did not change the order accordingly
What is the most important aspect of dealing with errors? pg 327
The reporting process
A diabetic patient has an IV order for Vancomycin in Dextrose 5% in water q6h. Is there a problem with this order? pg 326
A diabetic patient most likely will need the Dextrose changes to Normal Saline (Sodium Chloride) due to the high content of sugar in Dextrose