Pharmtech Chapter 9
I rushed through this, sorry if there's lots of typos >< - Alex
Terms
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- drug
- __ and medical references available on computer and online for other forms of automation.
- Medication Fill list cart computer medications
- ___ __ ___ is somtimes called a ___ list, is generated each day by _____, list of all the current ____ of all the patients in the hospital
- ingestion
- Dust from crushed tablet or cleaning a counting tray
- non resident pharmacy
- Class E
- eye level lower
- Hazardous materials should be stored at ___ ___ or ____
- bar coded
- meds may be __ ___ in order to be used in an automated system
- pharmacy
- tech must order meds and supplies for the ____, may order specialty items for other areas of the hospital, handle returns and recalls, handle invoices and put stock away
- 15
- autoclave is a device that genereates heat and pressure to sterilize in about 15 minutes
- tech
- ___ may log prescriptions in computer, do billing, package and label medications, deliver meds to nursing stations, maintain record in long term care facilities
- slaine
- normal ___ for irrigation to cleanse eyes
- medicine food substances
- some microorganisms create byproducts used as ____, fermenting wine, or helping the body breakdown various ____ _____
- unit
- hospitals dispense most patient medications in the form of a __- dose
- trauma
- needle stick or cut
- Institutional
- Class C
- Clinic
- Class D
- STAT
- tech must fill ____ orders
- medication dispensing
- Tech must fill patient med drawers, deliver carts, restock floor stock, refill automated ___ ____ systems
- Hazmat
- storage of Hazardous Materials ( )
- spiral shaped
- ___ - ____ Spirilla
- unit dose
- ___ ___ is an amount of drug prepackaged for a single dose
- blister pads heat sealed strip packages plastic glass cups
- may be packaged in heat sealed zip lock bags, _____ -___, ___ ___ ___ ___, ___ or __ ___, plastic oral syringes, heat-sealed aluminum cups
- one one
- ___ unit equals ___ dose
- water
- ___ contamination - tap water
- rod shaped
- ___ - ____ Bacilli
- tablets capsules oral liquids injectable drugs suppositories
- Unit dose may include ___, ____, __ ____, ___ ___, ____
- air
- ___ contamination - moisture droplet
- Gas sterilization ethylene oxide
- ___ ___ - use of ___ ___ gas used for objects subject to destruction
- h2o soap h2o
- skin should be flooded with ___ and cleansed with ___ and ___
- gauge
- size of needle opening
- Protozoa water malaria
- ____ are microscopic animals which live in ___ or as parasites inside other creatures, such as ___
- ATM
- pyxis automated drug delivery system - ____ for drugs
- Heat Sterilization microbial
- ____ ___ is the most common method for killing the most resistant ____ life form present
- automate compounding
- Baker universal and Baker cells - automatic counters and ability to ___ ___
- 3
- repackaging records are kept for __- years
- spres air
- ___ and some fungi are microscopic and travel through ___
- 250 100
- Large volumes ( ml and up), TPNS, IVPBs ( ml and below), chemotherapy
- vertical
- inspect damaged packages under a ____ hood
- Doctor
- ___ may enter the order directly into the computer
- anesthesia ER
- types of meds may vary by specialty unity (_____,__)
- Dry Heat Sterilization incinerated
- ___ ___ ___ consists of direct flaming and is practical for disposal of contaminated objects, which are often _____
- direct
- ___ skin contact
- nurse charts pharmacy pharmacy
- doctor writes the order (in ___ ____), order is sent to ___, ____ enters order in cpu and fills it and sends up medication
- antineosplastic
- __ drugs are used to treat cancer
- drug manufacturers
- many medications are prepackaged by ___ __-
- out of date
- tech must fill requisitions, stock inventory, check for ___ ___ ___
- asepsis
- ____ - absence of disease - causing microorganisms
- Universal Precautions blood body fluids
- ___ ___ - set of standards lowering possibility of contamination by pathogens carried in ___ and ____
- 1000
- spill kit can contain _____ ml
- 24
- Medication fill list is used to determine how many doses of a med to send to nursing unit for ____ hour supply
- 4 trauma inhalation direct ingestion
- there are ___ routes of exposure: ___ ___ ___ ___
- round spherical
- ___ / ____ (cocci)
- techs
- in Home Health care, ___ provide educational material, may compound medicines, may deliver meds, may package unit dose meds and prepare IV solutions
- drug name strength dosage form manufacurer's name manufacturer's lot # expiration date packager
- Information on the log : Internal lot #, ____ __, ____, ___ ___, ____ ___, ___ __ __, and ___ __; concentration if it is an IV med, quantity of units (how many packaged) initials of repackager, initials of ____ who checks repackaging
- hazardous waste
- remove protective clothing in area where spill is and disacard in a ____ ___ container
- 18 25
- Para robotic dispensing system - processes a prescription every ___ - ___ seconds
- long term
- ___ __ care may include adult day care services for people with psychiatric disorders or medical disorders
- 6
- most hospitals use ___ month rule
- spills
- spill kit should be used during
- Inpatient
- admitted for more than one day
- unit dose nitrobid
- ointments, creams, eye drops, nasal sprays, ear drops, inhalers are not generally packaged in ___ ___ form (exceptions are ____ ointment, Neosporin ointment)
- nursing home
- ___ ___ is an example of a long term care facility
- vegetative forms
- boiling kills ___ ___, many viruses, and fungi in about ten minutes
- total parenteral nutrition
- ____ ___ __ - large volume of IV nutrition adiministered through the central (subclavian) vein (TPN)
- 2/25/04 FDA OTCs
- (date) (company) began requiring bar coding on all prescription drugs, blood products and some ___ in order to reduce errors
- athlete's foot ringworms
- some are implicated in disease conditions such as _____ and ____ (Fungi)
- horizontal
- ___ flow hood - uses air flowing from back of hood moving forward across the hood and out into the room
- microorganisms
- not all __ cause disease
- sterilization substance
- ___- - any process that destroys microorganisms in a ____
- rims
- carts should have ____
- Joint commission on acreditation of healthcare organizations
- what does JCAHO stand for?
- laminar
- ___ flow hood - environment for preparation of sterile products
- Community
- Class A
- Fungi molds mildews
- __ are Microscopic plants (occur as ___, ___, mushrooms, rust, and smut) which parasite on living organisms or feed upon dead organic material and reproduce by means of spores
- illness disease
- lack of knowledge about ___ and ___ led to them being associated with evil or malign spiritual influences in teh ancient days
- suremed inpatients barcodes IVs
- Automation in institutional pharmacies includes ___, robotics fill cart fills for ___, scanners and ____, automation in the mixing of _____
- illness
- bacteria causes a wide variety of ______
- orders prectiptions
- automation includes entering ___ or ___ into computer, robotics, repackaging, cart fills, floor stock, counting pills for Rx, ordering, billing
- billing crediting
- Medication fill list may be used for ____ and ___ purposes
- insurance risk effectiveness cost generic brand
- ____ ____ ____ ___ and ____ vs ____ name affect inclusion on a formulary
- PAR
- ___ level - periodic automatic replenishment
- corrosive
- ___ materials dissolve or eat away at bodily tissues
- Department of Public Health
- _____ __ ___ ____ includes Medicare and Medicaid
- hospital
- Techs must fill and deliver controlled substances to all areas of the hospital
- Pharmacy and Therapuetics Committee
- ___ ____ ____ ____ determines what drugs are included on the hospital formulary
- medication orders physician orders
- prescriptions in a hospital are called ___ or _____
- Home Health care nursing pharmaceutical
- ___ ___ __ includes delivery of medical, ____, and _____ services to patients who remai at home
- pharmacit
- Long term cares may emply a ___ on staff or may use an outside consulting pharamacist
- filled out
- incident reports must be
- respirator shoe covers
- eye protection ___, gloves, disposable gown, hair covers ____ should be inclluded in protective clothing
- hyperalimentation
- parenteral nutrition for those unable to eat
- pyxis suremed robot Rx
- what are examples of automated drug delivery systems?
- discharged
- tech must fill prescription orders as patients are _____ from the hospital
- hospital retail
- Hazardous materials have more risk in a ___ than ___
- aseptic technique microbes particles
- ____ ___ - procedure used to eliminate the possibility of a drug being contaminated with ___ or ____
- before after
- wash hands ___ and ___-
- tracks dispenses
- ScriptPro ____ and ___ prescriptions
- Mechanical sterilization microorganisms
- ___ __- achieved by means of filtration, which is the passage of a liquid or gas through a screen like material with pores small enough fo block____
- Intitutional teaching hospitals
- Some types of hospitals that techs may encounter include ___,__
- Pharmacy
- ___ must keep a log of all repackaged meds
- 20
- double glove, change gloves every ___ minutes or immediately if they tear or get holes
- front
- storage bins should have a barrier at the ___
- Long Term Care
- provides institutional services to elderly patients and others incapable of taking care of themselves
- chemical sterilization inanimate
- ____ ___ destruction of microorganisms on ____ objects by chemical means
- vertical
- ___ flow hood- uses air originating from the roof of the hood moving downward and captured in a vent located on the floor of the hood
- formulary
- list of drugs approved for use from which choices are made
- disinfectant
- a chemical applied to ab object or topical to the body for sterilization is known as ____ (alcohol, bleach, iodine)
- MDs interns residents
- Hospital that has training and teaching facilities may train ___ -___/ residents and other healthcare providers
- health care financing administration
- HCFA stands for__-
- order in
- gloves should be worn when checking the ___ ___
- inhalation
- broken bottle ma release a fine mist
- plunger flange flange barrel plunger tip
- 5 parts of a syringe:
- floor stock
- supplies kept on hand in different units of the hospital
- 6 1/4
- expiration date for repackaged drugs is ___ months or ___ of manufacturer's expiration date, whichever is shortest date
- doctors nurses pharmacists
- Pharmacy and Therapeutics Committee is made up of ___ ____ ____ other healtchare pros
- touch
- ___ contamination - (under nails) most common method of contamination
- HCFA
- ____ oversees Medicare, Medicaid, and HIPAA
- repackaged by the pharmacy
- Dosage forms that dont come in unit dose form are____ ___ __ _______
- for oral use only
- oral syringes must be laballed " "
- Nuclear
- Class B
- cytoxic
- ___ materials are poisonous to cells
- viruses reproduce
- ___ are small microoganisms which need a living host to ___
- tablets capsules liquids
- repackaging refers to preparing unit doses of ___ ___ ___, IV meds and supposirories are not commercially available
- Peripheral Parenteral
- Injection of a med into the veins located on the periphery of the body instead of a central vein or artery
- nursing staff out of dates
- floor stock may be ordered by the ___ __ but the pharmacy must maintain restock and check for __ __- ___
- 99.97
- HEPA (high efficiency particulate air) filter filters ___% of particles
- carts
- Tech must refill crash ____
- point Bevel Lumen Shaft Hub
- 5 parts of a needle:
- outpatient
- not admitted-day surgery