Chapter13

Front 1

FLOOR STOCK

Back 1

LARGE VOLUME INTRAVENOUS SOLUTIONS, WHICH DO NOT REQUIRE ADDTIONAL DRUGS BE ADDED TO THEM, STORED AT THE NURSING STATION MEDICATION ROOM.

Front 2

WHEN DEALING WITH FLOOR STOCK, 1 THING MUST ALWAYS REMEMBERED

Back 2

IT IS THE PHARMACY THAT IS RESPONSIBLE TO SEE THAT THE MEDICATIONS ARE STORED AND USED PROPERLY, AND IT IS THE PHARMACY THAT DECIDES WHAT MEDICATIONS WILL BE STORED THERE.

Front 3

CRASH CARTS OR EMERGENCY TRAYS

Back 3

KEEP MEDICATION WHICH ARE COMMONLY USED DURING LIFE THREATENING EMERGENCIES.

Front 4

RETROSPECTIVE REVIEW OF MEDICATION USE

Back 4

CODUCTED BY PHARMACIST
MEANING AFTER THE FACT
ANY INCORRECT USAGE OF THE MEDICINE CAN BE COVERED WITH THE PRACTITIONER, AND FUTURE PATIENTS WILL BENEFIT.

Front 5

CART EXCHANGE PROCESS

Back 5

FOR MEDICATIONS WHICH ARE TO BE GIVEN ON A REPEATED BASIS, AND ARE AVAILABLE IN A UNIT DOSE PACKAGE
MEDICATION WHICH A PATIENT WILL USE FOR A SPECIFIC TIME PERIOD WILL BE PLACED IN A BIN MARKED WITH THEIR NAME AND LOCATION.
EACH DAY AT THE APPOINTED TIME, THIS CART IS THEN SWITCHED WITH THE CART FROM THE PREVIOUS DAY, GIVING ANOTHER COMPLETE DAY'S SUPPLY OF MEDICATION FOR THE PATIENT.

Front 6

CONTROLLED SUBSTANCES

Back 6

FLOOR STOCKED ON NURSING UNIT, SEPARATE, LOCKABLE, STORAGE FACILITY ON THE AREA.
ARE INVENTORIED EACH SHIFT BY NURSE.

Front 7

CONTROLLED SUBSTANCES STORED IN THE MAIN PHARMACY

Back 7

SIGNED OUT ON A DOSE BY DOSE BASIS BY PHARMACIST
SIGNED FOR BY THE NURSE WHEN RECEIVED AN PLACED INTO THE INVETORY.

Front 8

OUTPATIENT PHARMACY

Back 8

HOSPITAL RETAIL PHARMACY
INPATIENT AND OUTPATIENT PHARMACY INVENTORIES SHOULD NOT BE MIXED
DOES NOT SERVE THE COMMUNITY AT LARGE, FOR EMPLOYEES AND DISCHARGE Rx FOR PATIENTS LEAVING THE HOSPITAL.

Front 9

abbreviations in hospital

Back 9

orders on the MAR are alwas written by item schedules,not number of times
the pharmacy policy will contain a statement as to how the general term will be interpreted.

Front 10

prescription date(D/C times)

Back 10

pharmacy policy will dictate how long a written order will be filled without an order to continued.
MAR do not contain a number of "refill" to be given, but will be governed by the time limits imposed by pharmacy policy.

Front 11

D/C order

Back 11

order to stop medication such legend drugs

Front 12

prescrition date for controlled drugs

Back 12

controlled drugs are usually good for a set period of time.

Front 13

bulks drugs

Back 13

the fact that many doses of the product will be in each container.

Front 14

when a bulk drug is ordered

Back 14

appropriate package size is chosen, labeled with the patient's name and location, and sent to the nursing station
nurse places bulk medication in patient's bin in cart.
next cart exchange, pharmacy techinician will transfer the bulk drug from the patient's old bin to new one.
The bulk drug does not return to the pharmacy until that patient leaves the hospital.
bulk drug must be reordered if used up.

Front 15

calculating the quantity to be dispensed

Back 15

important factor: time at which the cart exchange takes place.
when a new order comes to the pharmacy, the number of doses that will occur before cart exchange must be sent to the floor.
the number of doses that are required to complete the next cart exchange period are then placed into the patient's bin the next cart.

Front 16

The formulary

Back 16

list of medications that the pharmacy stocks.

Front 17

Factors affect the formulary

Back 17

drug cost, drug effectiveness, the frequency of need, storage requirements, and adverse effects are considered.

Front 18

committee within the hospical manage the fomulary

Back 18

known as the Pharmacy and Therapeutics Committee. Pharmacist, members of the professional community within the hospital. Medicine, Nursing, and Dietary represented.

Front 19

object of P&T committee

Back 19

create a list of needed medications without stocking unnecessary or duplicate drugs.

Front 20

non formular drug need

Back 20

a specific course of action is dictated for the practitioner to obtain approval for the temporary acquisition of the medication.

Front 21

Computerized Medication Access Systerms

Back 21

PYXIS Medstation system, common medication are stored in a computer controlled box.
PHarmacy department is responsible for periodically replenishing the medication.