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Final Exam Flashcards

(48 cards)

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1
Q

Describe the role of an inpatient health system (hospital) pharmacist.

A
  1. Verify physician orders
  2. Screen orders for therapeutic duplication, interactions, allergies, etc.
  3. Check ADC fills and IV’s
  4. Provide drug information to medical staff and nursing
  5. Oversee technicians
  6. Process Hospice prescriptions
  7. Perform Medication Reconciliation on high readmit risk patients (CHF, COPD)
  8. Dispense controlled substances for ADC’s.
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2
Q

Distinguish how a health system pharmacist is different from other pharmacist.

A
  1. Inpatient-central
  2. Inpatient-unit based
  3. Critical Care
  4. Infectious Disease
  5. Emergency Care
  6. Pediatric
  7. Oncology
  8. Cardiology
  9. Ambulatory Care/Clinic based
  10. Drug Information
  11. Administration
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3
Q

Identify three unique characteristics of nursing as a healthcare profession.

A

Highest nursing degree
Licensure/state requirement
National certification

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4
Q

What is an LPN?

A

1 year
Technical Degree
National Licensure Exam
Bound by State Nursing Practice Act
Task Oriented
Stable Client

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5
Q

What is an ADN, RN?

A

2 year Technical Degree
National Licensure Exam
Bound by State Nursing Practice Act
Unstable Clients
Bedside care

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6
Q

What is a BSN, RN?

A

4 year degree
National Licensure Exam
Bound by State Nursing Practice Act
Unstable Clients

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7
Q

What is a MSN, RN?

A

6 Year degree
Various specialty areas
Education
Informatics
Administration

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8
Q

What is a DNP, RN?

A

6-7 Year degree
Various specialty areas
Education

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9
Q

What is a PhD, RN?

A

8-10 year Terminal degree
Research Focused
Educators
Administrators

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10
Q

Describe three commonalities of the profession of nursing with the profession of pharmacy.

A
  1. Pre-Req’s Science/Math
  2. Accreditation for Educational Programs
  3. Licensure Exam
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11
Q

What is the relationship between inpatient pharmacy and nursing?

A
  1. Pharmacy and Nursing- receive Healthcare Provider Orders/ Prescriptions
  2. Pharmacy- prepares medication orders
  3. Nursing- administers medications
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12
Q

When does pharmacy and nursing serve on a variety of committees together?

A
  1. Quality and safety
  2. Practice
  3. Informatics
  4. Leadership
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13
Q

What is a pharmacy working in outpatient?

A
  1. Fills prescriptions written by providers directly to the patient.
  2. May “call provider” for order clarification
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14
Q

What is a nurse working in outpatient?

A
  1. Sort through all of the prescribed and OTC medications a patient reports taking during a healthcare visit
  2. May “call in” orders from providers
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15
Q

What are the unique characteristics of nurses?

A
  1. Largest percentage of healthcare workforce world wide.
  2. Broadly defined term. In the United States, range from 1 year technical degree to 10 year terminal degree
  3. Nurse Practitioners and Doctorate of Nursing Practice Registered Nurses may have prescriptive privileges depending on their area of study and the licensure and additional certifications.
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16
Q

What are the 3 routine interdisciplinary collaborations between pharmacy and nursing?

A
  1. Inpatient: Fill- administer medications; shared legal and ethical responsibilities
  2. Outpatient: Fill medications; communicate; document
  3. Beyond: Public health and safety, research, education
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17
Q

What are the roles of a physician in the healthcare team?

A
  1. Investigator
  2. Prescriber
  3. Educator
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18
Q

How can a physician be an investigator?

A
  1. Make the diagnosis based on history and physical.
  2. Order diagnostic tests
  3. Obtain referrals
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19
Q

How can a physician be a prescriber?

A

Prescribe the treatment using pharmacologic therapy and non-pharmacologic therapy

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20
Q

How can a physician be an educator?

Study These Flashcards
A
  1. Educate the patient
  2. Diagnosis specific
  3. Routine health maintenence
21
Q

What are the common reasons pharmacists interact with physicians?

Study These Flashcards
A
  1. Prescription medications
  2. Vaccinations
22
Q

How do pharmacists interact with physicians through prescription medications?

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A
  1. Identification of medication errors
  2. Recognition of potential drug interactions
  3. Documentation of adverse reactions
  4. Initiation of insurance prior authorization
  5. Communication of prescription nonadherance
23
Q

How do pharmacists interact with physicians through vaccinations?

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A
  1. Screening
  2. Counseling
  3. Administration
24
Q

How do nursing and pharmacists improve care access and patient outcomes?

Study These Flashcards
A
  1. Statewide protocols
  2. Standing orders
  3. Laws expanding scope of pharmacist practice
  4. Collaborative practice agreements
25
What are the collaborative practice agreements?
1. Patient specific 2. Population specific
26
What is patient specific collaborative practice agreements?
1. Applies only to the patient(s) listed in the agreement 2. Limited to post diagnostic care 3. Frequently used for chronic disease management
27
What is population specific collaborative practice agreements?
1. Applies to a patient population 2. Requires consistency through a written treatment protocol 3. Used for acute and chronic disease management 4. Used for preventive care
28
What are examples of collaborations to improve patient outcomes?
1. Medication management 2. Patient counseling 3. Health professional education
29
What is medication management?
1. Monitoring therapy as needed 2. Modifying therapy when appropriate
30
What is patient counseling?
1. Supply information to fill gaps in knowledge 2. Provide instruction for proper use of medications and devices
31
What is health professional education?
1. Raise physician awareness of drug specific problems such as side effects and drug interactions 2. Promote disease specific therapeutic recommendations
32
What is public health?
What we as a society do to assure the conditions in which people can be healthy
33
What are the 2 levels of public health?
1. Planning (macro) 2. Implementation (micro)
34
What is macro public health?
Focus on the well-being of the population as a whole
35
What is micro public health?
Provider to patients or program to population
36
What does a public health pharmacist do in the CDC?
Epidemiology and biostatistics Field worker Education
37
What does a public health pharmacist do in the FDA?
Drug regulation Analysis of reports Epidemiology and biostatistics Education
38
What does a public health pharmacist do in legislation?
Public health policy at the federal and state levels
39
What does a public health pharmacist do in HRSA?
Ryan White/HIV clinics
40
What does a public health pharmacist do in CMS?
Work on formulary committees at the federal and state levels
41
What fields that don't require a MPH to practice as a pharmacist?
1. US Public Health Service Corps 2. Provide population-based care (especially in health systems) 3. Health education 4. Public health policy at the local level 5. Disaster preparedness 6. Research and training 7. Medical missions
42
What are the duties of a clinical pharmacist?
1. Therapeutic drug monitoring 2. Renal monitoring 3. Anticoagulation monitoring 4. Antibiotic stewardship 5. Interdisciplinary rounds in critical care 6. Dedicated critical care pharmacist 7. Dedicated REACH/Transition of care pharmacist
43
What is the ASHP Practice advancement initiative 2030?
1. Patient-centered care 2. Leadership in medication use and safety 3. Technology and data science 4. Pharmacist role in education and training 5. Pharmacy tech role, education and training
44
What are the steps to achieve ASHP Practice advancement initiative 2030?
1. Transition of care of the patient (REACH) 2. Increase presence in patient care areas and multidisciplinary setting 3. Maximum utilization of automation 4. Expand tech roles 5. Encourage advanced education
45
Which nurses have prescription authority?
1. MSN, NP, RN 2. DNP, RN 3. APRN
46
What is "what?"
Describe for explain
47
What is "So what?"
Identify areas that brought strengths and weaknesses
48
What is "Now what?"
Action plan or goals to improve
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