What are the 4 steps of a nurses role when it comes to pharmacology?
-Assessment
-Selecting appropriate pharmacotherapy
-Reassessment
-Revising the plan if needed
What is the purpose of medication storage?
- Stores medications per pharmaceutical recommendations
- Tracks and monitors removal of medications
- Keeps track of the use of controlled substances
What was the purpose of the Controlled Substances Act? When was it introduced?
-establishes the 5 schedules of drugs based on abuse potential
-Developed in 1970
What are the five categories on The controlled substances act? How do they correspond to abuse potential?
- Level 1 has the highest Abuse potential
- Level two has high abuse potential
- Level three has a moderate abuse potential
- Level four has a low abuse potential
- Level five has the lowest abuse potential.
What is a therapeutic use for level one on the controlled substances act?
There is no acceptable use for drugs on level one
Are there any acceptable therapeutic use for drugs on level two of the controlled substances act?
There are some acceptable medical uses for drugs on level two, but they are severely restricted
What is the definition of a controlled substance?
A drug that has a high potential for misuse or abuse
What object can you place in the CSRX (green) container?
-IVs
-Contents of syringes
-Contents of Vials and Ampoules
-Patches
-Pills, Tablets, and Capsules
What can absolutely not go into the CSRX (green) container?
- Syringes, vials, or ampoules
- Any drugs that aren’t controlled substances
What are the regulations when it comes to the red sharps container?
-Can only contain empty syringes or ampoules
-No medications allowed
What is allowed to go into the blue RX waste containers?
- Full or partial IV bags, bottles or vials
- Tablets- whole, broken or partial
- Allowed to contain syringes with medications
What are you have to do if it’s labeled SP?
- Anything labeled SP needs to be returned to the pharmacy for proper disposal
What can be placed into a black 2 gallon sharp container?
- Hazardous medications left in syringes or ampoules
- Include Coumadin/Nicotine packaging
- Tablets- whole, broken or partial
What materials can be placed in the black 8 gallon containers?
- Place items that may leak in a clear ziplock bag prior to disposal
- Include Coumadin/Nicotine packaging into the black container.
- Full or partial IV bags, bottles or vials
- Absolutely no syringes allowed
What is the purpose of black box warnings on medications? Who designates with a black box warning is needed?
- Brings Awareness to serious or life-threatening risks of the medication
- Designated by the FDA
What is the purpose of High alerts on medications? Who designates with a high alert is needed?
- Notifies if there is an increased risk for causing significant harm
- Designated by the ISMP
Are dietary, and herbal supplements, consider drugs?
Yes
Does the FDA have anything to do with the approval of dietary an herbal supplements?
No
Can dietary and herbal supplements, have negative drug interaction with other medications?
Yes, they can
What does q8h mean?
Every 8 hours
What does PO mean?
By mouth
What does HOB mean
Head of Bed
What does qid mean?
Four times a day
What does LLQ mean?
Left lower quadrant
