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chapter9
Question | Answer |
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accreditation | the stamp of approval of the quality of services of a hospital by the Joint Commission |
admitting order | a medication order written by a physician on admission of a patient to the hospital; may or may not include a medication order |
automated compounding device (ACD) | a programmable, automated device to make complex IV preparations such as TPN |
automated medication dispensing system (AMDS) | a secure, locked storage cabinet of designated drugs on a nursing unit whose software can track the dispensing and administration of each dose of medication to each patient |
bar-code point-of-care (BPOC) | the use of automation scanning by a nurse at a patient’s bedside to minimize medication administration errors |
cart fill list | a printout of all unit dose profiles for all patients |
computerized prescriber order entry (CPOE) | the process of having a prescriber use a handheld device at a patient’s bedside to enter and send medication orders to the pharmacy crash cart a mobile cart that holds necessary drugs for an emergency CPR code |
crash cart | a mobile cart that holds necessary drugs for an emergency CPR code |
daily order | a medication order written by a physician to continue treatment; similar to a refill of medication |
director of pharmacy | the chief executive officer of the pharmacy department |
discharge order | an order written by a physician that provides take-home instructions, including prescribed medications and doses, for a discharged patient |
drug formulary | a list of approved medications for use within the hospital; this list is approved by the P&T Committee |
electronic medication administration record (eMAR) | a record that documents the administration time of each drug to each patient often using bar-code technology |
floor stock | medications stocked in a secured area on each patient care unit |
informed consent | written permission by the patient to participate in an IRB-approved research study in terms understandable to the lay public |
inpatient drug distribution system | a pharmacy system to deliver all types of drugs to a patient in the hospital setting; commonly includes unit dose, repackaged medication, floor stock, and IV admixture and TPN services |
Institutional Review Board (IRB) | a committee of the hospital that ensures that appropriate protection is provided to patients using investigational drugs; sometimes referred to as the Human Use Committee |
Intravenous IV admixture service | a centralized pharmacy service that prepares IV and TPN solutions in a sterile, clean room work environment |
investigational drugs | drugs used in clinical trials that have not yet been approved by the FDA for use in the general population or drugs used for nonapproved indications |
Joint Commission | an independent, not-for-profit group that sets the standards by which safety and quality of health care are measured and accredits hospitals according to those standards |
medical chart | a legal document that contains a patient’s demographics and room number as well as all orders written by the healthcare team |
medication administration record (MAR) | a form in the patient medical chart used by nurses to document the administration time of all drugs |
medication order | a prescription written in the hospital setting |
medication special | a single dose preparation not commercially available that is repackaged and made for a particular patient |
patient profile | the documentation that provides the information necessary to prepare the unit doses, including patient name and location, medication and strength, frequency or schedule of administration, and quantity for each order |
Pharmacy and Therapeutics (P&T) Committee | a committee of the hospital that reviews, approves, and revises the hospital's formulary of drugs and maintains the drug use policies of the hospital |
pick station | an area of the inpatient pharmacy that houses frequently prescribed formulary drugs in commercially available unit dose packaging, thus allowing efficient medication cart filling |
Policy & Procedure (P&P) manual | a written, step-by-step set of instructions for pharmacists and technicians alike on all operations within the pharmacy department |
repackaging control log | a form used in the pharmacy when drugs are repackaged from manufacturer stock bottles to unit doses |
Schedule II drug administration record | a manual or electronic form on the patient care unit to account for each dose of each narcotic administered to a patient |
standing order | a preapproved list of instructions, including specific medications and doses, commonly written after surgery or a procedure |
stat order | a medication order that is to be filled and sent to the patient care unit immediately |
total parenteral nutrition (TPN) | a specially formulated parenteral solution that provides nutritional needs intravenously to a patient who cannot or will not eat |
unit dose | an amount of a drug that has been prepackaged or repackaged for a single administration to a particular patient at a particular time |
unit dose cart | a movable storage unit that contains individual patient drawers of medication for all patients on a given nursing unit |
unit dose label | directions for use on a patient-specific medication order |