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level: Level 2

Questions and Answers List

level questions: Level 2

Question	Answer
The self-administration of drugs by patients in the hospital offers many advantages.	1 allows the patient to assume more responsibility; learn how to use drugs properly; anticipate side effects 2 opportunity for the pharmacist to help educate patients on the safe and proper use of drugs
PATIENT SELF-ADMINISTRATION OF DRUGS IN HOSPITALS 1 Pharmacists generally have considered a unit-dose dispensing system as a __ for hospital drug problems. 2 Unit-dose dispensing systems primarily have been “__-centered”	. 1 panacea 2 “pharmacy-centered”
1 A __ should be prepared which outlines the methods used to implement a patient self-administration program as part of a unit-dose distribution system. 2 A __ gives the patient possession of his medication and makes the patient responsible for its administration. Both the nurse and pharmacist will make rounds to insure that the patient is using his medication properly.	1 procedural manual 2 self-administration medication program
PLACING A PHARMACIST ON THE NURSING STATION to ASSUME ALL RESPONSIBILITY concerning the ordering, stocking and preparation of drugs for administration as well as to be readily available for consultation by the clinical and nursing staffs. Ensures drug safety through marked reduction in medication errors.	NEW CONCEPTS IN DISPENSING
As ambulatory-care activities continue to increase within the institutional setting, the hospital pharmacist becomes more and more involved in providing services to these patients. This includes special patient information brochures, patient-dosing calendars, special packaging, patient education audio-visual and home-care programs.	DISPENSING TO AMBULATORY PATIENTS
There is no set rule as to the BEST AREA TO LOCATE AN OUT-PATIENT DISPENSING PHARMACY. This is evidenced by the fact that in today’s practice three equally suitable provisions are made for this area:	a. Separate out-patient pharmacy is available b. A combined in-patient and out-patient unit with service provided from the same “window” c. A combined in-patient and out-patient unit with service provided from separate “window”
is usually established whenever the out-patient department and the pharmacy are geographically widely separated. (state the disadvantages)	separate out-patient pharmacy disadv: 1 requiring a separate staff 2 consuming a great deal of time 3 transporting supplies and drugs to the area.
Depending upon the location and kind of hospital, the prescriptions received in the out-patient department pharmacy will generally include those of __	1 private patients, 2 indigent patients, 3 non-indigent patients, 4 employees, and 5 patients being discharged from the hospital.
The DISPENSING PATTERN involved in providing clinic patients as well as those patients being discharged with “take home drugs” is identical with that carried on by a community pharmacy. explanation (according to me): dispensing in "clinical setting" is similar to "community pharmacy" setting	THE DISPENSING ROUTINE
For internal audit purposes, hospital prescriptions are separated into __	1 out-patient and 2 in-patient discharges two different colored blanks
A recent trend in hospital pharmacy is the assumption of responsibility for the purchase, stocking and distribution of the various ancillary medical, surgical and laboratory supplies. These may consist of surgical instruments, catheter, sutures, needles, syringes, sphygmomanometers and laboratory things. Central Sterile Supplies The PURCHASING OF THE SUPPLIES should NOT be mixed with the PURCHASING OF PHARMACEUTICALS and separate records and inventories should be maintained.	DISPENSING ANCILLARY SUPPLIES