Prescribing Basics Outline_Pharm

23問 • 1年前

問題一覧

Identify causes of preventable medication errors that occur during the medication use process

Incorrect diagnosis, prescribing errors, dose miscalculations, poor drug distribution practices, drug and drug device related problems, incorrect drug administration, failed communication and lack of patient education

Incorporate medication error prevention strategies into your clinical practice.

-Obtain, record and update (preferably at every visit) the patient's drug allergies -Keep every patient's medication list up-to-date and in a consistent place in the medical record. This system helps to avoid prescribing duplicative medications, missing potential drug interactions, prescribing contraindicated medications, overmedicating because refills are ordered too soon, and making errors on refill dosages. -Include in the medication record all prescriptions written (name, dose, number, refills), samples dispensed, date written, diagnosis for which medication written, and special instructions given

Describe available resources a health care professional can use to stay current regarding medication errors

-Institute for Safe Medication Practices -Confused Drug Name List -Standard Concentrations for Neonatal Drug Infusions -Guidelines for Preventing Medication Errors in Children -SMP Updates its List of Drugs with Tall Man Letters

Describe the components of a prescription order—what constitutes a permanent form when writing a prescription?

-The physician’s name, address and telephone number -Physician’s DEA number is required for controlled substances -Patient’s name and DOB. Also, may include address and weight. × Date Rx is written/issued -Legend drugs expire one year after date issued -Name of drug and strength -Directions [Sig.]—with indication/ route of administration and frequency and for what disease process [eg. for headace] -Refills—write out number [example—zero, not 0] -Signature -At a minimum, the title must include RN and the APRN role and population focus recognized by the BON -NPI number is required

Rx – what does it mean?

Symbol for prescription and it means “receive/take”

What does Signa mean?

Directions for use

What is the rule in Texas for production selection?

Will substitute with generic unless you have written “Brand medically necessary"

What does the acronym A SAFE MED stand for?

Allergy, Safety, Adverse Drug Reactions, Finances, Exclusion, Mechanism of Action, Elimination, Dosage and Duration

How often is the RN and APRN license renewed?

Every 2 years

DPS Registration required _______ if prescribing controlled substances

Yearly

DEA registration every ______ if prescribing controlled substances

3 years

When using clinical judgement in prescribing what are two entities that provide proper guidelines?

The Agency for Health Care Quality (AHRQ) and National Institutes of Health (NIH)

Legend drugs expire ______ after date issued

1 year

Schedule I

Heroin, lysergic acid diethylamide (LSD), marijuana, 3,4-methylenedioxymethamphetamine (ecstasy), peyote

Schedule II

Hydrocodone [as of 9/2015], cocaine, methamphetamine, methadone, hydromorphone, meperidine, oxycodone, fentanyl, Adderall, Ritalin

Schedule III

Codeine, ketamine, testosterone [injectable]

Schedule IV

Xanax, soma, valium, Ativan, Ambien, Tramadol

APRNs may only issue prescriptions for controlled substances in _______.

Schedules III through V

APRNs may only issue a prescription, including a refill of a prescription, for a period that does not exceed ______, and must consult with a physician and documention must be kept.

90 days

Expires within ______ from date of issuance for CIII-V and ______ for CII

6 months; 21 days

No script for children _____ without consultation and documentation

Less than 2 years old

Transfers regulation of the state’s prescription drug monitoring program from DPS to Texas State Board of Pharmacy effective September 1, 2016

State Bill 195

APRNs and CS-II × Must be in facility based practice, patient must be admitted to hospital > 24 hours, may not write for any other purpose than hospice care

State Bill 406

Patho Renal

Two Clean Queens · 100問 · 2年前

Patho Renal