HOSPITAL PHARMACY
HOSPITAL PHARMACY EXAM QUESTIONS AND ANSWERS %
ACCURATE.
Accreditation answer >>>>>>>determination by an accrediting body than an
eligible healthcare organization complies with the accrediting body's applicable
standards
Health-system pharmacy practice answer >>>>>>>practice that includes the
provision of distributional and clinical pharmacy services at a broad range of
health system settings including hospitals, ambulatory clinics, accountable care
organizations (ACOs), patient-centered medical homes, LTC, hospice, home
infusion, specialty pharmacy, and correctional facilities
integrated health systems answer >>>>>>>systems that integrate all care under
the umbrella of a central organization and often include inpatient/acute care,
primary care/ambulatory clinics care, LTC, and home care settings
patient centered medical home (PCMH) answer >>>>>>>a care delivery model
designed to provide patient-centered care coordinated through a primary care
physician, with better and more timely access to services that results in better
overall quality outcomes
practice guidelines answer >>>>>>>tools that describe processes found by
clinical trials or by consensus opinion of experts to be the most effective in
evaluating and/or treating a patient who has a specific symptom, condition, or
diagnosis, or that describe a specific procedure. Synonyms include clinical practice
guideline, practice parameter, protocol, preferred practice pattern, and guideline
,HOSPITAL PHARMACY
practice model answer >>>>>>>the operational structure that defines how and
where pharmacists practice including the type of drug distribution system used,
the layout and design of the department, how pharmacists spend their time,
practice infusions, and practice priorities. The predominant practice models
include the drug-distribution-centered model, the clinical-pharmacist-centered
model, the patient-centered integrated model, and the comprehensive model
privileging answer >>>>>>>The process by which an oversight body of a health
care organization or other appropriate provider body, having reviewed an
individual health care provider's credentials and performance and found them
satisfactory, authorizes that individual to perform a specific scope of patient care
services within that setting
regulation answer >>>>>>>governmental order having the force of law
What is a health-system pharmacy practice? answer >>>>>>>includes
distributional and clinical services and integrated health systems; there is a
unified electronic medical record (EMR)
types of hospitals: answer >>>>>>>1. community hospital 2. specialized hospital
3. teaching hospital 4. government hospital 5. multi-hospital system 6. for profit
hospital- owned by corporation, private investors 7. non-profit hospital- operated
by religious, volunteer, community groups
Medication use process: answer >>>>>>>1. prescribing- some pharmacists can
prescribe some medications (depends on where it is and what the medication is),
pharmacy-to-dose, can have a direct or indirect influence (privileging)
2. transcribing- written order copied and manually or electronically entered into
pharmacy or medical record-> pharmacist must verify orders coming through the
, HOSPITAL PHARMACY
hospital (computerized prescriber order entry used to eliminate some potential
sources of error)
3. dispensing- transferring product after review and approval of the order to the
area responsible for administrating the medication
4. administration- giving the medication to the patient (usually done by nursing
staff); pharmacist clearly labels medication, using barcode systems
5. monitoring- monitoring the patient's response to the medication is a critical
phase; reviewing lab values; checking to see if the therapy chosen is effective
6. modifying and documenting- dosage changes, therapy discontinuations, new
drug therapies, etc.
Four different practice models: answer >>>>>>>1. drug-distribution centered:
pharmacists primarily distribute drugs and process new medication orders; rarely
initiates major changes in therapy (does not have a huge say in drug therapy
chosen); not actively involved in the healthcare team; has a reactive role
2. clinical-pharmacist centered: consists of the distribution pharmacist and clinical
pharmacist; there is a clinical pharmacist on the floors, working in a healthcare
team, providing services, helping physicians make decisions on the correct drug
therapy; distribution pharmacist- manage techs in dispensing and distributing
meds (limited collaboration between the 2 types of pharmacists)
3. patient-centered: all pharmacists in the department participate in and accept
responsibility for all elements of the medication use process (techs work at the
top of the license); increased ownership, accountability, and job satisfaction; not
a big distribution role for the pharmacist because the tech is doing most of the
work
4. comprehensive: combines clinical-pharmacist-centered and patient-centered
integrated models; majority of staff have split operational and clinical duties; also
has specialists assigned to specific locations or disease states; large resource
burden- usually on seen in large academic settings
HOSPITAL PHARMACY EXAM QUESTIONS AND ANSWERS %
ACCURATE.
Accreditation answer >>>>>>>determination by an accrediting body than an
eligible healthcare organization complies with the accrediting body's applicable
standards
Health-system pharmacy practice answer >>>>>>>practice that includes the
provision of distributional and clinical pharmacy services at a broad range of
health system settings including hospitals, ambulatory clinics, accountable care
organizations (ACOs), patient-centered medical homes, LTC, hospice, home
infusion, specialty pharmacy, and correctional facilities
integrated health systems answer >>>>>>>systems that integrate all care under
the umbrella of a central organization and often include inpatient/acute care,
primary care/ambulatory clinics care, LTC, and home care settings
patient centered medical home (PCMH) answer >>>>>>>a care delivery model
designed to provide patient-centered care coordinated through a primary care
physician, with better and more timely access to services that results in better
overall quality outcomes
practice guidelines answer >>>>>>>tools that describe processes found by
clinical trials or by consensus opinion of experts to be the most effective in
evaluating and/or treating a patient who has a specific symptom, condition, or
diagnosis, or that describe a specific procedure. Synonyms include clinical practice
guideline, practice parameter, protocol, preferred practice pattern, and guideline
,HOSPITAL PHARMACY
practice model answer >>>>>>>the operational structure that defines how and
where pharmacists practice including the type of drug distribution system used,
the layout and design of the department, how pharmacists spend their time,
practice infusions, and practice priorities. The predominant practice models
include the drug-distribution-centered model, the clinical-pharmacist-centered
model, the patient-centered integrated model, and the comprehensive model
privileging answer >>>>>>>The process by which an oversight body of a health
care organization or other appropriate provider body, having reviewed an
individual health care provider's credentials and performance and found them
satisfactory, authorizes that individual to perform a specific scope of patient care
services within that setting
regulation answer >>>>>>>governmental order having the force of law
What is a health-system pharmacy practice? answer >>>>>>>includes
distributional and clinical services and integrated health systems; there is a
unified electronic medical record (EMR)
types of hospitals: answer >>>>>>>1. community hospital 2. specialized hospital
3. teaching hospital 4. government hospital 5. multi-hospital system 6. for profit
hospital- owned by corporation, private investors 7. non-profit hospital- operated
by religious, volunteer, community groups
Medication use process: answer >>>>>>>1. prescribing- some pharmacists can
prescribe some medications (depends on where it is and what the medication is),
pharmacy-to-dose, can have a direct or indirect influence (privileging)
2. transcribing- written order copied and manually or electronically entered into
pharmacy or medical record-> pharmacist must verify orders coming through the
, HOSPITAL PHARMACY
hospital (computerized prescriber order entry used to eliminate some potential
sources of error)
3. dispensing- transferring product after review and approval of the order to the
area responsible for administrating the medication
4. administration- giving the medication to the patient (usually done by nursing
staff); pharmacist clearly labels medication, using barcode systems
5. monitoring- monitoring the patient's response to the medication is a critical
phase; reviewing lab values; checking to see if the therapy chosen is effective
6. modifying and documenting- dosage changes, therapy discontinuations, new
drug therapies, etc.
Four different practice models: answer >>>>>>>1. drug-distribution centered:
pharmacists primarily distribute drugs and process new medication orders; rarely
initiates major changes in therapy (does not have a huge say in drug therapy
chosen); not actively involved in the healthcare team; has a reactive role
2. clinical-pharmacist centered: consists of the distribution pharmacist and clinical
pharmacist; there is a clinical pharmacist on the floors, working in a healthcare
team, providing services, helping physicians make decisions on the correct drug
therapy; distribution pharmacist- manage techs in dispensing and distributing
meds (limited collaboration between the 2 types of pharmacists)
3. patient-centered: all pharmacists in the department participate in and accept
responsibility for all elements of the medication use process (techs work at the
top of the license); increased ownership, accountability, and job satisfaction; not
a big distribution role for the pharmacist because the tech is doing most of the
work
4. comprehensive: combines clinical-pharmacist-centered and patient-centered
integrated models; majority of staff have split operational and clinical duties; also
has specialists assigned to specific locations or disease states; large resource
burden- usually on seen in large academic settings
