Administrative and Facility Responsibilities Flashcards
7 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Administrative and Facility Responsibilities flashcards as text
A consultant pharmacist notices that a facility's policy allows nurses to reuse single-dose medication vials for multiple patients. What is the MOST appropriate response?
Answer: Recommend immediate policy revision as this violates infection control and USP standards
Single-dose vials must never be reused or shared between patients; doing so violates infection control standards and USP requirements and poses serious safety risks.
Which of the following best describes the role of a Pharmacy and Therapeutics (P&T) Committee in a long-term care facility?
Answer: It establishes formulary policies, medication use criteria, and medication safety initiatives
The P&T Committee oversees the formulary, establishes evidence-based medication use policies, and monitors medication safety across the facility.
A LTC facility wants to implement a pharmacist-managed anticoagulation protocol. Which element is MOST critical to include in the collaborative practice agreement?
Answer: Specific criteria for dose adjustments, monitoring parameters, and prescriber notification thresholds
A collaborative practice agreement must clearly define the scope of pharmacist authority, including dosing criteria, monitoring requirements, and when to escalate to the prescriber.
When performing a medication error root cause analysis (RCA), the consultant pharmacist identifies a 'latent failure.' What does this term mean?
Answer: A system-level flaw or organizational weakness that enables errors to occur
Latent failures are upstream system or organizational deficiencies (poor policies, inadequate training, design flaws) that create conditions for active errors to occur.
Under DEA regulations, which schedule of controlled substances requires the most stringent record-keeping, including use of DEA Form 222 or CSOS for ordering?
Answer: Schedule II
Schedule II controlled substances require DEA Form 222 or its electronic equivalent (CSOS) for ordering and are subject to the most rigorous record-keeping and storage requirements.
A consultant pharmacist recommends discontinuing an antipsychotic medication in a nursing home resident without a documented psychiatric diagnosis. This recommendation is MOST aligned with which regulatory requirement?
Answer: CMS F-tag F758 regarding unnecessary medication use
CMS F-tag F758 requires that residents be free from unnecessary medications, including antipsychotics used without an adequate clinical indication.
In a long-term care facility, who is ultimately legally responsible for ensuring that drug regimen review recommendations made by the consultant pharmacist are acted upon?
Answer: The facility's Medical Director and attending physicians
While consultants make recommendations, prescribers (physicians) and medical directors are legally responsible for reviewing and acting on those clinical recommendations.