CCP Quality and Safety Practices 3

Question 1

A consultant pharmacist reviews an assisted living facility's medication storage and finds insulin vials stored at 25°C in a medication cart. Which error does this represent?

Accepted Answer

An improper storage condition that may compromise insulin potency and patient safety

Answer

Insulin in-use vials should be stored per manufacturer specifications; most require refrigeration until opened, and extended exposure above recommended temperatures degrades potency.

Question 2

Under the OBRA '87 regulations, how often must a consultant pharmacist perform drug regimen reviews in a Medicare/Medicaid-certified nursing facility?

Accepted Answer

Monthly

Answer

OBRA '87 mandates monthly drug regimen reviews for all residents in Medicare/Medicaid-certified nursing facilities.

Question 3

Which of the following is an example of a 'forcing function' in medication safety design?

Accepted Answer

Configuring IV pumps so concentrated potassium cannot be programmed without an override alert

Answer

A forcing function physically or electronically prevents an action unless a safety step is completed, making the unsafe action impossible or very difficult.

Question 4

A long-term care facility asks the consultant pharmacist to evaluate its antibiotic stewardship program. Which metric BEST reflects appropriate antibiotic use?

Accepted Answer

Days of therapy (DOT) per 1,000 resident-days

Answer

DOT per 1,000 resident-days is the standardized, facility-size-adjusted metric recommended by CDC for benchmarking antibiotic use in long-term care.

Question 5

When a pharmacist discovers a prescribing error during a prospective DRR, which action reflects the proper consultative approach per CMS expectations?

Accepted Answer

Contact the prescriber directly, document the recommendation, and follow up to confirm resolution

Answer

CMS expects pharmacists to communicate recommendations to prescribers, document the interaction, and track resolution to close the loop.

(CCP) Certified Consultant Pharmacist Practice Test

(CCP) Certified Consultant Pharmacist Practice Test

CCP Quality and Safety Practices 3