Hospital and Clinical Pharmacy Flashcards

What is the DHA standard for automated dispensing systems in hospitals?

Answer: Implementation of automated dispensing cabinets on nursing units with pharmacist prescription verification, access controls, and audit trails

DHA supports automated dispensing cabinets on nursing units with pharmacist prescription verification before access, role-based access controls, override protocols for emergencies, and comprehensive audit trails.

What is the pharmacist's role in total parenteral nutrition (TPN) preparation?

Answer: Calculate patient-specific formulations, compound under aseptic conditions, verify compatibility and stability, and monitor patient outcomes

DHA hospital pharmacists are responsible for calculating individualized TPN formulations based on patient needs, aseptic compounding, verifying component compatibility and stability, and collaborating on patient monitoring.

What is the DHA requirement for medication reconciliation by hospital pharmacists?

Answer: Compare medications at every transition of care (admission, transfer, discharge), identify discrepancies, and resolve with the medical team

DHA requires pharmacist-led medication reconciliation at all transitions of care, systematically comparing pre-admission medications with current orders to identify and resolve unintended discrepancies.

What clinical monitoring services do DHA hospital pharmacists provide?

Answer: Therapeutic drug monitoring, renal dose adjustments, anticoagulation management, pharmacokinetic consultations, and drug level interpretation

DHA hospital pharmacists provide clinical monitoring including TDM interpretation, renal/hepatic dose adjustments, anticoagulation management (warfarin clinics), pharmacokinetic consultations, and drug level trend analysis.

What is the pharmacist's role in DHA hospital emergency departments?

Answer: Provide immediate drug information, prepare emergency medications, verify doses for high-risk medications, and participate in resuscitation teams

DHA emergency department pharmacists provide real-time drug information, prepare and verify emergency medications, participate in resuscitation teams, manage antidote availability, and ensure safe medication use in acute settings.

What is the DHA requirement for pharmacy participation in clinical trials?

Answer: Investigational drug management including receipt, storage, dispensing, accountability, randomization support, and regulatory documentation

DHA hospital pharmacies manage investigational drugs in clinical trials: receiving, storing under protocol conditions, dispensing per randomization, maintaining accountability records, and ensuring regulatory compliance.