What Do You Know About Home Infusion Pharmacy? Trivia Quiz

1. Home infusion pharmacy refers to all of the following route of administration EXCEPT:

Through a needle

Through a catheter

Oral

Intravenous

Intramuscular

Home infusion pharmacy refers to the administration of medications or fluids directly into the bloodstream or tissues through a needle, catheter, intravenous, or intramuscular routes. However, it does not include the oral route, which involves taking medications by mouth. This is because the oral route bypasses the need for needles or catheters and allows for the medication to be absorbed through the gastrointestinal tract.

Explanation

Home infusion pharmacy refers to the administration of medications or fluids directly into the bloodstream or tissues through a needle, catheter, intravenous, or intramuscular routes. However, it does not include the oral route, which involves taking medications by mouth. This is because the oral route bypasses the need for needles or catheters and allows for the medication to be absorbed through the gastrointestinal tract.

2. Which of the following is NOT an IV access device?

Central catheter

Implanted ports

Peripherally inserted central catheters

Peripheral IV lines

All of the above are IV access devices.

All of the options listed in the question are IV access devices. A central catheter, implanted ports, peripherally inserted central catheters, and peripheral IV lines are all used to access the bloodstream for the administration of fluids, medications, or blood products. Therefore, none of the options are excluded as an IV access device.

Explanation

All of the options listed in the question are IV access devices. A central catheter, implanted ports, peripherally inserted central catheters, and peripheral IV lines are all used to access the bloodstream for the administration of fluids, medications, or blood products. Therefore, none of the options are excluded as an IV access device.

3. There are two types of home infusion pharmacy technicians. Which kind of pharmacy technician will perform the following duties? CPhT degree, calls patient weekly for refill/delivery, screen patients for progress with therapy, obtain lab values for pharmacist?

Patient Service Representative

Compounding Pharmacy Technician

A Patient Service Representative is the type of pharmacy technician who will perform the mentioned duties. The CPhT degree indicates that this technician has received certification and is qualified to work in a pharmacy setting. Calling patients weekly for refill or delivery indicates that they are responsible for ensuring that patients receive their medications on time. Screening patients for progress with therapy shows that they are involved in monitoring and assessing the effectiveness of the treatment. Obtaining lab values for the pharmacist suggests that they assist in gathering necessary information for medication management.

Explanation

A Patient Service Representative is the type of pharmacy technician who will perform the mentioned duties. The CPhT degree indicates that this technician has received certification and is qualified to work in a pharmacy setting. Calling patients weekly for refill or delivery indicates that they are responsible for ensuring that patients receive their medications on time. Screening patients for progress with therapy shows that they are involved in monitoring and assessing the effectiveness of the treatment. Obtaining lab values for the pharmacist suggests that they assist in gathering necessary information for medication management.

4. The goal of home infusion is to teach patients and caregivers to be independent in the administration of the medications. Therefore, home infusion nurses visit the patient initially, instruct on sterile technique, and only return when there is a new medication to needs to be started.

True

False

The statement contradicts itself. It states that the goal of home infusion is to teach patients and caregivers to be independent in medication administration, but then says that home infusion nurses visit the patient initially and return when there is a new medication to be started. This implies that the patients and caregivers are not independent and still rely on the nurses for medication administration. Therefore, the correct answer is false.

Explanation

The statement contradicts itself. It states that the goal of home infusion is to teach patients and caregivers to be independent in medication administration, but then says that home infusion nurses visit the patient initially and return when there is a new medication to be started. This implies that the patients and caregivers are not independent and still rely on the nurses for medication administration. Therefore, the correct answer is false.

5. A new referral patient has an order for Nafcillin 2 grams IV Q4h. After reviewing the order for dose, allergies, and IV access, the pharmacist is concerned about administering a dose every 4 hours. What is the best solution for this patient who is leaving for home from the medical center?

Convert patient to PO dosing

Have the home infusion nurse visit every 4 hours

Teach the patient how to administer the dose every 4 hours

Ambulatory infusion pump programmed for every 4 hours

The pharmacist is concerned about administering a dose of Nafcillin every 4 hours because the patient is leaving the medical center. The best solution in this situation would be to use an ambulatory infusion pump programmed for every 4 hours. This would allow the patient to receive the medication continuously while at home, without the need for a nurse to visit or for the patient to administer the dose themselves. The ambulatory infusion pump can be set to deliver the medication at the prescribed intervals, ensuring that the patient receives the appropriate dose without any inconvenience or risk of error.

Explanation

The pharmacist is concerned about administering a dose of Nafcillin every 4 hours because the patient is leaving the medical center. The best solution in this situation would be to use an ambulatory infusion pump programmed for every 4 hours. This would allow the patient to receive the medication continuously while at home, without the need for a nurse to visit or for the patient to administer the dose themselves. The ambulatory infusion pump can be set to deliver the medication at the prescribed intervals, ensuring that the patient receives the appropriate dose without any inconvenience or risk of error.

6. Home infusion referrals must have all of the following EXCEPT:

Patients must have more than 5 medications to be administered at home

Patients must be able to learn therapy

Patients must have a home nursing agency

Patients must have a pending insurance approval

All of the above

Patients must have more than 5 medications to be administered at home is not a requirement for home infusion referrals. The other options are all necessary for home infusion referrals: patients must be able to learn therapy, patients must have a home nursing agency, and patients must have a pending insurance approval.

Explanation

Patients must have more than 5 medications to be administered at home is not a requirement for home infusion referrals. The other options are all necessary for home infusion referrals: patients must be able to learn therapy, patients must have a home nursing agency, and patients must have a pending insurance approval.

7. The elastomeric is a device in which medication fills the balloon and the patient connects to the tubing and the balloon compresses. The only con of such home infusion device is:

Children cannot use the elastomeric

Flow rate are not exact

Contamination of the balloon is very likely

Administration via the connected tube is difficult to learn

The elastomeric not disposable and constantly needs upkeep

The correct answer is that the flow rates are not exact. This means that the device may not deliver the medication at a consistent and precise rate, which can be a disadvantage in terms of ensuring proper dosing and treatment.

Explanation

The correct answer is that the flow rates are not exact. This means that the device may not deliver the medication at a consistent and precise rate, which can be a disadvantage in terms of ensuring proper dosing and treatment.

8. Which of the following home infusion methods allows the pharmacy to attach a vial to the bag without mixing the contents and the patient mixes the bad at the time of administration?

IVPB

IV-Push

Pole mounted pumped

Minibag-Plus

All of the above is prepared as described.

Minibag-Plus is the correct answer because it is a home infusion method that allows the pharmacy to attach a vial to the bag without mixing the contents. The patient then mixes the bag at the time of administration. This method is commonly used for medications that need to be mixed just prior to administration to maintain their potency and stability.

Explanation

Minibag-Plus is the correct answer because it is a home infusion method that allows the pharmacy to attach a vial to the bag without mixing the contents. The patient then mixes the bag at the time of administration. This method is commonly used for medications that need to be mixed just prior to administration to maintain their potency and stability.

9. An ambulatory infusion center is available to patients for which of the following reasons?

Patients or caretakers who cannot learn how to administer medication

Patients who have short-interval dosing of medications

Patients who require a nurse or physician to monitor throughout the infusion

Patients who receive more than 1 medication infusion in a day

All of the above

An ambulatory infusion center is available to patients who require a nurse or physician to monitor throughout the infusion. This means that patients who need constant medical supervision during their infusion can go to the center to receive their treatment. This could be due to the complexity of the medication or the patient's medical condition, which requires close monitoring by healthcare professionals to ensure safety and effectiveness of the infusion process.

Explanation

An ambulatory infusion center is available to patients who require a nurse or physician to monitor throughout the infusion. This means that patients who need constant medical supervision during their infusion can go to the center to receive their treatment. This could be due to the complexity of the medication or the patient's medical condition, which requires close monitoring by healthcare professionals to ensure safety and effectiveness of the infusion process.

10. TPN goals are set for each specific patient based on certain parameters. Which of the following is NOT a parameter that determines the TPN goals?

Electrolyte imbalance

Weight gain of # lbs by x days

Prealbumin goal

Caloric goals

Hydration status

Electrolyte imbalance is not a parameter that determines TPN goals. TPN goals are set based on factors such as weight gain, prealbumin goal, caloric goals, and hydration status. Electrolyte imbalance, although important to consider in patient care, is not directly related to determining TPN goals.

Explanation

Electrolyte imbalance is not a parameter that determines TPN goals. TPN goals are set based on factors such as weight gain, prealbumin goal, caloric goals, and hydration status. Electrolyte imbalance, although important to consider in patient care, is not directly related to determining TPN goals.

11. A patient pathway or plan of care is a document created by the pharmacy to plan the course of treatment for the patient to assure positive outcomes for the therapy. Which of the following is NOT included in the patient pathway/plan of care?

Directions on how to administer medications

Potential problems

Interventions to monitor potential problems

Goals for the course of therapy

All of the above are included in the plan of care.

The patient pathway/plan of care includes potential problems, interventions to monitor potential problems, and goals for the course of therapy. However, directions on how to administer medications are typically not included in the plan of care as they are usually provided separately, such as on medication labels or in patient education materials.

Explanation

The patient pathway/plan of care includes potential problems, interventions to monitor potential problems, and goals for the course of therapy. However, directions on how to administer medications are typically not included in the plan of care as they are usually provided separately, such as on medication labels or in patient education materials.

12. Medication profiles for patients are generally received once a patient is discharged from the hospital. The home infusion nurse reconciles the med list and forwards it to the pharmacy for review. Med profiles are updated via the patient interview once a week. How often are full med review performed by pharmacist?

During the once weekly med update

Every 30 days

Every 60 days

When there is a change in the med list

The correct answer is Every 60 days. This is because the question states that medication profiles are updated via the patient interview once a week. Therefore, a full medication review by the pharmacist would not be necessary during the weekly update. Instead, a full medication review by the pharmacist is performed every 60 days, likely to ensure that the patient's medication regimen is still appropriate and effective.

Explanation

The correct answer is Every 60 days. This is because the question states that medication profiles are updated via the patient interview once a week. Therefore, a full medication review by the pharmacist would not be necessary during the weekly update. Instead, a full medication review by the pharmacist is performed every 60 days, likely to ensure that the patient's medication regimen is still appropriate and effective.