March Medication Madness Month Quiz 1

1. Many medications have 'sound-a-like' names which means extra caution should be taken when prescribing, dispensing, and administering these medications (STOP PRESS: Watch out for new labelling initiatives coming soon to OHS).Match the following sound-a-like medications.

Fluvoxamine

Humalog

Nimodipine

Promethazine

Submit

2. In the upcoming accreditation, Standard 4 refers to Medication Safety

True

False

Standard 4 in the upcoming accreditation refers to Medication Safety. This means that medication safety is an important aspect that will be evaluated during the accreditation process. The organization or institution being accredited will need to demonstrate that they have appropriate systems and processes in place to ensure the safety of medication administration and use. This may include measures such as proper labeling, storage, and administration procedures, as well as staff training and education on medication safety. Overall, Standard 4 focuses on ensuring that patients receive safe and effective medication therapy.

Explanation

Standard 4 in the upcoming accreditation refers to Medication Safety. This means that medication safety is an important aspect that will be evaluated during the accreditation process. The organization or institution being accredited will need to demonstrate that they have appropriate systems and processes in place to ensure the safety of medication administration and use. This may include measures such as proper labeling, storage, and administration procedures, as well as staff training and education on medication safety. Overall, Standard 4 focuses on ensuring that patients receive safe and effective medication therapy.

3. Many medications have 'sound-a-like' names which means extra caution should be taken when prescribing, dispensing, and administering these medications (STOP PRESS: Watch out for new labelling initiatives coming soon to OHS).Match the following sound-a-like medications.

Fluvoxamine

Humalog

Nimodipine

Promethazine

Submit

4. Many medications have 'sound-a-like' names which means extra caution should be taken when prescribing, dispensing, and administering these medications (STOP PRESS: Watch out for new labelling initiatives coming soon to OHS).Match the following sound-a-like medications.

Fluvoxamine

Humalog

Nimodipine

Promethazine

Submit

6. You are working on afternoon shift on a Saturday in the Surgical Ward and a patient is charted for some Clozapine tablets at 2000. There is an "N" written in the previous evening's dose. You check the patient's drawer and there is no stock. What should you do?

Put another “N” on the chart as obviously the medication can’t be obtained

Don’t worry about it - it’s not a very important medication

Steal some Clozapine from another patient’s supply

Call the Campus Nurse Manager who will organise to get some Clozapine from the Bloomfield After-Hours Drug Cupboard

In this situation, the appropriate action would be to call the Campus Nurse Manager. The patient has been charted for Clozapine tablets at 2000, but there is no stock available in the patient's drawer. It is important to ensure that the patient receives their prescribed medication, so contacting the Campus Nurse Manager would be the correct course of action. The Nurse Manager can then organize to get some Clozapine from the Bloomfield After-Hours Drug Cupboard, ensuring that the patient's medication needs are met.

Explanation

In this situation, the appropriate action would be to call the Campus Nurse Manager. The patient has been charted for Clozapine tablets at 2000, but there is no stock available in the patient's drawer. It is important to ensure that the patient receives their prescribed medication, so contacting the Campus Nurse Manager would be the correct course of action. The Nurse Manager can then organize to get some Clozapine from the Bloomfield After-Hours Drug Cupboard, ensuring that the patient's medication needs are met.

7. This photo was taken recently in OHS after a ward-to-ward transfer of a patient and their medications.

Select the correct option:

The correct answer states that the photo is not acceptable because it violates the Medication Handling policy in NSW Public Health Facilities. According to this policy, medications should be stored in patient care areas in the same container as received from the Pharmacy Service. In the photo, the medications are not stored in their original containers, which goes against the policy. Therefore, the correct answer concludes that this method of transferring the patient's medications is not acceptable.

Explanation

The correct answer states that the photo is not acceptable because it violates the Medication Handling policy in NSW Public Health Facilities. According to this policy, medications should be stored in patient care areas in the same container as received from the Pharmacy Service. In the photo, the medications are not stored in their original containers, which goes against the policy. Therefore, the correct answer concludes that this method of transferring the patient's medications is not acceptable.

8. Which of the following is INCORRECT?

Unwanted patient's own S8 medications can be sent to pharmacy with the Spotless Couriers

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Explanation

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9. You are working on the medical ward and you see a drug order for Coveram 5/5 one tablet mane. Which of the following could you do?

Look up the drug in MIMS or AMH to establish what is being ordered

Ring pharmacy for assistance during opening hours, or speak to the campus nurse manager

Ask the prescriber to write this order as two separate orders for the different drug components

Ask the patient if they brought their medicines with them as you are not familiar with the medication

All of the above are helpful approaches

All of the suggested approaches are helpful in this situation. Ringing pharmacy for assistance or speaking to the campus nurse manager can provide guidance and clarification regarding the drug order. Asking the prescriber to write separate orders for the different drug components can ensure clarity and proper administration. Asking the patient if they brought their medicines with them can help verify the medication and dosage. Looking up the drug in MIMS or AMH can provide information about the medication and its intended use.

Explanation

All of the suggested approaches are helpful in this situation. Ringing pharmacy for assistance or speaking to the campus nurse manager can provide guidance and clarification regarding the drug order. Asking the prescriber to write separate orders for the different drug components can ensure clarity and proper administration. Asking the patient if they brought their medicines with them can help verify the medication and dosage. Looking up the drug in MIMS or AMH can provide information about the medication and its intended use.

10. What is wrong with the following medication order?

A. The prescriber has not written the dose time

B. The indication does not match the medication

C. Nothing

D. Both A and B

The correct answer is D. Both A and B. This means that both options A (The prescriber has not written the dose time) and B (The indication does not match the medication) are incorrect. This suggests that there are two issues with the medication order - the dose time is not specified by the prescriber and the indication for the medication does not match the medication itself.

Explanation

The correct answer is D. Both A and B. This means that both options A (The prescriber has not written the dose time) and B (The indication does not match the medication) are incorrect. This suggests that there are two issues with the medication order - the dose time is not specified by the prescriber and the indication for the medication does not match the medication itself.

11. Which of the following is not an abbreviation indicating a medicine is slow release?

MR

XR

IR

OROS

The abbreviation "IR" stands for "Immediate Release" and indicates that a medicine is not slow release. Immediate release medications are designed to be rapidly absorbed by the body and provide a quick onset of action. In contrast, slow release medications are formulated to release the active ingredient gradually over an extended period of time, providing a sustained effect. Therefore, "IR" is not an abbreviation indicating a medicine is slow release.

Explanation

The abbreviation "IR" stands for "Immediate Release" and indicates that a medicine is not slow release. Immediate release medications are designed to be rapidly absorbed by the body and provide a quick onset of action. In contrast, slow release medications are formulated to release the active ingredient gradually over an extended period of time, providing a sustained effect. Therefore, "IR" is not an abbreviation indicating a medicine is slow release.

12. Which of the medications on OHS's High Risk Drug Register are not mentioned in the song?

Azathioprine

Insulin

Midazolam

Paracetamol

Potassium

Warfarin

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Explanation

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