New Hire Probationary Exam-region care Pharmacist

1. 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 given duties. They have a CPhT degree and are responsible for calling patients weekly for refill/delivery, screening patients for progress with therapy, and obtaining lab values for the pharmacist.

Explanation

A Patient Service Representative is the type of pharmacy technician who will perform the given duties. They have a CPhT degree and are responsible for calling patients weekly for refill/delivery, screening patients for progress with therapy, and obtaining lab values for the pharmacist.

2. 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 directly into the bloodstream or muscle, bypassing the digestive system. This can be done through a needle, catheter, intravenous, or intramuscular route. However, the administration of medications orally involves swallowing the medication, which is absorbed through the digestive system. Therefore, the correct answer is "Oral" as it does not fall under the category of home infusion pharmacy.

Explanation

Home infusion pharmacy refers to the administration of medications directly into the bloodstream or muscle, bypassing the digestive system. This can be done through a needle, catheter, intravenous, or intramuscular route. However, the administration of medications orally involves swallowing the medication, which is absorbed through the digestive system. Therefore, the correct answer is "Oral" as it does not fall under the category of home infusion pharmacy.

3.

True or False: 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 returns when there is a new medication to needs to be started.

True

False

The goal of home infusion is not only to teach patients and caregivers to be independent in the administration of medications, but also to provide ongoing support and monitoring. Home infusion nurses visit the patient initially to instruct on sterile technique and medication administration, but they also continue to visit regularly to assess the patient's progress, monitor for any adverse reactions, and provide any necessary adjustments or changes to the medication regimen. Therefore, the statement that home infusion nurses only return when there is a new medication to be started is incorrect.

Explanation

The goal of home infusion is not only to teach patients and caregivers to be independent in the administration of medications, but also to provide ongoing support and monitoring. Home infusion nurses visit the patient initially to instruct on sterile technique and medication administration, but they also continue to visit regularly to assess the patient's progress, monitor for any adverse reactions, and provide any necessary adjustments or changes to the medication regimen. Therefore, the statement that home infusion nurses only return when there is a new medication to be started is incorrect.

4. 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 gain access to the patient's bloodstream for the administration of fluids, medications, or blood products. Therefore, none of the options listed 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 gain access to the patient's bloodstream for the administration of fluids, medications, or blood products. Therefore, none of the options listed are excluded as an IV access device.

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

Ambulatory infusion pump programmed for every 4 hours

The pharmacist is concerned about administering a dose of Nafcillin every 4 hours because it may not be practical for the patient who is leaving the medical center and going home. Instead of having a nurse visit every 4 hours or teaching the patient to self-administer, the best solution is to use an ambulatory infusion pump programmed for every 4 hours. This will allow the patient to receive the medication at the correct intervals while being able to move around and go home.

Explanation

The pharmacist is concerned about administering a dose of Nafcillin every 4 hours because it may not be practical for the patient who is leaving the medical center and going home. Instead of having a nurse visit every 4 hours or teaching the patient to self-administer, the best solution is to use an ambulatory infusion pump programmed for every 4 hours. This will allow the patient to receive the medication at the correct intervals while being able to move around and go home.

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 three options - patients must be able to learn therapy, patients must have a home nursing agency, and patients must have a pending insurance approval - are all necessary criteria for home infusion referrals.

Explanation

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

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 only con of using the elastomeric device for home infusion is that the flow rates are not exact.

Explanation

The only con of using the elastomeric device for home infusion is that the flow rates are not exact.

8. 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, it does not include directions on how to administer medications. This information is typically provided separately, such as on the medication label or in the medication package insert.

Explanation

The patient pathway/plan of care includes potential problems, interventions to monitor potential problems, and goals for the course of therapy. However, it does not include directions on how to administer medications. This information is typically provided separately, such as on the medication label or in the medication package insert.

9. 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 require reconstitution or dilution before administration. It provides convenience and flexibility for the patient while ensuring the medication remains stable until it is ready to be administered.

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 require reconstitution or dilution before administration. It provides convenience and flexibility for the patient while ensuring the medication remains stable until it is ready to be administered.

10. 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". The question states that medication profiles are updated via the patient interview once a week. However, a full medication review by a pharmacist is not specified to occur during this weekly update. Instead, it is stated that the home infusion nurse reconciles the medication list and forwards it to the pharmacy for review. Therefore, a full medication review by a pharmacist is performed every 60 days, as it is not stated to occur more frequently.

Explanation

The correct answer is "Every 60 days". The question states that medication profiles are updated via the patient interview once a week. However, a full medication review by a pharmacist is not specified to occur during this weekly update. Instead, it is stated that the home infusion nurse reconciles the medication list and forwards it to the pharmacy for review. Therefore, a full medication review by a pharmacist is performed every 60 days, as it is not stated to occur more frequently.

11. 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

Hydration status is not a parameter that determines TPN goals. TPN goals are typically based on factors such as electrolyte imbalance, weight gain, prealbumin goal, and caloric goals. Hydration status, although important for overall patient health, is not directly related to determining TPN goals.

Explanation

Hydration status is not a parameter that determines TPN goals. TPN goals are typically based on factors such as electrolyte imbalance, weight gain, prealbumin goal, and caloric goals. Hydration status, although important for overall patient health, is not directly related to determining TPN goals.

12. 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 supervision and monitoring during their infusion treatment can access the services provided by the center. This ensures that their medication is administered safely and effectively, and any potential complications or side effects can be immediately addressed by healthcare professionals.

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 supervision and monitoring during their infusion treatment can access the services provided by the center. This ensures that their medication is administered safely and effectively, and any potential complications or side effects can be immediately addressed by healthcare professionals.