Bcma Bi-annual Review Quiz 3n,3s,3E,4s,71,72,73 June 2014

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Bcma Bi-annual Review Quiz 3n,3s,3E,4s,71,72,73                June 2014 - Quiz

TEST AND REVIEW BCMA PROCEDURES


Questions and Answers
  • 1. 

    Medication orders can be verified while they are "pending".

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    1. Pending orders have not been finished by pharmacy and could therefore contain errors.
    2. They are not visible on the MAR's and cannot be compared to the orders sheet.

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  • 2. 

    After submitting a missing dose no further documentation is needed.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    By the end of your tour it should be changed to "given", "held" or if the next tour can give it, pass on the information.

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  • 3. 

    Providers may place a medication order on hold.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Providers do not have the authority to place a medication order on hold. It is the responsibility of the pharmacist or the healthcare professional in charge of medication administration to place an order on hold if necessary. Therefore, the statement is false.

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  • 4. 

    Missed medication and PRN report is to be printed and reviewed 2x/shift

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The statement suggests that missed medication and PRN (as needed) reports should be printed and reviewed twice per shift. This indicates that it is important to track and monitor missed medications and PRN medications that are given to patients. By reviewing these reports, healthcare professionals can ensure that all medications are being administered correctly and address any issues or concerns that may arise.

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  • 5. 

    After a medication is scanned the monitor screen is to be checked that a "G" has been placed in the status column.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The correct answer is true because after a medication is scanned, the monitor screen should be checked to ensure that a "G" has been placed in the status column. This indicates that the medication has been successfully administered or given to the patient.

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  • 6. 

    When completing a PRN effectiveness it is OK to state: effective, less agitated, no effect yet or pending results.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    statements need to be objective on what you see to validate your response or a patient statement

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  • 7. 

    It is ok to "hold" the dose of a one time order [e.g. PPD or immunization] if is not to be given by you.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    If you hold the dose it will be removed from BCMA, not show on the missed med report and will not be given.

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  • 8. 

    If you have not given a particular medication you are expected to review its expected effect/side effects etc. before giving the medication.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Responsibility of the nurse to monitor effects of medications administered and to educate the patient.

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  • 9. 

    On weekends and when pharmacy is not here un-scored tablets may be given by: a. cutting the tablet with a pill cutter. b. crushing the tablet and dividing it in half. c. Call the provider, explain the issue,  and request a different dose if possible. d. do not give.

    • A.

      A.

    • B.

      A. b.

    • C.

      D.

    • D.

      D. c.

    Correct Answer
    D. D. c.
    Explanation
    Un-scored tablets are only to be cut by a pharmacist, never by nursing. do not give but check with provider for direction, or to change to a liquid form if possible for the fist dose.

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  • 10. 

    If my patient is unable to take his medications and they have been scanned and opened, I can store them in his medication drawer and try and administer them later.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Once medications have been scanned and opened/prepped they may not be stored if they are unable to be given.

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  • 11. 

    Before crushing a medication prior to administration the medication should be checked against the "do not crush" list.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Some medications are not to be crushed as it affects their action

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  • 12. 

    To save time, it is ok to scan and pre pour a patients medications.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Medications are never to be prepped and scanned when not at POC[point of care}. Patient is to be present.

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  • 13. 

    If a patients wristband will not scan I can just type in his SSN.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Unable to scan action is to be used for patient safety.

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  • 14. 

    To verify or chart review the order page is to be compared to the MAR's; side by side at the same time.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    If you have a dual monitor this can be done. If not, the doctors order sheet is to be compared to the actual mar's at the smae time.

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  • 15. 

    When using the unable to scan program the 5 rights option should only be used to document : a. never.  b.when there is a dose discrepancy/labels for infusions are unavailable  or invalid due to a change. c. when giving a patient's own medication from home. d. when you have a readable IEN number [

    • A.

      A

    • B.

      B

    • C.

      B & d

    • D.

      c & d

    Correct Answer
    B. B
    Explanation
    If there is a Togus bar code you are to use the IEN number and not the 5 rights.

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  • 16. 

    Part of doing the 5 Rights is to check what dose you are to scan and what is the total dose to be given.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Pharmacy can make errors when finishing an order resulting in the wrong dose being given if this is not checked

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  • 17. 

    After a patch has been scanned,  it is to be intialed,dated, time and a comment must be added in BCMA as to where it was placed.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    To prevent patients from having more than 1 patch on at a time. To ensure the previous patch has been removed

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  • 18. 

    Procedure for addressing sliding scale order: a.Have the person who obtained the Accu check give you the results. b. Check the latest reults in CPRS on the Lab tab.c. Have the results put on paper so you can refer to them. d. Check the  results on the glucometer itself 

    • A.

      A & b

    • B.

      B & d

    • C.

      D

    • D.

      A & c

    Correct Answer
    B. B & d
    Explanation
    To prevent errors with incorrect values and patients.

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  • 19. 

    Correct procedure for passing medications:  a. Scan wrist band b. pull medications that need to be given. c. open/prep meds as needed. d.2nd identifier is used. e. scan medications to be given. f. complete 5 rights after each scan.  g. Check that "G" is entered after each scan.

    • A.

      A. d. c. e. f. g.

    • B.

      A. c. e. f.

    • C.

      A. d. b. e. f. g. c.

    • D.

      A. d. c. e. g.

    Correct Answer
    C. A. d. b. e. f. g. c.
    Explanation
    scan WB to verify right patient, 2nd identifier, meds are not to be opened/prepped prior to scanning. always check 5 rights for dose, route, time etc. Always check theat the given is entered.

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  • 20. 

    To complete  IV's, CADD pumps PCA's etc. the patient's wrist band will be scanned and the infusion completed in BCMA before removing form the patient

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    If IV's are not completed they remain in BCMA as infusing.

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  • 21. 

    To complete a PRN effectiveness you would: a. use limited access b. use unable to scan wristband to access record. c. Put it in my progress notes. d. all of the above

    • A.

      A.

    • B.

      A. b.

    • C.

      D.

    • D.

      B. c.

    Correct Answer
    A. A.
    Explanation
    Limited access allows you to hold a dose, enter a missing dose, add a comment, complete a PRN without having to scan a wrist band or be with the patient.

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  • 22. 

    It is OK to use unable to scan wristband in the medication room, then scan the medication and take it to the patient.

    • A.

      Yes

    • B.

      No

    • C.

      Maybe

    Correct Answer
    B. No
    Explanation
    Scanning the wristband is a crucial step in ensuring that the medication is given to the correct patient. If the wristband cannot be scanned, there is a risk of administering the medication to the wrong patient. Therefore, it is not okay to skip this step and proceed with scanning the medication and giving it to the patient.

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  • 23. 

    Chart review is to be done as soon as possible but within 24 hours.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    2nd check to ensure order is correct. Chart review can be done by any shift.

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  • 24. 

    Lab orders [inpatient] can be verified while pending

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Lab orders have a status of pending until drawn then status changes to completed.
    When verifying/chart reviewing check that the type of collection is correct [eg LC for lab collect, WC for ward collect, I for immediate.] It should never be SP

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  • 25. 

    Unable to scan wrist band can be used: a. when completing PRN effectiveness. b. when completing an IV. c. when documenting accucheck. d. only when the wristband will not scan.

    • A.

      A, b

    • B.

      D

    • C.

      B,c

    • D.

      A,b,c

    Correct Answer
    B. D
    Explanation
    Limited access is to be used for documenting prn effectiveness if not with patient. Wristband is to be scanned and IV completed in BCMA before removal from patient. Wristband is to be scanned when documenting accucheck

    Rate this question:

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