On-line Pharmacy Technology Quiz

When the charge nurse accepts the cart for the shift, she is taking responsibility for both medications and treatments. This means that she is accountable for ensuring that the correct medications are administered to patients as prescribed and that treatments are carried out correctly and in a timely manner. This includes tasks such as wound care, IV therapy, and other procedures that may be part of the patient's plan of care. The charge nurse must also ensure that all necessary documentation is completed accurately for both medications and treatments.

If the medication is part of the cycled meds, the charge nurse should not reorder it. This is because cycled medications are typically ordered and restocked on a regular basis, following a specific schedule. Therefore, there is no need for the charge nurse to manually reorder them when they run low, as it is already accounted for in the medication cycling system.

When administering controlled medications, it is important for the nurse to document in both the Electronic MAR (Medication Administration Record) and the Blue Narcotic Book. The Electronic MAR is a digital record that allows for easy access and retrieval of medication administration information. The Blue Narcotic Book is a physical logbook specifically used for documenting controlled substances. By documenting in both, the nurse ensures accurate and comprehensive records are maintained for accountability and regulatory purposes. This dual documentation helps to track the administration of controlled medications and prevent any discrepancies or errors.

The correct answer is that the nurse did not administer a scheduled medication because she did not see it in the drawer. This is a valid reason to initiate a Medication Error form because it indicates a potential error in the medication administration process. It is important for healthcare professionals to accurately and timely administer medications to ensure patient safety and prevent any potential harm.

The charge nurse is reviewing all of the following in Missed Pour Review, except for orders not administered from the previous calendar date. This means that the charge nurse is responsible for reviewing orders that were not administered for the previous shift, orders that were not poured for the previous shift, and orders that were not administered up until the current hour. However, the charge nurse does not need to review orders that were not administered from a previous calendar date, as this falls outside of the scope of their responsibilities in Missed Pour Review.

The correct answer is to access the Med Dispense system to administer the medication. This is the appropriate action for a nurse to take when a stat medication is ordered by a MD. The Med Dispense system is a secure and efficient way for nurses to access and administer medications quickly. Calling the pharmacy for delivery may take too long and borrowing from another patient is not a safe or ethical practice. Calling the MD to change the order should only be done if there is a specific reason why the medication cannot be administered.

The correct answer is "The nursing supervisor announces for all staff to initiate E reports." This is the correct answer because when the nursing supervisor announces for all staff to initiate E reports, it indicates that it is a requirement or expectation for the nurse to start using E-report documentation. The other options provided do not provide a clear indication or requirement for the nurse to initiate E-report documentation.

The PRN effectiveness of the medication should be documented one hour after administration because this allows enough time for the medication to take effect and for the nurse to assess the resident's pain level. By documenting the effectiveness after one hour, the nurse can determine if the medication provided adequate pain relief or if further intervention is needed. This documentation also helps to ensure that the resident's pain management is being properly evaluated and adjusted as necessary.

The nurse must change their password regularly and not just when they suspect it has been compromised in order to comply with HIPAA regulations. This helps ensure the security and confidentiality of the residents' personal health information. Clicking on the Hide icon when walking into a resident's room, logging into the system to administer medications, and locking the medication cart when not in line of vision are all actions that contribute to maintaining the security and confidentiality of PHI during the medication pass.

The nurse can access clinical documentation by looking in the Electronic MAR, clicking on the drop down and highlighting clinical documentation, and looking into the Resident Chart. However, looking into electronic Physician Orders is not a way for the nurse to access clinical documentation.

One of the acceptable reasons to skip a medication is when a resident is at dialysis. This is because during dialysis, medications can be removed from the body, so it may not be necessary to administer them at that time.

The rationale for utilizing the scanner during a med pass is that it is a safety precaution to prevent administration of discontinued meds. By scanning the medication, the nurse can verify that it is still in use and has not been discontinued. This helps to prevent any potential harm or adverse reactions that may occur if a discontinued medication is administered to a patient.

The nurse is responsible for removing all MD orders from Pending Status, which suggests that the nurse needs to access a specific area to perform this task. Out of the given options, "Order Maintenance" seems to be the most appropriate area for the nurse to access in order to remove the MD orders from Pending Status. The other options such as Nurse Approval, Missed Pour Review, and Physician Orders do not specifically mention the task of removing MD orders from Pending Status, making them less likely to be the correct answer.

The correct answer is "Every 72 hours on night shift" because it states that the cycled meds are delivered specifically on the night shift and at a frequency of every 72 hours. This means that the medications are delivered every 3 days during the night shift. The other options do not mention the night shift or the specific time frame of 72 hours.