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Admixed Parenteral Orders

Answers for parenteral admixture orders are selected from the following choices. Each order is graded with two questions with one correct answer for each question. Each patient presented will require you to address two questions: 1) Order Verification and 2) Product for Dispensing.

The first step for each patient is to verify the order. Select one best answer.

Order Verification

  1. No, the order was placed on the wrong patient (name, MRN on order does not match the patient profile).

  2. No, need to call the prescriber there is a medication-related problem identified: Medication selected during order entry is incorrect (ordered medication does not match clinical scenario, eg, home medications, sound-alike medications).

  3. No, need to call the prescriber there is a medication-related problem identified: Ordered medication is contraindicated due to allergy.

  4. No, need to call the prescriber there is a medication-related problem identified: Ordered medication is contraindicated due to black box warning, policy based safety concern, or laboratory result(s).

  5. No, need to call the prescriber there is a medication-related problem identified: Ordered medication is contraindicated due to significant drug interaction

  6. No, need to call the prescriber there is a medication-related problem identified: Ordered medication is prescribed at a subtherapeutic (LOW) dose.

  7. No, need to call the prescriber there is a medication-related problem identified: Ordered medication is prescribed at a supertherapeutic (HIGH) dose.

  8. No, need to call the prescriber there is a medication-related problem identified: Ordered medication is unable to be administered to patient.

  9. No, need to call the prescriber there is a medication-related problem identified: Order composer contains incomplete or inaccurate directions.

  10. Yes, the order may be verified there are no errors.

The second step for all patients is to check the product to be dispensed. If there are medication-related problem(s) that prevented order verification in step 1, select answer option A in step 2 as the pharmacy would not dispense a product based on an incorrect medication order. Select one best answer.

Product for Admixed Parental Dispensing

  1. No, return to stock a medication-related problem was identified at order verification (Choose this option if you identified ANY medication-related problems in this order as the verification pharmacist).

  2. No, the chemical entity of the medication pulled is wrong.

  3. No, the concentration of the medication pulled is wrong.

  4. No, the medication pulled is expired.

  5. No, the volume of the medication added to the admix is wrong.

  6. No, the chemical entity of the diluent is wrong.

  7. No, the volume of diluent used is wrong.

  8. No, the diluent is expired.

  9. No, the chemical entity of the IV solution is wrong.

  10. No, the volume of IV solution is wrong.

  11. No, the IV solution is expired.

  12. No, the quantity dispensed is wrong.

  13. No, the expiration date on the label applied to the final product is wrong.

  14. No, the medication does not need to be sent ...

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