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Premade Parenteral Orders

Answers for premade parenteral 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 being dispensed. If there are medication-related problem(s) that prevented order verification, select answer option A in the dispensing answer options as the pharmacy would not dispense based on an incorrect medication order. Select one best answer.

Product for premade parenteral dispensing

  1. No, return to stock a medication-related problem was identified in the order.

  2. No, the chemical entity of the premixed product is wrong.

  3. No, the volume of the premixed product is wrong.

  4. No, the concentration of the premixed product is wrong.

  5. No, the premixed product is expired.

  6. No, the quantity dispensed is wrong.

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

  8. No, the medication does not need to be sent at this time.

  9. Yes, the product may be dispensed, there are no errors.

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Patient #9 (Page 1/2) Setting: IV Room

PATIENT PROFILE:

Name: Horace Peters MRN: 000099335 Allergies: sulfa allergy (rash, hives)

Age: 68 Sex: M Height 72 in Weight 98 kg

CLINICAL SCENARIO:

HP is a 68-year-old male with a past medical history of diabetes and hypertension who ...

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