Question

Operational Standards: §291.74

a What are the proper storage ranges (oC & oF) for Cold, Refrigerator, Freezer, Cool, Rm Temp, Warm, and excessive Heat?

b. How does a Class C Pharmacy handle drugs that are expired, outdated, &/or unusable?

c. In what quantities can a Class C pharmacy pre-package drugs?

d. What is the minimum information required on an IV admixture label?

e. When can drugs be given to patient and what allows them to be distributed? (f5A)

f. What does “Institutional pharmacies shall be exempt from the labeling provision and patient notification requirements of §562.006 & §562.009” mean?

g. What records must be kept in regards to the use of floor stock? Who can remove floor stock drugs?

h. What is an institutional “formulary?”

Answer 1

A) answer: for the general storage of drugs in room temperature is at the range of 15- 25 degree celcius ,for the cool temperature of drugs is 8-15 degree centigrade, for the refrigirator drug storage is 2-8 degree centigrade and for freezing is - 10 to - 25 degree centigrade .and for the hot temperature we can keep up to 30 degee centigrade.

B ) answer : class C drugs are anabolic steroids ,benzodiazepins,gamma hydroxy butyrate,gammabutyrolactone ketamine,piperazine ,tranquilizers ,vallium .

- in that some of the drugs are expired those are: ketamine ,tranquilisers , hydroxy gamma butyrate some of the painkillers etc .

C) answer: the quantity of class c pharmacy prepackage drugs about 5% in general drugs ,mainly locayed in a free standing ambulatory surgical center .

- the purpose of this class C pharmacy is to provide standards in the conduct ,practice,activities ,and operation of pharmacy .

D) Answer :

• Patient name.
• ip number.
• room number.
• Name of the fluid .
• amount of fluid.
• drug name.
• strength of drug.
• infusion period.
• expiration date and time.
• flow rate.
• other information as per instituition rules.

E) answer:

• Conform the patient ,that he is taken the drug or not .if he already taken we should not give again .
• follow the 7 rights such as right patient ,right route ,right dose ,right time, righht drug,right documentation etc.
• During night time the patient may disturbed ,when the patient is sleeping ,not interested to take drug etc may ptient disturbed.

G) answer: floor stock drugs are present in the nurses station, which can be used for the patient in who charge the drug and in any emergency condition .

- records are floor stock record and emergency drug record ,crash cart records etc.

H) answer:

- in the instituitional formulary ,the physicians play main role for the drug formulary .

- they give the list of the drugs having both generic name and brand name to identify the drug easily ,so these drugs only the instituition supplies for the patients.