Pharmacy and Medication Management Flashcards
6 cards from real CCHP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Pharmacy and Medication Management flashcards as text
Which of the following BEST describes the purpose of a formulary in a correctional healthcare setting?
Answer: An approved list of medications available within the facility to guide prescribing and control costs
A formulary standardizes drug selection within a correctional facility, promoting cost-effectiveness and appropriate prescribing.
What does 'directly observed therapy' (DOT) mean in the context of correctional medication administration?
Answer: Health staff physically watch the patient swallow the medication and check for cheeking
DOT requires staff to observe ingestion and verify the medication is swallowed to prevent diversion, cheeking, or stockpiling.
Which regulatory body governs the prescribing, dispensing, and storage of controlled substances in correctional facilities?
Answer: Drug Enforcement Administration (DEA)
The DEA regulates controlled substances under the Controlled Substances Act, and correctional facilities must comply with DEA requirements.
What is the MOST appropriate action when a nurse discovers a discrepancy in the controlled substance count during a shift change?
Answer: Document and immediately report the discrepancy to the supervisor and investigate per facility protocol
Controlled substance discrepancies must be immediately reported and investigated, as they may indicate diversion or theft.
Which medication administration route requires the MOST caution regarding inmate diversion in a correctional setting?
Answer: Sublingual or crushed oral tablets
Sublingual tablets and crushed oral medications can be cheeked (held in the mouth) and later diverted, requiring careful DOT observation.
Under NCCHC standards, how often should medication administration records (MARs) be reviewed for accuracy in a correctional facility?
Answer: Regularly, as part of ongoing quality improvement and nursing supervision
Regular MAR review is a quality assurance requirement to detect administration errors, omissions, and documentation gaps.