pre-survey questionnaire and self-assessment checklist for ...
pre-survey questionnaire and self-assessment checklist for ...
pre-survey questionnaire and self-assessment checklist for ...
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• Hours/Days (#/day)<br />
• Average patient load<br />
• Medication order entry<br />
(Yes/No)<br />
PHARMACY SERVICES –<br />
DISTRIBUTION: (PROVIDE<br />
% OF PATIENT BEDS<br />
COVERED BY THE<br />
FOLLOWING SERVICES)<br />
Unit-dose oral drug products<br />
(indicate %)<br />
Com<strong>pre</strong>hensive sterile product<br />
admixture service, including IV<br />
push, IVPB, LVP, chemotherapy,<br />
TPN, IM, SQ (indicate %)<br />
24-hour cart fill (indicate %)<br />
Investigational drug product<br />
controlled by pharmacy (indicate %)<br />
Extemporaneous compounding<br />
services (Yes/No)<br />
AUTOMATED DISPENSING<br />
CABINETRY USE<br />
DIRECTIONS: INDICATE THE % OF<br />
USE OF THE FOLLOWING<br />
CORRESPONDING TO PATIENT<br />
CARE AREAS:<br />
Narcotics<br />
PRN medications<br />
Emergency medications<br />
Scheduled doses<br />
Interfaced with clinical in<strong>for</strong>mation<br />
system (Yes/No)<br />
OTHER<br />
AUTOMATION/TECHNOLOGY<br />
(INDICATE % USE IN PATIENT CARE<br />
AREAS)<br />
Robot used <strong>for</strong> cart fill <strong>and</strong>/or first<br />
doses<br />
IV Robot used
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