Education for Safe Prescribing and Dispensing of Chemotherapy QUIZ

1. Education for Safe Prescribing and Dispensing of Chemotherapy QUIZ

2. Question 1 Which of the following medications are considered chemotherapy at Duke? • Pemetrexed • Rituximab • Tamoxifen • Regorafenib Answer Choices • A only • A and D • A, B and D • A, C and D • All of the above

3. Question 2 Who is authorized to prescribe cancer chemotherapy at Duke? • Attending physicians in designated departments/divisions • Fellows • Nurse Practitioners • Physician Assistants • Clinical Pharmacist Practitioners Answer Choices • A only • A and B • A, B and C • A, B, C and D • All of the above

4. Question 3 • Any patient receiving cancer chemotherapy will be asked to sign an informed consent. Answer choice • True • False

5. Question 4 Which of the following are true? • Chemotherapy orders must be written with the generic name. • Chemotherapy names can be abbreviated. • Trailing Zeros are not allowed. • Leading zeros are required for doses less than 1. Answer Choices • A and C • A, B and C • A, C and D • All of the above

6. Question 5 Which of the following are required elements of a chemotherapy order? • Date order written & date of administration • Diagnosis • Appropriate criteria to treat (i.e. lab values) • Height, weight, BSA (if applicable) • Reason for dose modification Answer Choices • A, B and C • A, C and D • A, C, D and E • All of the above

7. Question 6 Verbal orders are allowed for which of the following? • Chemotherapy orders • Date of administration change • Rate of administration change • Holding or stopping chemotherapy Answer Choices • A, B and C • B, C and D • B and D • All of the above

8. Question 7 • Pre-built order sets (either electronic or pre-printed) must be used when prescribing cancer chemotherapy, if available. Answer choice • True • False

9. Question 8 • When prescribing a regimen for which there is no pre-built order set, a reference must be provided with the order. Answer choice • True • False

10. Question 9 Which of the following is true for chemotherapy given for non-malignant indications in adults? • Verbal orders are accepted • Consent is required • Can be prescribed by fellows Answer Choices • C and D • C only • A and B • All of the above

11. Question 10 • Any Duke prescriber approved to prescribe medications can write to proceed with administration, stop administration, or change the rate of intravenous chemotherapy administration. Answer choice • True • False

12. Question 11 Which of the following is true for pharmacist processing of chemotherapy? • Verbal orders are accepted for oral chemo • All chemotherapy requires an independent double check • Only pharmacists who have completed the pharmacy chemotherapy competency may check chemo. • A chemotherapy certified nurse may serve as double check if no appropriate pharmacist is available. Answer Choices • B, C and D • B only • B and D • All of the above

13. Question 12 Which of the following is true regarding required signatures for pediatric chemotherapy? • BMT orders require dual attending signatures • Neuro-oncology orders require one attending signature • Myeloablative BMT orders require dual attending signatures Answer Choices • A only • A and B • B and C • B only • C only

14. Question 13 • If a regimen or order is to be discontinued, the orders must be discontinued from CPOE at the time the decision is made to hold or stop therapy. Answer choice • True • False