In a scenario where a drug is not stocked in Pyxis and the pharmacy is closed, which access configuration is described?

• A. Pharmacist-only access
• B. Two employees, one prescriber or nurse
• C. Any two hospital staff
• D. No access is allowed

Answer: (B)

The scenario tests how after-hours access to a non-stocked drug should be controlled to protect patient safety. When a drug isn’t in the Pyxis and the pharmacy is closed, a two-person authorization is required to release it. Having two employees involved, with one being a prescriber or nurse, provides both clinical justification and independent verification. This helps ensure the medication is needed for the patient and that the dispense is properly reviewed, even when the pharmacist isn’t on site.

Pharmacist-only access isn’t feasible here because the pharmacy is closed, so relying on a pharmacist alone wouldn’t work. Allowing any two hospital staff could bypass the necessary clinical check that a prescriber or nurse provides. No access at all would prevent essential care. Therefore, the described configuration—two employees with one being a prescriber or nurse—best fits the safety and workflow needs for after-hours, non-stocked meds.