Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

Preview:

Citation preview

Leung Pui Hong, EugeneResident Pharmacist

Department of Pharmacy

1. Safety Solutions for High Risk Medications

◦ 6th series: Hypoglycemics and insulin2. HAHO Drug Abbreviation

1. KCC Drug Abbreviation

3. HAHO MSC visit◦ KCC audit in Mar 2010

4. Standardization of label on multiple dose vials

5. Good Practice on known Drug Allergy Alert

6. Future issues…

Hypoglycemics◦ LASA(Look-alike/Sound-alike)

Tall man lettering◦ metFORMIN◦ metoPROLOL

Strip packing◦ Facilitate differentiation

Insulin◦ LASA(Look-alike/Sound-alike)◦ Humulog®/Humulin®

◦ U vs 0 vs 4

Use ‘Unit’ instead of ‘U’ Tall-man lettering

Quick access to antiboites, e.g. D50

Jan 2010 KCC MSC◦ Approved/Standard Drug Abbreviations of KCC

Pharmacy reserve the right to withhold dispensing

Criteria based on:◦ HA approved abbreviations◦ Vitamins◦ Chemical name acronym◦ Abbreviation well established in medical literature◦ Low risk of misinterpretation with other

abbreviations / drugs names◦ Common knowledge of abbreviation by all health

care professionals within organisation(HA)

QD◦ Daily

Dexamethasone + chloramphenicol◦ D-C◦ Dexa-C◦ Decadron-C®◦ Decadron-N®

MYDRIN P®◦ MP - Not approved

G NaCl 0.9%

9 Sep 2010

Do Not use After Label on multiple doses vials

Good Practice on known Drug Allergy Alert

‘Do not use after’ label◦ Expiry Date and Time◦ For multiple dose vials e.g. NS, WFI

Assess patient’s drug allergy history in each hospital admission and outpatient visit

Complete drug allergy information on ALL MARs prior to drug prescribing dispensing and administration

Enter ‘NKDA’ if there is none

Future issue◦ Standardization of MAR(Medication administration

record)◦ HKE - oral/perenteral only

Administration Time schedules QID, TDS, BD

Documentation of MO code in MAR◦ No code no drugs

◦ QEH only

Recommended