leung pui hong, eugene resident pharmacist department of pharmacy

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Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

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Page 1: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

Leung Pui Hong, EugeneResident Pharmacist

Department of Pharmacy

Page 2: Leung Pui Hong, Eugene Resident 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…

Page 3: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

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

Tall man lettering◦ metFORMIN◦ metoPROLOL

Strip packing◦ Facilitate differentiation

Page 4: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

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

Page 5: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy
Page 6: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

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

Page 7: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

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)

Page 8: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

QD◦ Daily

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

Page 9: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

MYDRIN P®◦ MP - Not approved

G NaCl 0.9%

Page 10: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

9 Sep 2010

Do Not use After Label on multiple doses vials

Good Practice on known Drug Allergy Alert

Page 11: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

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

Page 12: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy
Page 13: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

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

Page 14: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

Future issue◦ Standardization of MAR(Medication administration

record)◦ HKE - oral/perenteral only

Page 15: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

Administration Time schedules QID, TDS, BD

Page 16: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy

Documentation of MO code in MAR◦ No code no drugs

◦ QEH only

Page 17: Leung Pui Hong, Eugene Resident Pharmacist Department of Pharmacy