leung pui hong, eugene resident pharmacist department of pharmacy
TRANSCRIPT
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