Page 25 - High Alert Medications INFORMATICS_Neat
P. 25

8.  Encourage use of technology to avoid dispensing errors e.g., barcode, printed

         Administration

              1.  Administration should be carried out by authorized healthcare professionals

              2.  Patient identifiers (like patient name and medical record ) should be used to verify

                  administration to the right patient

              3.  Follow the 6 rights of safe drug administration: Right patient, Right drug, Right

                  dose, Right time, Right route, Right documentation in charts


              4.  Always compare drug in hand against drug name, strength and route mentioned in
                  physician’s order before administration


              5.  In case of any ambiguity, the prescriber should be contacted for clarification before
                  administering the medicines


              6.  In  case  of  any  changes  in  orders,  effective  and  immediate  communication  and
                  documentation should be assured


              7.  The  practice  of  double  checking  or  second  person  verification  for  dose,  route,

                  dilution etc. can eliminate chances of errors

              8.  One patient’s drugs (either new or leftover) should not be used for another drug

                  labels  containing  patient  identification,  drug  identification  and  administration

                  instructions, auxiliary labels etc.

              9.  Drugs should be dispensed in the most ready-to-use form possible and minimum

                  number of doses possible (unit dose dispensing: single dose at a time)

              10. If a drug is to be prepared before administration, the preparation, calculation and

                  dilution etc. should be completed in a clean, safe, clutter free area with minimum-

                  to-no distractions

                   10.1.  The drug should be properly labelled if administration is at a later time

                   10.2.  If a multi-dose vial is used for drug preparation, it should be marked with

                       date-of-opening,  dilution  concentration  and  the  personnel’s  name  &

                       designation. Such vials should be discarded immediately on expiry date


                                                             25
   20   21   22   23   24   25   26   27   28   29   30