Page 27 - Risk Reduction Series Effective Systems Part 2
P. 27

SVMIC Risk Reduction Series:  Effective Systems


                          the use of any medications they prescribe and set forth

                          in the PDR, package inserts, product advisories, or other
                          authoritative resources.


                     14.  Train staff who administer medications to adhere to the

                          “Five Rights”: right patient, right drug, right dose, right
                          route, and right time. Staff should read all physician
                          orders for medication administration back to them prior to

                          administering any medication.


                     15.  Closely monitor drugs with known toxic effects – use a
                          “recall” or “reminder” system to alert the practitioner when

                          labs are due.

                     16.  Periodically re-evaluate a patient’s condition before

                          renewing medications.

                     17.  Exercise great caution when prescribing controlled

                          substances, especially narcotics.


                     18.  Regarding sample medication:

                           a.  Monitor drug samples monthly.

                           b. Keep sample medications in a secured area that is not

                               easily accessible to patients.

                           c.  Drug storage areas should be well organized with
                               look-alike or sound-alike drugs stored away from one

                               another (refrain from alphabetizing the drug storage
                               areas).

                           d. All sample medications should be dispensed to patients

                               by a physician or advanced practice provider.

                           e.  Sample medications should be documented in the

                               medical record.


                           f.  Staff should be advised that sample medications are



                                                          Page 27
   22   23   24   25   26   27   28   29   30   31   32