2005 Edition Report on Drug Administration Procedure & Practices ...

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Existing In-patient Drug Administration Procedure (continued)Drugs stored in the wardsNurse prepares drugs toadminister to patientsDrugs stored in the wardsExisting Problems:• Inadequate storage cupboards or storagespace for drugs.• Drugs may be stored in a disorganisedmanner or at inappropriate locations e.g.refrigerated items are not being refrigeratedand items not required refrigeration are beingrefrigerated.• Domestic refrigerators without any lockingdevice or without an adequate temperaturecontrolling function are used for the storageof drugs.• Other non-pharmaceutical items (e.g. bloodsamples, food) may be stored with the drugsand that will create a contamination hazard.• Unused pre-diluted / reconstitutedmedications may not be discarded and keptfor future use.Nurse prepares drugs to administer topatientsExisting Problems:• Different hospitals have differentpractices regarding the level of nursingpersonnel involved in drug administration.• Non-compliance with the guidelinesregarding drug administration practice.• Some of the medications are not suppliedin the most ready-to-administer form, forexample, injectable drugs. Their dosecalculation & reconstitution are morelikely to generate errors. The workload ofnurses and their lack of familiarity withcertain drugs can also give rise tomedication errors.17
Existing In-patient Drug Administration Procedure (continued)Nurse identifies the patientin the wardNurse administers drugs tothe patient in the wardNurse identifies the patient in the wardExisting Problems :• No requirement for patients to wear identitybracelets in some hospitals.• Wrong patient gum labels on the MAR.Nurse administers drugs to the patient inthe wardExisting Problems:Medications errors often arise from:• Non-compliance with the standardpractice guidelines, especially the 3checks and 5 rights.Each route has its own risk, especially theparenteral route :• Injectable drugs are not supplied in themost ready-to-administer form.• Technical factors can also cause errorsincluding equipment malfunction or pumpfailure.18
Page 2 and 3: ForewordMedication safety and provi
Page 4 and 5: Chapter 6 summarizes the specific r
Page 6 and 7: Chapter 6Conclusions and Recommenda
Page 8 and 9: CHAPTER ONETHE WORKING GROUPMEMBERS
Page 10 and 11: CHAPTER TWOTHE PROGRESS REPORT2.1 P
Page 12 and 13: CHAPTER THREEAREAS FOR IMPROVEMENT
Page 14 and 15: Existing In-patient Drug Administra
Page 22 and 23: CHAPTER FOURRECOMMENDED PRACTICES A
Page 24 and 25: Drug Name4.11 There should be a hos
Page 26 and 27: Electronic prescribing (Medication
Page 28 and 29: 4.46 When the use of CM is permitte
Page 30 and 31: cytotoxic and central intravenous a
Page 32 and 33: 4.72 Special precautions should be
Page 34 and 35: 4.84 To prevent mixing up medicatio
Page 36 and 37: The Principle of Three checks and F
Page 38 and 39: 4.111 Three-way (red and blue) and
Page 40 and 41: or their discharge or death, should
Page 42 and 43: operational requirement but also it
Page 44 and 45: Quality Complaints on Pharmaceutica
Page 46 and 47: LEVELSHAHOCE / DTOOLS & MECHANISMDU
Page 48 and 49: Medication Incident Report<
Page 50 and 51: Continuing Education6.18 In order t
Page 52 and 53: APPENDICESAppendix 1Appendix 2Appen
Page 54 and 55: Hospital Authority Hospital No. : I
Page 56 and 57: Sensitivity:Prescription/ routewith
Page 58 and 59: Appendix 3aLists of HA-wide Approve
Page 60 and 61: DRUGTeniposideABBREVIATIONVM-26Thia
Page 62 and 63: Appendix 3b“Do Not Use Abbreviati
Page 64 and 65: Appendix 4Schedule for the Administ
Page 66 and 67: Appendix 5Mechanism for the Managem
Page 68 and 69:
4. As with all medications, there s
Page 70 and 71:
Appendix 6HA Guideline on Safe Mana
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2.1 Concentrated potassium chloride
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Appendix 7Supply of Antidotes and D
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複本 Antidotes and emeg drug lis
Page 78 and 79:
Appendix 8Guidelines for Supply of
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substitution with other drugs in ac
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Appendix 9Samples of the Line Label
Page 84 and 85:
Appendix 10Guidelines on the use of
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Appendix 11Guidelines on Patient Se
Page 88 and 89:
Operational Guidelines7. The operat
Page 90 and 91:
COC(N) Paper 12/2004Approved by COC
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7.4 Evaluation Record and report th
Page 94 and 95:
DISPOSAL OF HOSPITAL PHARMACEUTICAL
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Appendix 14Guidelines on the Handli
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Appendix 15Medication Incident <str
Page 100 and 101:
Hospital Authority Medication Incid
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QUALITY ASSURANCE IN DRUG THERAPYHO
Page 104 and 105:
Fig. 1: ADR voluntary reporting sys
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PROCEUDRE FOR QUALITY COMPLAINTSONP
Page 108:
Part II Procurement Section, CPO1.
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