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

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substitution with other drugs in accordance with the prescribing policies of the recipienthospital. If consensus is reached between the case medical officer and the Pharmacy thatno substitution can be made, urgent arrangement must be made to acquire medication inorder to ensure continued supply.3. Sample code can be used for inputting dispensing information for the non-formulary itemprescribed until the item code for the new item can be downloaded from CPO.4. Mechanism for stocking or acquiring the non-formulary item should be according to theindividual hospital’s operation procedures.5. Financial issues must be worked out between the discharge and recipient hospitals.Pharmacies of recipient hospitals finding difficulties in maintaining the continuity ofsupply of medications due to financial implications should bring their problems forwardto the Hospital Drugs and Therapeutics Committee or any concerning committee fordiscussion and formulation of appropriate actions. Financial data relating to interhospitaltransfer dispensing activities will be available from the PHS for monitoring andanalytical purposes. HCE’s of both discharging and recipient hospitals must haveconsensus on the procedures and financial arrangement for inter-hospital transfer.WorkflowArrangement for the supply of patient’s medication during inter-hospital transfershould be according to the following procedure.* Or otherwise agreed between the discharge and recipient hospitals2
A) Discharging hospital1. Use an appropriate prescription form to write up a discharge medication order for aduration of 5 working days*. The transfer status of the patient should preferably beclearly indicated on the prescription.2. The prescriber should write up the discharge medication order as soon as the decision fortransfer has been made. The prescription should then be promptly sent to the Pharmacyfor dispensing to enable the medication to be dispensed by the Pharmacy in time toaccompany the patient to recipient hospital. This way, medicines having proper labelingcan always be ensured.3. After confirming that the contents of the prescription is complete and appropriate, thepharmacy of the discharging hospital faxes the prescription to the pharmacy of therecipient hospital*.4. The pharmacy dispenses the prescription with labeling that complies with the legalrequirement.5. The patient is transferred to the recipient hospital together with the transfer-outmedication dispensed by the pharmacy.B) Recipient hospital1. After receiving the faxed prescription from the pharmacy of the discharging hospital, thepharmacy of the recipient hospital should check the availability of the medicationprescribed*. Necessary action should be taken if non-formulary items are involved.2. The recipient ward sends a copy of the MAR or the discharge medication summary to thepharmacy for information and necessary action.3. If a non-formulary item has been prescribed, use sample code to input dispensinginformation until the new item code can be downloaded from CPO.4. If the non-formulary item is to be used on a one-off basis, suspend the item code after thetreatment course has been completed.5. The recipient hospital may also consider to review its formulary to include commonlyprescribed non-formulary items by the discharge hospital.* Or otherwise agreed between the discharge and recipient hospitalsHAHO Jan 993
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ForewordMedication safety and provi
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Chapter 6 summarizes the specific r
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Chapter 6Conclusions and Recommenda
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CHAPTER ONETHE WORKING GROUPMEMBERS
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CHAPTER TWOTHE PROGRESS REPORT2.1 P
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CHAPTER THREEAREAS FOR IMPROVEMENT
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Existing In-patient Drug Administra
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CHAPTER FOURRECOMMENDED PRACTICES A
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Drug Name4.11 There should be a hos
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Electronic prescribing (Medication
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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
Page 72 and 73: 2.1 Concentrated potassium chloride
Page 74 and 75: Appendix 7Supply of Antidotes and D
Page 76 and 77: 複本 Antidotes and emeg drug lis
Page 78 and 79: Appendix 8Guidelines for Supply of
Page 82 and 83: Appendix 9Samples of the Line Label
Page 84 and 85: Appendix 10Guidelines on the use of
Page 86 and 87: Appendix 11Guidelines on Patient Se
Page 88 and 89: Operational Guidelines7. The operat
Page 90 and 91: COC(N) Paper 12/2004Approved by COC
Page 92 and 93: 7.4 Evaluation Record and report th
Page 94 and 95: DISPOSAL OF HOSPITAL PHARMACEUTICAL
Page 96 and 97: Appendix 14Guidelines on the Handli
Page 98 and 99: Appendix 15Medication Incident <str
Page 100 and 101: Hospital Authority Medication Incid
Page 102 and 103: QUALITY ASSURANCE IN DRUG THERAPYHO
Page 104 and 105: Fig. 1: ADR voluntary reporting sys
Page 106 and 107: PROCEUDRE FOR QUALITY COMPLAINTSONP
Page 108: Part II Procurement Section, CPO1.
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