Instruktion för läkemedelshantering (pdf) - Västerbottens läns landsting

Innehåll1. ANSVAR......................................................................................................................................................................................................................................... 71.1 Egenvård – Hälso- och sjukvård.......................................................................................................................................................................... 71.2 Vårdgivarens ansvar.................................................................................................................................................................................................... 71.3 Läkemedelskommitté.................................................................................................................................................................................................. 81.4 Verksamhetschefens/MAS ansvar.................................................................................................................................................................... 81.5 Medicinskt ledningsansvarig läkares/ Odontologiskt ledningsansvarig tandläkares ansvar..................................... 91.6 Avdelningschefens/ motsvarandes ansvar.................................................................................................................................................. 91.7 Läkemedelsansvarig sjuksköterskas ansvar................................................................................................................................................. 91.8 Hälso- och sjukvårdspersonalens ansvar....................................................................................................................................................... 91.9 Läkares ansvar................................................................................................................................................................................................................101.10 Sjuksköterskas ansvar...............................................................................................................................................................................................101.11 Bedömningsinstrument – Safe Medication Assessment, SMA...................................................................................................111.12 Under-/tandsköterskas/vårdbiträdes ansvar...........................................................................................................................................111.13 Personlig assistent ansvar.....................................................................................................................................................................................111.14 Delegering........................................................................................................................................................................................................................112. ORDINATION AV LÄKEMEDEL...............................................................................................................................................................................122.1 Behörighet att ordinera läkemedel..................................................................................................................................................................122.2 Krav på en läkemedelsordination.....................................................................................................................................................................122.3 Ordinationshandling/ läkemedelslista..........................................................................................................................................................122.4 Signaturlista.....................................................................................................................................................................................................................132.5 Behandlingsscheman, Spädningsscheman...............................................................................................................................................132.6 Generella direktiv........................................................................................................................................................................................................132.7 Waran (warfarin)..........................................................................................................................................................................................................142.8 Vaccinationer..................................................................................................................................................................................................................142.9 Medicinska gaser.........................................................................................................................................................................................................142.10 Terapirekommendationer.......................................................................................................................................................................................152.11 Utbyteslista - Rekommendationer för preparatbyten.........................................................................................................................152.12 Naturläkemedel............................................................................................................................................................................................................152.13 Vid utskrivning..............................................................................................................................................................................................................152.14 Samordnad vårdplanering.....................................................................................................................................................................................163. IORDNINGSTÄLLANDE AV LÄKEMEDEL.....................................................................................................................................................173.1 Definitioner......................................................................................................................................................................................................................173.2 Behörighet att iordningställa läkemedel......................................................................................................................................................173.3 Iordningställande inom sluten vård.................................................................................................................................................................173.4 Iordningställande inom primärvård och kommunal hälso- och sjukvård...............................................................................183.5 Kontroll vid iordningställande.............................................................................................................................................................................183.6 Praktiskt handhavande.............................................................................................................................................................................................193.7 Iordningställande av injektioner och infusioner......................................................................................................................................194. ADMINISTRERING/ÖVERLÄMNANDE AV LÄKEMEDEL................................................................................................................224.1 Kontroll vid administrering....................................................................................................................................................................................224.2 Signering...........................................................................................................................................................................................................................224.3 Avvikelse...........................................................................................................................................................................................................................234.4 Uppföljning......................................................................................................................................................................................................................234.5 Dosspridning..................................................................................................................................................................................................................234.6 Intag av perorala läkemedel..................................................................................................................................................................................234.7 Läkemedel för injektion och infusion............................................................................................................................................................234