Safe Use of Medication in Hospital Pharmacy

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Questions and Answers

Who should be consulted for making labelling guidelines according to ASHP guidelines?

Pharmacist (correct)

Physician

Nurse

Hospital Administrator

What should be preferred over apothecary system in labelling according to ASHP guidelines?

Metric system (correct)

Apothecary system

British system

Imperial system

What should be mentioned on labels for medications that require dilution according to ASHP guidelines?

Route of administration

Dilution technique (correct)

Date of expiry

All of the above

What should be used to identify the source and lot number of medications in floor stock according to ASHP guidelines?

Codes Signup and view all the answers

What should be included in the label of medications brought by patients according to ASHP guidelines?

Patient own medication label Signup and view all the answers

What should be arranged in accordance with an established plan in drug cabinets in nursing units according to ASHP guidelines?

Particular arrangement Signup and view all the answers

What should be kept minimum in nursing units according to ASHP guidelines?

Reconstitution of antibiotics Signup and view all the answers

What should be inventoried, recorded, and inspected in drug cabinets in nursing units according to ASHP guidelines?

Controlled drugs Signup and view all the answers

What should be included in the label of out-patient prescriptions according to ASHP guidelines?

All of the above Signup and view all the answers

What should be present in the medication label where there is a mixture of ingredients according to ASHP guidelines?

Name of therapeutically active system Signup and view all the answers

What is the primary requirement for medication dispensing in an inpatient setting?

Written orders from a physician Signup and view all the answers

What is the purpose of medication cards in an inpatient setting?

To contain all identification details of patient and medication prescribed Signup and view all the answers

What should be done with medication used for preparation but not administered?

Discarded Signup and view all the answers

What is the primary responsibility of a pharmacist in medication dispensing?

Running drug interaction surveillance programs Signup and view all the answers

What should be included in a medication order?

Medication name, dosage, and route of administration Signup and view all the answers

What should be done with medication cards for 'delayed' or 'omitted' medications?

File them separately from regular medication cards Signup and view all the answers

What is the purpose of a medication error policy?

To establish a clear procedure for reporting and recording medication errors Signup and view all the answers

What should be done when a nurse assumes charge of a patient?

Reconcile medications against physician orders Signup and view all the answers

What should be recorded in patient medical records?

All medicines prescribed, dispensed or administered Signup and view all the answers

What is the purpose of a structured framework for patient consultations?

To educate patients on medication use Signup and view all the answers

Study Notes

ASHP Guidelines for Safe Use of Medications in Hospitals

Labelling and Medication Containers

Labelling should be done by a pharmacist or under the supervision of a pharmacist
Medication labels should be typed or machine printed, and not handwritten or superimposed on other labels
Labels should bear identification of the pharmacy and accessory or caution labels should be used where necessary
The metric system should be preferred over the apothecary system

Inpatient Dispensing

Labels should indicate the amount of drug dispensed, and the date of expiry for perishable drugs
Route of administration and dilution technique (if needed) should be mentioned on the label
Proper storage containers should be used to maintain stability and integrity of medicines
Medications brought by patients should be properly checked, recorded, and labelled as patient own medications

Outpatient Dispensing

Labels should bear additional information than general labelling, including patient name, non-propriety name of medicine, strength, date of issue, and initials of the dispensing pharmacist
Name of prescriber and address, as well as caution and direction labels, should be included

Drug Cabinets in Nursing Units

Adequate space, lighting, ventilation, and working space should be provided
Inner lockable narcotic cabinets, and adequate means of security, should be present
Particular arrangement in accordance with established plan for the hospital should be followed
Controlled drugs should be inventoried, recorded, and inspected regularly

Medication Orders and Cards

Medication should be dispensed only on written order of a physician, with exceptions covered by written policy
Medication order cancellation policy should be devised
Medication order should include name of medication, dosage in metric system, signature or ID of physician, route, and date of order
Medication card should contain all identification details of the patient and the medication prescribed with start and stop date

Preparation and Administration of Medications

Ascertain that the dose is not administered, and selection medication from cart and check from medication card for correct medication, timing, and route
Give full attention while preparing medication for administration
Read the label three times, and pharmaceutical calculations should be checked by other nurse or ideally by a pharmacist

Recording of Medications

All medicines prescribed, dispensed, or administered should be recorded to patient medical records
There should be an established procedure for recording of patient medical history including medications and diagnosis

Medication Errors

Each hospital should have a clear statement policy for all medication errors
Report should be shared with management within the defined time limit, and corrective actions should be noted

Medication Interaction Surveillance

Each hospital should have a drug interaction surveillance program run by a pharmacist
The program should include preparation of drug interaction reporting form, method to check drug – drug, drug – food, drug – lab reports interactions, and recording of identified interactions and extent of effect

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Description

This quiz covers ASHP guidelines for safe medication use in hospitals, including labelling, dispensing, and preparation of medications. It's a part of Pharmacy Practice-IVA course taught by Dr. Syed Saad Hussain.