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Storage of Look-Alike and Sound- Alike Medications & Uniform Crash Cart Trolley Arrangement Best Practices in Hospital Settings by Dr. Amrita Jain INTRODUCTION LASA :What are they? Medications that look or sound similar. Can lead to confusion and mistakes. LOOK ALIKE...

Storage of Look-Alike and Sound- Alike Medications & Uniform Crash Cart Trolley Arrangement Best Practices in Hospital Settings by Dr. Amrita Jain INTRODUCTION LASA :What are they? Medications that look or sound similar. Can lead to confusion and mistakes. LOOK ALIKE SOUND ALIKE Why They Pose a Risk Misidentification: The similarity in appearance or sound can lead to confusion, especially under stressful conditions or when the medication is not clearly labeled. Incorrect Administration: If a medication is mistaken for another, it could result in the wrong dosage or administration route Impact on Patient Safety The wrong medicine could make patient feel worse or even cause allergies. You might lose trust: If they have a bad experience, they will not trust doctors or hospitals anymore. It will cost them more: Mistakes with medicine can make patients pay more for healthcare. What to do? Store separately Bold labeling Avoid abbreviations of drug names Write legibly - Include the indication for the medication. Use both generic and brand names is preferred. Minimize the use of verbal and telephone orders. 6 R’s of Drug Administration CRASH CART TROLLY ARRANGEMENT The Importance of Crash Carts Crash carts are essential in emergency situations, providing immediate access to critical medical equipment and medications. Proper arrangement of crash carts can significantly improve patient care and reduce response times. Essential Components of a Crash Cart: Defibrillator Oxygen tanks Intubation supplies Medications IV supplies Other emergency equipment Key Principles for Effective Arrangement Use color-coded labels for quick identification of equipment and medicine. Organize equipment based on function or frequency of use.  Place frequently used items within easy reach.  Secure equipment to prevent accidental falls. Regular Checks Use checklist Check for expiry Regular inspection  Ongoing training on crash cart usage and maintenance. Reason for same arrangement in the hospital When a trolley is organized uniformly, staff can locate necessary items without wasting precious time searching. Less risk of error of picking up wrong item Policy for crash cart Crash cart must be checked on regular basis for expiry checking and condition of the equipment. Across the hospital.  Same list of medicines  Stored in same order Look alike and sound alike medicines should be stored separately as per policy. Defibrillator, equipment maintained by Biomedical Engineer is checked by the ward nurse on daily basis. Crash carts are located in a place which is free of obstacles and can be easily pulled to the location where needed.

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