Analgetic catheters.
Patient will be assessed q?h when administrating analgetic catheter
WHAT is TAllman lettering? What is it used for?... give an example.
Used to identify High alert medication and reduce the risk off med error for sound alike or look alike med names.
dimenHYDRANATE
diphenHYDRAMINE
DOBUTamine
DOPamine
Narcotic products that we should avoid stocking in client services area …
Heparin administration must be done by which registered staff at SJGH and what are the steps prior the administration...
Performing an independent double check with 2 RN or 1 RN and 1 RPN
Medication including
KCl
Potassium phosphate
Calcium gluconate
Magnesium sulfate.
Sodium Phosphate
When using intrathecal or epidural analgesia the physician must be notified if pt is on what kind of medication
anticoagulant.
What is the medication independent double check policy at SJGH
A check where two practitioners independently review the information of a med prior to the administration.
What is the dose of morphine that we should avoid to keep in client service areas? As per Accreditation Canada ( ROP guidelines) and SJGH policies.
ADULTS...
CHILDREN....
ampoules or vials:
greater than 15 mg in adult services
greater than 2mg in children services
Where is Heparin Stored at SJGH
What does KCL concentrate refer to at SJGH
IV mini bags containing 40 mEq per 100 ml or greater
Vials and ampoules containing 2 mEq per ml of KCl or greater.
What kind of Analgetic Catheters are used at SJGH
Intrathecal and Epidural Anlgesia.
Who approves of the need for narcotic products in client service areas?
Pharmacy & Therapeutics Committee
What is the dose of fentanyl that we should avoid to keep in client service areas? As per Accreditation Canada ( ROP guidelines) and SJGH policies.
a dose greater than 100 mcg per container
Heparin orders must include… 4 things
All IV KCl infusions must be delivered via
Pump
What are 7 thing assessed when doing rounds on pt with analgetic catheter
Name 6 high alert meds or types of high alert meds
What is the dose of HYDROmorphone that we should avoid to keep in client service areas? As per Accreditation Canada ( ROP guidelines) and SJGH policies.
ampoules or vials of greater than 2 mg
Where are LMWH vials stored
Where is KCl concentrate stored at SJGH
In the pharmacy
ICU ADU
ED ADU
Med Surg ADU
Calcium and Magnesium - in crash carts (7 crash carts in house)
Calcium and Potassium Chloride -Med Surg
When inserting epidural what must be ready and or done prior to insertion (6 things)
Who is part of SJGH’s interdisciplinary committee P&T for medication management?
There is 9 positions
Name 4 of the positions.
The Pharmacy and Therapeutics Committee
How often are in clients’ areas audited for narcotic products?
ER- daily
Rest of organization – Monthly
What SJGH do to follow standards regarding management of concentrated electrolytes.
list 3 things
Regularly audits the number of concentrated electrolytes in clinical areas.
Ensure that all solutions with concentrated electrolytes are double-checked prior to administration.
Clearly distinguish concentrated electrolytes solutions.
Inform staff.