Drug Safety
1)List of EDL - to be displayed outside Pharmacy (in Tamil also). A copy to be available in all departments
2)No Stock Out situation
3)Safe storage of medicines at appropriate temperature. List of storage temperature of all drugs to be available
4)Policies for storage and analysis - FEFO, VEN, FSN, LASA, High risk, NDPS etc.
5)Safe dispensing with proper instructions about use.
6) Verification of identity before administration
7)Safe injection policy - one patient one syringe one needle, policy for multidose vials, policy for sedation,labeling of preloaded syringes, policy for NDPS drugs, RIGHTS- right drug,patient,time,dose,route, rate, documentation ;checking expiry date , condition of drug
8)Prevention of HAI- standard precautions
9)Safe disposal - BMW segregation- syringes, expiry medicines, vaccines
10)Safe immunization
11)Safe blood transfusion
12)Medication charts - signed by SN and MO
13)Documentation of history of Drug Allergy in Case sheet and Medication chart- in Red
14)Drug Recall - RCA
15)Medication errors, Adverse events, Adverse Drug Reactions- Incident reporting and RCA and CAPA
16)Availability of emergency drugs at point of use - Emergency drug tray, Crash Cart, PPH tray, Eclampsia tray etc.
17)Prescription auditing - deficiencies and action taken
18)Antibiotic policy and prevention of Antibiotic resistance
19)High Risk medications - double check
20)List of High Alert drugs , therapeutic and maximum dose
21)List- Drug and Food interactions
22)List- Drug-Drug interactions
23)Monitoring after drug administration
24) Patient education and information
25)Verbal order and Read back policy
26)Precription-Avoiding abbreviations, legible, sign and seal ,dose, route, time, instructions .
27) Policy for self medications - doctor should record in case sheet, SN should record in medication chart
28)Expiry and Near expiry policies
29)Inventory management and Buffer stock calculation
30)NSI management
31)Occupational hazard - Immunization of staff
32)Monitoring charts in special situations and during infusions - eg. oxytocin, blood, nitroglycerine , streptokinase etc.
33)Infusion pump , Paedia set, Diginfusa usage
34)Temperature chart maintenance for all refrigerators where drugs are stored .
35)Control chart- in BB, for ILR
36)Licenses
37)Training
38) Safe nebulization - dose for adult and child , dilution and monitoring
39)Oxygen supply - Central and cylinders . Manifold room maintenance .Colour coding for medical gas pipelines . CAD for piped medical gas supply. Valves location. Measures to detect leakage . Chart maintenance for usage. Safe transport of cylinders .
40. Prevention of HAI- blood stream, mask associated
41. Stock maintenance - drugs and supplies
42.5S method for Storage
43.Drug Committee.
44.Safe administration of Contrast in Radiological procedures
45. Safe anaesthesia and monitoring - formats used
46.Chemotherapy
1)List of EDL - to be displayed outside Pharmacy (in Tamil also). A copy to be available in all departments
2)No Stock Out situation
3)Safe storage of medicines at appropriate temperature. List of storage temperature of all drugs to be available
4)Policies for storage and analysis - FEFO, VEN, FSN, LASA, High risk, NDPS etc.
5)Safe dispensing with proper instructions about use.
6) Verification of identity before administration
7)Safe injection policy - one patient one syringe one needle, policy for multidose vials, policy for sedation,labeling of preloaded syringes, policy for NDPS drugs, RIGHTS- right drug,patient,time,dose,route, rate, documentation ;checking expiry date , condition of drug
8)Prevention of HAI- standard precautions
9)Safe disposal - BMW segregation- syringes, expiry medicines, vaccines
10)Safe immunization
11)Safe blood transfusion
12)Medication charts - signed by SN and MO
13)Documentation of history of Drug Allergy in Case sheet and Medication chart- in Red
14)Drug Recall - RCA
15)Medication errors, Adverse events, Adverse Drug Reactions- Incident reporting and RCA and CAPA
16)Availability of emergency drugs at point of use - Emergency drug tray, Crash Cart, PPH tray, Eclampsia tray etc.
17)Prescription auditing - deficiencies and action taken
18)Antibiotic policy and prevention of Antibiotic resistance
19)High Risk medications - double check
20)List of High Alert drugs , therapeutic and maximum dose
21)List- Drug and Food interactions
22)List- Drug-Drug interactions
23)Monitoring after drug administration
24) Patient education and information
25)Verbal order and Read back policy
26)Precription-Avoiding abbreviations, legible, sign and seal ,dose, route, time, instructions .
27) Policy for self medications - doctor should record in case sheet, SN should record in medication chart
28)Expiry and Near expiry policies
29)Inventory management and Buffer stock calculation
30)NSI management
31)Occupational hazard - Immunization of staff
32)Monitoring charts in special situations and during infusions - eg. oxytocin, blood, nitroglycerine , streptokinase etc.
33)Infusion pump , Paedia set, Diginfusa usage
34)Temperature chart maintenance for all refrigerators where drugs are stored .
35)Control chart- in BB, for ILR
36)Licenses
37)Training
38) Safe nebulization - dose for adult and child , dilution and monitoring
39)Oxygen supply - Central and cylinders . Manifold room maintenance .Colour coding for medical gas pipelines . CAD for piped medical gas supply. Valves location. Measures to detect leakage . Chart maintenance for usage. Safe transport of cylinders .
40. Prevention of HAI- blood stream, mask associated
41. Stock maintenance - drugs and supplies
42.5S method for Storage
43.Drug Committee.
44.Safe administration of Contrast in Radiological procedures
45. Safe anaesthesia and monitoring - formats used
46.Chemotherapy
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