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SAFE USE OF MEDICATION
HEALTH ACCESSORIES
PRESENTED BY :
DR QURESHI JALIB
MEDICATION ERROR
• Administration of wrong medication or dose
of medication drug diagnostic agent , chemical
or treatment requiring the use of such agent
to the wrong patient at wrong time or failure
to administer such agent at specific time or in
manner prescribed.
TYPES OF MEDICATION ERROR
• Omission error
• Wrong dosage
• Extra dose
• Unordered dose
• Wrong dosage form
• Wrong time
• Wrong administration
FACTORS CONTRIBUTING
Lack of hospital pharmacist
Use of non-professional in area which may
require professional judgment
Inadequate labeling of drug and chemical
packages for nursing station
Inadequate drug station on pavilion
Inadequate policies governing reporting of
incidences.
CORRECTIVE MEASURES
1) Sharing of pharmacist
2) Combine responsibilities
3) Purchase of services
4) Consultant pharmacist
• Order
• Weigh , measure
• Mixing
• Calculation
• Affixing
• information
Policies by director of pharmacy services.
Polices should be recorded in job description.
Insection in procedure manual.
• Red ink white background ______ poison
• Blue ink on white background_____ oral non
poisonous medication.
• Green ink _____ topical products
• Black ink ______ nasal preparation
• Purple ink ________ ophthalmic products
• Label must be neat ,easy to read ,
comprehensive and factual.
Separate room for storage and
Preparation.
WAGNER:-
Quiet
Clear
Glazed
Large sized
MINIMUM REQUIREMENTS
• Shallow or stepped shelves.
• Double lock safe with red warning light for
narcotics.
• Counter having drawer for storage of syringes.
• A large sink.
• Refrigerator for drug storage.
In small hospitals
Work top counter
Medicine cup dispenser
Sink
Medicine shelves
Narcotic cabinet
Refrigerator
Light
Syringe drawer
Waste basket
• Board of trusties of American Hospital
Association (may 13,1953).
• To urge hospital to establish incident reporting
system . To urge adaptation of incident report
for use in coordination with incident report
system.
Information included in medication error report
form:
• Patient name
• Hospital name
• Date of error
• Strength of medication
• Route of administration
• Time of error
• Name of person responsible for error
• Type of error
• Name of doctor
JOINT COMMISSION ON
PRESCRIPTION DRUG USE
• Nov , 1976 Edward announced formation of
JCPDU.
• A mean by which info on epidemiology of
prescription drug may use in US can be
determined and distributed to interested
particles.
• To describe post marketing surveillance system
that could be use to detect , describe and
quantitate anticipated and unanticipated defect
of marketed drug.
AIMS
• Obtain and coordinate information.
• Initiate research.
• To report the information.
• To provide training opportunities.
• As drug info centre.
ROLE OF PHARMACIST
Pharmacists works with the patients, doctors, nurses and the
public.
• A comprehensive health accessories
department in a hospital may include a wide
variety of surgical supplies and convalescent
aids.
• Many pharmacies specialize in home health
are equipments such as traction devices ,
blood glucose monitors ,respiratory therapy
equipments , blood pressure monitor devices ,
nerve and muscle stimulators , apnoea
monitors and rehabilitation equipment.
• Many health accessories are used by an
hospital they include hospital beds , bed pans,
wheel chairs , walkers etc.
FIRST AID SUPPLIES
• These are usually kept ready in many places of
the hospital in emergency , OPD and vehicles
for transporting the patient .
• These are absorbent cotton , bandages ,
dettol , spirit , gloves , tincture iodine scissors.
HOSPITAL BEDS
• These are not ordinary beds but with special
features according to the need of patient and
treatment .
Parts
• It is provided with:-
• Side railings
• Saline stands
• Hydraulic pulley
• Over head trapeze bar
BED PAN
• It is used for urinating or discharging fecal
matters while in bed.
• Made of metal , glass or plastic.
WHEEL CHAIRS
• Chair is wheeled , mobility device in which user
sits.
• Used by people for whom walking is difficult or
impossible.
• Basic standard manual wheel chair incorporates.
 a seat and back.
 two small front wheels.
 two large wheels one on each side.
 a foot rest.
CANES
• A walking cane serves two important
functions
• Weight transfer
• Balance
WALKERS
• A walker is a tool for disabled or elderly
people who need stability by walking.
• Walkers can be available with or with out
wheels.
• Wheeled walkers available these days are
called rollators.
CRUTCHES
• Medical devices used when a patient is injured
or disabled.
• Consist of support that provides a patient
with extra stability.
• Types
• There are several types of medical crutches.
• Fore arm crutches
• Under arm crutches
STRUTTERS
• Comprising of large soles that remain flat on
the ground while walking . They make walking
easy.
KNEE SUPPORT
These are helpful for patient whose injury is
beneath the knee.
This technique makes the patient to use one or
both hand freely to carry the objects.
COMMODES
• When ever the patient is unable to move from
the bed to bathroom a commode is required.
• It is like a portable toilet.
• Commodes are useful if the patient is weak or
unsteady.
CERVICAL COLLOR
• It is an orthopedic accessory use to support
patient spinal cord and head.
• Used in neck strains or sprains.
THERMOMETERS
• Medical thermometers are use for measuring
human body temp.
Types
• Oral thermometer
• Axiliary thermometer
• Rectal thermometer
• Ear and fore head thermometers
SPHYGMOMANOMETER
• Arterial blood pressure is most commonly
measure with a sphygmomanometer .
GLUCOMETER
• It is a medical tool for estimating the conc. Of
glucose in blood.
• Useful medical tool for diabetic patients at
home. little drop of blood collected by prickinf
• g the skin is placed on disposable pricking
skin.
• Digital display panel shows glucose level in
mg/dl or mmol/L.
Safe Use of Medication and Health Accessories
Safe Use of Medication and Health Accessories

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Safe Use of Medication and Health Accessories

  • 1.
  • 2. SAFE USE OF MEDICATION HEALTH ACCESSORIES PRESENTED BY : DR QURESHI JALIB
  • 3.
  • 4. MEDICATION ERROR • Administration of wrong medication or dose of medication drug diagnostic agent , chemical or treatment requiring the use of such agent to the wrong patient at wrong time or failure to administer such agent at specific time or in manner prescribed.
  • 5. TYPES OF MEDICATION ERROR • Omission error • Wrong dosage • Extra dose • Unordered dose • Wrong dosage form • Wrong time • Wrong administration
  • 6.
  • 7. FACTORS CONTRIBUTING Lack of hospital pharmacist Use of non-professional in area which may require professional judgment Inadequate labeling of drug and chemical packages for nursing station Inadequate drug station on pavilion Inadequate policies governing reporting of incidences.
  • 8. CORRECTIVE MEASURES 1) Sharing of pharmacist 2) Combine responsibilities 3) Purchase of services 4) Consultant pharmacist
  • 9. • Order • Weigh , measure • Mixing • Calculation • Affixing • information
  • 10. Policies by director of pharmacy services. Polices should be recorded in job description. Insection in procedure manual.
  • 11. • Red ink white background ______ poison • Blue ink on white background_____ oral non poisonous medication. • Green ink _____ topical products • Black ink ______ nasal preparation • Purple ink ________ ophthalmic products • Label must be neat ,easy to read , comprehensive and factual.
  • 12.
  • 13.
  • 14. Separate room for storage and Preparation. WAGNER:- Quiet Clear Glazed Large sized
  • 15. MINIMUM REQUIREMENTS • Shallow or stepped shelves. • Double lock safe with red warning light for narcotics. • Counter having drawer for storage of syringes. • A large sink. • Refrigerator for drug storage.
  • 16. In small hospitals Work top counter Medicine cup dispenser Sink Medicine shelves Narcotic cabinet Refrigerator Light Syringe drawer Waste basket
  • 17. • Board of trusties of American Hospital Association (may 13,1953). • To urge hospital to establish incident reporting system . To urge adaptation of incident report for use in coordination with incident report system.
  • 18. Information included in medication error report form: • Patient name • Hospital name • Date of error • Strength of medication • Route of administration • Time of error • Name of person responsible for error • Type of error • Name of doctor
  • 19. JOINT COMMISSION ON PRESCRIPTION DRUG USE • Nov , 1976 Edward announced formation of JCPDU. • A mean by which info on epidemiology of prescription drug may use in US can be determined and distributed to interested particles. • To describe post marketing surveillance system that could be use to detect , describe and quantitate anticipated and unanticipated defect of marketed drug.
  • 20. AIMS • Obtain and coordinate information. • Initiate research. • To report the information. • To provide training opportunities. • As drug info centre.
  • 22.
  • 23.
  • 24.
  • 25. Pharmacists works with the patients, doctors, nurses and the public.
  • 26.
  • 27. • A comprehensive health accessories department in a hospital may include a wide variety of surgical supplies and convalescent aids.
  • 28. • Many pharmacies specialize in home health are equipments such as traction devices , blood glucose monitors ,respiratory therapy equipments , blood pressure monitor devices , nerve and muscle stimulators , apnoea monitors and rehabilitation equipment.
  • 29. • Many health accessories are used by an hospital they include hospital beds , bed pans, wheel chairs , walkers etc.
  • 30. FIRST AID SUPPLIES • These are usually kept ready in many places of the hospital in emergency , OPD and vehicles for transporting the patient . • These are absorbent cotton , bandages , dettol , spirit , gloves , tincture iodine scissors.
  • 31. HOSPITAL BEDS • These are not ordinary beds but with special features according to the need of patient and treatment . Parts • It is provided with:- • Side railings • Saline stands • Hydraulic pulley • Over head trapeze bar
  • 32.
  • 33. BED PAN • It is used for urinating or discharging fecal matters while in bed. • Made of metal , glass or plastic.
  • 34. WHEEL CHAIRS • Chair is wheeled , mobility device in which user sits. • Used by people for whom walking is difficult or impossible. • Basic standard manual wheel chair incorporates.  a seat and back.  two small front wheels.  two large wheels one on each side.  a foot rest.
  • 35.
  • 36. CANES • A walking cane serves two important functions • Weight transfer • Balance
  • 37. WALKERS • A walker is a tool for disabled or elderly people who need stability by walking. • Walkers can be available with or with out wheels. • Wheeled walkers available these days are called rollators.
  • 38.
  • 39. CRUTCHES • Medical devices used when a patient is injured or disabled. • Consist of support that provides a patient with extra stability. • Types • There are several types of medical crutches. • Fore arm crutches • Under arm crutches
  • 40.
  • 41. STRUTTERS • Comprising of large soles that remain flat on the ground while walking . They make walking easy.
  • 42. KNEE SUPPORT These are helpful for patient whose injury is beneath the knee. This technique makes the patient to use one or both hand freely to carry the objects.
  • 43. COMMODES • When ever the patient is unable to move from the bed to bathroom a commode is required. • It is like a portable toilet. • Commodes are useful if the patient is weak or unsteady.
  • 44. CERVICAL COLLOR • It is an orthopedic accessory use to support patient spinal cord and head. • Used in neck strains or sprains.
  • 45. THERMOMETERS • Medical thermometers are use for measuring human body temp. Types • Oral thermometer • Axiliary thermometer • Rectal thermometer • Ear and fore head thermometers
  • 46.
  • 47. SPHYGMOMANOMETER • Arterial blood pressure is most commonly measure with a sphygmomanometer .
  • 48. GLUCOMETER • It is a medical tool for estimating the conc. Of glucose in blood. • Useful medical tool for diabetic patients at home. little drop of blood collected by prickinf • g the skin is placed on disposable pricking skin. • Digital display panel shows glucose level in mg/dl or mmol/L.