Outpatient Surgery Magazine

Manager's Guide to Staff & Patient Safety - October 2014

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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2 4 S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | O C T O B E R 2 0 1 4 Hydroxyzine is used to control blood pressure, whereas hydralazine has antiemetic, anti-anxiety properties. a. true b. false Answer: b The opposite is true. The names are easy to confuse, and caution is warranted . Many medication errors are the result of sound-alike drugs. There are several ways to help keep such drugs straight. One is to use "TALLman" lettering — the practice of writing the often-confused part of a drug's name in upper case letters — when labeling drugs or compartments. Also make sure look-alike, sound-alike drugs aren't stored next to each other, and place warnings on the storage bins to alert staff that the drugs are commonly confused. Repeating orders out loud to the prescriber is another standard precaution. Finally, the Institute for Safe Medication Practices (ISMP) regularly publishes a "List of Confused Drug Names" ( tinyurl.com/aydrq ). Keep the list at hand and highlight any drugs that are part of your facility's formulary. In addition to the drug name, what 4 pieces of information must be noted on all syringe labels? _________ _________ _________ __________ Answer: drug strength; date it was drawn; time it was drawn; initials of preparer Remember, too, that syringes should not be labeled until after they're drawn. Syringes that are pre-labeled for later fill are a dangerous opportunity for medica- tion error. Buying pre-filled syringes from drug manufacturers is another way to safeguard medication delivery. The syringes come filled with the right medication and dose, and with pre-printed labels containing the standard labeling require- ments, plus the drugs' lot numbers and expiration dates. M E D I C A T I O N S A F E T Y

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