Medication Safety Quiz

Audience Participation Mandatory!

Colette ByrneMedicines Governance Lead, Clyde / South

Questions 1 and 2 -

Poll questions

HEPMA – over to you......

• What is it? Hospital Electronic Prescribing and Medicine Administration

• Anyone worked with it?

• Advantages?

• Challenges?

Chance to Check – over to you......

• The core principles of chance to check are

Chance to Check – over to you......

• The core principles of chance to check are –

I know what this drug is

This drug and dose is suitable for this patient

The patient verbally confirms their name if possible

The patient's name band matches the kardex

(So a lot Chance to Check applies to prescribers / pharmacy staff too........And don’t forget ALLERGY status too)

Question 3Warfarin management

• Which patients on warfarin should be referred for INR monitoring on discharge from hospital?

A Patients > 75 years

B Patients with an INR > 3 at discharge

C Patients with a mechanical heart valve

D All patients on warfarin

Question 3Warfarin management

• Which patients on warfarin should be referred for INR monitoring on discharge from hospital?

A Patients > 75 years

B Patients with an INR > 3 at discharge

C Patients with a mechanical heart valve

D All patients on warfarin

Question 3 (Cont)

• Who should ensure referral has been made for monitoring after discharge?– Nurse

– Patient

– Dr

– ANP

– Pharmacist

– GP

– Anticoagulant clinic

• How is referral made?

Question 3 (Cont)

• Who should ensure referral has been made?– Nurse

– Patient

– Dr

– ANP

– Pharmacist

– GP

– Anticoagulant clinic

• How is referral made? Via Trakcare to GCAS if in GGC / direct via GP if outwith GGC Board area

Dr/ANP refer.....BUT

pharmacist may

counsel / last check is

often nurse

Question 4Sourcing medicines

• A patient is prescribed an oral medicine not available in the ward area. It is 11pm, you are unsure what the medication is for. Which is the LEAST desirable course of action to take in the first instance –

A. Contact the on call pharmacistB. Use the online stock locator (this lists all medicines

held as stock in every ward by site) to check if another ward nearby has it

C. Mark the kardex as 4 and write an order out for tomorrow

D. Phone the family to see if they can bring it in from home

Question 4Sourcing medicines

• A patient is prescribed an oral medicine not available in the ward area. It is 11pm, you are unsure what the medication is for. Which is the LEAST desirable course of action to take in the first instance –

A Contact the on call pharmacistB Use the online stock locator (this lists all medicines held

as stock in every ward by site) to check if another ward nearby has it

C Mark the kardex as 4 and write an order out for tomorrow

D Phone the family to see if they can bring it in from home

Question 5 Diabetes Management

Question 5 (cont)

• I am confident in the use (prescribing / administering / dispensing) of “common” insulin devices

A Yes

B No

Volunteer – Describe what devices Humalog is available in / dose range / profile of action

Question 5 (cont)

• I am confident in the use (prescribing / administering / dispensing) of “common” insulin devices

A Yes

B No

Volunteer – Describe what devices Humalog is available in / dose range / profile of action

Vial Pen Cartridge

How did you do in the quiz?

• Any comments / feedback welcome

• During tea/coffee there will be a display of lookalike / sound-alike medicines in the foyer –please take the time to have a look

e.g. Amiloride / Amlodipine

Clobazam / Clonazepam

Sulpiride / Amisulpiride

Citalopram / Escitalopram

Co careldopa / Co beneldopa