How do medication managment standards relate to medications that are stored in "KITS" such as those used in the OR or items form central supply that are kept on the floor like washcloths containing chlorhexidine (CHG) or Hibiclens towelettes.
At one time, the protocols themselves had to be signed by the prescriber. Is this still the case, or is just an order to "Start Heparin High dose Protocol" enough?
You mentioned that the Safe Injection Practices (IC 01.05.01 and 02.01.01) say that a single dose vial may not be used for drawing up meds for > 1 pt, even if it is done at the same time. Would this rule apply even if the doses were drawn up by Pharmacy in a barrier isolator hood?
10-20-201001:58 PM - last edited on 10-20-201002:01 PM
To meet this goal, does the JC expect us to take all medications that are already on formulary (> 1000 meds) to P&T and get them to approve a defined list of indications for each med? Is it good enough to have a policy that says our hospital's approved indications for use will automatically include all FDA-approved indications and non-approved indications if there is supporting literature?
Did I understand you to say that the hospital must address every type of medication order listed in EP 1 in policy? Our policy addresses most, but not all of these (e.g. medication related devices). The wording of the EP makes it sound like this is a suggested list of order types to consider.
How do surveyors quantify this? During a chart review, do they expect to see less than a certain % of orders be verbal orders (e.g., OK if < 10% of all orders are verbal orders)? thanks
