ICU Patient: Post-op elderly Caucasian male (open heart)
Indication: Acute Renal Failure
Condition: Unstable
Monitoring: Vital signs blood pressure, electrolyte, urine output and fluid status
Drug on board: One time 2 doses of 1 grams CaCl the previous night
Hold: No medication to hold now, usually an ACE
Order of Drugs: Calcium chloride 8 grams in NaCl 0.9% 1000ml.
Process Followed:
The physician placed the order during the daily interdisciplinary ward round. The ICU pharmacist review the medication, entered and verifies the prescription. The label was generated at the main floor and placed on the red tray by the technician which indicates very urgent. This product was not available in the Pyxis machine because of low use and stability issue. …show more content…
He sprayed them with alcohol and placed inside the hood. The technician scanned the NS bag, hung in the hood, and wiped the port of entry of the bag using alcohol wipe. He scanned the 8 packs of CaCl injection, and removed the bottom knob for sterility. The technician insert the IV fluid connector on the bag to avoid poking the bag 8 times. Then, inject the CaCl Injection into the bag through the connector one at a time. He agitated the bag, change the expiration date and attach on …show more content…
The main pharmacist on the floor looked at the label, check the empty 8 injections (and discard). She scanned the label while visually verify the recipe on computer to double check order. She handed the product to me to deliver to the ICU pharmacist. She took it to the nurse in charge of the patient. The nurse scanned the code on the patient’s wrist band which has his identifier and scanned the CaCl to prevent medication error and for safety reasons. A pop-up came up on the computer that the nurse is chatting to match if the medication is accurate and for the right patient. The message showed as being correct and the right order. The time of administration is also recorded on the patients MAR. Since it showed as Ok, I watched the nurse administered the drug to the
Indication: Acute Renal Failure
Condition: Unstable
Monitoring: Vital signs blood pressure, electrolyte, urine output and fluid status
Drug on board: One time 2 doses of 1 grams CaCl the previous night
Hold: No medication to hold now, usually an ACE
Order of Drugs: Calcium chloride 8 grams in NaCl 0.9% 1000ml.
Process Followed:
The physician placed the order during the daily interdisciplinary ward round. The ICU pharmacist review the medication, entered and verifies the prescription. The label was generated at the main floor and placed on the red tray by the technician which indicates very urgent. This product was not available in the Pyxis machine because of low use and stability issue. …show more content…
He sprayed them with alcohol and placed inside the hood. The technician scanned the NS bag, hung in the hood, and wiped the port of entry of the bag using alcohol wipe. He scanned the 8 packs of CaCl injection, and removed the bottom knob for sterility. The technician insert the IV fluid connector on the bag to avoid poking the bag 8 times. Then, inject the CaCl Injection into the bag through the connector one at a time. He agitated the bag, change the expiration date and attach on …show more content…
The main pharmacist on the floor looked at the label, check the empty 8 injections (and discard). She scanned the label while visually verify the recipe on computer to double check order. She handed the product to me to deliver to the ICU pharmacist. She took it to the nurse in charge of the patient. The nurse scanned the code on the patient’s wrist band which has his identifier and scanned the CaCl to prevent medication error and for safety reasons. A pop-up came up on the computer that the nurse is chatting to match if the medication is accurate and for the right patient. The message showed as being correct and the right order. The time of administration is also recorded on the patients MAR. Since it showed as Ok, I watched the nurse administered the drug to the