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Operation Policy In Obstetrics and Gynaecology Services
OPERATIONAL POLICIES
22.8 Standard
Medication prescribed and administered are written in the patient’s record
Intent of 22.8
The record of each patient who receives medications contains a list of medications prescribed or ordered for the patient and the dosage and times the medication was
administered.
Measurable elements of 22.8
1. Medication prescribed or ordered are recorded for each patient in the notes.
2. Medication administration is recorded for each dose in the notes.
3. Medication information is kept in the patient’s record or inserted into her
records at discharge or transfer.
Compliance to practice standards Std: 100 22.9 Standard
A qualified individual are identified to administer medications
Intent of 22.9
Administering a medication to treat patient requires specific knowledge and experience. In the department, all doctors, sisters and staff nurses are given this
responsibility.
Measurable elements of 22.9
1. The identified individual responsible to administer medications does it
appropriately at the specified time.
Compliance to practice standards Std: 100
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Operation Policy In Obstetrics and Gynaecology Services
22.10 Standard
Medication administration includes a process to verify the medication is correct based on the medication order
Intent of 22.10
The safe administration of medication includes verifying the :- b.
Medication with the prescription or order c.
Time and frequency of administration with the prescription or order d.
Dosage amount with the prescription or order e.
Route of administration with the prescription or order f.
Identity of the patient
Measurable elements of 22.10
1. Medications are verified with the prescription or order
2. The dosage amount of the medication is verified with the prescription or
order 3.
The route of administration is verified with the prescription or order 4.
Medications are administered on a timely basis 5.
Medications are administered as prescribed and noted in the patient’s record.
Compliance to practice standards Std: 100 22.11 Standard
Medication effects on patients are monitored
OPERATIONAL POLICIES
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Operation Policy In Obstetrics and Gynaecology Services
Intent of 22.11
1. The patient, his or her physician, nurse and other care providers work
together to monitor patients on medications. 2.
The purpose of monitoring is to evaluate the medication’s effect on the patient’s symptoms or illness.
3. Monitoring medication effects includes observing and documenting any
adverse effects.
Measurable elements 22.11
1. Medication effects on the patients are monitored, including adverse effects
2. Adverse effects are documented in the patient’s record
3. Adverse effects are reported in the time frame required to the pharmacy via
the adverse drug reaction ADR format.
Compliance to practice standards Std: 100 Audit on number of ADR
22.12 Standard