Standard Standard MEDICATION MANAGEMENT AND USE

180 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: 100 181 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 182 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