Reference no: EM133923047

Question 

A. As a pharmacist-member of the drug protocol management team, what process should you suggest to be included in the Drug Protocol to avoid the following medication errors?

1. PS, diagnosed of BA in AE, was prescribed Salbutamol Nebule q8h by the doctor. The nurse transcribed it in the Medication Sheet but forgot to phone in the Respiratory Therapist. Patient did not receive 2 doses of Salbutamol until the Clinical Pharmacist notified the Charge Nurse.

2. SL, 45 y.o., diagnosed of lower respiratory tract infection. She was prescribed with Cefaclor CD 750mg BID. The pharmacy notified the station that the product was not available, and recommended Cefaclor 500 mg tablet. Doctor agreed but forgot to notify the nurse of the proper dosage. Patient received 4 doses of Cefaclor 500 mg BID.

3. ML., 64 y.o. with breast cancer, underwent 2 cycles of chemotherapy with CMF protocol. On the 3 rd cycle, the nurse administered ramosetron IV, but forgot to sign the medication administration sheet. Another nurse administered another dose of the drug via IV. Patient experience slight drowsiness.

4. A doctor prescribed Cetirizine oral solution for a pediatric patient, 5 ml once a day for 5 days. Pharmacist dispensed Cetirizine oral drops, resulting in overdosage. The child became drowsy.

5. Patient received amiodarone instead of amlodipine. 

6. Patient received Diamicron plain tablet instead of Diamicron MR

7. Nifidepine GITS given via NGT.

8. Fluorouracil given for 25 hours rather than 24 hours.

9. Azithromycin dihydrate versus calcium

10. Dexamethasone given to a diabetic patient.