Chapter 76: Medication Safety & Quality Improvement Flashcards
The most important medication error reduction tool
Barcoding; follows the drug through the medication use process
Which medications should not be put into automated dispensing cabinets?
insulin, warfarin, and high-dose narcotics
It is a requirement by ____ that friends and family members should not administer PCA doses
The Joint Commission (TJC)
Common types of hospital-acquired (nosocomial) infections
- UTIs from indwelling catheters
- blood stream infections from IV lines and catheters
- C. diff
- Pneumonia (mostly ventilator associated)
Which IV line has the highest risk of blood stream infection
central lines
Contact precautions are recommended for patients colonized or infected with ___, ____, and _____
MRSA, VRE, and C. Diff
Airborne precautions are recommended for patients with ____, ___ or ____
active pulmonary TB, measles, or varicella virus (chickenpox)
Besides proper aseptic technique, how can you reduce the risk of catheter-related bloodstream infections (CRBSI)
Use antiseptics like 2% chlorhexidine and antibiotic impregnated central venous catheters
T/F: After caring for a patient with diarrhea or known C. Diff or spore-forming organism, one should use alcohol-based hand rubs instead of soap and water
False; alcohol-based hand rubs have poor activity against spores
