hospital drug charts Flashcards
what is the aims of a hospital chart?
Aim to increase safety and reduce errors in prescribing and administration of medicines
what are the standard requirements for hospital charts?
Front page: Patient’s full name, address, DOB, DOA, ward, consultant
Drug allergies/ sensitivity box on front page in eye-catching colour, including reaction and name of person recording info
Units written in full
Box for additional info
Space for age, height, weight and BSA
Statement re VTE prophylaxis Indication regarding use of other charts Space for medicines management info e.g. Meds Reconciliation Numerical code for non-administration Allow double signing e.g. for CDs
Written clearly, legibly and indelibly
Space for “one-off” doses
Space for regular medicines
Space for PRN including max daily dose where appropriate
Dose change requires complete rewrite of item
Pharmacist sign and date to show clinical screen
Record of supply for each item
Space for IV/SC infusions
Colours used on chart should take into account common forms of colour blindness
different types of drug charts
paper drug chart
iv fluid prescription chart
electron prescription
the layout of RSOP chart
Front page Patient information Allergies/intolerance Instructions to prescriber Once only drugs Infusions
Regular medicines
PRN medicines
Warfarin
how to screen a hopsital drug chart?
Be methodical
Front page regular meds PRN others
Individual drugs then whole chart
Consider in context with other information
monitoring
NB the basics of screening are the same for “paper” and electronic drug charts
why is endorsing important?
Why? Safety Communication Clarification Save time
what does endorsing consists of?
What? Drug information Dose Frequency Route Additional instructions
Drug charts Drug charts are an “authority to administer”
they are a medico-legal document
