7 right medication to avoid drug Incompatibility

1. Right Patient:

Use at least 2 patients identity.

Match drug therapy will be provided with written instructions.
History The history of allergy.
Anamnesis pregnancy / lactation.
Full history history of drug / drug use at this time and make a list of these drugs.
Compare the current drug administration with a list of drugs used by patients at home
(including omission, duplication, adjustment, loss / eliminate, interaction, or additional drugs).
The identification of patients who will be treated with drugs with high vigilance carried out by
two people who are competent double check.

2. Right Drugs

Label all medications and drugs (syringes, medicine cups, basins drugs), and other solutions.
Drugs and other solutions in the location or room perioperative procedures that will not soon
be used must also be labeled.
The labeling on the location or room perioperative procedures are performed each time the
medication or solution is taken from the original packaging to the other.
On the label, write the name of drug, strength, number, quantity, dilution and volume,
preparation date, expiration date if not used within 24 hours and expiration dates if less than 24
hours.
All drugs or solutions verified by two people verbally and visually if the person who prepared
the drugs are not given to the patient.
Labeling any of the drugs or a solution as soon as the drug is prepared if it is not promptly
given.
Do not label syringes or empty space, before the drug is prepared / filled.
Prepare a solution of one drug or one at a time. Label just to one drug or the solution at one
time.
Remove immediately any medication or solution that no label.
Dispose of all places labeled drug in sterile sites immediately after surgery or procedure
performed (this means where the original drug is stored until the action is finished).
When the turn of duty / watch, review all medications and solutions by officers of old and new
officers together.
Change the list of drugs / kardeks if there is a change in medication.
Truth types of drugs that need to be on high alert in check by two people who are competent
double check.

3. Right Dose

Dose / volume of drugs, particularly those requiring high vigilance, counted and checked by
two people who are competent double check.
 If in doubt consult a doctor who writes a prescription.
Concentrate fully when preparing the drug, and avoid interference.

4. Right Time

At the time determined: before eating, after eating, when eating.

Note the timing: 3 x daily every 8 hours, 2 x daily every 12 hours, all day every 24 hours,
a day hose every 48 hours
Drugs given immediately after being instructed by the doctor.
Not yet entered the period expired drugs.

5. True Way / Route Giving

How drug administration should be in accordance with the forms / types of dosage: Slow-
Release should not be crushed and Enteric coated should not be crushed.
The drugs to be administered per NGT preferably a liquid drug / syrup.
Provision for drug-drug within wherever possible.
Schedule administration of drugs and nutrients are also within.

6. Correct Documentation

Any changes that occur in patients after receiving the drug should be documented.
Each clinic must be evidence documents the names and signatures / initials that do.
After giving medication, directly initialed and are named who are on the drug.
Any change in the type / dose / schedule / mode of administration of the drug should be given
the name and initials are turning.
If there are streaks to do: create only one line and initialed at the end: Example: Lasix tab, 1 x
40 mg Jcmd Lasix inj, 1 x 40 mg iv.
Document the patient's response to treatment: Drug Side Effects (ESO) recorded in the
medical record and Incident Reporting Form + Reporting Form Drug Side Effects. Sent to the
Incident Reporting Patient Safety Team on Quality Assurance Services Unit. Reporting Side
Effects of Drugs delivered to the pharmacy and therapeutics committees.
Document the incident Barely treatment-related Injuries Incident Reporting Form to Patient
Safety Team.
Document Genesis Unexpected Incident Reporting Form to Patient Safety Team.

7. Correct Information

All plans of action / treatment should be communicated to the patient and or family, including
patients in the ICU (patients' rights!).
Explain the purpose and how to take the drug correctly.
Explain the possible side effects.
 The old plan of therapy is also communicated to the patient.
Tips: all the information given to patients and their families are written in "Form Company &
Physician to the Patient Education" contained in the package medical record and signed by the
doctor and the patient / family.