BORANG PEMANTAUAN PELAKSANAAN AKTIVITI ‘MEDICATION SAFETY ‘ PERINGKAT WAD /UNITBAHAGIAN KEJURURAWATAN, HOSPITAL QUEEN ELIZABERTH II

WAD / UNIT : JABATAN KECEMASAN DAN TRAUMA, HOSPITAL QUEEN ELIZABETH II BULAN : NOV 2012

BIL Penubuhan AJK Mesyuarat / Aktiviti Jumlah anggota dilatihAda (tarikh) tiada Bil Mesyuarat / aktiviti Tarikh U54/44 U36/U42 U32 U29 U19

1. _ _ Mesyuarat tidak dapat dijalankan kerana banyak aktiviti jabatan seperti:Setiap hari Selasa ada CME Doktor/PPW dan setiap hari Khamis ada CME O&G dan Mortality Jabatan. -

-- 1 2 14 0

2.1.LATIHAN1. Serve medication according 7R:- IV Actrapid- IV Calcium Gluconate - IV Dextrose 50%

05.11.2012

8.30am-9.00am

2.LATIHAN Drug Calculation and dilution on :1. IV DOBUTAMINE INFUSION. DILUTION: Bwt 75kg (225kg)225mg in 50mls N/saline18mls + 32mls N/salineStart at 5mg/hr = 5mls/hr

05.11.2012

8.30AM-9.00AM

3.LATIHAN1. Drug Calculation and dilution on :IV Midamorphine infusion.DILUTION :

20mg Midazolam + 20mg Morphine + 20mls water for INJ.

05.11.2012

8.30AM-9.00AM

BIL Penubuhan AJK Mesyuarat / Aktiviti Jumlah anggota dilatihAda (tarikh) tiada Bil Mesyuarat / aktiviti Tarikh U54/44 U36/U42 U32 U29 U19

4.LATIHAN:DDA :- IV Midazolam (5mg, 15mg)- IV Fentanyl 0.1mg/2mls- IV Morphine 10mg- IV Pethidine 50mg- Tab. Diazepam 5mg- Tab. Lorazepam 1mg

05.11.20129.00AM-9.30AM

5.LATIHAN1. How to give IV Tenecteplase- dilution 10000unit- duration give to patient 5-10 sec.

10.11.201210.00AM

6.LATIHAN:1. How to give IV Streptokinase 1500unit- indication-dilution- infusion

10.11.2012

10.00AM

7.LATIHAN:1. IV Tenecteplase 10000unit (8000unit)- IV slow bolus 5-10sec/Bwt for patient STEMI

18.11.2012

11.00AM

8.LATIHAN:1.IV Streptokinase 1500unit + in 100mls N /saline over 1hours- strictly vital sign monitoring - observe for bleeding

18.11.2012

11.30AM

BIL Penubuhan AJK Mesyuarat / Aktiviti Jumlah anggota dilatihAda (tarikh) tiada Bil Mesyuarat / aktiviti Tarikh U54/44 U36/U42 U32 U29 U19

9.LATIHAN:1. IV Midamorphine infusion.DILUTION :IV MIDAZOLAM 30mg + IV MORPHINE 30mg + 30mls N/saline in 50cc syringe.Run at 5mls/Hr.

19.11.2012

2.40PM

10.LATIHAN:1.IVI Noradrenaline 4mg/4mls( 4mg + 50mls D5%) started at 4mcg/min = 3mls/Hr

20.11.2012

2.45PM

11.LATIHAN:1. IVI Dopamine70kg x 3 = 210mg in 50cc N/saline (single strength)= 5mcg/Hr.

21.11.2012

10.30AM

12.LATIHAN1. IVI Dobutamine Bwt= 75kg x 3 (225kg)- 225mg in 50cc N/saline - 18mls + 32mls N/salineStarted at 5mg/Hr = 5mls/Hr

22.11.2012

@2PM

BIL Penubuhan AJK Mesyuarat / Aktiviti Jumlah anggota dilatihAda (tarikh) tiada Bil Mesyuarat / aktiviti Tarikh U54/44 U36/U42 U32 U29 U19

3. 1.BEDSIDE TEACHING:DRUG ADMINISTRATION

1. Drug calculation according IVI- DOBUTAMINE- DOPAMINE- MIDAMORPHINE

5.11.2012

8.30AM

2.BEDSIDE TEACHINGDRUG ADMINISTRATION1. DDA-IV MIDAZOLAM (5MG, 15MG) - IV FENTANYL 0.1MG/2MLS - IV MORPHINE 10MG- IV PETHIDINE 50MG- TAB.DIAZEPAM 5MG- TAB.LORAZEPAM 1MG

5.11.2012

8.30AM

3.BEDSIDE TEACHINGDRUG ADMINISTRATION1. Teaching to convert from MG → MCG Eg. – NORADRENALINE

DOBUTAMINE- ADRENALINE

5.11..2012

2.30PM-3.30PM

4.BEDSIDE TEACHINGDRUG 1. DILUTION OF INOTROPES

I. NORADRENALINE

8.11.2012

9.00AM

II. DOPAMINE 10.30AM

BIL Penubuhan AJK Mesyuarat / Aktiviti Jumlah anggota dilatihAda (tarikh) tiada Bil Mesyuarat / aktiviti Tarikh U54/44 U36/U42 U32 U29 U19

5.BEDSIDE TEACHING DRUG 1. DILUTION OF INOTROPES- IVI DOBUTAMINE

- IVI NORADRENALINE

24.11.2012

10PM

4.Aktiviti lain-lain : Mewujudkan sticker melabel ubat melalui pemberian infusi, seperti:i) Inj Noradrenalineii) Inj Dopamineiii) Inj midazolam + Inj Morphineiv) Insulin Actrapidv) Inj Pantoprazolevi) Inj Magnesium Sulphatevii) IV Potassiumviii) Amiodarone

LAPORAN PERLAKSANAAN TINDAKAN KEJURURAWATAN BAGI MEDICATION SAFETY PERINGKAT WAD

WAD : JABATAN KECEMASAN DAN TRAUMA HOSPITAL QUEEN ELIZABETH II

BULAN : NOV 2012

BIL AKTIVITI KEKERAPAN PENCAPAIAN (%) CATATAN

1

MESYUARAT 0 0

Tidak tercapai disebabkan banyak aktiviti jabatan pada bulan ini seperti : CME jabatan dua kali seminggu dan mortality meeting pada setiap bulan.

2 LATIHAN 12 100%

3PEMANTAUAN DI KAWASAN KLINIKAL BERTERUSAN 100%

4CNE ( JABATAN) 0

5INCIDENTAL TEACHING 0 -

6BEDSIDE TEACHING 5 100%

Maklumbalas mengenai Peringkat insiden MEDICATION ERROR berlaku, alasan serta penambahbaikan yang dilakukan.

(LAPORAN BULAN NOV 2012)

CriteriaMedication error

Jenis kejadian Peringkat Insiden berlaku Alasan Tindakan Penambahan Catatan

Jumlah kes Lokasi

Administration error

Wrong Patient 0

Wrong dose 0

Wrong time 0Wrong medication 0

Wrong route 0Given Without an order 0Repeat administration 0Medication left in drawer not charted

0

No documented 0Medicine left in drawer and charted as given

0

Prescription error Wrong Prescribed -Wrongly filled -Wrong dose/frequency/duration -Double prescribed -No signature -

Dispensing error Wrongly dispensed -

Disediakan oleh : JT SHAPHIRA BINTI RAMLEE, JT NURSIANAH NAHAR Disemak oleh: KJ THU SOO YEE