Medication Safety Quiz: A Comprehensive Assessment of Knowledge and Practice, Quizzes of Nursing

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Medication Safety Quiz

Audience Participation Mandatory! Colette Byrne Medicines Governance Lead, Clyde / South

Questions 1 and 2 -

Poll questions

Chance to Check – over to you......

• The core principles of chance to check are

Chance to Check – over to you......

• The core principles of chance to check are –

 I know what this drug is  This drug and dose is suitable for this patient  The patient verbally confirms their name if possible  The patient's name band matches the kardex (So a lot Chance to Check applies to prescribers / pharmacy staff too........And don’t forget ALLERGY status too)

Question 3 Warfarin management

• Which patients on warfarin should be referred for INR monitoring on discharge from hospital? A Patients > 75 years B Patients with an INR > 3 at discharge C Patients with a mechanical heart valve

D All patients on warfarin

Question 3 (Cont)

• Who should ensure referral has been made for monitoring after discharge? - Nurse - Patient - Dr - ANP - Pharmacist - GP - Anticoagulant clinic
• How is referral made?

Question 4

Sourcing medicines

• A patient is prescribed an oral medicine not available in the ward area. It is 11pm, you are unsure what the medication is for. Which is the LEAST desirable course of action to take in the first instance – A. Contact the on call pharmacist B. Use the online stock locator (this lists all medicines held as stock in every ward by site) to check if another ward nearby has it C. Mark the kardex as 4 and write an order out for tomorrow D. Phone the family to see if they can bring it in from home

Question 4

Sourcing medicines

• A patient is prescribed an oral medicine not available in the ward area. It is 11pm, you are unsure what the medication is for. Which is the LEAST desirable course of action to take in the first instance – A Contact the on call pharmacist B Use the online stock locator (this lists all medicines held as stock in every ward by site) to check if another ward nearby has it

C Mark the kardex as 4 and write an order

out for tomorrow

D Phone the family to see if they can bring it in from home

Question 5 Diabetes Management

Question 5 (cont)

• I am confident in the use (prescribing / administering / dispensing) of “common” insulin devices A Yes B No Volunteer – Describe what devices Humalog is available in / dose range / profile of action

How did you do in the quiz?

• Any comments / feedback welcome
• During tea/coffee there will be a display of lookalike / sound-alike medicines in the foyer – please take the time to have a look e.g. Amiloride / Amlodipine Clobazam / Clonazepam Sulpiride / Amisulpiride Citalopram / Escitalopram Co careldopa / Co beneldopa