Hi all.
I am working on revamping our High Alert medication policy and came up with a few questions...
1. Is digoxin included in your high alert med list? Do you require a nursing assessments prior to administering such as heart rate? dig level?
2. Do you require an administration co-signature (an independent 2nd check) for insuliln? Do you standardize how these independent 2nd checks are supposed to happen?
3. For long acting opioids, do you require any documentation (either provider or pharmacist) regarding whether or not the patient is opiate tolerant or naive? (I think this question was included in a recent ISMP survey).
4. For PPNs and TPNs, do you require an administration cosignature? If so, what is the nurse cosigning for? (our TPNs/PPNs are very low volume and we use Clinimix with or without additional components).
5. Do you do any additional process when administering a sulfonylurea like an Accucheck or maybe a cosignature, like we have with insulin.
Thanks in advance for your feedback :)
Rachel Durham