SAQ#10

HOW ARE MEDICATIONS MANAGED IN THE SURGICAL CARE AREA? GREEN, HIGH
Summary of Related Standard(s) 10.1 The team identifies who is responsible for prescribing/storing/handling/and disposing of medications, as well as recording medication information in the client record.10.6 The team follows the organization’s policies on storing/ disposing of medications safely and securely.10.2 Before dispensing medication, a qualified team member reviews each prescription for completeness/accuracy.10.3 A qualified team member fills the prescription and dispenses the medication in a timely/accurate way.10.4 The team responds to requests for medication and medication information after hours and in emergencies.10.5 The team has a process to evaluate client requests to bring in or self-administer their own medication.

Process Currently in Place - Evidence of Current Status
• N/A in PAC, other than Patient Medication Record and Allergy record initiated
• PACU, SDS and SSSU follow specific pre and post op orders
• College Of Nurses standards of practice guidelines are followed
• Night cupboard is available to access necessary medications
• Medication fridges
• Narcotic cupboard with regular scheduled counts
• McKessin narcotic cart will be implemented in near future
• Regular stocked drugs in all areas dependant on the need
• Emergency medication trays available on arrest cart
• Designated pharmacist
• Independent Double check for heparin and insulin, PCA's and Epidurals

Improvement Strategy / Action Plan
Jan 2010-March2010
1. McKessin cabinets now implemented and staff using them as narcotic cupboard
2. symbiq pumps implemented in all areas infusing medications