BIL 1.

BORANG PEMANTAUAN PELAKSANAAN AKTIVITI MEDICATION SAFETY PERINGKAT WAD /UNIT BAHAGIAN KEJURURAWATAN, HOSPITAL QUEEN ELIZABERTH II WAD / UNIT : JABATAN KECEMASAN DAN TRAUMA, HOSPITAL QUEEN ELIZABETH II BULAN : NOV 2012 Penubuhan AJK Mesyuarat / Aktiviti Jumlah anggota dilatih Ada (tarikh) tiada Bil Mesyuarat / aktiviti Tarikh U54/44 U36/U42 U32 U29 _ _ Mesyuarat tidak dapat dijalankan 1 2 14 kerana banyak aktiviti jabatan seperti: Setiap hari Selasa ada CME Doktor/PPW dan setiap hari Khamis ada CME O&G dan Mortality Jabatan. 1.LATIHAN 1. Serve medication according 7R: - IV Actrapid - IV Calcium Gluconate - IV Dextrose 50% 05.11.2012

U19 0

2.

8.30am9.00am

2.LATIHAN Drug Calculation and dilution on : 1. IV DOBUTAMINE INFUSION. DILUTION: Bwt 75kg (225kg) 225mg in 50mls N/saline 18mls + 32mls N/saline Start at 5mg/hr = 5mls/hr

05.11.2012 8.30AM9.00AM

3.LATIHAN 1. Drug Calculation and dilution on : IV Midamorphine infusion. DILUTION : 20mg Midazolam + 20mg Morphine + 20mls water for INJ.

05.11.2012 8.30AM9.00AM

BIL

Penubuhan AJK Ada (tarikh) tiada

Mesyuarat / Aktiviti Bil Mesyuarat / aktiviti 4.LATIHAN: DDA : - IV Midazolam (5mg, 15mg) - IV Fentanyl 0.1mg/2mls - IV Morphine 10mg - IV Pethidine 50mg - Tab. Diazepam 5mg - Tab. Lorazepam 1mg 5.LATIHAN 1. How to give IV Tenecteplase - dilution 10000unit - duration give to patient 5-10 sec.

Tarikh

U54/44

Jumlah anggota dilatih U36/U42 U32 U29

U19

05.11.2012 9.00AM9.30AM

10.11.2012 10.00AM

6.LATIHAN: 1. How to give IV Streptokinase 1500unit - indication -dilution - infusion 7.LATIHAN: 1. IV Tenecteplase 10000unit (8000unit) - IV slow bolus 5-10sec/Bwt for patient STEMI 8.LATIHAN: 1.IV Streptokinase 1500unit + in 100mls N /saline over 1hours - strictly vital sign monitoring - observe for bleeding

10.11.2012 10.00AM

18.11.2012 11.00AM

18.11.2012

11.30AM

BIL

Penubuhan AJK Ada (tarikh) tiada

Mesyuarat / Aktiviti Bil Mesyuarat / aktiviti 9.LATIHAN: 1. IV Midamorphine infusion. DILUTION : IV MIDAZOLAM 30mg + IV MORPHINE 30mg + 30mls N/saline in 50cc syringe. Run at 5mls/Hr. 10.LATIHAN: 1.IVI Noradrenaline 4mg/4mls ( 4mg + 50mls D5%) started at 4mcg/min = 3mls/Hr

Tarikh

U54/44

Jumlah anggota dilatih U36/U42 U32 U29

U19

19.11.2012

2.40PM

20.11.2012 2.45PM

11.LATIHAN: 1. IVI Dopamine 70kg x 3 = 210mg in 50cc N/saline (single strength) = 5mcg/Hr. 12.LATIHAN 1. IVI Dobutamine Bwt= 75kg x 3 (225kg) - 225mg in 50cc N/saline - 18mls + 32mls N/saline Started at 5mg/Hr = 5mls/Hr

21.11.2012 10.30AM

22.11.2012

@2PM

BIL

Penubuhan AJK Ada (tarikh) tiada

Mesyuarat / Aktiviti Bil Mesyuarat / aktiviti 1.BEDSIDE TEACHING: DRUG ADMINISTRATION 1. Drug calculation according IVI - DOBUTAMINE - DOPAMINE - MIDAMORPHINE

Tarikh

U54/44

Jumlah anggota dilatih U36/U42 U32 U29

U19

3.

5.11.2012 8.30AM

2.BEDSIDE TEACHING DRUG ADMINISTRATION 1. DDA -IV MIDAZOLAM (5MG, 15MG) - IV FENTANYL 0.1MG/2MLS - IV MORPHINE 10MG - IV PETHIDINE 50MG - TAB.DIAZEPAM 5MG - TAB.LORAZEPAM 1MG 3.BEDSIDE TEACHING DRUG ADMINISTRATION 1. Teaching to convert from MG MCG Eg. NORADRENALINE DOBUTAMINE - ADRENALINE

5.11.2012 8.30AM

5.11..2012 2.30PM3.30PM

4.BEDSIDE TEACHING DRUG 1. DILUTION OF INOTROPES I. II. NORADRENALINE DOPAMINE

8.11.2012 9.00AM 10.30AM

BIL

Penubuhan AJK Ada (tarikh) tiada

Mesyuarat / Aktiviti Bil Mesyuarat / aktiviti 5.BEDSIDE TEACHING DRUG 1. DILUTION OF INOTROPES - IVI DOBUTAMINE - IVI NORADRENALINE

Tarikh

U54/44

Jumlah anggota dilatih U36/U42 U32 U29

U19

24.11.2012 10PM

4. Aktiviti lain-lain : Mewujudkan sticker melabel ubat melalui pemberian infusi, seperti: i) Inj Noradrenaline ii) Inj Dopamine iii) Inj midazolam + Inj Morphine iv) Insulin Actrapid v) Inj Pantoprazole vi) Inj Magnesium Sulphate vii) IV Potassium viii) Amiodarone

LAPORAN PERLAKSANAAN TINDAKAN KEJURURAWATAN BAGI MEDICATION SAFETY PERINGKAT WAD WAD : JABATAN KECEMASAN DAN TRAUMA HOSPITAL QUEEN ELIZABETH II BULAN : NOV 2012

BIL 1

AKTIVITI

KEKERAPAN

PENCAPAIAN (%)

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

MESYUARAT

LATIHAN PEMANTAUAN DI KAWASAN KLINIKAL CNE ( JABATAN) INCIDENTAL TEACHING BEDSIDE TEACHING

12 BERTERUSAN 0 0 5

100% 100%

3 4 5 6

100%

Maklumbalas mengenai Peringkat insiden MEDICATION ERROR berlaku, alasan serta penambahbaikan yang dilakukan. (LAPORAN BULAN NOV 2012)
Criteria Medication error Jenis kejadian Peringkat Insiden berlaku Jumlah kes Lokasi Alasan Tindakan Penambahan Catatan

Wrong Patient Wrong dose Administration error Wrong time Wrong medication Wrong route Given Without an order Repeat administration Medication left in drawer not charted No documented Medicine left in drawer and charted as given Wrong Prescribed Wrongly filled Wrong dose/frequency/duration Double prescribed No signature Wrongly dispensed

0 0 0 0 0 0 0 0 0 0 -

Prescription error

Dispensing error

Disediakan oleh : JT SHAPHIRA BINTI RAMLEE, JT NURSIANAH NAHAR

Disemak oleh: KJ THU SOO YEE