Film, Media & TV0 min ago
Nhs Hospital Drugs
21 Answers
When someone is in an NHS hospital and drugs are issued, are they cross checked?
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I'm not a nurse, but i think it varies from hospital to hospital and also depends upon staffing levels.
All drugs taken by mouth need only be checked by one nurse.
All drugs given intravenously or parenteraly are checked by two nurses.
All class A drugs e.g morphine are checked by two nurses.
All cancer drugs are checked by two nurses.
237........that is terrible......the lawyers will have a field day.
All drugs taken by mouth need only be checked by one nurse.
All drugs given intravenously or parenteraly are checked by two nurses.
All class A drugs e.g morphine are checked by two nurses.
All cancer drugs are checked by two nurses.
237........that is terrible......the lawyers will have a field day.
This is all a bit third party ( as usual on AB)
and it depends on the circumstances
I agree having had an admission, that one nurse does the night round and if you needed two nurses for everything, no one would get any of their drugs
BUT
morphine is usually checked by two ( and entered on the morphine register than requires two signatures)
Ivs and drips are checked - blood by at least two
Intensive care - as above
chemotherapy - two again
Sqad when he gave a drug would NOT check his drug with anyone
erm so it really depends on the circumstances....and the pt knows and we dont. I assisted someone who objected to the smell of a stitch abscess which she insisted was due to lack of - - - yup - anticoagulants. And at the meeting she was shown the prescription sheet and the signature of the nurse who had no doubt given the anticoagulant. The patient had forgotten - ( premed )
I have to say - injecting an anticoagulant into a DVT sounds a bit sporting .... everyone knows of anticoagulants being given where the course of the disease is NOT changed - but that is not due to wrong drug or wrong dose....
If they have done the wrong drug bit
they are now under a duty to tell the patient
( duty of candour )
so all you do is sit back and wait and the money pours in
and it depends on the circumstances
I agree having had an admission, that one nurse does the night round and if you needed two nurses for everything, no one would get any of their drugs
BUT
morphine is usually checked by two ( and entered on the morphine register than requires two signatures)
Ivs and drips are checked - blood by at least two
Intensive care - as above
chemotherapy - two again
Sqad when he gave a drug would NOT check his drug with anyone
erm so it really depends on the circumstances....and the pt knows and we dont. I assisted someone who objected to the smell of a stitch abscess which she insisted was due to lack of - - - yup - anticoagulants. And at the meeting she was shown the prescription sheet and the signature of the nurse who had no doubt given the anticoagulant. The patient had forgotten - ( premed )
I have to say - injecting an anticoagulant into a DVT sounds a bit sporting .... everyone knows of anticoagulants being given where the course of the disease is NOT changed - but that is not due to wrong drug or wrong dose....
If they have done the wrong drug bit
they are now under a duty to tell the patient
( duty of candour )
so all you do is sit back and wait and the money pours in
A significant amount of research has shown that fewer errors occur with single nurse administration even with I.V. drugs. This is because the very fact of third party checking discourages full attention as there is a reliance on the other person to pick up errors. The exception is controlled drugs where there is a requirement for a two signature check and administration. The direction however is for patient self administration of oral drugs with supplies dispensed on an individual basis and stored in locked compartments in the patients locker or mounted in the bed space.
