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Three tips to help small pharmacies comply with proposed JCAHO goal

Pharmacy Regulation Resource, June 16, 2004

Proposed revisions to National Patient Safety Goal #3 (posted at www.jcaho.org) requires you to improve the safety of using all medications, not just high-alert ones as is currently mandated. One new requirement under Goal #3 restricts IV drug preparation to the pharmacy. The JCAHO does suggest purchasing premixed fluids as an alternative.

Here are three quick tips to comply with the proposed revisions:

1. Look at trends to meet your needs. Evaluate your peak hours and determine when you need to prepare the most IVs at once. This will help you plan for adequate staff levels.

2. Reduce stress with premixed IVs. Premixed IV solutions can help ease staff burdens. Premixed solutions come in a bag and are ready to give to patients.

3. Beware of premixed meds. Your pharmacy will probably not be able to purchase all medications premixed. When a drug is in a powder form-with no liquid added-it can remain stable longer than if a liquid were mixed with it.

Extreme temperatures could spoil some drugs if they are mixed well before patients receive them. That need to prepare certain drugs-such as antibiotics including vancomycin-could pose a problem to hospitals without 24-hour pharmacy coverage.

Have a pharmacist on call who can answer questions about preparing medications and come to the hospital in an emergency.

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