Management of Medications for patients requiring precautions

[Janine Egart]

Morning all,

I have a question from our pharmacy department and would like to know what the consensus is.

If a patient (who is being accommodated in an isolation room with precautions) has medications stored in a locked cupboard, how would these be managed when the patient is discharged?

They are currently reviewing the medication manual which states:
“Where medications are stored inside the room, care must be taken to prevent cross contamination. Medications must not be removed once placed in the room. On discharge, remaining medications must be placed in a sealed plastic bag and returned to Pharmacy for destruction”.
I have been advised that this is currently not adhered to very well.

Would be interested to know what other facilities do?

Thanks
Janine Egart
Clinical Nurse Consultant – DDH
Infection Prevention & Control
Clinical Governance

p: 07 46166206 | m: 0400704118 – SD 1947
a: Pechey Street, Toowoomba,QLD 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Health
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Darling Downs Health acknowledges the Traditional Custodians of the land, and pays respect to Elders past, present and future.

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[Anonymous]

Hi Janine
Patient medications are usually in a locked drawer in the patient’s room.
Where the patient is on precautions, the drawer is removed and kept in the medication room and dispensed as prescribed.
No risk of contamination and no wastage.

regards

Janine Malcolm
Infection Control Consultant
Werribee Mercy Hospital

Mob 0419 548 097
jmalcolm@mercy.com.au

Morning all,

I have a question from our pharmacy department and would like to know what the consensus is.

If a patient (who is being accommodated in an isolation room with precautions) has medications stored in a locked cupboard, how would these be managed when the patient is discharged?

They are currently reviewing the medication manual which states:
“Where medications are stored inside the room, care must be taken to prevent cross contamination. Medications must not be removed once placed in the room. On discharge, remaining medications must be placed in a sealed plastic bag and returned to Pharmacy for destruction”.
I have been advised that this is currently not adhered to very well.

Would be interested to know what other facilities do?

Thanks
Janine Egart
Clinical Nurse Consultant – DDH
Infection Prevention & Control
Clinical Governance

p: 07 46166206 | m: 0400704118 – SD 1947
a: Pechey Street, Toowoomba,QLD 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Health
[Brand icon]
Caring for our communities: healthier together
[Our values]
Darling Downs Health acknowledges the Traditional Custodians of the land, and pays respect to Elders past, present and future.

********************************************************************************

This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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[Thompson, Karen (Health)]

Hi Janine,
We still have a medication trolley in our work station for administration of more common medications for outpatients afterhours (our ED is part of our ward setting) and injectables such as antibiotics and PRN anti emetics etc. We have set aside the top drawer to store medications for patients in our isolation rooms and their medications are sourced from here instead of the bedside cupboard.
I appreciate this system may not work in all settings but a locked cupboard mounted to the wall outside the room is also an option I have seen where the cupboard door drops down from the top when unlocked and becomes your workspace to sign off medications as they are prepared.

Not sure if this helps you at all
Karen

[SHARPS_Email banner]
Karen Thompson
Infection Prevention &Control
Barossa Hills Fleurieu Region
Angaston & Tanunda Hospitals
29 North Street Angaston S A 5353

Morning all,

I have a question from our pharmacy department and would like to know what the consensus is.

If a patient (who is being accommodated in an isolation room with precautions) has medications stored in a locked cupboard, how would these be managed when the patient is discharged?

They are currently reviewing the medication manual which states:
“Where medications are stored inside the room, care must be taken to prevent cross contamination. Medications must not be removed once placed in the room. On discharge, remaining medications must be placed in a sealed plastic bag and returned to Pharmacy for destruction”.
I have been advised that this is currently not adhered to very well.

Would be interested to know what other facilities do?

Thanks
Janine Egart
Clinical Nurse Consultant – DDH
Infection Prevention & Control
Clinical Governance

p: 07 46166206 | m: 0400704118 – SD 1947
a: Pechey Street, Toowoomba,QLD 4350
e: Janine.egart@health.qld.gov.au | w: Darling Downs Health
[Brand icon]
Caring for our communities: healthier together
[Our values]
Darling Downs Health acknowledges the Traditional Custodians of the land, and pays respect to Elders past, present and future.

********************************************************************************

This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

**********************************************************************************
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au

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