Basic Presentation

Report
Basics of
Medication Safety
Welcome and
Introductions
2
Presentation Goals
To raise your awareness of:
how you can help improve patient safety
 safe medication use practices
 the value of working with your
pharmacist

3
Topics
• Overview of medication safety
• Engage in patient safety!
• Keep a current medication list
• Know your medications
• Store and dispose of medications safely
• Report and learn from medication
incidents
4
Get warmed up!!
5
Overview of
Medication Safety
6
Why is Medication Safety
Important?

Medication incidents can happen

Everyone has a role to play in
preventing harm from medication
incidents
7
Examples of medication
incidents

Your medication container from the
pharmacy contains the wrong
medication

You take the same medication twice in
the same day by accident
8

You are given too much of a
medication while in hospital

You receive a medication that you
know you are allergic to
9
Where can medication
incidents occur?

At your doctor’s office when a
medication is prescribed

At your pharmacy
◦ When a prescription is filled
◦ When you select an over the
counter medication

In your home, when you take or use
the medication
Where can medication
incidents occur?

In the hospital, when medications
are ordered or prepared by the
pharmacy

At your bedside, when medications
are given/taken
Engage in Patient
Safety!
12
You can help improve
medication safety

Patients are the best source of
information on the medications they are
taking

Be involved in medication safety - there
are lots of ways to do this!

Ask questions!
13
Be involved in patient
safety!

It’s Safe to Ask!

S.A.F.E. Toolkit

S.A.F.E. Patients Blog

Patient Advocate Form

Patient Values and Partnerships
www.safetoask.ca
14
Keep a
Medication List
15
Keep a Current Medication
List
List:
 what you are actually taking
 how you are taking it
 why you are taking it
As a patient, YOU are the best source
of information on the medications you
are taking!
16
Keep a Current Medication
List
List:
 regularly used and “as needed”
◦ prescription medications
 pills, ointments, creams, liquids
◦ non-prescription medications
◦ vitamins, herbal, natural products
 dosages and strength (eg: 1 x 500 mg
tablet)
 how and when you take the medication
17
A current medication list
helps:
you learn about your medications
 you take your medications correctly
 your doctors, nurses and pharmacists
know about your medications
 in an emergency

Get a list of current medications when you move
from one setting of care to another 18
Videos:
Intro to Know and Show Your
Medication Card
How to fill in and use the
Medication Card
19
Know Your
Medications
20
Know Your Medications
Check name and purpose of medications
when you:
• get a prescription
• fill a prescription
• are given medications
Your community pharmacist can
help you!
21
How to Read a Prescription
22
At appointments, ask your
doctor or nurse:
1. What is my health problem?
2. What do I need to do?
3. Why do I need to do this?
23
In the hospital – 5 “Rights”
Right:
• patient name
• medication name (generic and/or
brand)
• dose (amount)
• time of day to be taken
• route (by mouth, onto skin, etc.)
24
At hospital discharge, ask:
What medications have changed since
I came into hospital?
• Ask:
◦What medications are:
continued as before?
stopped?
changed?
new?
◦Did my dose change?
25
At hospital discharge and
at the pharmacy, ask:
• what is the medication name? (spell it)
• why do I need it?
• I have allergies – will I have a reaction
to this medication?
• when and how should I take it?
• how should I measure a liquid?
• will it interact with other medications I
am taking?
26
At hospital discharge and
at the pharmacy, ask:
 what will it do?
 what are the side effects?
 how long should I take it?
 what do I do if I miss a dose?
 does my refill look the same as before?
 are there “extra labels” on the container?
 how do I store it?
27
How to Read a Prescription
Label
28
Auxiliary Labels
29
Auxiliary Labels
30
Auxiliary Labels
31
Know Your Medications –
More TIPS




Use the same pharmacy
Ask your pharmacist how to take
medications until you understand
Ask before you cut, split, crush or open
a pill or capsule
Take with water, not juice; unless told
other wise by your healthcare provider
32
Know Your Medications –
More TIPS




If dose is more than 3 pills at once, check
Do not share your medications
Give your contact information and an
emergency contact
Check when medications “expire” (best
before date).
ASK QUESTIONS
33
DOUBLE CHECK!!
Get information on how to take the
medication…
THEN
Tell your pharmacist your
understanding of how to take the
medication
34
Know your
non-prescription medications

Vitamins, herbs, natural health products,
“over the counter” medications

Tell your doctor and pharmacist
what non-prescription medications you are
taking.

A bad interaction with prescription
medication or a medical condition may
cause harm
35
Storing and
Disposing of
Medications
36
Store Medications Safely
● Store
medications:
◦ securely (e.g. locked cabinet)
◦ in an area free of excess heat, cold
and moisture (some exceptions)
● Leave medications in original labelled
containers
● Do not mix medications in same
container
37
Dispose of Medications
Safely
● Return
unused or out of date
medications to your pharmacy
● If
using needles to inject
medication, get a biohazard
container from your pharmacy
38
Report and Learn
from Medication
Incidents
39
Report and Learn
from Medication Incidents

Inform healthcare providers if you feel a
medication incident has occurred

Reporting incidents helps get to the root
of the problem
40
Reporting Medication
Incidents
● Report:
o Medication incidents to
• your healthcare provider, and
• ISMP Canada online at
www.SafeMedicationUse.ca or tollfree at 1-866-544-7672
oReport critical incidents to your Regional
Health Authority
41
Reporting Adverse Drug
Reactions
Adverse drug reactions are not related
to the healthcare provided
 Report adverse drug reactions to the
Canada Vigilance Program

◦ Either by mail, fax, telephone or online
◦ For details see: http://www.hcsc.gc.ca/dhp-mps/medeff/reportdeclaration/index-eng.php#a1
42
Summary
and
Evaluation
43
Children and Teens
44
High Alert Medications
45
Seniors
46
Travelling with Medications
47

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