Problem
What process should you suggest to be included in the Drug Protocol to avoid the following medication errors?
A. SL, 45 y.o., diagnosed of lower respiratory tract infection. She was prescribed with Cefaclor CD 750mg BID. The pharmacy notified the station that the product was not available, and recommended Cefaclor 500 mg tablet. Doctor agreed but forgot to notify the nurse of the proper dosage. Patient received 4 doses of Cefaclor 500 mg BID.
B. S, diagnosed of BA in AE, was prescribed Salbutamol Nebule q8h by the doctor. The nurse transcribed it in the Medication Sheet but forgot to phone in the Respiratory Therapist. Patient did not receive 2 doses of Salbutamol until the Clinical Pharmacist notified the Charge Nurse.
C. A doctor prescribed Cetirizine oral solution for a pediatric patient, 5 ml once a day for 5 days. Pharmacist dispensed Cetirizine oral drops, resulting in overdosage. The child became drowsy.