04/19/19 DC -- important med safety info
From: David Collette
Sent: Friday, April 19, 2019 2:11:28 PM
Subject: important med safety info
Attachment:post PCA orders
Weekly Pharmacy Event Report_4.22.19
Michele Durda submitted the attached for next week's Huddle, but we decided to go ahead and send it out to all pharmacists so that everyone would have a copy. Huddle leaders are also encouraged to talk about it in their Huddles
Please pay special attention to info on PCA orders. W e had several events reported over the last couple of weeks where the nurse gave a Norco while pt was on a PCA (one where the comment was not added; and another where the pre-PCA order was not discontinued).
Information included in this document is prepared and maintained for use by Hospital Quality Assurance
pursuant to Section 22-21-8 of the Code of Alabama, 1975