Page 37 - Christiana Care Focus October 2018

| Pharmacy Services
Fondaparinux injection (Arixtra)
Liposome bupivacaine injection (Exparel)
40 mg vials remain on the formulary Belinostat Injection (Beleodaq)
Product discontinued and replaced with a Betrixaban (Bevyxxa) 300 units/mL product
B E S T P R A C T I C E R E V I E W :
Find It ... Fix It
Submitting a work request if it’s related to Maintenance or Clinical Engineering.
Raising awareness of risks during daily huddles or staff meetings.
Calling the Safety Hotline (623-SAFE).
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• Protecting patient privacy by logging off unattended computers.
• Removingexpiredproducts/food/ medications from the patient care area.
Q. What if the unsafe practice or condition cannot be fixed immediately?
A. Develop and implement a unit/ department action plan to correct within 30-60 days.
For example:
• Any recurring unsafe conditions.
• Unit/department rounding or tracer findings.
• Incomplete medical record documentation.
• Practice not matching/consistent with policy or procedure. 
Q. What is FIND IT ... FIX IT?
A. FIND IT ... FIX IT is a new strategy to promote staff engagement to take ownership of safety and regulatory risks and to take action immediately.
Q. What is meant by “safety and regulatory risks”?
A. Safety and regulatory risks are any conditions, situations or actions that can potentially result in harm or injury to patients, visitors or staff.
Q. What actions can I take?
A. If you see or become aware of any condition that can potentially result in harm or injury to patients, visitors or staff, immediately take action to correct the condition. Actions may include:
• Correcting any unsafe condition immediately, if it’s within your scope.
• Submitting an R2L report.
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• •
• Removing and reporting expired equipment to Clinical Engineering.
Q. What are examples of things I can correct immediately?
A. Examples of conditions that you can correct immediately are:
• Securing any freestanding oxygen cylinders that you see by placing in a designated rack, cart or other approved holder.
• Removing any unsecured oxygen cylinders lying on patient stretchers or beds and placing them in designated holders.
• Moving items that block the emergency exits or the path to the emergency exits.
• Removing ripped/torn furniture/ stretchers from service and submitting a work request.
If you have questions about this Best Practice Review, please contact the Content Experts: Patient Safety and Accreditation Department: 623-5623; or call the Safety Hotline: 7233 (SAFE) from within Christiana or Wilmington hospitals; from outside call 623-7233 (SAFE).
FOCUS • OCTOBER 2018 35
NOT ADDED TO FORMULARY
MEDICATION POLICY CHANGE