Medication management protocols

Table 25-2. Medication Management Protocol Example (Continued)...

The other components of the policies and procedures manual include the medication management protocol and detailed instructions on use of the Cholestech LDX analyzer. The appendix of the policies and procedure manual contains copies of the forms and patient educational tools used in the program. 

This chapter emphasized that the process of implementing value-added services remains the same regardless of the service. What may be some differences in the forms used, protocols, and CPAs if the service were a diabetes educational program instead of a medication management service ... 

At present, pharmacists within the IHS have even more professional authority and latitude to provide patient care. Pharmacists provide primary care for patients beyond treating minor illnesses they can initiate medication orders, and, under medical staff protocols, diagnose, manage, and monitor patients with chronic diseases. The care delivered by pharmacists in this unique setting continues to serve as an exemplary model of the capabilities and impact of the pharmacy profession on direct patient care. 

The medical management plan for the exercise was first treatment for casualties in the Emergency Medical Treatment (EMT) point as well as in the field hospital according to the special protocol for mass casualties management containing ... 

The implementation of pharmaceutical care is supported by tools that facilitate patient care, including equipment to assess medication therapy adherence and effectiveness, clinical resource materials, and patient education materials. Tools may include computer software support, drug utilization evaluation (DUE) programs, disease management protocols, etc. 

United States Army Medical Research Institute of Infectious Diseases, Medical Management of Biological Casualties Handbook, 3rd ed.. Fort Detrick, July 1998. United States Department of Health and Human Services, CBW Clinical Treatment Protocols — 1996 Olympic Guidelines, Revision 1 July 1996. 

If liquid/droplet exposure is known or suspected in an individual exhibiting miosis only or miosis and rhinorrhea only, it is recommended that the individual receive no antidote treatment but be closely observed for at least 18 h, because toxic effects of liquid percutaneous exposure may not manifest for several hours (Sidell, 1997 Cannard, 2006). Toxic effects from vapor-only exposure usually occur quickly (within minutes) (Sidell, 1997). Current medical management guidelines and recommended medication protocols are summarized in ATSDR (2007), Vale et al. (2007), and Pulley and Jones (2008). The ATSDR antidote treatment protocol for civilian emergency management is summarized in Table 9.7. For additional information about antidotal treatment, readers are referred to Chapters 67, 68, and 71 of this volume. 

This chapter has so far considered the conventional approaches to the management of casualties of toxic trauma as part of existing HAZMAT protocols. Despite the fact that there is increasing interest in providing early medical care in a contaminated area, there are still wide divergences between the medical management of chemical incidents and that of other disasters where the casualties produced suffer from conventional tramna. 

Vincent, C., Taylor-Adams, S., Chapman, E. J., Hewett, D., Prior, S., Strange, P. and Tizzard, A. (2000). How to investigate and analyse clinical incidents Clinical Risk Unit and Association of Litigation and Risk Management protocol. British Medical Journal, 320, 777-781. 

Review CSDP protocols for compilation and management of medical records of facility personnel. 

ATLS and ATCN follow the same primary and secondary surveys. During the primary survey, identification and management of life-threatening injuries occur simultaneously. See Table 13.3 for a description of the primary survey per ATLS protocol. Within the secondary survey, a complete history of the event and past medical history is obtained. To aid and expedite this process, an AMPLE history can be completed. This includes Allergies, Medications, Past illnesses and Pregnancy, Last meal, and Events leading to the injury. A physical examination follows this is more detailed than the initial exam in the primary survey. Table 13.4 outlines assessment considerations during the secondary survey... 

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