Instructions, written

The provision of written instructions in the form of a TREMCARD developed by CEFIC is exemplified by Figure 15.3. 

The operator had taken longer to open the valve. On previous occasions operators had taken several hours or even longer, but there were no written instructions, and the operator on duty had not been trained or instructed. 

Errors in written instructions are also systemic, but it is easy for the author to check them, and readers can understand what is meant even though they contain errors in spelling or grammar or are ambiguous. We know what is meant if we are told to save soap and waste paper. 

One day, the lead operator gave verbal and written instructions, via a second worker, to the top floor man to pump solvent to 12A blender. The top floor man actually pumped the solvent to 21A blender, as a result of connecting the hose to the 21A blender pipe and not the 12A blender pipe. Consequently the solvent pumped to 21A blender was charged on top of another batch already in 21A blender. The contaririnated batch had to be pumped back into a reactor where the mischarged solvent was removed by the application of vacuum. 

The individual responsible for completing the data input forms needs formalized training in data collection procedures, with written instructions on form completion, on data handling, and on documentation procedures. Other material needed to encode raw data properly must be available. In addition, these individuals need access to a consultant within the organization to help resolve questions that may arise. 

Misunderstanding of oral or written instructions on how to take the drug... 

ADMINISTERING PROPRANOLOL. Cardiac monitoring is recommended when the drug is given IV because severe bradycardia and hypotension may be seen. The nurse obtains written instructions from the primary health care provider for propranolol administration. For example, tire primary health care provider may want the drug to be withheld for a systolic blood pressure less than 90 mm Hg or a pulse rate less than 50 bpm. 

Provides written instruction for monitoring pulse rate (see Home Care Checklist Monitoring Pulse Rate in Chap. 39). 

The training of LSMBS shoppers is generally conducted by telephone and through written instructions. The written instructions and forms provided to the shoppers form the equivalent of a standard operating procedure (SOP). Often, since the network of shoppers is widely dispersed and may or may not be involved with more than one sample collection period, formal SOPs are not devised and provided to the shoppers. Instead, complete written instructions are provided, albeit not necessarily in SOP format. 

In the OPMBS, shoppers were selected from a list maintained by the sample collection coordinator and were for the most part trained dietitians. Each shopper received at least three in-depth telephone contacts prior to sample collection. Each shopper also received written instructions. 

Adequate pre-shop provision, thorough training, and strict oversight of the shoppers, as described above, were critical to the successful execution of the sample collection phase of the OPMBS. Each shopper received a kit containing sample labels and containers to hold the sampled commodities, ice packs and packaging materials, labels and boxes for use in shipping the collected commodities, written instructions, and forms well before the scheduled date of collection. The sample coordinator monitored sample collection and advised shoppers of actions to take when problems inevitably arose. 

Thereafter, the primary functions of the study QA specialist fell into two main headings. First, GLP compliance during the collection and documentation of commodity samples had to be assured. This was done via observation of several collections for different shops (collection incidents) at various geographic locations. In these audits, the study QA specialist examined specific items, such as (1) did the shopper follow the written instructions, (2) were the correct types and numbers of samples collected, (3) was the documentation maintained as required, (4) were the samples labeled and packaged correctly, and (5) were the samples delivered to the shipper as required Findings were communicated to study management and used as appropriate in subsequent shops. 

Written instruction in the use of the hazardous substances and the risks involved. 

A set of written instructions that document a routine or repetitive activity followed by an organization . 

Standard Operating Procedure A detailed written instruction to achieve uniformity in the performance of a specific function. 

The vendor shall provide sufficient written instructions and a cross-referenced list of all drawings to enable the pur-... 

Travellers visiting remote, malarious areas for prolonged periods should carry standby treatment if they are likely to be more than 24 hours away from medical care. Patients should receive clear written instructions that urgent medical attention should be sought if fever (38°C or more) develops 7 days... 

Service providers must operate to detailed written instructions provided by the company. It is recommended that these should be similar to the briefing material for representatives as... 

Representatives should be provided with written instructions on the application of the Code to their work even if they are also provided with an actual copy of it. Their instructions should cover such matters as the company s policies on meetings and hospitality, and the associated allowable expenditure, and the specific requirements for representatives in Clause 15 of the Code. It should be made clear how reporting to the scientific service of the company is to be carried out in relation to information about the medicines which they promote which comes to their notice, particularly reports of side-effects (Clause 15.6). 

Once you know about all drugs you will need to know the doses and instructions for use. It is always best to check the written instructions on the container or instruction sheet to ensure no confusion can exist. Be careful when there are multiple dosage forms of a drug that you do not assume that 2 tablets is equivalent to a certain milligram dose. In fact, make no assumptions unless necessary - always check This allows you to know whether the right drug has been prescribed in the correct dose and you can check the patient s adherence to the prescription instructions. A check on the amount prescribed, the date of the prescription and the number of tablets etc. left in the container also provide a check on adherence and the timing and duration of therapy. Further considerations are ... 

The vendor shall provide sufficient written instructions and all necessary drawings to enable the purchaser to install, operate, and maintain all of the equipment covered by the purchase order. This information shall be compiled in a manual or manuals with a cover sheet showing the information listed in 9.1.2, an index sheet, and a complete list of the enclosed drawings by title and drawing number. The manual or manuals shall be prepared specifically for the equipment covered by the purchase order. Pre-printed sections that are model specific may be included, but typical manuals are unacceptable... 

Written instructions in case of an adverse reaction usually require that the patient be directed to an emergency room for evaluation, monitoring, and treatment. Nonspecific treatment of a hypertensive crisis is as follows ... 

Does each piece of equipment have written instructions for... 

A protocol is a written set of instructions broader in scope than a SOP. SOPs are the detailed written instructions for procedures routinely performed in the course of any of the activities associated with pharmaceutical manufacturing. A protocol describes the details of a comprehensive planned study to investigate the consistent operation of new system/equipment, a new procedure, or the acceptability of a new process before it is implemented. 

The latter is discussed in Section 7.2. No method is fit for purpose unless there are clear and unambiguous written instructions for carrying out the prescribed testing in accordance with the conditions laid down in the original method development cycle. 

Work Instruction/ Plans of Work Level 3 Written Instructions Fo Control Faks... 

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