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Tiny infusion labels cause trouble, the patient died of failure to rescue, the hospital was sued in court
2024-04-08

Infusion bottle label above marked with the patient's name, bed number, drug name, dosage, usage, time, open time, etc., with the infusion bottle into the ward, is an important credentials of the medical staff to check the medication, but also patients and families can see the most direct physical evidence. Infusion bottle label can effectively avoid medical care risks, improve work efficiency, ensure medical quality has an important significance, to provide a strong guarantee for patient safety.

What are the main defects in the use of infusion bottle labels?
1, clinical use is not standardised
At all levels of hospitals, due to the uneven level of medical and nursing management, there is a different standard for the use of infusion vials, each going his own way. If some hospitals require printing, some handwritten, etc., to name a few.

2、Writing is not serious
This situation, mainly in the handwritten infusion vials sign medical care unit, there are scribbles, abbreviations, etc., easy to see the wrong, write the wrong, etc., to the verification work to bring some difficulty, easy to cause checking errors.

3, paste not standard
Some healthcare workers are very casual and capricious when they paste bottle labels, some of them directly cover the drug labels of I.V. fluids, and some of them don't remove the bottle labels of returned medicines, which will bring troubles and hidden dangers for the work in the future.

4、Uniform management
In a hospital, the requirements of each department are not the same, there will also be a hospital, there are handwritten and printed and directly written, there are management loopholes and security risks.

Countermeasures
1. Don't use this kind of medicine as much as possible
Clinical nurses should be cautious when using the spare medicines with bottle labels that are recovered by the pharmacy or stored in the department.

2. Remove discarded bottle stickers carefully
In the clinical front line, health care workers in contact with this packaging has been marked with the patient's bed number, name and other information of the liquid, in the spare drugs, must remove or cover the bed number and patient's name and other information. In order to avoid nursing staff in an emergency, the liquid with different patient information into the patient's body, if the patient or family members found, will be mistaken that we use the wrong medicine, and even cause disputes leading to liability accidents.

3、Completely cover the old sticker
Some bottle stickers are glued on by non-stick adhesive, which is difficult to remove. When healthcare workers encounter this kind of medication, they can completely cover the old information with the new bottle sticker after checking and before using, so as to avoid suspicion of the patient and cause unnecessary trouble.

4, special treatment management
With the old bottle of liquid is, after all, a minority, nursing staff can be special treatment, try not to use or used for other purposes, and placed separately from the normal use of drugs.

5, paste the infusion bottle stick have skills
Paste the infusion bottle sticker must be upside down, easy for health care workers hanging liquid after the check; pay attention not to cover the infusion bottle / bag on the original drug name, concentration and expiration date and other verification elements; paste the bottle sticker to be able to let the nurse to observe whether the drug is clarified, impurities, etc. to do a good job of quality control; bottle sticker on the management of high-risk medicines, in addition to the bottle sticker, you also need to paste the "high-risk" drug logo. The management of high-risk drugs on the bottle sticker, in addition to the bottle sticker, also needs to be affixed with the "high-risk drug logo".

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