High-Alert Medication Trivia

HIGH-ALERT MEDICATION

Trivia

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QUESTION 1/7

Question 1/7

Explanation

This Veterans Health Administration (VHA) Directive 1195 explains the policy and standards for a list of high-alert medications created together with the Defense Health Agency (DHA). To improve patient safety, medications on this list may need specific safety measures in the electronic health record (EHR). The directive also covers how to administer, store, label, keep track of, and return high-alert medications in Department of Veterans Affairs (VA) medical facilities.

QUESTION 2/7

QUESTION 2/7

Explanation

The VHA Directive 1195 provides mandated national risk-mitigation strategies such as Independent Double Check (IDC) on certain high-alert medications such as

• chemotherapeutic agents
• hypoglycemics
• anticoagulants
• fibrinolytic
• opioids

QUESTION 3/7

QUESTION 3/7

Explanation

Independent Double Check must be completed for all medications that are designated as High Risk/High-Alert. In BCMA, these medications will have an icon under the Alert column.

FILL IN THE BLANKS

The Independent Double Check is a process that occurs prior to medication administration in which _____ licensed health care clinicians, _________________ each other, check and then compare results for each component of the medication order, ensure clinical appropriateness in the context of the patient's plan of care, and verify the pump settings, as applicable.

three

two

one

two

alone and apart from

read to

accompanied

alone and apart from

Explanation

The VHA 1195 Directive states the IDC "is a process that occurs prior to medication administration in which two licensed health care clinicians, alone and apart from each other, check and then compare results for each component of the medication order, ensure clinical appropriateness in the context of the patients plan of care, and verify the pump settings, as applicable."

QUESTION 5/7

QUESTION 5/7

Explanation

For an IDC on IV infusion, one licensed clinician prepares the solution, and a second licensed clinician, using the order in the EHR and available technology (e.g., Smart Infusion Pumps, BCMA), independently verifies the following before starting the infusion:

• Patient
• Drug/solution
• Drug concentration
• Rate of infusion
• IV tubing is traced by hand from the solution container to the pump and then to the patient to verify the proper pump/channel and route of administration.
• Channel selection on the IV pump

An IDC occurs during all hand-off communications for patients receiving IV or epidural high-alert medication infusions. The patient, drug/solution, drug concentration, rate of infusion, line and pump attachment, and channel selection are verified by 2 licensed staff.

QUESTION 6/7

Question 6/7

Explanation

The purpose of SOP 119-21 is to establish procedures for the safe medication management of High Alert (HA) and Look-Alike, Sound-Alike (LASA) medications to minimize associated risks and prevent harm. This SOP must be followed by all Orlando VA Healthcare System (OVAHCS) staff involved in handling medications included herein. This SOP sets forth mandatory procedures and processes to ensure compliance with The Joint Commission Medication Management Accreditation standards and VHA Directive 1195 High Alert Medication.

QUESTION 7/7

QUESTION 7/7

Explanation

BCMA resources can be found on our BCMA SharePoint accessible via the BCMA Tools Menu:

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