Article short contents


Slovenska pediatrija 2019; 26: 77-82


Review article

SAFETY OF APPLICATION OF PARENTERAL MEDICINE IN CHILDREN

P. Robnik
Sprejemna urgentna ambulanta, Pediatrična klinika Ljubljana, Univerzitetni klinični center Ljubljana

A. Šuligoj
Sprejemna urgentna ambulanta, Pediatrična klinika Ljubljana, Univerzitetni klinični center Ljubljana

M. Oštir
Služba za pljučne bolezni, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

D. Mušič
Služba za otroško psihiatrijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Abstract

Drugs can also be introduced into the body through the gastrointestinal tract (parenteral), in the form of an injec-tion into the muscle, subcutaneous tissue or on the skin. The preparation and administration of medicines require accuracy and concentration on the part of the nurse. Compliance with the “10 P Rule” ensures safety and prevents the risk of errors. When administering a medicine, we must follow the doctor’s prescription, and it is also important to follow the instructions of the manufacturer since the incompati-bility of medicines is due to chemical processes that occur when mixing two or more unstable substances. The result is a change in the composition, colour or viscosity of the drugs/fluids and the ineffectiveness of the drug in the treatment of the disease. Deviations in the application of medications are most often associated with the factor of the healthcare personnel. Most errors occur in complex calculations of med-ication doses. Communication and collaboration problems have proven to be the most powerful predictor of health-re-lated damage in healthcare facilities. The SBAR structured communication tool (Situation −Background − Assessment − Recommendation) would be useful for effective communica-tion about the patient’s condition, reducing adverse events, promoting patient safety, improving the quality of care, and increasing the satisfaction of healthcare providers.

Key words: child, medicine, nurse, parenteral application, communication, deviation


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