NCLEX-PN

●​ Periodically review the list of medications available via override. New Best Practice 17: Safeguard against errors with oxytocin use. ●​ Require the use of standard order sets for prescribing oxytocin antepartum and/or postpartum. ●​ Standardize oxytocin concentration/bag size. ●​ Standardize how oxytocin doses, concentrations, and rates are expressed. ●​ Boldly label oxytocin bags. ●​ Avoid bringing oxytocin infusion bags to the client's bedside until prescribed and needed. New Best Practice 18: Maximize the use of barcode verification prior to medication and vaccine administration. ●​ Target clinical areas with a short client stay. ●​ Regularly review compliance and other metric data. New Best Practice 19: Layer numerous strategies throughout the medication-use process to improve safety with high-alert medications. ●​ Outline a robust set of processes for each high-alert medication. ●​ Address system vulnerabilities in each stage of the medication-use process. ●​ Avoid reliance on low-leverage risk-reduction strategies. ●​ Limit the use of independent double-checks. These Best Practices are essential to reducing medication errors and improving client safety. In addition, the ISMP has compiled a list of high-alert medications in acute care settings. These are drugs that bear a heightened risk of causing significant client harm when used in error. Nurses should pay special attention to these medications and employ strategies such as standardizing the ordering, storage, preparation , and administration of these products, improving access to information about these drugs, limiting access to high-alert medications , using auxiliary labels , employing clinical decision support and automated alerts, and using redundancies such as automated or independent double checks when necessary. It's important to note that manual, independent double checks may not always be the optimal error-reduction strategy and may not be practical for all of the medications on the list.

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