Ugh! Another of JCAHO's impractical & cumbersome tasks.
Honestly? The review will be primarily retroactive just because the drugs are given as they're ordered....within minutes (unless they're waiting on lab tests/MRI's/CT's, etc.....)
You can lock out things like antibiotics until the order is placed in the computer system. But, practically, you have to allow & have available narcs, adenosine, IV fluids, K+, ntg, dopamine, nipride, all resucitative drugs without review other than retrospective. Likewise, its just nonsense to argue with a physician about the need for a drug when they're doing their job & you're doing yours - which might be covering the whole hospital by yourself at night!
Now...your eye rooms - the mydriatics & miotics again are impractical to have wait for a pharmacist & frankly - the incidence of drug error is low.
We're not a trauma hospital, but even at our low load, this is ridiculous!
Don't get me started on JCAHO!
