So I was at the monthly pharmacy and therapeutics meeting this month where I represent Crit Care nursing and the patient safety rep stated:
1. that she thought pharmacy needed to start overseeing the PTTs for heparin drips much like they review PT/INRs for coumadin dosing and
2. that heparin nomograms are not good for patient safety (this was after I stated that I did not think pharmacy oversight of PTTs was necessary as there is already oversight by two parties, the bedside nurse and the house medical officer and we follow a standardized nomogram that was at some point approved by pharmacy)
So she is looking at this from a "WWJD" (What Would JCAHO Do) standpoint.
I dont agree with her and am looking for back up.
Who out there works at a hospital that 1. does or doesnt have pharmacy oversight of heparin drips, and/or 2. does or doesnt use heparin nomograms.
I am interested in responses from both crit care and floor nurses....any feedback would be great....THANK YOU!!!
Dec 30, '05
institute for safe medication practices
has info re this issue.
here's one link:
double-checks for endogenous and exogenous errors
search their website for heparin and you will have much ammo for your next meeting.