Preparation of Quick Reference Table on Incompatibilities of Injections for Use in the ICU and Investigation of the Usefulness of This Table
10.11256/jjdi.14.75
- VernacularTitle:ICUにおける注射薬配合変化早見表の作成とその有用性の検討
- Author:
Shinya Abe
;
Shinobu Matsumoto
;
Gento Kobayashi
;
Takatoshi Saito
;
Hiroyuki Miyashita
;
Akiko Takano
;
Naoko Sakai
;
Soichi Shibata
;
Koichiro Atsuda
- Publication Type:Journal Article
- Keywords:
drug incompatibility;
quick reference table;
intensive care unit
- From:Japanese Journal of Drug Informatics
2012;14(2):75-81
- CountryJapan
- Language:English
-
Abstract:
Objective: In the intensive care unit (ICU), drugs are administered in sequence as the conditions of the patient change rapidly, and there are often cases where many injections are administered simultaneously. For this reason, it is important to quickly select the appropriate administration route. In this study, we prepared a quick reference table for incompatibilities of frequently used and highly important injections in the ICU (referred to as the “quick reference table”) that will enable selection of the appropriate administration route, and we investigated the status of use and usefulness of this quick reference table.
Methods: The drugs included in the quick reference table were extracted from prescription records from May to October 2009, and these were finalized by discussions with the nurses in the ICU. Three reference materials were used: Manual on the Supervision of Injection Preparation (3rd Edition), Data Search on Injection Incompatibilities 2009, and MICROMEDEX®. The survey was conducted with all 12 nurses in the ICU after 4 months of distributing the quick reference table.
Results: The quick reference table included 57 pharmaceutical items, and compatibility was classified into 10 categories. The quick reference table was prepared as one A3 page for convenience. The retrieval rate of the survey was 100%. The average number of years of practical experience as a nurse was 12.2 years, and 11 out of 12 nurses used the quick reference table. Of the 11 nurses who used the table, 6 answered that it was “very useful,” while 4 answered that it was “useful.” All 11 nurses who used the quick reference table answered that they “consulted the pharmacists less frequently.”
Conclusion: Satisfactory evaluations were obtained with regard to the details included in the quick reference table, and the table was estimated to be highly useful and important even for ICU nurses with many years of experience. Furthermore, it was suggested that the quick reference table was also useful in reducing the workloads of the pharmacists.
